HCPCS code	HCPCS code description	Period	Labor code	Labor code description	Labor cost per minute	Labor activity	Non-facility minutes	Facility minutes
00100	Anesthesia for procedure on salivary gland with biopsy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00102	Anesthesia for procedure to repair lip defect present at birth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00103	Anesthesia for procedure on eyelid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00104	Anesthesia for electric shock treatment	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00120	Anesthesia for biopsy of external middle and inner ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00124	Anesthesia for examination and biopsy of external middle and inner ear using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00126	Anesthesia for incision of ear drum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00140	Anesthesia for procedure on eye	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00142	Anesthesia for lens surgery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00144	Anesthesia for procedure on eye for corneal transplant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00145	Anesthesia for retinal surgery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00147	Anesthesia for procedure on eye for removal of iris	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00148	Anesthesia for eye examination using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00160	Anesthesia for procedure on nose and sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00162	Anesthesia for surgery of nose and sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00164	Anesthesia for soft tissue biopsy on nose and sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00170	Anesthesia for procedure on mouth including biopsy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00172	Anesthesia for procedure on mouth to repair palate deformity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00174	Anesthesia for procedure on throat for removal of tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00176	Anesthesia for surgery on mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00190	Anesthesia for procedure on facial bones or skull	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00192	Anesthesia for surgery of facial bones or skull	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00210	Anesthesia for procedure on brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00211	Anesthesia for procedure to remove blood collection in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00212	Anesthesia for procedure to remove fluid in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00214	Anesthesia for procedure to create holes in skull including X-ray imaging	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00215	Anesthesia for procedure to repair skull or skull fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00216	Anesthesia for procedure on blood vessel in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00218	Anesthesia for procedure on brain patient in sitting position	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00220	Anesth intrcrn nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00222	Anesthesia for procedure on nerve in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00300	Anesthesia for procedure on esophagus and neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00320	"Anesthesia for procedure on esophagus and neck, age 1 year or older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00322	Anesthesia for needle biopsy of thyroid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00326	Anesth larynx/trach < 1 yr	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00350	Anesthesia for procedure on major blood vessels of neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00352	Anesthesia for tying procedure on major blood vessels of neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00400	"Anesthesia for procedure on skin of arms, legs, or trunk"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00402	Anesthesia for breast reconstruction	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00404	Anesthesia for removal of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00406	Anesthesia for removal of breast and lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00410	Anesthesia for procedure to correct abnormal heart rhythm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00450	Anesthesia for procedure on collar bone and shoulder blade	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00454	Anesthesia for biopsy of collar bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00470	Anesthesia for partial removal of rib	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00472	Anesthesia for partial removal of rib and chest wall repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00474	Anesthesia for partial removal of rib and chest wall reconstruction	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00500	Anesthesia for procedure on esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00520	Anesthesia for closed procedure in chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00522	Anesthesia for closed needle biopsy of lung	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00524	Anesthesia for closed drainage of lung fluid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00528	Anesthesia for closed diagnostic examination of chest using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00529	Anesthesia for closed diagnostic examination of chest using an endoscope with 1 lung ventilation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00530	Anesthesia for insertion of permanent heart pacemaker	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00532	Anesthesia for central vein access	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00534	Anesthesia for insertion or replace of pacing heart defibrillator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00537	Anesthesia for procedure on heart to correct abnormal rhythm	Pre-service	L037D	RN/LPN/MTA	0.455	"Schedule (3 min), assign case and complete forms (5 min) for anesthesia"	8	8
00539	Anesthesia for reconstruction of windpipe and lung airway	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00540	Anesthesia for procedure in chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00541	Anesthesia for procedure in chest with 1 lung ventilation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00542	Anesthesia for removal of lung lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00546	Anesthesia for lung removal and chest wall repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00548	Anesthesia for procedure on windpipe and lung airway	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00550	Anesthesia for removal of breast bone tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00560	Anesthesia for procedure on heart and great blood vessels	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00561	"Anesthesia for procedure on heart and great blood vessels on heart-lung machine, younger than 1 year of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00562	"Anesthesia for procedure on heart and great blood vessels on heart-lung machine, age 1 year or older, or re-operation more than 1 month after original procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00563	Anesthesia for procedure on heart and great blood vessels on heart-lung machine	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00566	Anesthesia for heart artery bypass grafting	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00567	Anesthesia for heart artery bypass grafting on heart-lung machine	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00580	Anesthesia for heart or heart-lung transplant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00600	Anesthesia for procedure on upper spine and spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00604	"Anesthesia for procedure on spine and spinal cord, patient in sitting position"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00620	Anesthesia for procedure on middle spine and spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00625	Anesthesia for procedure on middle spine and spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00626	Anesthesia for procedure on middle spine and spinal cord with 1 lung ventilation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00630	Anesthesia for procedure on lower spine	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00632	Anesthesia for removal of nerves in lower spine	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00635	Anesthesia for spinal tap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00640	Anesthesia for closed manipulation of spine	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00670	Anesthesia for procedure on spine and spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00700	Anesthesia for procedure on upper front abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00702	Anesthesia for liver biopsy (accessed through the skin)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00730	Anesthesia for procedure on upper rear abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00731	"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified"	Pre-service	L037D	RN/LPN/MTA	0.455	Anesthesia Scheduling	3	3
00731	"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified"	Pre-service	L037D	RN/LPN/MTA	0.455	"Case assignment, scheduling coordination and completion of forms"	5	5
00732	"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)"	Pre-service	L037D	RN/LPN/MTA	0.455	Anesthesia Scheduling	3	3
00732	"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)"	Pre-service	L037D	RN/LPN/MTA	0.455	"Case assignment, scheduling coordination and completion of forms"	5	5
00750	Anesthesia for procedure to repair upper abdominal hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00752	Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00754	Anesthesia for procedure to repair upper abdominal hernia present at birth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00756	Anesthesia for procedure to repair abdominal hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00770	Anesthesia for procedure on major abdominal blood vessels	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00790	Anesthesia for procedure in upper abdomen including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00792	Anesthesia for partial removal of liver or management of bleeding including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00794	Anesthesia for removal of pancreas including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00796	Anesthesia for liver transplant recipient including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00797	Anesthesia for procedure on stomach for obesity including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00800	Anesthesia for procedure on lower front abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00802	Anesthesia for removal of excess tissue on lower abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00811	"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified"	Pre-service	L037D	RN/LPN/MTA	0.455	"Schedule (3 min), assign case and complete forms (5 min) for anesthesia"	8	8
00812	"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy"	Pre-service	L037D	RN/LPN/MTA	0.455	"Schedule (3 min), assign case and complete forms (5 min) for anesthesia"	8	8
00813	"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum"	Pre-service	L037D	RN/LPN/MTA	0.455	Anesthesia Scheduling	3	3
00813	"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum"	Pre-service	L037D	RN/LPN/MTA	0.455	"Case assignment, scheduling coordination and completion of forms"	5	5
00820	Anesthesia for procedure on lower rear abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00830	Anesthesia for lower abdominal hernia repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00832	Anesthesia for middle or incisional abdominal hernia repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00834	"Anesthesia for lower abdominal hernia repair, child younger than 1 year of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00836	"Anesthesia for lower abdominal hernia repair, infants younger than 37 weeks gestational age at birth and younger than 50 weeks gestational age at time of surgery"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00840	Anesthesia for procedure in lower abdominal cavity including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00842	Anesthesia for removal of amniotic fluid in uterus including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00844	Anesthesia for procedure in lower abdominal cavity and rectum including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00846	Anesthesia for removal of uterus including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00848	Anesthesia for removal of pelvic organs including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00851	Anesthesia for tying or incision of fallopian tubes using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00860	Anesthesia for procedure in lower abdomen including urinary tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00862	Anesthesia for procedure on upper urinary duct (ureter) or removal of kidney for transplant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00864	Anesthesia for removal of urinary bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00865	Anesthesia for removal of prostate	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00866	Anesthesia for removal of adrenal gland	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00868	Anesthesia for kidney transplant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00870	Anesthesia for removal of urinary bladder stone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00872	Anesthesia for shock wave therapy for urinary system stones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00873	Anesthesia for shock wave therapy for urinary system stones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00880	Anesthesia for procedure on major lower abdominal wall blood vessels	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00882	Anesthesia for tying of major vein in lower abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00902	Anesthesia for procedure on anus and rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00904	Anesthesia for procedure on perineum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00906	Anesthesia for removal of external female genitalia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00908	Anesthesia for removal of prostate	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00910	Anesthesia for procedure on urinary system including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00912	Anesthesia for removal of urinary bladder tumors including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00914	Anesthesia for removal of prostate including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00916	Anesthesia for procedure to control urinary system bleeding including use of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00918	"Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00920	Anesthesia for procedure on male genitalia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00921	Anesthesia for vasectomy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00922	Anesthesia for procedure on male genitalia glands	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00924	Anesthesia for repair of undescended testicle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00926	Anesthesia for removal of testicle through groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00928	Anesthesia for removal of testicle through abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00930	Anesthesia for relocation of undescended testicle into scrotum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00932	Anesthesia for removal of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00934	Anesthesia for removal of penis and lymph nodes on both sides of groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00936	Anesthesia for removal of penis and lymph nodes on both sides of groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00938	Anesthesia for insertion of penile prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00940	"Anesthesia for vaginal biopsy of cervix, uterine lining, or external genitalia"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00942	Anesthesia for repair or removal of vagina and urinary procedure	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00944	Anesthesia for vaginal removal of uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00948	Anesthesia for suture closure of cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00950	Anesthesia for examination of cervix using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
00952	Anesthesia for examination of uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01112	Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01120	Anesthesia for procedure on pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01130	Anesthesia for application or revision of body cast	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01140	Anesthesia for amputation of leg including pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01150	Anesthesia for removal of pelvic bone tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01160	Anesthesia for procedure on pubic bone or sacroiliac joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01170	Anesthesia for open procedure on pubic bone or sacroiliac joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01173	Anesthesia for open repair of pelvic fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01200	Anesthesia for closed procedure on hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01202	Anesthesia for procedure on hip joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01210	Anesthesia for open surgical procedure on hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01212	Anesthesia for open hip joint dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01214	Anesthesia for open total hip joint replacement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01215	Anesthesia for open revision of total hip joint replacement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01220	Anesthesia for closed procedure on upper two-thirds of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01230	Anesthesia for open procedure on upper two-thirds of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01232	Anesthesia for open amputation at upper two-thirds of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01234	Anesthesia for open removal of muscle or tissue at upper two-thirds of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01250	"Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of upper leg"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01260	Anesthesia for procedure on veins of upper leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01270	Anesthesia for procedure on arteries of upper leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01272	Anesthesia for groin artery bypass graft and tying of upper leg artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01274	Anesthesia for removal of groin artery blood clot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01320	"Anesthesia for procedure on nerves, muscles, tendons, fascia, and/or bursae of knee"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01340	Anesthesia for closed procedure on lower one-third of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01360	Anesthesia for open procedure on lower one-third of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01380	Anesthesia for closed procedure on knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01382	Anesthesia for diagnostic examination of knee joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01390	Anesthesia for closed procedure at kneecap and/or upper foreleg bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01392	Anesthesia for open procedure at kneecap and upper foreleg bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01400	Anesthesia for open or endoscopic procedure on knee including	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01402	Anesthesia for open or endoscopic total knee joint replacement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01404	Anesthesia for open or endoscopic procedure of dislocated knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01420	"Anesthesia for knee joint cast application, removal, or repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01430	Anesthesia for procedure on knee veins	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01432	Anesthesia for repair of abnormal artery-vein formation of knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01440	Anesthesia for procedure on knee arteries	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01442	Anesthesia for removal of blood clot in artery behind knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01444	Anesthesia for repair of bulging (aneurysm) defect in knee artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01462	"Anesthesia for closed procedure on lower leg, ankle, and foot"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01464	Anesthesia for procedure on ankle and/or foot using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01470	"Anesthesia for procedure on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01472	Anesthesia for procedure to repair calf muscle tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01474	Anesthesia for procedure to repair calf muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01480	"Anesthesia for open procedure on bones of lower leg, ankle and foot"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01482	Anesthesia for open amputation below the knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01484	"Anesthesia for open reconstruction of lower leg, ankle, and/or foot bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01486	Anesthesia for open total ankle joint replacement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01490	"Anesthesia for lower leg cast application, removal, or repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01500	Anesthesia for procedure on arteries of lower leg including bypass graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01502	Anesthesia for lower leg artery bypass graft or blood clot removal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01520	Anesthesia for procedure on veins of lower leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01522	Anesthesia for removal of lower leg vein obstruction	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01610	"Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01620	Anesthesia for closed procedure on upper arm bone and shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01622	Anesthesia for diagnostic examination of shoulder joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01630	Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01634	Anesthesia for open or endoscopic procedure of dislocated shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01636	"Anesthesia for open or endoscopic amputation of arm, shoulder blade, and collar bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01638	Anesthesia for open or endoscopic total shoulder joint replacement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01650	Anesthesia for procedure on arteries of shoulder and underarm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01652	Anesthesia for repair of bulging (aneurysm) defect in upper arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01654	Anesthesia for bypass graft in shoulder or underarm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01656	Anesthesia for bypass graft from groin artery to shoulder or underarm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01670	Anesthesia for procedure on veins of shoulder and underarm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01680	"Anesthesia for cast application, removal or repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01710	"Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01712	Anesthesia for open incision of elbow to shoulder tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01714	Anesthesia for repair of elbow to shoulder tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01716	Anesthesia for suture of upper arm and elbow tendon to bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01730	Anesthesia for closed procedure on upper arm and elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01732	Anesthesia for diagnostic examination of elbow joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01740	Anesthesia for open or endoscopic procedure on elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01742	Anesthesia for open or endoscopic procedure at upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01744	Anesthesia for open or endoscopic repair of non-healed fracture of upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01756	Anesthesia for open or endoscopic surgical procedure on elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01758	Anesthesia for open or endoscopic removal cyst or tumor of upper arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01760	Anesthesia for open or endoscopic total elbow joint replacement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01770	Anesthesia for procedure on arteries of upper arm and elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01772	Anesthesia for removal of blood clot from upper arm or elbow artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01780	Anesthesia for procedure on veins of upper arm and elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01782	Anesthesia for suture of upper arm or elbow vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01810	"Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01820	"Anesthesia for closed procedure on bones of forearm, wrist, or hand"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01829	Anesthesia for diagnostic examination of the wrist using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01830	"Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01832	Anesthesia for open or endoscopic total wrist joint replacement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01840	"Anesthesia for procedure on arteries of forearm, wrist, and hand"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01842	"Anesthesia for removal of blood clot from forearm, wrist, or hand artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01844	Anesthesia for placement or revision of blood flow shunt	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01850	"Anesthesia for procedure on veins of forearm, wrist, and hand"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01852	"Anesthesia for suture of forearm, wrist, or hand vein"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01860	"Anesthesia for forearm, wrist, or hand cast application, removal or repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01916	Anesthesia for diagnostic X-ray procedure on arteries or veins	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01920	Anesthesia for procedure on heart vessels and chambers	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01922	Anesthesia for X-ray or radiation therapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01924	Anesthesia for X-ray procedure on arteries	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01925	Anesthesia for X-ray procedure on neck or heart artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01926	"Anesthesia for X-ray procedure on artery in brain, heart, or major vessel of chest (aorta)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01930	Anesthesia for X-ray procedure on vein or lymph system	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01931	Anesthesia for X-ray procedure on liver vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01932	Anesthesia for X-ray procedure on chest or neck vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01933	Anesthesia for X-ray procedure on brain vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01937	"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	"Schedule (3 min), assign case and complete forms (5 min) for anesthesia"	8	8
01938	"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral"	Pre-service	L037D	RN/LPN/MTA	0.455	"Schedule (3 min), assign case and complete forms (5 min) for anesthesia"	8	8
01939	Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic	Pre-service	L037D	RN/LPN/MTA	0.455	"Schedule (3 min), assign case and complete forms (5 min) for anesthesia"	8	8
01940	Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral	Pre-service	L037D	RN/LPN/MTA	0.455	"Schedule (3 min), assign case and complete forms (5 min) for anesthesia"	8	8
01941	"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	"Schedule (3 min), assign case and complete forms (5 min) for anesthesia"	8	8
01942	"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral"	Pre-service	L037D	RN/LPN/MTA	0.455	"Schedule (3 min), assign case and complete forms (5 min) for anesthesia"	8	8
01951	"Anesthesia for treatment of second and third-degree burn, less than 4% total body surface"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01952	"Anesthesia for treatment of second and third-degree burn, between 4% and 9% total body surface area"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01953	test code 1	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01958	test code 2	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01960	test code 4	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01961	Anesthesia for cesarean delivery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01962	Anesthesia for procedure to remove uterus following delivery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01963	Anesthesia for cesarean removal of uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01967	Anesthesia for labor during planned vaginal delivery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01968	Anesthesia for cesarean delivery following labor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01969	Anesthesia for cesarean removal of uterus following labor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01990	Physiological support for harvesting of organs	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01991	Anesthesia for nerve block and injection procedure	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01992	"Anesthesia for nerve block and injection procedure, prone position"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
01996	Daily hospital management of continuous spinal drug administration	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	8
0446T		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
0446T		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
0446T		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
0446T		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
0446T		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
0446T		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
0446T		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
0446T		Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2	0
0446T		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
0447T		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
0447T		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
0447T		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
0447T		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
0447T		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
0447T		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
0447T		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
0447T		Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2	0
0447T		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
0448T		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
0448T		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
0448T		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
0448T		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
0448T		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
0448T		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
0448T		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
0448T		Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2	0
0448T		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Confirm order, protocol exam"	0	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	0	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	3	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	9	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide education/obtain consent	1	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure/service---NOT directly related to physician work time	27	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	8	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Service  post	L038A	COMT/COT/RN/CST	0.45	Review examination with interpreting MD/DO	2	0
0509T	"Electroretinography (ERG) with interpretation and report, pattern (PERG)"	Service  post	L038A	COMT/COT/RN/CST	0.45	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
10004	"Fine needle aspiration biopsy, without imaging guidance; each additional lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	14	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Pre-service	L037D	RN/LPN/MTA	0.455	Review patient clinical extant information and questionnaire	2	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
10005	"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
10006	"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	2	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	27	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	20	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	7	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	2	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
10007	"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
10008	"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
10008	"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	15	0
10008	"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	5	0
10008	"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
10008	"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
10008	"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	2	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	2	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  intra	L046A	CT Technologist	0.61	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	35	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  intra	L046A	CT Technologist	0.61	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	26	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	9	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	2	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
10009	"Fine needle aspiration biopsy, including CT guidance; first lesion"	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
10010	"Fine needle aspiration biopsy, including CT guidance; each additional lesion"	Service  intra	L046A	CT Technologist	0.61	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	25	0
10010	"Fine needle aspiration biopsy, including CT guidance; each additional lesion"	Service  intra	L046A	CT Technologist	0.61	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	19	0
10010	"Fine needle aspiration biopsy, including CT guidance; each additional lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	6	0
10021	"Fine needle aspiration biopsy, without imaging guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
10021	"Fine needle aspiration biopsy, without imaging guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
10021	"Fine needle aspiration biopsy, without imaging guidance; first lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
10021	"Fine needle aspiration biopsy, without imaging guidance; first lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
10021	"Fine needle aspiration biopsy, without imaging guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	2	0
10021	"Fine needle aspiration biopsy, without imaging guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
10021	"Fine needle aspiration biopsy, without imaging guidance; first lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
10030	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	5	0
10030	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	6
10030	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	15	0
10030	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	62	0
10030	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	24	0
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Availability of prior images confirmed	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Availability of prior images confirmed	2	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	"Greet patient, provide gowning, ensure appropriate medical records are available"	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	Obtain vital signs	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	Obtain vital signs	5	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	Prepare and position pt/ monitor pt/ set up IV	3	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	Prepare and position pt/ monitor pt/ set up IV	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	"Prepare room, equipment, supplies"	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	"Prepare room, equipment, supplies"	3	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	Provide pre-service education/obtain consent	5	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	Provide pre-service education/obtain consent	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Acquire images	15	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Acquire images	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Clean room/equipment by physician staff	3	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Clean room/equipment by physician staff	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	5	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Review examination with interpreting MD	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Review examination with interpreting MD	2	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	"Review/read X-ray, lab, and pathology reports"	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	"Review/read X-ray, lab, and pathology reports"	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	0	
10035	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
10036	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	Prepare and position pt/ monitor pt/ set up IV	3	
10036	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	"Prepare room, equipment, supplies"	1	
10036	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Acquire images	14	
10036	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1	
10036	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Clean room/equipment by physician staff	1	
10036	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
10036	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Review examination with interpreting MD	2	
10036	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	"Review/read X-ray, lab, and pathology reports"	0	
10036	"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
10040	Acne surgery	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	0	
10040	Acne surgery	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	0	
10040	Acne surgery	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
10040	Acne surgery	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
10040	Acne surgery	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
10040	Acne surgery	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
10040	Acne surgery	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
10040	Acne surgery	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	
10060	Drainage of abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
10060	Drainage of abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	6
10060	Drainage of abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
10061	Drainage of multiple abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	13
10061	Drainage of multiple abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	12
10061	Drainage of multiple abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
10080	Drainage of tailbone cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	16
10080	Drainage of tailbone cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	6
10080	Drainage of tailbone cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
10081	Drainage of tailbone cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	16
10081	Drainage of tailbone cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
10081	Drainage of tailbone cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
10120	"Removal of foreign body from tissue, accessed beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	10	30
10120	"Removal of foreign body from tissue, accessed beneath the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	6
10120	"Removal of foreign body from tissue, accessed beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
10121	"Removal of foreign body from tissue, accessed beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	30
10121	"Removal of foreign body from tissue, accessed beneath the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	6
10121	"Removal of foreign body from tissue, accessed beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
10140	Drainage of blood or fluid accumulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	10	30
10140	Drainage of blood or fluid accumulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
10140	Drainage of blood or fluid accumulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
10160	"Aspiration of abscess, blood accumulation, blister, or cyst"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	10	30
10160	"Aspiration of abscess, blood accumulation, blister, or cyst"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
10160	"Aspiration of abscess, blood accumulation, blister, or cyst"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
10180	Drainage of wound infection after surgery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	30
10180	Drainage of wound infection after surgery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	12
10180	Drainage of wound infection after surgery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11000	"Removal of inflamed or infected skin, up to 10% of body surface"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	34	0
11000	"Removal of inflamed or infected skin, up to 10% of body surface"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
11001	Removal of inflamed or infected skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	7	0
11010	Removal of foreign material from skin and tissue at open fracture and/or dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
11010	Removal of foreign material from skin and tissue at open fracture and/or dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	91	12
11010	Removal of foreign material from skin and tissue at open fracture and/or dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	27
11011	"Removal of foreign material from skin, tissue, and muscle at open fracture and/or dislocation"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
11011	"Removal of foreign material from skin, tissue, and muscle at open fracture and/or dislocation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	101	0
11011	"Removal of foreign material from skin, tissue, and muscle at open fracture and/or dislocation"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
11012	"Removal of foreign material from skin, tissue, muscle, and bone at open fracture and/or dislocation"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
11012	"Removal of foreign material from skin, tissue, muscle, and bone at open fracture and/or dislocation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	131	0
11012	"Removal of foreign material from skin, tissue, muscle, and bone at open fracture and/or dislocation"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
11042	Removal of skin and tissue first 20 sq cm or less	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	22
11042	Removal of skin and tissue first 20 sq cm or less	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	54	0
11042	Removal of skin and tissue first 20 sq cm or less	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
11043	Removal of skin and/or muscle first 20 sq cm or less	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	22
11043	Removal of skin and/or muscle first 20 sq cm or less	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	0
11043	Removal of skin and/or muscle first 20 sq cm or less	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	6
11044	Removal of skin and bone first 20 sq cm or less	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	22
11044	Removal of skin and bone first 20 sq cm or less	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	93	0
11044	Removal of skin and bone first 20 sq cm or less	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	6
11045	Removal of skin and tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
11046	Removal of skin and/or muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
11047	Removal of skin and bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
11055	Removal of single thickened skin growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
11056	Removal of 2 to 4 thickened skin growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	0
11057	Removal of more than 4 thickened skin growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	0
11102	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
11102	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
11102	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
11102	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (67% of physician intra-service time)	4	0
11102	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
11102	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
11102	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	0	0
11103	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
11103	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
11103	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (67% of physician intra-service time)	4	0
11103	"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
11104	"Punch biopsy of skin (including simple closure, when performed); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
11104	"Punch biopsy of skin (including simple closure, when performed); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
11104	"Punch biopsy of skin (including simple closure, when performed); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
11104	"Punch biopsy of skin (including simple closure, when performed); single lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
11104	"Punch biopsy of skin (including simple closure, when performed); single lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
11104	"Punch biopsy of skin (including simple closure, when performed); single lesion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
11104	"Punch biopsy of skin (including simple closure, when performed); single lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	0	0
11105	"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
11105	"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
11105	"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
11105	"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	0	0
11106	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
11107	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
11107	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
11107	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
11107	"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
11200	Removal of up to and including 15 skin tags	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
11200	Removal of up to and including 15 skin tags	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	24	6
11200	Removal of up to and including 15 skin tags	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11201	Removal of skin tags	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	4	0
11300	"Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	24	0
11301	"Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
11302	"Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
11303	"Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	32	0
11305	"Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
11306	"Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	0
11307	"Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	31	0
11308	"Shaving of over 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	34	0
11310	"Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
11311	"Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	34	0
11312	"Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	0
11313	"Shaving of over 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
11400	"Removal of growth (0.5 centimeters or less) of the trunk, arms or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	13
11400	"Removal of growth (0.5 centimeters or less) of the trunk, arms or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	32	6
11400	"Removal of growth (0.5 centimeters or less) of the trunk, arms or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11401	"Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	13
11401	"Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	6
11401	"Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11402	"Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	13
11402	"Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	6
11402	"Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11403	"Removal of growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11403	"Removal of growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	6
11403	"Removal of growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11404	"Removal of growth (3.1 to 4.0 centimeters) of the trunk, arms, or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11404	"Removal of growth (3.1 to 4.0 centimeters) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
11404	"Removal of growth (3.1 to 4.0 centimeters) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11406	"Removal of growth (4.0 centimeters) of the trunk, arms, or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11406	"Removal of growth (4.0 centimeters) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	6
11406	"Removal of growth (4.0 centimeters) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11420	"Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	13
11420	"Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	6
11420	"Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11421	"Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	13
11421	"Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	6
11421	"Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11422	"Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11422	"Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	6
11422	"Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11423	"Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11423	"Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	6
11423	"Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11424	"Removal of growth (3.1 to 4.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11424	"Removal of growth (3.1 to 4.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
11424	"Removal of growth (3.1 to 4.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11426	"Removal of growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	36
11426	"Removal of growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	6
11426	"Removal of growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	36
11440	"Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11440	"Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	29	6
11440	"Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11441	"Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11441	"Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	6
11441	"Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11442	"Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11442	"Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
11442	"Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11443	"Removal of growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11443	"Removal of growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	6
11443	"Removal of growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11444	"Removal (3.1 to 4.0 centimeters) growth of face, ears, eyelids, nose, lips, or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11444	"Removal (3.1 to 4.0 centimeters) growth of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
11444	"Removal (3.1 to 4.0 centimeters) growth of face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11446	"Removal (over 4.0 centimeters) growth of the face, ears, eyelids, nose, lips, or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	35
11446	"Removal (over 4.0 centimeters) growth of the face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
11446	"Removal (over 4.0 centimeters) growth of the face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11450	Removal of skin and tissue beneath the skin of underarms for excessive sweating	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
11450	Removal of skin and tissue beneath the skin of underarms for excessive sweating	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
11450	Removal of skin and tissue beneath the skin of underarms for excessive sweating	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
11451	Removal of skin and tissue beneath the skin of underarms for excessive sweating	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
11451	Removal of skin and tissue beneath the skin of underarms for excessive sweating	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	83	6
11451	Removal of skin and tissue beneath the skin of underarms for excessive sweating	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
11462	Removal of skin and tissue beneath the skin of groin for excessive sweating	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
11462	Removal of skin and tissue beneath the skin of groin for excessive sweating	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	6
11462	Removal of skin and tissue beneath the skin of groin for excessive sweating	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
11463	Removal of skin and tissue beneath the skin of groin for excessive sweating	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
11463	Removal of skin and tissue beneath the skin of groin for excessive sweating	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	93	6
11463	Removal of skin and tissue beneath the skin of groin for excessive sweating	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
11470	Removal of skin and tissue beneath the skin of anus or navel for excessive sweating	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
11470	Removal of skin and tissue beneath the skin of anus or navel for excessive sweating	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	6
11470	Removal of skin and tissue beneath the skin of anus or navel for excessive sweating	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
11471	Removal of skin and tissue beneath the skin of anus or navel for excessive sweating	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
11471	Removal of skin and tissue beneath the skin of anus or navel for excessive sweating	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	6
11471	Removal of skin and tissue beneath the skin of anus or navel for excessive sweating	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
11600	"Removal of malignant growth (0.5 centimeters or less) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	6
11600	"Removal of malignant growth (0.5 centimeters or less) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11601	"Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
11601	"Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11602	"Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	6
11602	"Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11603	"Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	6
11603	"Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11604	"Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
11604	"Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11606	"Removal of malignant growth (over 4.0 centimeters) of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	114	6
11606	"Removal of malignant growth (over 4.0 centimeters) of the trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11620	"Removal of malignant growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	6
11620	"Removal of malignant growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11621	"Removal of malignant growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
11621	"Removal of malignant growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11622	"Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	6
11622	"Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11623	"Removal of malignant growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
11623	"Removal of malignant growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11624	"Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
11624	"Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11626	"Removal of malignant growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	6
11626	"Removal of malignant growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11640	"Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	6
11640	"Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11641	"Removal of malignant growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	6
11641	"Removal of malignant growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11642	"Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
11642	"Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11643	"Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
11643	"Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11644	"Removal of malignant growth (3.1 to 4.0 centimeters) of the face, ears, eyelids, nose, or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	6
11644	"Removal of malignant growth (3.1 to 4.0 centimeters) of the face, ears, eyelids, nose, or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11646	"Removal of malignant growth (over 4.0 centimeters) of the face, ears, eyelids, nose, or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	93	6
11646	"Removal of malignant growth (over 4.0 centimeters) of the face, ears, eyelids, nose, or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
11719	Trimming of fingernails or toenails	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	11	0
11720	Removal of tissue from 1 to 5 finger or toe nails	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
11721	Removal of tissue from 6 or more finger or toe nails	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	0
11730	Separation of nail plate from nail bed	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
11730	Separation of nail plate from nail bed	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
11730	Separation of nail plate from nail bed	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
11730	Separation of nail plate from nail bed	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
11730	Separation of nail plate from nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
11730	Separation of nail plate from nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
11730	Separation of nail plate from nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
11730	Separation of nail plate from nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
11730	Separation of nail plate from nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
11730	Separation of nail plate from nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
11730	Separation of nail plate from nail bed	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
11730	Separation of nail plate from nail bed	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
11730	Separation of nail plate from nail bed	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
11730	Separation of nail plate from nail bed	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
11730	Separation of nail plate from nail bed	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
11732	Separation of nail plate from nail bed	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	8	
11740	Removal of blood accumulation between nail and nail bed	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	10	30
11740	Removal of blood accumulation between nail and nail bed	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	34	0
11740	Removal of blood accumulation between nail and nail bed	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
11750	Removal of nail	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
11750	Removal of nail	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
11750	Removal of nail	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
11750	Removal of nail	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
11750	Removal of nail	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
11750	Removal of nail	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
11750	Removal of nail	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
11750	Removal of nail	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
11750	Removal of nail	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
11750	Removal of nail	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
11750	Removal of nail	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
11750	Removal of nail	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
11750	Removal of nail	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
11750	Removal of nail	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
11750	Removal of nail	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		6
11750	Removal of nail	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
11755	Biopsy of finger or toe nail	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
11755	Biopsy of finger or toe nail	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
11755	Biopsy of finger or toe nail	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
11755	Biopsy of finger or toe nail	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
11755	Biopsy of finger or toe nail	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
11755	Biopsy of finger or toe nail	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
11755	Biopsy of finger or toe nail	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
11755	Biopsy of finger or toe nail	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
11755	Biopsy of finger or toe nail	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
11755	Biopsy of finger or toe nail	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
11755	Biopsy of finger or toe nail	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
11755	Biopsy of finger or toe nail	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
11760	Repair of nail bed	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	
11760	Repair of nail bed	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	10
11760	Repair of nail bed	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	
11760	Repair of nail bed	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
11760	Repair of nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
11760	Repair of nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
11760	Repair of nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
11760	Repair of nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
11760	Repair of nail bed	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
11760	Repair of nail bed	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	22	
11760	Repair of nail bed	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
11760	Repair of nail bed	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
11760	Repair of nail bed	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
11760	Repair of nail bed	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
11760	Repair of nail bed	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	2	
11760	Repair of nail bed	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
11762	Repair of finger or toe nail bed with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	30
11762	Repair of finger or toe nail bed with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	6
11762	Repair of finger or toe nail bed with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11765	Removal of skin of finger or toe nail	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	30
11765	Removal of skin of finger or toe nail	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	6
11765	Removal of skin of finger or toe nail	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11770	Removal of tailbone cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	16
11770	Removal of tailbone cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
11770	Removal of tailbone cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
11771	Removal of tailbone cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
11771	Removal of tailbone cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	90	6
11771	Removal of tailbone cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
11772	Removal of tailbone cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
11772	Removal of tailbone cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	12
11772	Removal of tailbone cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
11900	Injection of up to 7 skin growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
11901	Injection of more than 7 skin growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
11920	Introduction of pigment into skin (6.0 sq cm or less) to correct color defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
11920	Introduction of pigment into skin (6.0 sq cm or less) to correct color defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
11920	Introduction of pigment into skin (6.0 sq cm or less) to correct color defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
11921	Introduction of pigment into skin (6.1 to 20.0 sq cm) to correct color defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
11921	Introduction of pigment into skin (6.1 to 20.0 sq cm) to correct color defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	0
11921	Introduction of pigment into skin (6.1 to 20.0 sq cm) to correct color defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
11922	Introduction of pigment into skin to correct color defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
11950	Injection of 1 cc or less filling material into tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	0
11950	Injection of 1 cc or less filling material into tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	0
11950	Injection of 1 cc or less filling material into tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
11951	"Injection of 1.1 to 5.0 cc filling material, beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	0
11951	"Injection of 1.1 to 5.0 cc filling material, beneath the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
11951	"Injection of 1.1 to 5.0 cc filling material, beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
11952	Injection of 5.1 to 10.0 cc filling material into tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	0
11952	Injection of 5.1 to 10.0 cc filling material into tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	0
11952	Injection of 5.1 to 10.0 cc filling material into tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
11954	"Injection of over 10.0 cc filling material, beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	0
11954	"Injection of over 10.0 cc filling material, beneath the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	0
11954	"Injection of over 10.0 cc filling material, beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
11960	Insertion of tissue expanders	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
11960	Insertion of tissue expanders	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
11960	Insertion of tissue expanders	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
11960	Insertion of tissue expanders	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
11960	Insertion of tissue expanders	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
11960	Insertion of tissue expanders	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
11960	Insertion of tissue expanders	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	279
11970	Replacement of tissue expander with permanent implant	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
11970	Replacement of tissue expander with permanent implant	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
11970	Replacement of tissue expander with permanent implant	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
11970	Replacement of tissue expander with permanent implant	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
11970	Replacement of tissue expander with permanent implant	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
11970	Replacement of tissue expander with permanent implant	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
11970	Replacement of tissue expander with permanent implant	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	90
11971	Removal of tissue expander(s) without insertion of implant	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
11971	Removal of tissue expander(s) without insertion of implant	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
11971	Removal of tissue expander(s) without insertion of implant	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
11971	Removal of tissue expander(s) without insertion of implant	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
11971	Removal of tissue expander(s) without insertion of implant	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
11971	Removal of tissue expander(s) without insertion of implant	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
11971	Removal of tissue expander(s) without insertion of implant	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	117
11976	Removal of implantable contraceptive capsules	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	69	0
11980	Subcutaneous hormone pellet implantation	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
11980	Subcutaneous hormone pellet implantation	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
11980	Subcutaneous hormone pellet implantation	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
11980	Subcutaneous hormone pellet implantation	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
11980	Subcutaneous hormone pellet implantation	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
11980	Subcutaneous hormone pellet implantation	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
11980	Subcutaneous hormone pellet implantation	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	12	
11980	Subcutaneous hormone pellet implantation	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
11980	Subcutaneous hormone pellet implantation	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
11980	Subcutaneous hormone pellet implantation	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
11980	Subcutaneous hormone pellet implantation	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
11981	Insertion of drug delivery implant into tissue	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
11981	Insertion of drug delivery implant into tissue	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
11981	Insertion of drug delivery implant into tissue	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
11981	Insertion of drug delivery implant into tissue	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
11981	Insertion of drug delivery implant into tissue	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
11981	Insertion of drug delivery implant into tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
11981	Insertion of drug delivery implant into tissue	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
11981	Insertion of drug delivery implant into tissue	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2	0
11981	Insertion of drug delivery implant into tissue	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
11982	Removal of drug delivery implant from tissue	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
11982	Removal of drug delivery implant from tissue	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
11982	Removal of drug delivery implant from tissue	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
11982	Removal of drug delivery implant from tissue	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
11982	Removal of drug delivery implant from tissue	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
11982	Removal of drug delivery implant from tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
11982	Removal of drug delivery implant from tissue	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
11982	Removal of drug delivery implant from tissue	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2	0
11982	Removal of drug delivery implant from tissue	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
11983	Removal with reinsertion of drug delivery implant into tissue	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
11983	Removal with reinsertion of drug delivery implant into tissue	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
11983	Removal with reinsertion of drug delivery implant into tissue	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
11983	Removal with reinsertion of drug delivery implant into tissue	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
11983	Removal with reinsertion of drug delivery implant into tissue	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
11983	Removal with reinsertion of drug delivery implant into tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
11983	Removal with reinsertion of drug delivery implant into tissue	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
11983	Removal with reinsertion of drug delivery implant into tissue	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2	0
11983	Removal with reinsertion of drug delivery implant into tissue	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
12001	"Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	6
12002	"Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	6
12004	"Repair of wound (7.6 to 12.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	6
12005	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12005	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12005	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
12005	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12005	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
12005	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	17	
12005	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12005	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12005	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
12006	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12006	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12006	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
12006	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12006	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
12006	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	20	
12006	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12006	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12006	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
12007	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12007	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12007	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
12007	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12007	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
12007	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	24	
12007	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12007	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12007	"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
12011	"Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	6
12013	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12013	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12013	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
12013	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12013	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
12013	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	10	
12013	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12013	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12013	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
12014	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12014	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12014	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
12014	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12014	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
12014	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	13	
12014	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12014	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12014	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
12015	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12015	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12015	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
12015	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12015	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
12015	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	16	
12015	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12015	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12015	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
12016	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12016	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12016	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
12016	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12016	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
12016	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	20	
12016	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12016	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12016	"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
12017	"Repair of wound (20.1 to 30.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
12018	"Repair of wound (over 30.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
12020	Repair of separation of wound closure	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
12020	Repair of separation of wound closure	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
12020	Repair of separation of wound closure	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12021	Repair of separation of wound closure with insertion of packing	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
12021	Repair of separation of wound closure with insertion of packing	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	12
12021	Repair of separation of wound closure with insertion of packing	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12031	"Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
12031	"Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	6
12031	"Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12032	"Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
12032	"Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
12032	"Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12034	"Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
12034	"Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	68	6
12034	"Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12035	"Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
12035	"Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	95	6
12035	"Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12036	"Repair of wound (20.1 to 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
12036	"Repair of wound (20.1 to 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	106	6
12036	"Repair of wound (20.1 to 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12037	"Repair of wound (over 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
12037	"Repair of wound (over 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	126	6
12037	"Repair of wound (over 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	10
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	0
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	14	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	3	
12041	"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
12042	"Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
12042	"Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	6
12042	"Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12044	"Repair of wound (7.6 to 12.5 centimeters) of neck, hands, feet, and/or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
12044	"Repair of wound (7.6 to 12.5 centimeters) of neck, hands, feet, and/or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	95	6
12044	"Repair of wound (7.6 to 12.5 centimeters) of neck, hands, feet, and/or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12045	"Repair of wound (12.6 to 20.0 centimeters) of neck, hands, feet, and/or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
12045	"Repair of wound (12.6 to 20.0 centimeters) of neck, hands, feet, and/or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
12045	"Repair of wound (12.6 to 20.0 centimeters) of neck, hands, feet, and/or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
12046	"Repair of wound (20.1 to 30.0 centimeters) of neck, hands, feet, and/or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
12046	"Repair of wound (20.1 to 30.0 centimeters) of neck, hands, feet, and/or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	116	6
12046	"Repair of wound (20.1 to 30.0 centimeters) of neck, hands, feet, and/or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
12047	"Repair of wound (over 30.0 centimeters) of neck, hands, feet, and/or genitals"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
12047	"Repair of wound (over 30.0 centimeters) of neck, hands, feet, and/or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	136	6
12047	"Repair of wound (over 30.0 centimeters) of neck, hands, feet, and/or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
12051	"Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
12051	"Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	6
12051	"Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12052	"Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
12052	"Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	6
12052	"Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12053	"Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
12053	"Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
12053	"Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	10
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	0
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	33	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	3	
12054	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	10
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	40	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		6
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	3	
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
12055	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	36	36
12056	"Repair of wound (20.1 to 30.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
12056	"Repair of wound (20.1 to 30.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	85	6
12056	"Repair of wound (20.1 to 30.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	10
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		6
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	3	
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
12057	"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	36	36
13100	Repair of wound (1.1 to 2.5 centimeters) of trunk	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
13100	Repair of wound (1.1 to 2.5 centimeters) of trunk	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	33
13101	Repair of wound (2.6 to 7.5 centimeters) of trunk	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	0
13101	Repair of wound (2.6 to 7.5 centimeters) of trunk	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	33
13102	Repair of wound of trunk	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
13120	"Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
13120	"Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	33
13121	"Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	0
13121	"Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	33
13122	"Repair of wound of scalp, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
13131	"Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	0
13131	"Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	33
13132	"Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	0
13132	"Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	33
13133	"Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
13151	"Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	0
13151	"Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	33
13152	"Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	0
13152	"Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	33
13153	"Repair of wound of eyelids, nose, ears, and/or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
13160	Second repair of surgical wound	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
13160	Second repair of surgical wound	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
13160	Second repair of surgical wound	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
14000	Tissue transfer repair of wound (10 sq centimeters or less) of the trunk	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
14000	Tissue transfer repair of wound (10 sq centimeters or less) of the trunk	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	100	6
14000	Tissue transfer repair of wound (10 sq centimeters or less) of the trunk	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
14001	Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
14001	Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	141	6
14001	Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
14020	"Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
14020	"Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	114	6
14020	"Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
14021	"Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
14021	"Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	152	6
14021	"Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
14040	"Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
14040	"Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	126	6
14040	"Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
14041	"Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
14041	"Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	163	6
14041	"Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
14060	"Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
14060	"Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
14060	"Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
14061	"Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
14061	"Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	189	6
14061	"Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	162	162
14301	Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
14301	Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	132	6
14301	Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	135	135
14350	Repair of tissue loss of finger or toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
14350	Repair of tissue loss of finger or toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
14350	Repair of tissue loss of finger or toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
15002	"Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
15002	"Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
15002	"Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
15003	"Preparation of graft site at trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
15004	"Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
15004	"Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	0
15004	"Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
15005	"Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
15040	Relocation of skin (100 sq cm or less) for tissue cultured graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
15040	Relocation of skin (100 sq cm or less) for tissue cultured graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
15050	Skin graft (2 centimeters) to tip of finger or toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15050	Skin graft (2 centimeters) to tip of finger or toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	6
15050	Skin graft (2 centimeters) to tip of finger or toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
15100	"Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body are of infants and children)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15100	"Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body are of infants and children)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	90	12
15100	"Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body are of infants and children)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
15101	"Skin graft at trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	29	0
15110	"Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15110	"Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	12
15110	"Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
15111	"Skin graft at trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	17	0
15115	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15115	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	12
15115	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
15116	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
15120	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15120	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	102	6
15120	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	99	99
15121	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
15130	"Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15130	"Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	12
15130	"Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
15131	"Skin graft at trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	12	0
15135	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15135	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	12
15135	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
15136	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	10	0
15150	"Skin graft at trunk, arms, or legs (first 25 sq centimeters or less)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15150	"Skin graft at trunk, arms, or legs (first 25 sq centimeters or less)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	12
15150	"Skin graft at trunk, arms, or legs (first 25 sq centimeters or less)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
15151	"Skin graft at trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	13	0
15152	"Skin graft at trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	13	0
15155	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq centimeters or less)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15155	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq centimeters or less)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	12
15155	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq centimeters or less)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
15156	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	13	0
15157	"Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
15200	Relocation of patient skin (20 sq centimeters or less) to trunk	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15200	Relocation of patient skin (20 sq centimeters or less) to trunk	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	127	6
15200	Relocation of patient skin (20 sq centimeters or less) to trunk	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
15201	Relocation of patient skin to trunk	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
15220	"Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15220	"Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	127	6
15220	"Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
15221	"Relocation of patient skin to scalp, arms, and/or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	0
15240	"Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15240	"Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	97	6
15240	"Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	198	198
15241	"Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
15260	"Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15260	"Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	137	6
15260	"Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	180	180
15261	"Relocation of patient skin to nose, ears, eyelids, and/or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
15271	"Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	14
15271	"Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
15271	"Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
15272	"Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	10	0
15273	"Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs (first 100 sq cm or 1% body area of infants and children)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	14
15273	"Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs (first 100 sq cm or 1% body area of infants and children)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
15273	"Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs (first 100 sq cm or 1% body area of infants and children)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
15274	"Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	10	0
15275	"Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	14
15275	"Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
15275	"Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
15276	"Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	10	0
15277	"Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	14
15277	"Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	0
15277	"Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
15278	"Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	14	0
15570	Creation of flap graft to trunk	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15570	Creation of flap graft to trunk	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	140	6
15570	Creation of flap graft to trunk	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	116	116
15572	"Creation of flap graft to scalp, arms, or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15572	"Creation of flap graft to scalp, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	130	6
15572	"Creation of flap graft to scalp, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	134	134
15574	"Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15574	"Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	150	6
15574	"Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	134	134
15576	"Creation of flap graft to eyelids, nose, ears, lips, or mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15576	"Creation of flap graft to eyelids, nose, ears, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	130	6
15576	"Creation of flap graft to eyelids, nose, ears, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	99	99
15600	Transfer of skin flap to trunk	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15600	Transfer of skin flap to trunk	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	92	6
15600	Transfer of skin flap to trunk	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
15610	"Transfer of skin flap to scalp, arms, or legs"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15610	"Transfer of skin flap to scalp, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	92	12
15610	"Transfer of skin flap to scalp, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
15620	"Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15620	"Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	92	6
15620	"Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
15630	"Transfer of skin flap to eyelids, nose, ears, or lips"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15630	"Transfer of skin flap to eyelids, nose, ears, or lips"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
15630	"Transfer of skin flap to eyelids, nose, ears, or lips"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
15650	Transfer of skin flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15650	Transfer of skin flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	110	6
15650	Transfer of skin flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	5	5
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services	10	20
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions	10	7
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	5	10
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Obtain vital signs	5	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Sedate/Apply anesthesia	2	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	90	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  post	L038A	COMT/COT/RN/CST	0.45	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	10	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean surgical instrument package	15	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  post	L038A	COMT/COT/RN/CST	0.45	"Complete diagnostic forms, lab, X-ray requisitions"	2	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  post	L038A	COMT/COT/RN/CST	0.45	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Service  post	L038A	COMT/COT/RN/CST	0.45	"Review/read X-ray, lab, and pathology reports"	2	
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes	81	81
15730	"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes	36	36
15731	"Creation of flap graft to nose, forehead, temple, or scalp"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15731	"Creation of flap graft to nose, forehead, temple, or scalp"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	105	6
15731	"Creation of flap graft to nose, forehead, temple, or scalp"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	188	188
15733	"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
15733	"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	20
15733	"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	7
15733	"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
15733	"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
15733	"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
15733	"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	0	54
15733	"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	0	72
15734	Muscle flap wound repair at trunk	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
15734	Muscle flap wound repair at trunk	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
15734	Muscle flap wound repair at trunk	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
15734	Muscle flap wound repair at trunk	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
15734	Muscle flap wound repair at trunk	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
15734	Muscle flap wound repair at trunk	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
15734	Muscle flap wound repair at trunk	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		54
15734	Muscle flap wound repair at trunk	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
15734	Muscle flap wound repair at trunk	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
15736	Muscle flap wound repair of arm	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
15736	Muscle flap wound repair of arm	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
15736	Muscle flap wound repair of arm	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
15736	Muscle flap wound repair of arm	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
15736	Muscle flap wound repair of arm	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
15736	Muscle flap wound repair of arm	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
15736	Muscle flap wound repair of arm	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
15736	Muscle flap wound repair of arm	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
15736	Muscle flap wound repair of arm	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
15738	Muscle flap wound repair of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
15738	Muscle flap wound repair of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
15738	Muscle flap wound repair of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
15738	Muscle flap wound repair of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
15738	Muscle flap wound repair of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
15738	Muscle flap wound repair of leg	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
15738	Muscle flap wound repair of leg	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
15738	Muscle flap wound repair of leg	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		144
15740	Creation of skin and tissue graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15740	Creation of skin and tissue graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	163	6
15740	Creation of skin and tissue graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	162	162
15750	Creation of nerve and blood vessel skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15750	Creation of nerve and blood vessel skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
15750	Creation of nerve and blood vessel skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
15756	Creation of muscle and blood vessel skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
15756	Creation of muscle and blood vessel skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15756	Creation of muscle and blood vessel skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		169
15757	Creation of muscle and blood vessel skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
15757	Creation of muscle and blood vessel skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15757	Creation of muscle and blood vessel skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		169
15758	Creation of muscle and blood vessel skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15758	Creation of muscle and blood vessel skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15758	Creation of muscle and blood vessel skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		169
15760	Creation of multiple tissue skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15760	Creation of multiple tissue skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	145	6
15760	Creation of multiple tissue skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
15769	"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
15769	"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
15769	"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
15769	"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
15769	"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
15769	"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
15769	"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	90
15770	"Creation of skin, fat and muscle graft"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15770	"Creation of skin, fat and muscle graft"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
15770	"Creation of skin, fat and muscle graft"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	10	7
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	10	20
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	60	0
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	4	0
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
15771	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	90	90
15772	"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	45	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	10	7
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	10	20
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	60	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	4	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
15773	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	90	90
15774	"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; each additional 25 cc injectate, or part thereof (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	45	0
15775	Hair transplant (1 to 15 punch grafts)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
15775	Hair transplant (1 to 15 punch grafts)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	70	0
15775	Hair transplant (1 to 15 punch grafts)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
15776	Hair transplant (more than 15 punch grafts)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
15776	Hair transplant (more than 15 punch grafts)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	90	0
15776	Hair transplant (more than 15 punch grafts)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
15780	Scraping of skin of face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15780	Scraping of skin of face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	103	6
15780	Scraping of skin of face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	162	162
15781	Scraping of skin of face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15781	Scraping of skin of face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
15781	Scraping of skin of face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
15782	Scraping of skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15782	Scraping of skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	6
15782	Scraping of skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
15783	Scraping of skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15783	Scraping of skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
15783	Scraping of skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
15786	Scraping of skin growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	8
15786	Scraping of skin growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	39	6
15786	Scraping of skin growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
15787	Scraping of multiple skin growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	0
15788	Chemical peel of skin of face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15788	Chemical peel of skin of face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	74	6
15788	Chemical peel of skin of face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
15789	Chemical peel of skin of face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15789	Chemical peel of skin of face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	94	6
15789	Chemical peel of skin of face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
15792	Chemical peel of skin of face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15792	Chemical peel of skin of face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	70	6
15792	Chemical peel of skin of face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
15793	Chemical peel of skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15793	Chemical peel of skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	84	6
15793	Chemical peel of skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
157X1		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
157X1		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
157X1		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
157X1		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
15819	Removal of excessive skin of neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15819	Removal of excessive skin of neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
15819	Removal of excessive skin of neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
15820	Removal of excessive skin of lower eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
15820	Removal of excessive skin of lower eyelid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	79	6
15820	Removal of excessive skin of lower eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	126	126
15821	Removal of excessive skin of lower eyelid and fat around eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
15821	Removal of excessive skin of lower eyelid and fat around eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	89	6
15821	Removal of excessive skin of lower eyelid and fat around eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	126	126
15822	Removal of excessive skin of upper eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
15822	Removal of excessive skin of upper eyelid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	76	6
15822	Removal of excessive skin of upper eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	95	95
15823	Removal of excessive skin and fat of upper eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
15823	Removal of excessive skin and fat of upper eyelid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	91	6
15823	Removal of excessive skin and fat of upper eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	127	127
15830	Removal of excessive skin and tissue beneath the skin of abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15830	Removal of excessive skin and tissue beneath the skin of abdomen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15830	Removal of excessive skin and tissue beneath the skin of abdomen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
15832	Removal of excessive skin and tissue beneath the skin of thigh	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15832	Removal of excessive skin and tissue beneath the skin of thigh	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15832	Removal of excessive skin and tissue beneath the skin of thigh	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
15833	Removal of excessive skin and tissue beneath the skin of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15833	Removal of excessive skin and tissue beneath the skin of leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15833	Removal of excessive skin and tissue beneath the skin of leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
15834	Removal of excessive skin and tissue beneath the skin of hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15834	Removal of excessive skin and tissue beneath the skin of hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15834	Removal of excessive skin and tissue beneath the skin of hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
15835	Removal of excessive skin and tissue beneath the skin of buttock	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15835	Removal of excessive skin and tissue beneath the skin of buttock	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15835	Removal of excessive skin and tissue beneath the skin of buttock	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
15836	Removal of excessive skin and tissue beneath the skin of arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15836	Removal of excessive skin and tissue beneath the skin of arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
15836	Removal of excessive skin and tissue beneath the skin of arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
15837	Removal of excessive skin and tissue beneath the skin of lower arm or hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15837	Removal of excessive skin and tissue beneath the skin of lower arm or hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	129	6
15837	Removal of excessive skin and tissue beneath the skin of lower arm or hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
15838	Removal of excessive skin and tissue beneath the skin under chin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15838	Removal of excessive skin and tissue beneath the skin under chin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15838	Removal of excessive skin and tissue beneath the skin under chin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
15839	Removal of excessive skin and tissue beneath the skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
15839	Removal of excessive skin and tissue beneath the skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	145	6
15839	Removal of excessive skin and tissue beneath the skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
15840	Graft to relieve or reactivate facial paralysis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15840	Graft to relieve or reactivate facial paralysis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
15840	Graft to relieve or reactivate facial paralysis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
15841	Graft to relieve or reactivate facial paralysis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15841	Graft to relieve or reactivate facial paralysis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
15841	Graft to relieve or reactivate facial paralysis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		216
15842	Graft to relieve or reactivate facial paralysis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15842	Graft to relieve or reactivate facial paralysis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
15842	Graft to relieve or reactivate facial paralysis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		234
15845	Graft to relieve or reactivate facial paralysis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15845	Graft to relieve or reactivate facial paralysis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
15845	Graft to relieve or reactivate facial paralysis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		198
15851		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
15851		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
15851		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
15851		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	3
15851		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
158X1		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	1	0
158X1		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	6	0
158X1		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	1	0
158X2		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	1	0
158X2		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
158X2		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	1	0
15920	Removal of pressure sore and bone at tailbone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15920	Removal of pressure sore and bone at tailbone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15920	Removal of pressure sore and bone at tailbone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
15922	Removal of pressure sore and bone at tailbone with skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15922	Removal of pressure sore and bone at tailbone with skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15922	Removal of pressure sore and bone at tailbone with skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
15931	Removal of pressure sore of sacrum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15931	Removal of pressure sore of sacrum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15931	Removal of pressure sore of sacrum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
15933	Removal of pressure sore and bone at sacrum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15933	Removal of pressure sore and bone at sacrum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15933	Removal of pressure sore and bone at sacrum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		149
15934	Removal of pressure sore at sacrum with skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15934	Removal of pressure sore at sacrum with skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15934	Removal of pressure sore at sacrum with skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
15935	Removal of pressure sore and bone at sacrum with skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15935	Removal of pressure sore and bone at sacrum with skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15935	Removal of pressure sore and bone at sacrum with skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		176
15936	Removal of pressure sore at sacrum in preparation of muscle flap or skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15936	Removal of pressure sore at sacrum in preparation of muscle flap or skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15936	Removal of pressure sore at sacrum in preparation of muscle flap or skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
15937	Removal of pressure sore and bone at sacrum in preparation of muscle flap or skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15937	Removal of pressure sore and bone at sacrum in preparation of muscle flap or skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15937	Removal of pressure sore and bone at sacrum in preparation of muscle flap or skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
15940	Removal of pressure sore at lower pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15940	Removal of pressure sore at lower pelvic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15940	Removal of pressure sore at lower pelvic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
15941	Removal of pressure sore and lower pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15941	Removal of pressure sore and lower pelvic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15941	Removal of pressure sore and lower pelvic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		149
15944	Removal of pressure sore with skin graft at lower pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15944	Removal of pressure sore with skin graft at lower pelvic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15944	Removal of pressure sore with skin graft at lower pelvic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		149
15945	Removal of pressure sore and lower pelvic bone with skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15945	Removal of pressure sore and lower pelvic bone with skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15945	Removal of pressure sore and lower pelvic bone with skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
15946	Removal of pressure sore and lower pelvic bone in preparation of muscle flap or skin graft closure	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15946	Removal of pressure sore and lower pelvic bone in preparation of muscle flap or skin graft closure	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15946	Removal of pressure sore and lower pelvic bone in preparation of muscle flap or skin graft closure	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		212
15950	Removal of pressure sore at hip bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15950	Removal of pressure sore at hip bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15950	Removal of pressure sore at hip bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
15951	Removal of pressure sore and bone at hip bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15951	Removal of pressure sore and bone at hip bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15951	Removal of pressure sore and bone at hip bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		149
15952	Removal of pressure sore at hip bone with skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15952	Removal of pressure sore at hip bone with skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15952	Removal of pressure sore at hip bone with skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		149
15953	Removal of pressure sore and bone at hip bone with skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15953	Removal of pressure sore and bone at hip bone with skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15953	Removal of pressure sore and bone at hip bone with skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
15956	Removal of pressure sore at hip bone in preparation of muscle flap or skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15956	Removal of pressure sore at hip bone in preparation of muscle flap or skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15956	Removal of pressure sore at hip bone in preparation of muscle flap or skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		176
15958	Removal of pressure sore and bone at hip bone in preparation of muscle flap or skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
15958	Removal of pressure sore and bone at hip bone in preparation of muscle flap or skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
15958	Removal of pressure sore and bone at hip bone in preparation of muscle flap or skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		176
16000	First degree burn treatment	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	24	0
16000	First degree burn treatment	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
16020	Dressing change and/or removal of burn tissue (less than 5% total body surface)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
16020	Dressing change and/or removal of burn tissue (less than 5% total body surface)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	0
16020	Dressing change and/or removal of burn tissue (less than 5% total body surface)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
16025	Dressing change and/or removal of burn tissue (5% to 10% total body surface)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
16025	Dressing change and/or removal of burn tissue (5% to 10% total body surface)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	0
16025	Dressing change and/or removal of burn tissue (5% to 10% total body surface)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
16030	Dressing change and/or removal of burn tissue (greater than 10% total body surface)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
16030	Dressing change and/or removal of burn tissue (greater than 10% total body surface)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
16030	Dressing change and/or removal of burn tissue (greater than 10% total body surface)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
16035	Incision of burn tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
17000	Destruction of skin growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	12	0
17000	Destruction of skin growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17003	Destruction of 2-14 skin growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	1	0
17004	Destruction of 15 or more skin growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	19	0
17004	Destruction of 15 or more skin growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17106	Destruction of skin growth (less than 10 sq centimeters)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	35
17106	Destruction of skin growth (less than 10 sq centimeters)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
17106	Destruction of skin growth (less than 10 sq centimeters)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
17107	Destruction of skin growth (10.0 to 50.0 sq centimeters)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	35
17107	Destruction of skin growth (10.0 to 50.0 sq centimeters)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
17107	Destruction of skin growth (10.0 to 50.0 sq centimeters)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
17108	Destruction of skin growth (over 50.0 sq centimeters)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	35
17108	Destruction of skin growth (over 50.0 sq centimeters)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	85	6
17108	Destruction of skin growth (over 50.0 sq centimeters)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	117	117
17110	Destruction of up to 14 skin growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	21
17110	Destruction of up to 14 skin growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	32	6
17110	Destruction of up to 14 skin growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17111	Destruction of 15 or more skin growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	21
17111	Destruction of 15 or more skin growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	34	6
17111	Destruction of 15 or more skin growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17250	Application of chemical agent to excessive wound tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	21
17250	Application of chemical agent to excessive wound tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
17260	"Destruction of malignant growth (0.5 centimeters or less) of trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	19	6
17260	"Destruction of malignant growth (0.5 centimeters or less) of trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	13.5	13.5
17261	"Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	6
17261	"Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17262	"Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	6
17262	"Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17263	"Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	6
17263	"Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17264	"Destruction of malignant growth (3.1 to 4.0 centimeters) of trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	6
17264	"Destruction of malignant growth (3.1 to 4.0 centimeters) of trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17266	"Destruction of malignant growth (over 4.0 centimeters) of trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	6
17266	"Destruction of malignant growth (over 4.0 centimeters) of trunk, arms, or legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17270	"Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	6
17270	"Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17271	"Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	6
17271	"Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17272	"Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	6
17272	"Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17273	"Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	6
17273	"Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17274	"Destruction of malignant growth (3.1 to 4.0 centimeters) of scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	6
17274	"Destruction of malignant growth (3.1 to 4.0 centimeters) of scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17276	"Destruction of malignant growth (over 4.0 centimeters) of scalp, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	6
17276	"Destruction of malignant growth (over 4.0 centimeters) of scalp, neck, hands, feet, or genitals"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17280	"Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	34	6
17280	"Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17281	"Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	6
17281	"Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17282	"Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
17282	"Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17283	"Destruction of malignant growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
17283	"Destruction of malignant growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17284	"Destruction of malignant growth (3.1 to 4.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	6
17284	"Destruction of malignant growth (3.1 to 4.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17286	"Destruction of malignant growth (over 4.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
17286	"Destruction of malignant growth (over 4.0 centimeters) of face, ears, eyelids, nose, lips, or mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
17311	"Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	0
17311	"Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)"	Service  intra	L037B	Histotechnologist	0.505	Service total costs	109	0
17311	"Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	101	0
17312	"Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals"	Service  intra	L037B	Histotechnologist	0.505	Service total costs	70	0
17312	"Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	0
17313	"Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	0
17313	"Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)"	Service  intra	L037B	Histotechnologist	0.505	Service total costs	109	0
17313	"Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	97	0
17314	"Removal and microscopic examination of growth of the trunk, arms, or legs"	Service  intra	L037B	Histotechnologist	0.505	Service total costs	70	0
17314	"Removal and microscopic examination of growth of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	0
17315	"Removal and microscopic examination of growth of the trunk, arms, or legs"	Service  intra	L037B	Histotechnologist	0.505	Service total costs	21	0
17315	"Removal and microscopic examination of growth of the trunk, arms, or legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
17340	Chemical treatment of acne	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	12	6
17340	Chemical treatment of acne	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	8
17360	Chemical treatment of acne	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	6
17360	Chemical treatment of acne	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	14	14
19000	Aspiration of breast cyst	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	30	0
19001	Puncture aspiration of breast cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	7	0
19020	Drainage of breast abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
19020	Drainage of breast abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	83	6
19020	Drainage of breast abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
19030	Injection for X-ray imaging of breast duct	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	50	0
19081	Biopsy of breast accessed through the skin with stereotactic guidance	Pre-service	L043A	Mammography Technologist	0.53	Preservice total costs	3	0
19081	Biopsy of breast accessed through the skin with stereotactic guidance	Service  intra	L043A	Mammography Technologist	0.53	Service total costs	73	0
19081	Biopsy of breast accessed through the skin with stereotactic guidance	Post-service	L043A	Mammography Technologist	0.53	Post service total costs	3	0
19082	Biopsy of breast accessed through the skin with stereotactic guidance	Service  intra	L043A	Mammography Technologist	0.53	Service total costs	46	0
19083	Biopsy of breast accessed through the skin with ultrasound guidance	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	3	0
19083	Biopsy of breast accessed through the skin with ultrasound guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	68	0
19083	Biopsy of breast accessed through the skin with ultrasound guidance	Post-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Post service total costs	3	0
19084	Biopsy of breast accessed through the skin with ultrasound guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	41	0
19085	Biopsy of breast accessed through the skin with MRI guidance	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	3	0
19085	Biopsy of breast accessed through the skin with MRI guidance	Service  intra	L047A	MRI Technologist	0.615	Service total costs	88	0
19085	Biopsy of breast accessed through the skin with MRI guidance	Post-service	L047A	MRI Technologist	0.615	Post service total costs	3	0
19086	Biopsy of breast accessed through the skin with MRI guidance	Service  intra	L047A	MRI Technologist	0.615	Service total costs	59	0
19100	Needle biopsy of breast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
19101	"Biopsy of breast, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	0
19101	"Biopsy of breast, open procedure"	Service  intra	L026A	Medical/Technical Assistant	0.31	Service total costs	30	6
19101	"Biopsy of breast, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	6
19101	"Biopsy of breast, open procedure"	Post-service	L026A	Medical/Technical Assistant	0.31	Post service total costs	0	27
19101	"Biopsy of breast, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
19105	Freezing of breast growth using ultrasound guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	12
19105	Freezing of breast growth using ultrasound guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	45	0
19105	Freezing of breast growth using ultrasound guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
19105	Freezing of breast growth using ultrasound guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
19110	Exploration of breast nipple	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
19110	Exploration of breast nipple	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	6
19110	Exploration of breast nipple	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
19112	Removal of abnormal drainage of breast duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
19112	Removal of abnormal drainage of breast duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	6
19112	Removal of abnormal drainage of breast duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
19120	"Removal of 1 or more breast growth, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
19120	"Removal of 1 or more breast growth, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	99	6
19120	"Removal of 1 or more breast growth, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
19125	"Removal of breast growth, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
19125	"Removal of breast growth, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	114	6
19125	"Removal of breast growth, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	72	72
19281	Placement of breast localization devices accessed through the skin with mammographic guidance	Pre-service	L043A	Mammography Technologist	0.53	Preservice total costs	3	0
19281	Placement of breast localization devices accessed through the skin with mammographic guidance	Service  intra	L043A	Mammography Technologist	0.53	Service total costs	66	0
19282	Placement of breast localization devices accessed through the skin with mammographic guidance	Service  intra	L043A	Mammography Technologist	0.53	Service total costs	49	0
19283	Placement of breast localization devices accessed through the skin with stereotactic guidance	Pre-service	L043A	Mammography Technologist	0.53	Preservice total costs	3	0
19283	Placement of breast localization devices accessed through the skin with stereotactic guidance	Service  intra	L043A	Mammography Technologist	0.53	Service total costs	56	0
19284	Placement of breast localization devices accessed through the skin with stereotactic guidance	Service  intra	L043A	Mammography Technologist	0.53	Service total costs	36	0
19285	Placement of breast localization devices accessed through the skin with ultrasound guidance	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	3	0
19285	Placement of breast localization devices accessed through the skin with ultrasound guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	51	0
19286	Placement of breast localization devices accessed through the skin with ultrasound guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	31	0
19287	Placement of breast localization devices accessed through the skin with MRI guidance	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	3	0
19287	Placement of breast localization devices accessed through the skin with MRI guidance	Service  intra	L047A	MRI Technologist	0.615	Service total costs	73	0
19287	Placement of breast localization devices accessed through the skin with MRI guidance	Post-service	L047A	MRI Technologist	0.615	Post service total costs	3	0
19288	Placement of breast localization devices accessed through the skin with MRI guidance	Service  intra	L047A	MRI Technologist	0.615	Service total costs	46	0
19296	Insertion of catheter into breast for radiation therapy using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	18
19296	Insertion of catheter into breast for radiation therapy using imaging guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	47	0
19296	Insertion of catheter into breast for radiation therapy using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	21	0
19296	Insertion of catheter into breast for radiation therapy using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
19298	Insertion of catheters into breast for radiation therapy with or after breast removal using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	18
19298	Insertion of catheters into breast for radiation therapy with or after breast removal using imaging guidance	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
19298	Insertion of catheters into breast for radiation therapy with or after breast removal using imaging guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	81	0
19298	Insertion of catheters into breast for radiation therapy with or after breast removal using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
19298	Insertion of catheters into breast for radiation therapy with or after breast removal using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
19300	Removal of extra breast tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
19300	Removal of extra breast tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	68	6
19300	Removal of extra breast tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
19301	Partial removal of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
19301	Partial removal of breast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
19301	Partial removal of breast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
19302	Partial removal of breast and underarm lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
19302	Partial removal of breast and underarm lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
19302	Partial removal of breast and underarm lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116.5
19303	Total removal of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
19303	Total removal of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
19303	Total removal of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
19303	Total removal of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
19303	Total removal of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
19303	Total removal of breast	Service  pre	L037D	RN/LPN/MTA	0.455	Dischrg mgmt same day (0.5 x 99238) (enter 6 min)		6
19303	Total removal of breast	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
19303	Total removal of breast	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
19305	"Removal of breast, lymph nodes, and muscle"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
19305	"Removal of breast, lymph nodes, and muscle"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
19305	"Removal of breast, lymph nodes, and muscle"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
19306	"Removal of breast, skin, lymph nodes, and chest muscles"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
19306	"Removal of breast, skin, lymph nodes, and chest muscles"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
19306	"Removal of breast, skin, lymph nodes, and chest muscles"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		198
19307	Removal of breast and underarm lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19307	Removal of breast and underarm lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19307	Removal of breast and underarm lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19307	Removal of breast and underarm lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19307	Removal of breast and underarm lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19307	Removal of breast and underarm lymph nodes	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19307	Removal of breast and underarm lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	161
19316	Enlargement of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19316	Enlargement of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19316	Enlargement of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19316	Enlargement of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19316	Enlargement of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19316	Enlargement of breast	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19316	Enlargement of breast	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	126
19318	Breast reduction	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19318	Breast reduction	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19318	Breast reduction	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19318	Breast reduction	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19318	Breast reduction	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19318	Breast reduction	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19318	Breast reduction	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	126
19325	Breast augmentation with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19325	Breast augmentation with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19325	Breast augmentation with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19325	Breast augmentation with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19325	Breast augmentation with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19325	Breast augmentation with implant	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19325	Breast augmentation with implant	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	108
19328	Removal of intact breast implant	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19328	Removal of intact breast implant	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19328	Removal of intact breast implant	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19328	Removal of intact breast implant	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19328	Removal of intact breast implant	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19328	Removal of intact breast implant	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19328	Removal of intact breast implant	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	90
19330	"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19330	"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19330	"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19330	"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19330	"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19330	"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19330	"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	90
19340	"Insertion of breast implant on same day of mastectomy (ie, immediate)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19340	"Insertion of breast implant on same day of mastectomy (ie, immediate)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19340	"Insertion of breast implant on same day of mastectomy (ie, immediate)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19340	"Insertion of breast implant on same day of mastectomy (ie, immediate)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19340	"Insertion of breast implant on same day of mastectomy (ie, immediate)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19340	"Insertion of breast implant on same day of mastectomy (ie, immediate)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19340	"Insertion of breast implant on same day of mastectomy (ie, immediate)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	126
19342	Insertion or replacement of breast implant on separate day from mastectomy	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19342	Insertion or replacement of breast implant on separate day from mastectomy	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19342	Insertion or replacement of breast implant on separate day from mastectomy	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19342	Insertion or replacement of breast implant on separate day from mastectomy	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19342	Insertion or replacement of breast implant on separate day from mastectomy	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19342	Insertion or replacement of breast implant on separate day from mastectomy	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19342	Insertion or replacement of breast implant on separate day from mastectomy	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	117
19350	Reconstruction of nipple or area around nipple	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
19350	Reconstruction of nipple or area around nipple	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	127	6
19350	Reconstruction of nipple or area around nipple	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
19355	Correction of inverted nipples of breast	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
19355	Correction of inverted nipples of breast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	107	6
19355	Correction of inverted nipples of breast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
19357	"Tissue expander placement in breast reconstruction, including subsequent expansion(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19357	"Tissue expander placement in breast reconstruction, including subsequent expansion(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19357	"Tissue expander placement in breast reconstruction, including subsequent expansion(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19357	"Tissue expander placement in breast reconstruction, including subsequent expansion(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19357	"Tissue expander placement in breast reconstruction, including subsequent expansion(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19357	"Tissue expander placement in breast reconstruction, including subsequent expansion(s)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19357	"Tissue expander placement in breast reconstruction, including subsequent expansion(s)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	234
19361	Plastic surgery to reconstruct breast	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
19361	Plastic surgery to reconstruct breast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
19361	Plastic surgery to reconstruct breast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
19364	Plastic surgery to reconstruct breast with muscle flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
19364	Plastic surgery to reconstruct breast with muscle flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
19364	Plastic surgery to reconstruct breast with muscle flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		158
19367	Plastic surgery to reconstruct breast with abdominal muscle flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
19367	Plastic surgery to reconstruct breast with abdominal muscle flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
19367	Plastic surgery to reconstruct breast with abdominal muscle flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
19368	Plastic surgery to reconstruct breast with muscle and blood vessel flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
19368	Plastic surgery to reconstruct breast with muscle and blood vessel flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
19368	Plastic surgery to reconstruct breast with muscle and blood vessel flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
19369	Plastic surgery to reconstruct breast with double abdominal muscle flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
19369	Plastic surgery to reconstruct breast with double abdominal muscle flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
19369	Plastic surgery to reconstruct breast with double abdominal muscle flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
19370	"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19370	"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19370	"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19370	"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19370	"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19370	"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19370	"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	108
19371	"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19371	"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19371	"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19371	"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19371	"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19371	"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19371	"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	99
19380	"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
19380	"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
19380	"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
19380	"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
19380	"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
19380	"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
19380	"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	126
19396	Preparation of mold for custom breast implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	23
19396	Preparation of mold for custom breast implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	0
20100	Exploration of penetrating wound of neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20100	Exploration of penetrating wound of neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
20101	Exploration of penetrating wound of chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	8
20101	Exploration of penetrating wound of chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	12
20101	Exploration of penetrating wound of chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	16	16
20102	"Exploration of penetrating wound of abdomen, flank, or back"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	8
20102	"Exploration of penetrating wound of abdomen, flank, or back"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	12
20102	"Exploration of penetrating wound of abdomen, flank, or back"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
20103	Exploration of penetrating wound of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
20103	Exploration of penetrating wound of arm or leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	98	6
20103	Exploration of penetrating wound of arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
20150	Removal of growth plate	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20150	Removal of growth plate	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20150	Removal of growth plate	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
20200	Biopsy of muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	19
20200	Biopsy of muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
20200	Biopsy of muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
20205	Deep biopsy of muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
20205	Deep biopsy of muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	0
20205	Deep biopsy of muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
20206	"Needle biopsy of muscle, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
20206	"Needle biopsy of muscle, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
20206	"Needle biopsy of muscle, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
20220	Biopsy of bone using needle or trocar	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
20220	Biopsy of bone using needle or trocar	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
20220	Biopsy of bone using needle or trocar	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	3
20220	Biopsy of bone using needle or trocar	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	3
20220	Biopsy of bone using needle or trocar	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
20220	Biopsy of bone using needle or trocar	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
20220	Biopsy of bone using needle or trocar	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
20220	Biopsy of bone using needle or trocar	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
20220	Biopsy of bone using needle or trocar	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
20220	Biopsy of bone using needle or trocar	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
20220	Biopsy of bone using needle or trocar	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
20220	Biopsy of bone using needle or trocar	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
20220	Biopsy of bone using needle or trocar	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
20220	Biopsy of bone using needle or trocar	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
20220	Biopsy of bone using needle or trocar	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
20225	Deep biopsy of bone using needle or trocar	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
20225	Deep biopsy of bone using needle or trocar	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
20225	Deep biopsy of bone using needle or trocar	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	3
20225	Deep biopsy of bone using needle or trocar	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
20225	Deep biopsy of bone using needle or trocar	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
20225	Deep biopsy of bone using needle or trocar	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
20225	Deep biopsy of bone using needle or trocar	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
20225	Deep biopsy of bone using needle or trocar	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
20225	Deep biopsy of bone using needle or trocar	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
20225	Deep biopsy of bone using needle or trocar	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
20225	Deep biopsy of bone using needle or trocar	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
20225	Deep biopsy of bone using needle or trocar	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
20225	Deep biopsy of bone using needle or trocar	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
20225	Deep biopsy of bone using needle or trocar	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
20225	Deep biopsy of bone using needle or trocar	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
20240	"Biopsy of bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
20240	"Biopsy of bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
20240	"Biopsy of bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
20240	"Biopsy of bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
20240	"Biopsy of bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
20240	"Biopsy of bone, open procedure"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		0
20245	"Biopsy of bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
20245	"Biopsy of bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
20245	"Biopsy of bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
20245	"Biopsy of bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
20245	"Biopsy of bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
20245	"Biopsy of bone, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
20250	"Biopsy of spine bone at middle spinal column, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20250	"Biopsy of spine bone at middle spinal column, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20250	"Biopsy of spine bone at middle spinal column, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
20251	"Biopsy of spine bone at upper or lower spinal column, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20251	"Biopsy of spine bone at upper or lower spinal column, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20251	"Biopsy of spine bone at upper or lower spinal column, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
20500	Injection of sinus tract; therapeutic (separate procedure)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	14
20500	Injection of sinus tract; therapeutic (separate procedure)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
20500	Injection of sinus tract; therapeutic (separate procedure)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
20501	Injection of abnormal muscle drainage tract for X-ray study	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	36	0
20520	Removal of foreign body in muscle or tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
20520	Removal of foreign body in muscle or tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
20520	Removal of foreign body in muscle or tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
20525	Removal of deep foreign body in muscle or tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
20525	Removal of deep foreign body in muscle or tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	91	6
20525	Removal of deep foreign body in muscle or tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
20526	Injection of carpal tunnel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
20526	Injection of carpal tunnel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	5
20527	Injection of enzyme in palm tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	11
20527	Injection of enzyme in palm tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
20550	"Injections of tendon sheath, ligament, or muscle membrane"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	3	
20550	"Injections of tendon sheath, ligament, or muscle membrane"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
20550	"Injections of tendon sheath, ligament, or muscle membrane"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	5	
20550	"Injections of tendon sheath, ligament, or muscle membrane"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
20550	"Injections of tendon sheath, ligament, or muscle membrane"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	0	
20550	"Injections of tendon sheath, ligament, or muscle membrane"	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. (no multitasking)	3	
20551	Injections of tendon attachment to bone	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
20551	Injections of tendon attachment to bone	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
20551	Injections of tendon attachment to bone	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
20551	Injections of tendon attachment to bone	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
20551	Injections of tendon attachment to bone	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
20551	Injections of tendon attachment to bone	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	3	0
20551	Injections of tendon attachment to bone	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	1	0
20552	Injections of trigger points in 1 or 2 muscles	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	0	0
20552	Injections of trigger points in 1 or 2 muscles	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	0	0
20552	Injections of trigger points in 1 or 2 muscles	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	1	0
20552	Injections of trigger points in 1 or 2 muscles	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
20552	Injections of trigger points in 1 or 2 muscles	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	0
20552	Injections of trigger points in 1 or 2 muscles	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	5	0
20552	Injections of trigger points in 1 or 2 muscles	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
20552	Injections of trigger points in 1 or 2 muscles	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	0	0
20552	Injections of trigger points in 1 or 2 muscles	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. (no multitasking)	3	0
20552	Injections of trigger points in 1 or 2 muscles	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. following moderate sedation	0	0
20552	Injections of trigger points in 1 or 2 muscles	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following service/check tubes, monitors, drains (not related to moderate sedation)"	0	0
20552	Injections of trigger points in 1 or 2 muscles	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	0	0
20553	Injections of trigger points in 3 or more muscles	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	0	0
20553	Injections of trigger points in 3 or more muscles	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	0	0
20553	Injections of trigger points in 3 or more muscles	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
20553	Injections of trigger points in 3 or more muscles	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
20553	Injections of trigger points in 3 or more muscles	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	0
20553	Injections of trigger points in 3 or more muscles	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	0
20553	Injections of trigger points in 3 or more muscles	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
20553	Injections of trigger points in 3 or more muscles	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	0	0
20553	Injections of trigger points in 3 or more muscles	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. (no multitasking)	3	0
20553	Injections of trigger points in 3 or more muscles	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. following moderate sedation	0	0
20553	Injections of trigger points in 3 or more muscles	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following service/check tubes, monitors, drains (not related to moderate sedation)"	0	0
20553	Injections of trigger points in 3 or more muscles	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	0	0
20555	Insertion of needles or catheters into muscle and/or tissue for radiation therapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
20555	Insertion of needles or catheters into muscle and/or tissue for radiation therapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
20560	Needle insertion(s) without injection(s); 1 or 2 muscle(s)	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
20560	Needle insertion(s) without injection(s); 1 or 2 muscle(s)	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment and supplies"	2	0
20560	Needle insertion(s) without injection(s); 1 or 2 muscle(s)	Service  intra	L023A	Physical Therapy Aide	0.255	Assist physician or other qualified healthcare professional---directly related to physician work time (67% of physician intra-service time)	7	0
20560	Needle insertion(s) without injection(s); 1 or 2 muscle(s)	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by clinical staff	3	0
20560	Needle insertion(s) without injection(s); 1 or 2 muscle(s)	Service  post	L023A	Physical Therapy Aide	0.255	"Review home care instructions, coordinate visits/prescriptions"	2	0
20561	Needle insertion(s) without injection(s); 3 or more muscles	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
20561	Needle insertion(s) without injection(s); 3 or more muscles	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment and supplies"	2	0
20561	Needle insertion(s) without injection(s); 3 or more muscles	Service  intra	L023A	Physical Therapy Aide	0.255	Assist physician or other qualified healthcare professional---directly related to physician work time (67% of physician intra-service time)	10	0
20561	Needle insertion(s) without injection(s); 3 or more muscles	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by clinical staff	3	0
20561	Needle insertion(s) without injection(s); 3 or more muscles	Service  post	L023A	Physical Therapy Aide	0.255	"Review home care instructions, coordinate visits/prescriptions"	2	0
20600	Aspiration and/or injection of small joint or joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	0
20600	Aspiration and/or injection of small joint or joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Pre-service	L037D	RN/LPN/MTA	0.455	Retrieve prior images for comparison	3	
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD	2	
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	
20604	"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	0	0
20605	Aspiration and/or injection of medium joint or joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	0
20605	Aspiration and/or injection of medium joint or joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Pre-service	L037D	RN/LPN/MTA	0.455	Retrieve prior images for comparison	3	
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD	2	
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	
20606	"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	0	0
20610	Aspiration and/or injection of large joint or joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	0
20610	Aspiration and/or injection of large joint or joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Pre-service	L037D	RN/LPN/MTA	0.455	Retrieve prior images for comparison	3	
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD	2	
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Service  post	L037D	RN/LPN/MTA	0.455	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	
20611	"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, joint subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	0	0
20612	Aspiration and/or injection of cysts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
20612	Aspiration and/or injection of cysts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	8
20615	Aspiration and injection treatment of bone cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
20615	Aspiration and injection treatment of bone cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
20615	Aspiration and injection treatment of bone cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
20650	Insertion and removal of wire or pin with bone traction	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
20650	Insertion and removal of wire or pin with bone traction	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
20650	Insertion and removal of wire or pin with bone traction	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
20661	Application of cranial halo device (stabilization device for skull)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20661	Application of cranial halo device (stabilization device for skull)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20661	Application of cranial halo device (stabilization device for skull)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
20662	Application of pelvic halo device (stabilization device for pelvis)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20662	Application of pelvic halo device (stabilization device for pelvis)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20662	Application of pelvic halo device (stabilization device for pelvis)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
20663	Application of groin halo device (stabilization device for groin)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20663	Application of groin halo device (stabilization device for groin)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20663	Application of groin halo device (stabilization device for groin)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
20664	Application of cranial halo (stabilization device for skull)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20664	Application of cranial halo (stabilization device for skull)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20664	Application of cranial halo (stabilization device for skull)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
20665	Removal of cranial tongs or halo (stabilization device for skull)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	10	15
20665	Removal of cranial tongs or halo (stabilization device for skull)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	12
20665	Removal of cranial tongs or halo (stabilization device for skull)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
20670	Removal of bone implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
20670	Removal of bone implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	69	6
20670	Removal of bone implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
20680	Removal of deep bone implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
20680	Removal of deep bone implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	6
20680	Removal of deep bone implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
20690	Application of uniplane external bone fixation on one arm or leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20690	Application of uniplane external bone fixation on one arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
20692	Application of multiplane external bone fixation system on one arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20692	Application of multiplane external bone fixation system on one arm or leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20692	Application of multiplane external bone fixation system on one arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		216
20693	Adjustment or revision of external bone fixation system under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20693	Adjustment or revision of external bone fixation system under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20693	Adjustment or revision of external bone fixation system under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
20694	Removal of external bone fixation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
20694	Removal of external bone fixation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	6
20694	Removal of external bone fixation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
20696	Application of multiplane external bone fixation system on one arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20696	Application of multiplane external bone fixation system on one arm or leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20696	Application of multiplane external bone fixation system on one arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
20697	"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
20697	"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
20697	"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
20697	"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
20697	"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
20697	"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	3	
20700	"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
20701	"Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
20702	"Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
20703	"Removal of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
20704	"Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
20705	"Removal of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
20802	Replantation of amputated arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20802	Replantation of amputated arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20802	Replantation of amputated arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		242
20805	Replantation of amputated lower arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20805	Replantation of amputated lower arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20805	Replantation of amputated lower arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		242
20808	Replantation of amputated hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20808	Replantation of amputated hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20808	Replantation of amputated hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		242
20816	Replantation of amputated finger at junction of hand bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20816	Replantation of amputated finger at junction of hand bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20816	Replantation of amputated finger at junction of hand bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
20822	Replantation of amputated finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20822	Replantation of amputated finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20822	Replantation of amputated finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
20824	Replantation of amputated thumb	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20824	Replantation of amputated thumb	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20824	Replantation of amputated thumb	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
20827	Replantation of amputated thumb	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20827	Replantation of amputated thumb	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20827	Replantation of amputated thumb	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
20838	Replantation of amputated foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20838	Replantation of amputated foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20838	Replantation of amputated foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		242
20900	Small bone graft harvest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	30
20900	Small bone graft harvest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	0
20902	Bone graft harvest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
20910	Rib cartilage graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20910	Rib cartilage graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20910	Rib cartilage graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
20912	Nasal cartilage graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20912	Nasal cartilage graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20912	Nasal cartilage graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
20920	Obtaining deep thigh tissue for graft using stripper	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20920	Obtaining deep thigh tissue for graft using stripper	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20920	Obtaining deep thigh tissue for graft using stripper	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
20922	Incision of deep thigh tissue for graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
20922	Incision of deep thigh tissue for graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	87	12
20922	Incision of deep thigh tissue for graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
20924	Tendon graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20924	Tendon graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20924	Tendon graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
20950	Insertion of device to monitor muscle compartment fluid pressure	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
20950	Insertion of device to monitor muscle compartment fluid pressure	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
20950	Insertion of device to monitor muscle compartment fluid pressure	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
20955	Bone graft at lower leg with microvascular connection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20955	Bone graft at lower leg with microvascular connection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20955	Bone graft at lower leg with microvascular connection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
20956	Bone graft of pelvic bone with microvascular connection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20956	Bone graft of pelvic bone with microvascular connection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20956	Bone graft of pelvic bone with microvascular connection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		207
20957	Bone graft of foot bone with microvascular connection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20957	Bone graft of foot bone with microvascular connection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20957	Bone graft of foot bone with microvascular connection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		234
20962	Bone graft with microvascular connection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20962	Bone graft with microvascular connection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20962	Bone graft with microvascular connection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		394
20969	Placement of skin and bone flap with microvascular connection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20969	Placement of skin and bone flap with microvascular connection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20969	Placement of skin and bone flap with microvascular connection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		232
20970	Placement of skin and bone flap to pelvic bone with microvascular connection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20970	Placement of skin and bone flap to pelvic bone with microvascular connection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
20970	Placement of skin and bone flap to pelvic bone with microvascular connection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		232
20972	Placement of skin and bone flap to foot with microvascular connection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20972	Placement of skin and bone flap to foot with microvascular connection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20972	Placement of skin and bone flap to foot with microvascular connection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		232
20973	Placement of skin and bone flap to toe bone and web space with microvascular connection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
20973	Placement of skin and bone flap to toe bone and web space with microvascular connection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
20973	Placement of skin and bone flap to toe bone and web space with microvascular connection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		232
20974	Placement of electrical bone healing device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	18
20974	Placement of electrical bone healing device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
20974	Placement of electrical bone healing device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
20975	Invasive electrical stimulation to aid bone healing	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
20975	Invasive electrical stimulation to aid bone healing	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
20979	"Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative)"	Service  intra	L026A	Medical/Technical Assistant	0.31	Service total costs	45	0
20982	Ablation therapy for reduction or eradication of 1 or more bone tumors	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	6	0
20982	Ablation therapy for reduction or eradication of 1 or more bone tumors	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	23
20982	Ablation therapy for reduction or eradication of 1 or more bone tumors	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
20982	Ablation therapy for reduction or eradication of 1 or more bone tumors	Service  intra	L046A	CT Technologist	0.61	Service total costs	152	0
20982	Ablation therapy for reduction or eradication of 1 or more bone tumors	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Pre-service	L046A	CT Technologist	0.61	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	6	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	2	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	6	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  intra	L046A	CT Technologist	0.61	Acquire images (75%)	86	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  intra	L046A	CT Technologist	0.61	Assist physician in performing procedure	115	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  intra	L051A	RN	0.635	Back out MS labor	0	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	29	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  post	L037D	RN/LPN/MTA	0.455	Clean RFA equipment	3	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  post	L046A	CT Technologist	0.61	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
20983	Ablation  therapy for reduction or eradication of 1 or more bone tumors; cryoablation	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
21010	Incision of jaw temporomandibular joint (TMJ)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21010	Incision of jaw temporomandibular joint (TMJ)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21010	Incision of jaw temporomandibular joint (TMJ)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
21011	Removal of (less than 2 centimeter) tissue growth beneath the skin of face and scalp	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21011	Removal of (less than 2 centimeter) tissue growth beneath the skin of face and scalp	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
21011	Removal of (less than 2 centimeter) tissue growth beneath the skin of face and scalp	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
21012	Removal of (2 centimeters or greater) tissue growth beneath the skin of face and scalp	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21012	Removal of (2 centimeters or greater) tissue growth beneath the skin of face and scalp	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21012	Removal of (2 centimeters or greater) tissue growth beneath the skin of face and scalp	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
21013	Removal of (less than 2 centimeters) muscle growth of face and scalp	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21013	Removal of (less than 2 centimeters) muscle growth of face and scalp	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
21013	Removal of (less than 2 centimeters) muscle growth of face and scalp	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
21014	Removal of (2 centimeters or greater) muscle growth of face and scalp	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21014	Removal of (2 centimeters or greater) muscle growth of face and scalp	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21014	Removal of (2 centimeters or greater) muscle growth of face and scalp	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
21015	Removal of (less than 2 centimeters) soft tissue growth of face or scalp	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21015	Removal of (less than 2 centimeters) soft tissue growth of face or scalp	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21015	Removal of (less than 2 centimeters) soft tissue growth of face or scalp	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
21016	Removal of (2 centimeters or greater) soft tissue growth of face or scalp	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21016	Removal of (2 centimeters or greater) soft tissue growth of face or scalp	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21016	Removal of (2 centimeters or greater) soft tissue growth of face or scalp	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
21025	Removal of lower jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21025	Removal of lower jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	134	6
21025	Removal of lower jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
21026	Removal of facial bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21026	Removal of facial bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	104	12
21026	Removal of facial bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
21029	Removal of facial bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21029	Removal of facial bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	104	6
21029	Removal of facial bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	99	99
21030	Removal or scraping of upper jaw or cheek bone growth or cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21030	Removal or scraping of upper jaw or cheek bone growth or cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	6
21030	Removal or scraping of upper jaw or cheek bone growth or cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
21031	Removal of bony growth of jaw bone inside mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21031	Removal of bony growth of jaw bone inside mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	74	6
21031	Removal of bony growth of jaw bone inside mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
21032	Removal of bony growth of upper jaw bone inside mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21032	Removal of bony growth of upper jaw bone inside mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	6
21032	Removal of bony growth of upper jaw bone inside mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
21034	Removal of malignant growth of upper jaw or cheek bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21034	Removal of malignant growth of upper jaw or cheek bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	164	12
21034	Removal of malignant growth of upper jaw or cheek bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	152	152
21040	Removal and/or scraping of lower jaw bone growth or cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21040	Removal and/or scraping of lower jaw bone growth or cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	6
21040	Removal and/or scraping of lower jaw bone growth or cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
21044	Removal of malignant growth of lower jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21044	Removal of malignant growth of lower jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21044	Removal of malignant growth of lower jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		143
21045	Removal of malignant growth of jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21045	Removal of malignant growth of jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21045	Removal of malignant growth of jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		179
21046	Oral removal of lower jaw bone growth or cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21046	Oral removal of lower jaw bone growth or cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21046	Oral removal of lower jaw bone growth or cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
21047	External removal of lower jaw bone growth or cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21047	External removal of lower jaw bone growth or cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21047	External removal of lower jaw bone growth or cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
21048	Oral removal of upper jaw bone growth or cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21048	Oral removal of upper jaw bone growth or cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21048	Oral removal of upper jaw bone growth or cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
21049	External removal of upper jaw bone growth or cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21049	External removal of upper jaw bone growth or cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21049	External removal of upper jaw bone growth or cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
21050	Removal of hinged joint of upper and lower jaw bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21050	Removal of hinged joint of upper and lower jaw bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21050	Removal of hinged joint of upper and lower jaw bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		170
21060	Removal of cartilage of hinged joint of upper and lower jaw bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21060	Removal of cartilage of hinged joint of upper and lower jaw bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21060	Removal of cartilage of hinged joint of upper and lower jaw bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
21070	Removal of diseased or fractured portion of lower jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21070	Removal of diseased or fractured portion of lower jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21070	Removal of diseased or fractured portion of lower jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
21073	Manipulation of hinged joints of upper and lower jaw bones under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	0
21073	Manipulation of hinged joints of upper and lower jaw bones under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	0
21073	Manipulation of hinged joints of upper and lower jaw bones under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	117	0
21076	Impression and custom preparation of oral prosthesis for use during surgery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	35
21076	Impression and custom preparation of oral prosthesis for use during surgery	Service  intra	L033A	Lab Technician	0.44	Service total costs	150	0
21076	Impression and custom preparation of oral prosthesis for use during surgery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	0
21076	Impression and custom preparation of oral prosthesis for use during surgery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	16
21077	Impression and preparation of eye socket prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21077	Impression and preparation of eye socket prosthesis	Service  intra	L033A	Lab Technician	0.44	Service total costs	380	0
21077	Impression and preparation of eye socket prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	173	0
21077	Impression and preparation of eye socket prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	32	48
21079	Impression and custom preparation of temporary oral prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21079	Impression and custom preparation of temporary oral prosthesis	Service  intra	L033A	Lab Technician	0.44	Service total costs	260	0
21079	Impression and custom preparation of temporary oral prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	187	0
21079	Impression and custom preparation of temporary oral prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	48	48
21080	Impression and custom preparation of permanent oral prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21080	Impression and custom preparation of permanent oral prosthesis	Service  intra	L033A	Lab Technician	0.44	Service total costs	285	0
21080	Impression and custom preparation of permanent oral prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	257	0
21080	Impression and custom preparation of permanent oral prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	48	48
21081	Impression and custom preparation of lower jaw bone prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21081	Impression and custom preparation of lower jaw bone prosthesis	Service  intra	L033A	Lab Technician	0.44	Service total costs	225	0
21081	Impression and custom preparation of lower jaw bone prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	272	0
21081	Impression and custom preparation of lower jaw bone prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	48	48
21082	Impression and custom preparation of prosthesis for roof of mouth enlargement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21082	Impression and custom preparation of prosthesis for roof of mouth enlargement	Service  intra	L033A	Lab Technician	0.44	Service total costs	245	0
21082	Impression and custom preparation of prosthesis for roof of mouth enlargement	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	263	0
21082	Impression and custom preparation of prosthesis for roof of mouth enlargement	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	87	97
21083	Impression and custom preparation of roof of mouth prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21083	Impression and custom preparation of roof of mouth prosthesis	Service  intra	L033A	Lab Technician	0.44	Service total costs	220	0
21083	Impression and custom preparation of roof of mouth prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	313	0
21083	Impression and custom preparation of roof of mouth prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	97	97
21084	Impression and custom preparation of speech aid prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21084	Impression and custom preparation of speech aid prosthesis	Service  intra	L033A	Lab Technician	0.44	Service total costs	245	0
21084	Impression and custom preparation of speech aid prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	343	0
21084	Impression and custom preparation of speech aid prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	97	97
21085	Impression and custom preparation of outer ear prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	35
21085	Impression and custom preparation of outer ear prosthesis	Service  intra	L033A	Lab Technician	0.44	Service total costs	75	0
21085	Impression and custom preparation of outer ear prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	170	0
21085	Impression and custom preparation of outer ear prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
21086	Impression and custom preparation of outer ear prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21086	Impression and custom preparation of outer ear prosthesis	Service  intra	L033A	Lab Technician	0.44	Service total costs	275	0
21086	Impression and custom preparation of outer ear prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	0
21086	Impression and custom preparation of outer ear prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	16	16
21087	Impression and custom preparation of nasal prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21087	Impression and custom preparation of nasal prosthesis	Service  intra	L033A	Lab Technician	0.44	Service total costs	275	0
21087	Impression and custom preparation of nasal prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	0
21087	Impression and custom preparation of nasal prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	16	16
21100	Application and removal of facial and cheek bone halo device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21100	Application and removal of facial and cheek bone halo device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	118	6
21100	Application and removal of facial and cheek bone halo device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
21110	Application and removal of dental fixation device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21110	Application and removal of dental fixation device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	142	6
21110	Application and removal of dental fixation device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	153	153
21116	Injection for X-ray imaging of hinged joint of upper and lower jaw bones	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	31	0
21116	Injection for X-ray imaging of hinged joint of upper and lower jaw bones	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	3	0
21120	Implantation of graft to enlarge chin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21120	Implantation of graft to enlarge chin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	102	6
21120	Implantation of graft to enlarge chin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
21121	Insertion of sliding bone graft to enlarge chin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21121	Insertion of sliding bone graft to enlarge chin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	111	12
21121	Insertion of sliding bone graft to enlarge chin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
21122	Insertion of sliding bone grafts to enlarge chin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21122	Insertion of sliding bone grafts to enlarge chin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21122	Insertion of sliding bone grafts to enlarge chin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
21123	Insertion of sliding bone graft to enlarge chin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21123	Insertion of sliding bone graft to enlarge chin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21123	Insertion of sliding bone graft to enlarge chin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
21125	Insertion of prosthetic material to enlarge lower jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21125	Insertion of prosthetic material to enlarge lower jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	128	12
21125	Insertion of prosthetic material to enlarge lower jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
21127	Insertion of bone grafts between portions of bone to enlarge lower jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21127	Insertion of bone grafts between portions of bone to enlarge lower jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	208	12
21127	Insertion of bone grafts between portions of bone to enlarge lower jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
21137	Repair of bony defect of forehead	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21137	Repair of bony defect of forehead	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21137	Repair of bony defect of forehead	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
21138	Repair of bony defect of forehead with insertion of prosthetic material	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21138	Repair of bony defect of forehead with insertion of prosthetic material	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21138	Repair of bony defect of forehead with insertion of prosthetic material	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		115
21139	Repair of frontal sinus through forehead	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21139	Repair of frontal sinus through forehead	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21139	Repair of frontal sinus through forehead	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
21141	Reconstruction of midface bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21141	Reconstruction of midface bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21141	Reconstruction of midface bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		233
21142	Reconstruction of midface bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21142	Reconstruction of midface bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21142	Reconstruction of midface bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		233
21143	Reconstruction of midface bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21143	Reconstruction of midface bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21143	Reconstruction of midface bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		233
21145	Reconstruction of midface bones with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21145	Reconstruction of midface bones with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21145	Reconstruction of midface bones with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		216
21146	Reconstruction of midface bones with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21146	Reconstruction of midface bones with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21146	Reconstruction of midface bones with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		234
21147	Reconstruction of midface bones with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21147	Reconstruction of midface bones with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21147	Reconstruction of midface bones with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		234
21150	Reconstruction of midface bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21150	Reconstruction of midface bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21150	Reconstruction of midface bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		158
21151	Reconstruction of midface bones with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21151	Reconstruction of midface bones with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21151	Reconstruction of midface bones with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		158
21154	Reconstruction of midface bones with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21154	Reconstruction of midface bones with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21154	Reconstruction of midface bones with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		185
21155	Reconstruction of midface bones with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21155	Reconstruction of midface bones with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21155	Reconstruction of midface bones with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		185
21159	Reconstruction of midface bones with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21159	Reconstruction of midface bones with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21159	Reconstruction of midface bones with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		185
21160	Reconstruction of midface bones with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21160	Reconstruction of midface bones with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21160	Reconstruction of midface bones with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		185
21172	Repair of bony defect of forehead and eye bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21172	Repair of bony defect of forehead and eye bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21172	Repair of bony defect of forehead and eye bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
21175	Repair of bony defect of lower forehead and both outer portions of eye bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21175	Repair of bony defect of lower forehead and both outer portions of eye bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21175	Repair of bony defect of lower forehead and both outer portions of eye bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
21179	Repair of bony defect of lower forehead and/or both upper portions of eye bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21179	Repair of bony defect of lower forehead and/or both upper portions of eye bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21179	Repair of bony defect of lower forehead and/or both upper portions of eye bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
21180	Reconstruction of forehead and/or eye bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21180	Reconstruction of forehead and/or eye bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21180	Reconstruction of forehead and/or eye bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
21181	Reconstruction of midface with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21181	Reconstruction of midface with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21181	Reconstruction of midface with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
21182	"Reconstruction of bony defect of skull, forehead, and both upper portions of eye bones with bone graft, total area of bone grafting less than 40 sq cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21182	"Reconstruction of bony defect of skull, forehead, and both upper portions of eye bones with bone graft, total area of bone grafting less than 40 sq cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21182	"Reconstruction of bony defect of skull, forehead, and both upper portions of eye bones with bone graft, total area of bone grafting less than 40 sq cm"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
21183	"Reconstruction of bony defect of skull, forehead, and both upper portions of eye bones with bone graft, total area of bone grafting greater than 40 sq cm but less than 80 sq cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21183	"Reconstruction of bony defect of skull, forehead, and both upper portions of eye bones with bone graft, total area of bone grafting greater than 40 sq cm but less than 80 sq cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21183	"Reconstruction of bony defect of skull, forehead, and both upper portions of eye bones with bone graft, total area of bone grafting greater than 40 sq cm but less than 80 sq cm"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
21184	"Reconstruction of bony defect of skull, forehead, and both upper portions of eye bones with bone graft, total area of bone grafting greater than 80 sq cm"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21184	"Reconstruction of bony defect of skull, forehead, and both upper portions of eye bones with bone graft, total area of bone grafting greater than 80 sq cm"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21184	"Reconstruction of bony defect of skull, forehead, and both upper portions of eye bones with bone graft, total area of bone grafting greater than 80 sq cm"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
21188	"Repair of bony defect of midface through scalp, eyelid, and oral incisions with bone graft"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21188	"Repair of bony defect of midface through scalp, eyelid, and oral incisions with bone graft"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21188	"Repair of bony defect of midface through scalp, eyelid, and oral incisions with bone graft"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		230
21193	Reconstruction of jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21193	Reconstruction of jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21193	Reconstruction of jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
21194	Reconstruction of jaw bones with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21194	Reconstruction of jaw bones with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21194	Reconstruction of jaw bones with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		198
21195	Reconstruction of lower jaw bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21195	Reconstruction of lower jaw bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21195	Reconstruction of lower jaw bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		198
21196	Reconstruction of jaw bones with insertion of hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21196	Reconstruction of jaw bones with insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21196	Reconstruction of jaw bones with insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		198
21198	Incision of lower jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21198	Incision of lower jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21198	Incision of lower jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
21199	Incision of lower jaw bone with advancement of tongue muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21199	Incision of lower jaw bone with advancement of tongue muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21199	Incision of lower jaw bone with advancement of tongue muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21206	Incision and repositioning of cheek bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21206	Incision and repositioning of cheek bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21206	Incision and repositioning of cheek bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
21208	Incision and repair of bony defect of cheek bone with repositioning of bony segment	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21208	Incision and repair of bony defect of cheek bone with repositioning of bony segment	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	150	6
21208	Incision and repair of bony defect of cheek bone with repositioning of bony segment	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	153	153
21209	Incision and repair of bony defect of cheek bone including bony segment reduction	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21209	Incision and repair of bony defect of cheek bone including bony segment reduction	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	117	6
21209	Incision and repair of bony defect of cheek bone including bony segment reduction	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	189	189
21210	Repair of nasal or cheek bone with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21210	Repair of nasal or cheek bone with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	198	6
21210	Repair of nasal or cheek bone with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	162	162
21215	Repair of lower jaw bone with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21215	Repair of lower jaw bone with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	214	12
21215	Repair of lower jaw bone with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	162	162
21230	Harvest of rib cartilage for grafting	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21230	Harvest of rib cartilage for grafting	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21230	Harvest of rib cartilage for grafting	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21235	Obtaining ear cartilage for grafting	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21235	Obtaining ear cartilage for grafting	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	145	6
21235	Obtaining ear cartilage for grafting	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	153	153
21240	Repair of hinged joint of upper and lower jaw bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21240	Repair of hinged joint of upper and lower jaw bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21240	Repair of hinged joint of upper and lower jaw bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		216
21242	Repair of hinged joint of upper and lower jaw bones with donor graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21242	Repair of hinged joint of upper and lower jaw bones with donor graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21242	Repair of hinged joint of upper and lower jaw bones with donor graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		206
21243	Repair of hinged joint of upper and lower jaw bones with prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21243	Repair of hinged joint of upper and lower jaw bones with prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21243	Repair of hinged joint of upper and lower jaw bones with prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		360
21244	Reconstruction of lower jaw bone with insertion of bone plate	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21244	Reconstruction of lower jaw bone with insertion of bone plate	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21244	Reconstruction of lower jaw bone with insertion of bone plate	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		206
21245	Partial repair of lower jaw or cheek bone with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21245	Partial repair of lower jaw or cheek bone with implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	135	12
21245	Partial repair of lower jaw or cheek bone with implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	153	153
21246	Reconstruction of lower jaw or cheek bone with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21246	Reconstruction of lower jaw or cheek bone with implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21246	Reconstruction of lower jaw or cheek bone with implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
21247	Reconstruction of hinged joint of jaw bones with insertion of rib cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21247	Reconstruction of hinged joint of jaw bones with insertion of rib cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21247	Reconstruction of hinged joint of jaw bones with insertion of rib cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		242
21248	Partial reconstruction of lower jaw or cheek bone with insertion of implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21248	Partial reconstruction of lower jaw or cheek bone with insertion of implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	111	6
21248	Partial reconstruction of lower jaw or cheek bone with insertion of implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
21249	Reconstruction of lower jaw or cheek bone with insertion of implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21249	Reconstruction of lower jaw or cheek bone with insertion of implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	180	12
21249	Reconstruction of lower jaw or cheek bone with insertion of implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
21255	Reconstruction of cheek bone with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21255	Reconstruction of cheek bone with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21255	Reconstruction of cheek bone with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		242
21256	Plastic reconstruction of eye socket bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21256	Plastic reconstruction of eye socket bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21256	Plastic reconstruction of eye socket bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		179
21260	Plastic repositioning of eye socket bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21260	Plastic repositioning of eye socket bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21260	Plastic repositioning of eye socket bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		146
21261	Repositioning of cheek bone prominence using prosthetic material	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21261	Repositioning of cheek bone prominence using prosthetic material	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21261	Repositioning of cheek bone prominence using prosthetic material	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		235
21263	Repositioning of cheek bone prominence with forehead advancement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21263	Repositioning of cheek bone prominence with forehead advancement	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21263	Repositioning of cheek bone prominence with forehead advancement	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		235
21267	"Plastic repositioning of eye socket bones on one side of the face with bone grafts, extracranial approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21267	"Plastic repositioning of eye socket bones on one side of the face with bone grafts, extracranial approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21267	"Plastic repositioning of eye socket bones on one side of the face with bone grafts, extracranial approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		199
21268	"Plastic repositioning of eye socket bones on one side of the face with bone grafts, extracranial approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21268	"Plastic repositioning of eye socket bones on one side of the face with bone grafts, extracranial approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21268	"Plastic repositioning of eye socket bones on one side of the face with bone grafts, extracranial approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		235
21270	Insertion of prosthetic material to enlarge cheek bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21270	Insertion of prosthetic material to enlarge cheek bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	280	6
21270	Insertion of prosthetic material to enlarge cheek bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
21275	Plastic revision of prior eye socket and facial bone repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21275	Plastic revision of prior eye socket and facial bone repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21275	Plastic revision of prior eye socket and facial bone repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21280	Reattachment of nasal and eye socket ligament	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21280	Reattachment of nasal and eye socket ligament	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21280	Reattachment of nasal and eye socket ligament	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
21282	Reattachment of nasal and eye socket ligament	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21282	Reattachment of nasal and eye socket ligament	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21282	Reattachment of nasal and eye socket ligament	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
21295	Reduction of major chewing muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21295	Reduction of major chewing muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21295	Reduction of major chewing muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
21296	Reduction through mouth of major chewing muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21296	Reduction through mouth of major chewing muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21296	Reduction through mouth of major chewing muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	3
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	3
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	3
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	4	0
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
21315	Closed treatment of nasal bone fracture with manipulation; without stabilization	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	3
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	3
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	3
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	4	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
21320	Closed treatment of nasal bone fracture with manipulation; with stabilization	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
21325	Open treatment of broken nasal bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21325	Open treatment of broken nasal bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21325	Open treatment of broken nasal bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		110
21330	Open treatment of broken nasal bone and/or insertion of hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21330	Open treatment of broken nasal bone and/or insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21330	Open treatment of broken nasal bone and/or insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		110
21335	Open treatment of broken nasal bone and nasal cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21335	Open treatment of broken nasal bone and nasal cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21335	Open treatment of broken nasal bone and nasal cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		110
21336	Open treatment of tissue dividing nasal passages	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21336	Open treatment of tissue dividing nasal passages	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21336	Open treatment of tissue dividing nasal passages	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		182
21337	Closed treatment of nasal cartilage dividing nasal passages	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21337	Closed treatment of nasal cartilage dividing nasal passages	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
21337	Closed treatment of nasal cartilage dividing nasal passages	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	99	99
21338	Open treatment of broken nasal and eye bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21338	Open treatment of broken nasal and eye bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21338	Open treatment of broken nasal and eye bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		130
21339	Open treatment of broken eye socket and nasal bones with external hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21339	Open treatment of broken eye socket and nasal bones with external hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21339	Open treatment of broken eye socket and nasal bones with external hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		130
21340	"Treatment of broken eye socket and nasal bones, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21340	"Treatment of broken eye socket and nasal bones, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21340	"Treatment of broken eye socket and nasal bones, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
21343	Open treatment of frontal sinus fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21343	Open treatment of frontal sinus fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21343	Open treatment of frontal sinus fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		192
21344	Open treatment of depressed frontal sinus fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21344	Open treatment of depressed frontal sinus fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		156
21345	Closed treatment of broken nasal and cheek bones with wiring or splinting of teeth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21345	Closed treatment of broken nasal and cheek bones with wiring or splinting of teeth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	151	12
21345	Closed treatment of broken nasal and cheek bones with wiring or splinting of teeth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	153	153
21346	Open treatment of broken nasal and cheek bones with wiring of teeth and/or insertion of hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21346	Open treatment of broken nasal and cheek bones with wiring of teeth and/or insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21346	Open treatment of broken nasal and cheek bones with wiring of teeth and/or insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
21347	Open treatment of broken nasal and cheek bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21347	Open treatment of broken nasal and cheek bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		176
21348	Open treatment of broken nasal and cheek bones with bone grafting	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21348	Open treatment of broken nasal and cheek bones with bone grafting	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21348	Open treatment of broken nasal and cheek bones with bone grafting	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
21355	"Treatment of broken lower and upper cheek bones with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	19
21355	"Treatment of broken lower and upper cheek bones with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	102	6
21355	"Treatment of broken lower and upper cheek bones with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	99	99
21356	Open treatment of broken cheek bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	19
21356	Open treatment of broken cheek bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	112	6
21356	Open treatment of broken cheek bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	99	99
21360	Open treatment of broken cheek bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21360	Open treatment of broken cheek bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21360	Open treatment of broken cheek bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
21365	Open treatment of broken cheek bones with insertion of internal hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21365	Open treatment of broken cheek bones with insertion of internal hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
21366	Open treatment of broken cheek bones with bone grafting and insertion of internal hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21366	Open treatment of broken cheek bones with bone grafting and insertion of internal hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21366	Open treatment of broken cheek bones with bone grafting and insertion of internal hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
21385	Open treatment of broken eye socket bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21385	Open treatment of broken eye socket bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21385	Open treatment of broken eye socket bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21386	Open treatment of broken eye socket bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21386	Open treatment of broken eye socket bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21386	Open treatment of broken eye socket bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21387	Open treatment of broken eye socket bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21387	Open treatment of broken eye socket bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21387	Open treatment of broken eye socket bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21390	Open treatment of broken eye socket bone with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21390	Open treatment of broken eye socket bone with implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21390	Open treatment of broken eye socket bone with implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
21395	Open treatment of broken eye socket bone with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21395	Open treatment of broken eye socket bone with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21395	Open treatment of broken eye socket bone with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
21400	Closed treatment of broken eye socket bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21400	Closed treatment of broken eye socket bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	68	6
21400	Closed treatment of broken eye socket bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
21401	Closed treatment of broken eye socket bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21401	Closed treatment of broken eye socket bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
21401	Closed treatment of broken eye socket bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
21406	Open treatment of broken eye socket bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21406	Open treatment of broken eye socket bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21406	Open treatment of broken eye socket bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21407	Open treatment of broken eye socket bone with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21407	Open treatment of broken eye socket bone with implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21407	Open treatment of broken eye socket bone with implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21408	Open treatment of broken eye socket bone with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21408	Open treatment of broken eye socket bone with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21408	Open treatment of broken eye socket bone with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21421	Closed treatment of fracture at roof of mouth or cheek bone with insertion of hardware or oral splint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21421	Closed treatment of fracture at roof of mouth or cheek bone with insertion of hardware or oral splint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	106	6
21421	Closed treatment of fracture at roof of mouth or cheek bone with insertion of hardware or oral splint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	170	170
21422	Open treatment of fracture at roof of mouth or cheek bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21422	Open treatment of fracture at roof of mouth or cheek bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21422	Open treatment of fracture at roof of mouth or cheek bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21423	Open treatment of fracture of roof of mouth or cheek bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21423	Open treatment of fracture of roof of mouth or cheek bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
21431	"Closed treatment of broken bones of cheek, nose or face with insertion of hardware or oral splint"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21431	"Closed treatment of broken bones of cheek, nose or face with insertion of hardware or oral splint"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21431	"Closed treatment of broken bones of cheek, nose or face with insertion of hardware or oral splint"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
21432	Open treatment of broken bones of face and head and/or insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21432	Open treatment of broken bones of face and head and/or insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		84
21433	Open treatment of broken bones of face and head	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21433	Open treatment of broken bones of face and head	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21433	Open treatment of broken bones of face and head	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
21435	Open treatment of broken bones of face and head and/or insertion of hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21435	Open treatment of broken bones of face and head and/or insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21435	Open treatment of broken bones of face and head and/or insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		179
21436	Open treatment of broken bones of face and head with insertion of hardware and bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21436	Open treatment of broken bones of face and head with insertion of hardware and bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21436	Open treatment of broken bones of face and head with insertion of hardware and bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		215
21440	Closed treatment of broken jaw or cheek bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21440	Closed treatment of broken jaw or cheek bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	94	6
21440	Closed treatment of broken jaw or cheek bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
21445	Open treatment of broken jaw or cheek bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21445	Open treatment of broken jaw or cheek bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	120	6
21445	Open treatment of broken jaw or cheek bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	117	117
21450	Closed treatment of broken jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21450	Closed treatment of broken jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	6
21450	Closed treatment of broken jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
21451	Closed treatment of broken jaw bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21451	Closed treatment of broken jaw bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	129	6
21451	Closed treatment of broken jaw bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	153	153
21452	"Treatment of broken jaw bone with placement of external hardware, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21452	"Treatment of broken jaw bone with placement of external hardware, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	84	6
21452	"Treatment of broken jaw bone with placement of external hardware, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
21453	Closed treatment of broken jaw bone with insertion of hardware or oral splint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21453	Closed treatment of broken jaw bone with insertion of hardware or oral splint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	117	6
21453	Closed treatment of broken jaw bone with insertion of hardware or oral splint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	189	189
21454	Open treatment of broken jaw bone with placement of external hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21454	Open treatment of broken jaw bone with placement of external hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21454	Open treatment of broken jaw bone with placement of external hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
21461	Open treatment of broken jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21461	Open treatment of broken jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	146	12
21461	Open treatment of broken jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	189	189
21462	Open treatment of broken jaw bone with insertion of hardware or oral splint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21462	Open treatment of broken jaw bone with insertion of hardware or oral splint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	172	12
21462	Open treatment of broken jaw bone with insertion of hardware or oral splint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	189	189
21465	Open treatment of hinge of jaw bone fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21465	Open treatment of hinge of jaw bone fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21465	Open treatment of hinge of jaw bone fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
21470	Open treatment for broken jaw bone with insertion of hardware and/or oral splint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21470	Open treatment for broken jaw bone with insertion of hardware and/or oral splint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21470	Open treatment for broken jaw bone with insertion of hardware and/or oral splint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		216
21480	Closed treatment of jaw temporomandibular joint (TMJ) dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	0
21480	Closed treatment of jaw temporomandibular joint (TMJ) dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
21485	Closed treatment of jaw temporomandibular joint (TMJ) dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21485	Closed treatment of jaw temporomandibular joint (TMJ) dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	113	6
21485	Closed treatment of jaw temporomandibular joint (TMJ) dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	153	153
21490	Open treatment of jaw temporomandibular joint (TMJ) dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21490	Open treatment of jaw temporomandibular joint (TMJ) dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21490	Open treatment of jaw temporomandibular joint (TMJ) dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
21497	Wiring of jaw or oral splint to teeth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21497	Wiring of jaw or oral splint to teeth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	119	6
21497	Wiring of jaw or oral splint to teeth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	153	153
21501	Incision and drainage of abscess or blood accumulation in soft tissues of neck or chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21501	Incision and drainage of abscess or blood accumulation in soft tissues of neck or chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	12
21501	Incision and drainage of abscess or blood accumulation in soft tissues of neck or chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
21502	Incision and drainage of abscess or blood accumulation in soft tissues of neck or chest with removal of rib	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21502	Incision and drainage of abscess or blood accumulation in soft tissues of neck or chest with removal of rib	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21502	Incision and drainage of abscess or blood accumulation in soft tissues of neck or chest with removal of rib	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
21510	Incision of chest bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21510	Incision of chest bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21510	Incision of chest bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
21550	Biopsy of soft tissue of neck or chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
21550	Biopsy of soft tissue of neck or chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	70	6
21550	Biopsy of soft tissue of neck or chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
21552	Removal of (3 centimeters or greater) tissue growth beneath the skin of neck or front of chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21552	Removal of (3 centimeters or greater) tissue growth beneath the skin of neck or front of chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21552	Removal of (3 centimeters or greater) tissue growth beneath the skin of neck or front of chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
21554	Removal of (5 centimeters or greater) muscle growth of neck or front of chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21554	Removal of (5 centimeters or greater) muscle growth of neck or front of chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21554	Removal of (5 centimeters or greater) muscle growth of neck or front of chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
21555	Removal of (less than 3 centimeters) tissue growth beneath the skin of neck or front of chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21555	Removal of (less than 3 centimeters) tissue growth beneath the skin of neck or front of chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
21555	Removal of (less than 3 centimeters) tissue growth beneath the skin of neck or front of chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
21556	Removal of (less than 5 centimeters) muscle growth of neck or front of chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21556	Removal of (less than 5 centimeters) muscle growth of neck or front of chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21556	Removal of (less than 5 centimeters) muscle growth of neck or front of chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
21557	Removal of (less than 5 centimeters) growth of neck or front of chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21557	Removal of (less than 5 centimeters) growth of neck or front of chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21557	Removal of (less than 5 centimeters) growth of neck or front of chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
21558	Removal of (5 centimeters or greater) growth of neck or front of chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21558	Removal of (5 centimeters or greater) growth of neck or front of chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21558	Removal of (5 centimeters or greater) growth of neck or front of chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
21600	Removal of rib	Pre-service	L051A	RN	0.635	Preservice total costs		60
21600	Removal of rib	Service  intra	L051A	RN	0.635	Service total costs		12
21600	Removal of rib	Post-service	L051A	RN	0.635	Post service total costs		108
21601	Excision of chest wall tumor including rib(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21601	Excision of chest wall tumor including rib(s)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21601	Excision of chest wall tumor including rib(s)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
21602	"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy"	Pre-service	L051A	RN	0.635	Preservice total costs		60
21602	"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy"	Service  intra	L051A	RN	0.635	Service total costs		12
21602	"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy"	Post-service	L051A	RN	0.635	Post service total costs		234
21603	"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy"	Pre-service	L051A	RN	0.635	Preservice total costs		60
21603	"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy"	Service  intra	L051A	RN	0.635	Service total costs		12
21603	"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy"	Post-service	L051A	RN	0.635	Post service total costs		252
21610	Removal of joint joining rib and spine bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21610	Removal of joint joining rib and spine bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21610	Removal of joint joining rib and spine bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
21615	Removal of first and/or extra rib at neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21615	Removal of first and/or extra rib at neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21615	Removal of first and/or extra rib at neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
21616	Removal of first and/or extra rib at neck with removal of sympathetic nerves	Pre-service	L051A	RN	0.635	Preservice total costs		60
21616	Removal of first and/or extra rib at neck with removal of sympathetic nerves	Service  intra	L051A	RN	0.635	Service total costs		12
21616	Removal of first and/or extra rib at neck with removal of sympathetic nerves	Post-service	L051A	RN	0.635	Post service total costs		135
21620	Partial removal of chest bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21620	Partial removal of chest bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21620	Partial removal of chest bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
21627	Debridement of chest bone	Pre-service	L051A	RN	0.635	Preservice total costs		60
21627	Debridement of chest bone	Service  intra	L051A	RN	0.635	Service total costs		12
21627	Debridement of chest bone	Post-service	L051A	RN	0.635	Post service total costs		108
21630	Removal of chest bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21630	Removal of chest bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21630	Removal of chest bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		149
21632	Removal of chest bone with removal of lymph nodes	Pre-service	L051A	RN	0.635	Preservice total costs		60
21632	Removal of chest bone with removal of lymph nodes	Service  intra	L051A	RN	0.635	Service total costs		12
21632	Removal of chest bone with removal of lymph nodes	Post-service	L051A	RN	0.635	Post service total costs		149
21685	Repositioning of bone between chin and thyroid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21685	Repositioning of bone between chin and thyroid	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21685	Repositioning of bone between chin and thyroid	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
21700	Removal of neck muscle with release of nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21700	Removal of neck muscle with release of nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21700	Removal of neck muscle with release of nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
21705	Removal of neck muscle and extra rib at neck with release of nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21705	Removal of neck muscle and extra rib at neck with release of nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21705	Removal of neck muscle and extra rib at neck with release of nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
21720	"Release of tendons of neck muscle, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21720	"Release of tendons of neck muscle, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21720	"Release of tendons of neck muscle, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
21725	"Release of tendons of neck muscle with cast application, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21725	"Release of tendons of neck muscle with cast application, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21725	"Release of tendons of neck muscle with cast application, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
21740	"Repair of depression of breast bone, open procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
21740	"Repair of depression of breast bone, open procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
21740	"Repair of depression of breast bone, open procedure"	Post-service	L051A	RN	0.635	Post service total costs		72
21750	Repair of separation of chest bone	Pre-service	L051A	RN	0.635	Preservice total costs		60
21750	Repair of separation of chest bone	Service  intra	L051A	RN	0.635	Service total costs		12
21750	Repair of separation of chest bone	Post-service	L051A	RN	0.635	Post service total costs		36
21811	Open treatment of rib fracture(s) with internal fixation; 1-3 ribs	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
21811	Open treatment of rib fracture(s) with internal fixation; 1-3 ribs	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
21811	Open treatment of rib fracture(s) with internal fixation; 1-3 ribs	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
21811	Open treatment of rib fracture(s) with internal fixation; 1-3 ribs	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		0
21812	Open treatment of rib fracture(s) with internal fixation; 4-6 ribs	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
21812	Open treatment of rib fracture(s) with internal fixation; 4-6 ribs	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
21812	Open treatment of rib fracture(s) with internal fixation; 4-6 ribs	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
21812	Open treatment of rib fracture(s) with internal fixation; 4-6 ribs	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		0
21813	Open treatment of rib fracture(s) with internal fixation; 7 or more ribs	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
21813	Open treatment of rib fracture(s) with internal fixation; 7 or more ribs	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
21813	Open treatment of rib fracture(s) with internal fixation; 7 or more ribs	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
21813	Open treatment of rib fracture(s) with internal fixation; 7 or more ribs	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		0
21820	Closed treatment of sternum fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21820	Closed treatment of sternum fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	6
21820	Closed treatment of sternum fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	41	41
21825	Open treatment of sternum fracture with or without skeletal fixation	Pre-service	L051A	RN	0.635	Preservice total costs		60
21825	Open treatment of sternum fracture with or without skeletal fixation	Service  intra	L051A	RN	0.635	Service total costs		12
21825	Open treatment of sternum fracture with or without skeletal fixation	Post-service	L051A	RN	0.635	Post service total costs		95
21920	Biopsy of tissue of back or flank	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	19
21920	Biopsy of tissue of back or flank	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	6
21920	Biopsy of tissue of back or flank	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
21925	Biopsy of tissue of back or flank	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21925	Biopsy of tissue of back or flank	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	68	6
21925	Biopsy of tissue of back or flank	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
21930	Removal (less than 3 centimeters) tissue growth beneath the skin of back or flank	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
21930	Removal (less than 3 centimeters) tissue growth beneath the skin of back or flank	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	6
21930	Removal (less than 3 centimeters) tissue growth beneath the skin of back or flank	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
21931	Removal (3 centimeters or greater) tissue growth beneath the skin of back or flank	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21931	Removal (3 centimeters or greater) tissue growth beneath the skin of back or flank	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
21931	Removal (3 centimeters or greater) tissue growth beneath the skin of back or flank	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
21932	Removal (less than 5 centimeters) muscle growth of back or flank	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21932	Removal (less than 5 centimeters) muscle growth of back or flank	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21932	Removal (less than 5 centimeters) muscle growth of back or flank	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
21933	Removal (5 centimeters or greater) muscle growth of back or flank	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21933	Removal (5 centimeters or greater) muscle growth of back or flank	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21933	Removal (5 centimeters or greater) muscle growth of back or flank	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
21935	Removal (less than 5 centimeters) tissue growth of back or flank	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21935	Removal (less than 5 centimeters) tissue growth of back or flank	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21935	Removal (less than 5 centimeters) tissue growth of back or flank	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
21936	Removal (5 centimeters or greater) tissue growth of back or flank	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
21936	Removal (5 centimeters or greater) tissue growth of back or flank	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
21936	Removal (5 centimeters or greater) tissue growth of back or flank	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
22010	"Drainage of abscess of upper or middle spine, open chest procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22010	"Drainage of abscess of upper or middle spine, open chest procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22010	"Drainage of abscess of upper or middle spine, open chest procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
22015	"Drainage of abscess of lower spine or sacrum, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22015	"Drainage of abscess of lower spine or sacrum, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22015	"Drainage of abscess of lower spine or sacrum, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
22100	Partial removal of spine bone and growth at upper spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22100	Partial removal of spine bone and growth at upper spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22100	Partial removal of spine bone and growth at upper spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22101	Partial removal of spine bone and growth at middle spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22101	Partial removal of spine bone and growth at middle spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22101	Partial removal of spine bone and growth at middle spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22102	Partial removal of spine bone and growth at lower spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22102	Partial removal of spine bone and growth at lower spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
22102	Partial removal of spine bone and growth at lower spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22110	Partial removal of spine bone and growth at upper spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22110	Partial removal of spine bone and growth at upper spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22110	Partial removal of spine bone and growth at upper spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22112	Partial removal of spine bone and growth at middle spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22112	Partial removal of spine bone and growth at middle spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22112	Partial removal of spine bone and growth at middle spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22114	Partial removal of spine bone and growth at lower spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22114	Partial removal of spine bone and growth at lower spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22114	Partial removal of spine bone and growth at lower spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22206	Incision of spine to correct deformity at middle spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22206	Incision of spine to correct deformity at middle spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22206	Incision of spine to correct deformity at middle spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
22207	Incision of spine to correct deformity at lower spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22207	Incision of spine to correct deformity at lower spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22207	Incision of spine to correct deformity at lower spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
22210	Incision of spine to correct deformity at upper spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22210	Incision of spine to correct deformity at upper spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22210	Incision of spine to correct deformity at upper spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
22212	Incision of spine to correct deformity at middle spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22212	Incision of spine to correct deformity at middle spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22212	Incision of spine to correct deformity at middle spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
22214	Incision of spine to correct deformity at lower spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22214	Incision of spine to correct deformity at lower spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22214	Incision of spine to correct deformity at lower spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
22220	Incision of spine bone with removal of disc at upper spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22220	Incision of spine bone with removal of disc at upper spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22220	Incision of spine bone with removal of disc at upper spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
22222	Incision of spine bone with removal of disc at middle spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22222	Incision of spine bone with removal of disc at middle spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22222	Incision of spine bone with removal of disc at middle spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
22224	Incision of spine bone with removal of disc material at lower spinal column	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22224	Incision of spine bone with removal of disc material at lower spinal column	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22224	Incision of spine bone with removal of disc material at lower spinal column	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
22310	Closed treatment of broken spine bones with casting or bracing	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	4
22310	Closed treatment of broken spine bones with casting or bracing	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
22310	Closed treatment of broken spine bones with casting or bracing	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
22310	Closed treatment of broken spine bones with casting or bracing	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
22310	Closed treatment of broken spine bones with casting or bracing	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
22310	Closed treatment of broken spine bones with casting or bracing	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
22310	Closed treatment of broken spine bones with casting or bracing	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
22310	Closed treatment of broken spine bones with casting or bracing	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
22310	Closed treatment of broken spine bones with casting or bracing	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
22310	Closed treatment of broken spine bones with casting or bracing	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
22310	Closed treatment of broken spine bones with casting or bracing	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	81	81
22315	Closed treatment of broken and/or dislocated spine bones with casting and/or bracing with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
22315	Closed treatment of broken and/or dislocated spine bones with casting and/or bracing with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	156	12
22315	Closed treatment of broken and/or dislocated spine bones with casting and/or bracing with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
22318	Open treatment of broken and/or dislocated upper spine bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22318	Open treatment of broken and/or dislocated upper spine bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22318	Open treatment of broken and/or dislocated upper spine bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
22319	Open treatment of broken and/or dislocated upper spine bones with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22319	Open treatment of broken and/or dislocated upper spine bones with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22319	Open treatment of broken and/or dislocated upper spine bones with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
22325	Open treatment of broken and/or dislocated lower spine bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22325	Open treatment of broken and/or dislocated lower spine bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22325	Open treatment of broken and/or dislocated lower spine bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
22326	Open treatment of broken and/or dislocated upper spine bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22326	Open treatment of broken and/or dislocated upper spine bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22326	Open treatment of broken and/or dislocated upper spine bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22327	Open treatment of broken and/or dislocated middle spine bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22327	Open treatment of broken and/or dislocated middle spine bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22327	Open treatment of broken and/or dislocated middle spine bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
22505	Manipulation of spine under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		27
22505	Manipulation of spine under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	34	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician - circulator	11	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	45	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  intra	L051A	RN	0.635	Back out MS labor	0	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Service  post	L037D	RN/LPN/MTA	0.455	"Review/read X-ray, lab, and pathology reports"	2	
22510	Percutaneous vertebroplasty 1 vertebral body; cervicothoracic	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	36	36
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	34	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician - circulator	11	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	45	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  intra	L041C	Second Radiologic Technologist for Vertebroplasty	0.52	Assist physician in performing procedure	0	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  intra	L051A	RN	0.635	Back out MS labor	0	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Service  post	L037D	RN/LPN/MTA	0.455	"Review/read X-ray, lab, and pathology reports"	2	
22511	Percutaneous vertebroplasty 1 vertebral body; lumbosacral	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	36	36
22512	Percutaneous vertebroplasty; each additional cervicothoracic or lumbosacral vertebral body	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	23	
22512	Percutaneous vertebroplasty; each additional cervicothoracic or lumbosacral vertebral body	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician - circulator	7	
22512	Percutaneous vertebroplasty; each additional cervicothoracic or lumbosacral vertebral body	Service  intra	L041C	Second Radiologic Technologist for Vertebroplasty	0.52	Assist physician in performing procedure	30	
22512	Percutaneous vertebroplasty; each additional cervicothoracic or lumbosacral vertebral body	Service  intra	L051A	RN	0.635	Back out MS labor	0	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	38	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician - circulator	12	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  intra	L041C	Second Radiologic Technologist for Vertebroplasty	0.52	Assist physician in performing procedure	50	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Service  post	L037D	RN/LPN/MTA	0.455	"Review/read X-ray, lab, and pathology reports"	2	
22513	"Percutaneous vertebral augmentation, including cavity creation;thoracic"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	36	36
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	38	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician - circulator	12	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	45	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  intra	L051A	RN	0.635	Back out MS labor	5	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Service  post	L037D	RN/LPN/MTA	0.455	"Review/read X-ray, lab, and pathology reports"	2	
22514	"Percutaneous vertebral augmentation, including cavity creation;lumbar"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	36	36
22515	"Percutaneous vertebral augmentation, including cavity creation;each additional thoracic or lumbar"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	23	
22515	"Percutaneous vertebral augmentation, including cavity creation;each additional thoracic or lumbar"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician - circulator	7	
22515	"Percutaneous vertebral augmentation, including cavity creation;each additional thoracic or lumbar"	Service  intra	L041C	Second Radiologic Technologist for Vertebroplasty	0.52	Assist physician in performing procedure	30	
22515	"Percutaneous vertebral augmentation, including cavity creation;each additional thoracic or lumbar"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
22526	"Removal of cartilage ring at spinal disc using fluoroscopic guidance, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
22526	"Removal of cartilage ring at spinal disc using fluoroscopic guidance, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
22526	"Removal of cartilage ring at spinal disc using fluoroscopic guidance, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	45	0
22526	"Removal of cartilage ring at spinal disc using fluoroscopic guidance, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	6
22526	"Removal of cartilage ring at spinal disc using fluoroscopic guidance, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
22527	"Removal cartilage ring at spinal disc using fluoroscopic guidance, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
22527	"Removal cartilage ring at spinal disc using fluoroscopic guidance, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	45	0
22532	"Fusion of middle spine bones with removal of disc, lateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22532	"Fusion of middle spine bones with removal of disc, lateral approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22532	"Fusion of middle spine bones with removal of disc, lateral approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
22533	"Fusion of lower spine bones with removal of disc, lateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22533	"Fusion of lower spine bones with removal of disc, lateral approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22533	"Fusion of lower spine bones with removal of disc, lateral approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
22548	"Fusion of spine bones at base of neck, oral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22548	"Fusion of spine bones at base of neck, oral approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22548	"Fusion of spine bones at base of neck, oral approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22551	"Fusion of spine bones with removal of disc at upper spinal column, anterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22551	"Fusion of spine bones with removal of disc at upper spinal column, anterior approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22551	"Fusion of spine bones with removal of disc at upper spinal column, anterior approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
22554	"Fusion of spine bones with removal of disc at upper spinal column, anterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22554	"Fusion of spine bones with removal of disc at upper spinal column, anterior approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22554	"Fusion of spine bones with removal of disc at upper spinal column, anterior approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
22556	"Fusion of middle spine bones with removal of disc, anterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22556	"Fusion of middle spine bones with removal of disc, anterior approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22556	"Fusion of middle spine bones with removal of disc, anterior approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22558	"Fusion of spine bones with removal of disc at lower spinal column, anterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22558	"Fusion of spine bones with removal of disc at lower spinal column, anterior approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22558	"Fusion of spine bones with removal of disc at lower spinal column, anterior approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22586	Fusion of spine bones with removal of disc at lower spinal column with posterior instrumentation and image guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22586	Fusion of spine bones with removal of disc at lower spinal column with posterior instrumentation and image guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22586	Fusion of spine bones with removal of disc at lower spinal column with posterior instrumentation and image guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22590	"Fusion of first two upper spine bones of spinal column, posterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22590	"Fusion of first two upper spine bones of spinal column, posterior approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22590	"Fusion of first two upper spine bones of spinal column, posterior approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22595	"Fusion of spine bones at skull base, posterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22595	"Fusion of spine bones at skull base, posterior approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22595	"Fusion of spine bones at skull base, posterior approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22600	"Fusion of upper spine bones, posterior or posterolateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22600	"Fusion of upper spine bones, posterior or posterolateral approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22600	"Fusion of upper spine bones, posterior or posterolateral approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22610	"Fusion of middle spine bones, posterior or posterolateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22610	"Fusion of middle spine bones, posterior or posterolateral approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22610	"Fusion of middle spine bones, posterior or posterolateral approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22612	"Fusion of lower spine bones, posterior or posterolateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22612	"Fusion of lower spine bones, posterior or posterolateral approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22612	"Fusion of lower spine bones, posterior or posterolateral approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
22630	"Fusion of lower spine bones with removal of disc, posterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
22630	"Fusion of lower spine bones with removal of disc, posterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
22630	"Fusion of lower spine bones with removal of disc, posterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
22630	"Fusion of lower spine bones with removal of disc, posterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
22630	"Fusion of lower spine bones with removal of disc, posterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
22630	"Fusion of lower spine bones with removal of disc, posterior approach"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
22630	"Fusion of lower spine bones with removal of disc, posterior approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	125
22632	"Fusion of lower spine bones with removal of disc, posterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
22633	"Fusion of lower spine bones with removal of disc, posterior or posterolateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
22633	"Fusion of lower spine bones with removal of disc, posterior or posterolateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
22633	"Fusion of lower spine bones with removal of disc, posterior or posterolateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
22633	"Fusion of lower spine bones with removal of disc, posterior or posterolateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
22633	"Fusion of lower spine bones with removal of disc, posterior or posterolateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
22633	"Fusion of lower spine bones with removal of disc, posterior or posterolateral approach"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
22633	"Fusion of lower spine bones with removal of disc, posterior or posterolateral approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	125
22634	"Fusion of lower spine bones with removal of disc, posterior or posterolateral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
22800	"Fusion of spine bones for correction of deformity, posterior approach, up to 6 vertebral segments"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22800	"Fusion of spine bones for correction of deformity, posterior approach, up to 6 vertebral segments"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22800	"Fusion of spine bones for correction of deformity, posterior approach, up to 6 vertebral segments"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22802	"Fusion of spine bones for correction of deformity, posterior approach, 7 to 12 vertebral segments"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22802	"Fusion of spine bones for correction of deformity, posterior approach, 7 to 12 vertebral segments"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22802	"Fusion of spine bones for correction of deformity, posterior approach, 7 to 12 vertebral segments"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22804	"Fusion of spine bones for correction of deformity, posterior approach, 13 or more vertebral segments"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22804	"Fusion of spine bones for correction of deformity, posterior approach, 13 or more vertebral segments"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22804	"Fusion of spine bones for correction of deformity, posterior approach, 13 or more vertebral segments"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22808	"Fusion of spine bones for correction of deformity, anterior approach, 2 to 3 vertebral segments"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22808	"Fusion of spine bones for correction of deformity, anterior approach, 2 to 3 vertebral segments"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22808	"Fusion of spine bones for correction of deformity, anterior approach, 2 to 3 vertebral segments"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22810	"Fusion of spine bones for correction of deformity, anterior approach, 4 to 7 vertebral segments"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22810	"Fusion of spine bones for correction of deformity, anterior approach, 4 to 7 vertebral segments"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22810	"Fusion of spine bones for correction of deformity, anterior approach, 4 to 7 vertebral segments"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22812	"Fusion of spine bones for correction of deformity, anterior approach, 8 or more vertebral segments"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22812	"Fusion of spine bones for correction of deformity, anterior approach, 8 or more vertebral segments"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22812	"Fusion of spine bones for correction of deformity, anterior approach, 8 or more vertebral segments"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
22818	"Fusion of spine bones for correction of hunchback deformity, single or 2 segments"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22818	"Fusion of spine bones for correction of hunchback deformity, single or 2 segments"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22818	"Fusion of spine bones for correction of hunchback deformity, single or 2 segments"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
22819	"Fusion of spine bones for correction of hunchback deformity, 3 or more segments"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22819	"Fusion of spine bones for correction of hunchback deformity, 3 or more segments"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22819	"Fusion of spine bones for correction of hunchback deformity, 3 or more segments"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22830	Exploration of spinal fusion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22830	Exploration of spinal fusion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22830	Exploration of spinal fusion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
22849	Reinsertion of spinal fixation device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22849	Reinsertion of spinal fixation device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22849	Reinsertion of spinal fixation device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
22850	Removal of posterior spinal instrumentation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22850	Removal of posterior spinal instrumentation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22850	Removal of posterior spinal instrumentation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
22852	Removal of posterior spinal instrumentation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22852	Removal of posterior spinal instrumentation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22852	Removal of posterior spinal instrumentation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
22855	Removal of anterior spinal instrumentation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22855	Removal of anterior spinal instrumentation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22855	Removal of anterior spinal instrumentation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
22856	"Total disc arthroplasty; single interspace, cervical"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
22856	"Total disc arthroplasty; single interspace, cervical"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
22856	"Total disc arthroplasty; single interspace, cervical"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
22856	"Total disc arthroplasty; single interspace, cervical"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
22856	"Total disc arthroplasty; single interspace, cervical"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
22856	"Total disc arthroplasty; single interspace, cervical"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
22856	"Total disc arthroplasty; single interspace, cervical"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
22857		Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22857		Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22857		Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22861	Revision of artificial upper spine disc	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22861	Revision of artificial upper spine disc	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22861	Revision of artificial upper spine disc	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
22862	Revision of artificial lower spine disc	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22862	Revision of artificial lower spine disc	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22862	Revision of artificial lower spine disc	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22864	Revision of artificial upper spine disc	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22864	Revision of artificial upper spine disc	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22864	Revision of artificial upper spine disc	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
22865	Revision of artificial lower spine disc	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
22865	Revision of artificial lower spine disc	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22865	Revision of artificial lower spine disc	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
22867	"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription		7
22867	"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
22867	"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)		20
22867	"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
22867	"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
22867	"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		6
22867	"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)		108
22869	"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
22869	"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
22869	"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
22869	"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
22869	"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
22869	"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
22869	"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
22870		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
22900	Removal (less than 5 centimeters) muscle growth in abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22900	Removal (less than 5 centimeters) muscle growth in abdominal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22900	Removal (less than 5 centimeters) muscle growth in abdominal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
22901	Removal (5 centimeters or greater) muscle growth in abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22901	Removal (5 centimeters or greater) muscle growth in abdominal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22901	Removal (5 centimeters or greater) muscle growth in abdominal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
22902	Removal (less than 3 centimeters) tissue growth beneath the skin in abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
22902	Removal (less than 3 centimeters) tissue growth beneath the skin in abdominal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
22902	Removal (less than 3 centimeters) tissue growth beneath the skin in abdominal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
22903	Removal (3 centimeters or greater) tissue growth beneath the skin in abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22903	Removal (3 centimeters or greater) tissue growth beneath the skin in abdominal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
22903	Removal (3 centimeters or greater) tissue growth beneath the skin in abdominal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
22904	Removal (less than 5 centimeters) tissue growth in abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22904	Removal (less than 5 centimeters) tissue growth in abdominal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22904	Removal (less than 5 centimeters) tissue growth in abdominal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
22905	Removal (5 centimeters or greater) tissue growth in abdominal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
22905	Removal (5 centimeters or greater) tissue growth in abdominal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
22905	Removal (5 centimeters or greater) tissue growth in abdominal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
23000	"Removal of calcium deposits at rotator cuff tendons, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23000	"Removal of calcium deposits at rotator cuff tendons, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	91	6
23000	"Removal of calcium deposits at rotator cuff tendons, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
23020	Severing of shoulder tendon to repair contracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23020	Severing of shoulder tendon to repair contracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23020	Severing of shoulder tendon to repair contracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23030	Drainage of abscess or blood accumulation in shoulder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
23030	Drainage of abscess or blood accumulation in shoulder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	74	12
23030	Drainage of abscess or blood accumulation in shoulder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
23031	Drainage of infected fluid-filled sac (bursa) of shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
23031	Drainage of infected fluid-filled sac (bursa) of shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	12
23031	Drainage of infected fluid-filled sac (bursa) of shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
23035	Incision of bone of shoulder area	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23035	Incision of bone of shoulder area	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23035	Incision of bone of shoulder area	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23040	Incision to repair shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23040	Incision to repair shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23040	Incision to repair shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23044	Incision of to repair shoulder joint area	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23044	Incision of to repair shoulder joint area	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23044	Incision of to repair shoulder joint area	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23065	Biopsy of tissue of shoulder area	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
23065	Biopsy of tissue of shoulder area	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	6
23065	Biopsy of tissue of shoulder area	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	14	14
23066	Biopsy of tissue of shoulder area	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23066	Biopsy of tissue of shoulder area	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	93	6
23066	Biopsy of tissue of shoulder area	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
23071	Removal (3 centimeters or greater) tissue growth beneath the skin of shoulder area	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23071	Removal (3 centimeters or greater) tissue growth beneath the skin of shoulder area	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23071	Removal (3 centimeters or greater) tissue growth beneath the skin of shoulder area	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
23073	Removal (5 centimeters or greater) muscle growth of shoulder area	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23073	Removal (5 centimeters or greater) muscle growth of shoulder area	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23073	Removal (5 centimeters or greater) muscle growth of shoulder area	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
23075	Removal (less than 3 centimeters) tissue growth beneath the skin of shoulder area	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23075	Removal (less than 3 centimeters) tissue growth beneath the skin of shoulder area	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
23075	Removal (less than 3 centimeters) tissue growth beneath the skin of shoulder area	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
23076	Removal (less than 5 centimeters) muscle growth of shoulder area	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23076	Removal (less than 5 centimeters) muscle growth of shoulder area	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23076	Removal (less than 5 centimeters) muscle growth of shoulder area	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
23077	Removal (less than 5 centimeters) tissue growth of shoulder area	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23077	Removal (less than 5 centimeters) tissue growth of shoulder area	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23077	Removal (less than 5 centimeters) tissue growth of shoulder area	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23078	Removal (5 centimeters or greater) tissue growth of shoulder area	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23078	Removal (5 centimeters or greater) tissue growth of shoulder area	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23078	Removal (5 centimeters or greater) tissue growth of shoulder area	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
23100	Incision and biopsy of shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23100	Incision and biopsy of shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23100	Incision and biopsy of shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23101	"Incision to repair joints between shoulder, chest and collar bones"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23101	"Incision to repair joints between shoulder, chest and collar bones"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23101	"Incision to repair joints between shoulder, chest and collar bones"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
23105	Removal of shoulder joint lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23105	Removal of shoulder joint lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23105	Removal of shoulder joint lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23106	Removal of lining of joint between collar and chest bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23106	Removal of lining of joint between collar and chest bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23106	Removal of lining of joint between collar and chest bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23107	Exploration of shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23107	Exploration of shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23107	Exploration of shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23120	Partial removal of collar bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23120	Partial removal of collar bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23120	Partial removal of collar bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
23125	Removal of collar bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23125	Removal of collar bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23125	Removal of collar bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23130	Removal or repair of collar bone and shoulder blade joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23130	Removal or repair of collar bone and shoulder blade joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23130	Removal or repair of collar bone and shoulder blade joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23140	Removal of cyst or growth of collar bone or shoulder blade	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23140	Removal of cyst or growth of collar bone or shoulder blade	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23140	Removal of cyst or growth of collar bone or shoulder blade	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23145	Removal of cyst or growth of collar bone or shoulder blade with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23145	Removal of cyst or growth of collar bone or shoulder blade with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23145	Removal of cyst or growth of collar bone or shoulder blade with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23146	Removal of cyst or growth of collar bone or shoulder blade with donor bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23146	Removal of cyst or growth of collar bone or shoulder blade with donor bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23146	Removal of cyst or growth of collar bone or shoulder blade with donor bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23150	Removal of cyst or growth of upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23150	Removal of cyst or growth of upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23150	Removal of cyst or growth of upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23155	Removal of cyst or growth of upper arm bone with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23155	Removal of cyst or growth of upper arm bone with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23155	Removal of cyst or growth of upper arm bone with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23156	Removal of cyst or growth of upper arm bone with donor bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23156	Removal of cyst or growth of upper arm bone with donor bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23156	Removal of cyst or growth of upper arm bone with donor bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23170	Removal of dead collar bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23170	Removal of dead collar bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23170	Removal of dead collar bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23172	Removal of dead shoulder blade	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23172	Removal of dead shoulder blade	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23172	Removal of dead shoulder blade	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23174	Removal of dead upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23174	Removal of dead upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23174	Removal of dead upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23180	Partial removal of collar bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23180	Partial removal of collar bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23180	Partial removal of collar bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23182	Partial removal of shoulder blade	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23182	Partial removal of shoulder blade	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23182	Partial removal of shoulder blade	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23184	Partial removal of upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23184	Partial removal of upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23184	Partial removal of upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23190	Removal of portion of shoulder blade	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23190	Removal of portion of shoulder blade	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23190	Removal of portion of shoulder blade	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23195	Removal of shoulder blade	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23195	Removal of shoulder blade	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23195	Removal of shoulder blade	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23200	Removal of growth of collar bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23200	Removal of growth of collar bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23200	Removal of growth of collar bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
23210	Removal of growth of shoulder blade	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23210	Removal of growth of shoulder blade	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23210	Removal of growth of shoulder blade	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
23220	Removal of growth of upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23220	Removal of growth of upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23220	Removal of growth of upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
23330	"Removal of foreign body of shoulder joint, accessed beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	30
23330	"Removal of foreign body of shoulder joint, accessed beneath the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	6
23330	"Removal of foreign body of shoulder joint, accessed beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
23333	"Removal of foreign body of shoulder joint, accessed beneath the tissue or muscle"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23333	"Removal of foreign body of shoulder joint, accessed beneath the tissue or muscle"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23333	"Removal of foreign body of shoulder joint, accessed beneath the tissue or muscle"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
23334	Removal of prosthesis of shoulder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23334	Removal of prosthesis of shoulder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23334	Removal of prosthesis of shoulder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23335	Removal of prosthesis of shoulder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23335	Removal of prosthesis of shoulder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23335	Removal of prosthesis of shoulder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23350	Injection of dye for X-ray imaging of shoulder joint	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	26	0
23350	Injection of dye for X-ray imaging of shoulder joint	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	3	0
23395	Relocation of muscle of shoulder or upper arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23395	Relocation of muscle of shoulder or upper arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23395	Relocation of muscle of shoulder or upper arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
23397	Relocation of muscles of shoulder or upper arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23397	Relocation of muscles of shoulder or upper arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23397	Relocation of muscles of shoulder or upper arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23400	Reshaping and relocation of shoulder blade bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23400	Reshaping and relocation of shoulder blade bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23400	Reshaping and relocation of shoulder blade bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23405	Incision of shoulder tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23405	Incision of shoulder tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23405	Incision of shoulder tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23406	Incision of shoulder tendons	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23406	Incision of shoulder tendons	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23406	Incision of shoulder tendons	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23410	"Repair of torn tendons of shoulder, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23410	"Repair of torn tendons of shoulder, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23410	"Repair of torn tendons of shoulder, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
23412	"Repair of torn tendons of shoulder, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23412	"Repair of torn tendons of shoulder, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23412	"Repair of torn tendons of shoulder, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
23415	Release of collar bone and shoulder ligament	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23415	Release of collar bone and shoulder ligament	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23415	Release of collar bone and shoulder ligament	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
23420	Repair of torn shoulder tendons	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23420	Repair of torn shoulder tendons	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23420	Repair of torn shoulder tendons	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
23430	Anchoring of biceps tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23430	Anchoring of biceps tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23430	Anchoring of biceps tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
23440	Transplantation of biceps tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23440	Transplantation of biceps tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23440	Transplantation of biceps tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23450	Reattachment of shoulder joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23450	Reattachment of shoulder joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23450	Reattachment of shoulder joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23455	Reattachment of shoulder joint capsule and cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23455	Reattachment of shoulder joint capsule and cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23455	Reattachment of shoulder joint capsule and cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23460	Reattachment of shoulder joint capsule and cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23460	Reattachment of shoulder joint capsule and cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23460	Reattachment of shoulder joint capsule and cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23462	Reattachment of shoulder joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23462	Reattachment of shoulder joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23462	Reattachment of shoulder joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23465	Repair of shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23465	Repair of shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23465	Repair of shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23466	Repair of shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23466	Repair of shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23466	Repair of shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
23470	Prosthetic repair of shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23470	Prosthetic repair of shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23470	Prosthetic repair of shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23472	Prosthetic repair of shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23472	Prosthetic repair of shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23472	Prosthetic repair of shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23473	Revision of total shoulder repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23473	Revision of total shoulder repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23473	Revision of total shoulder repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23474	Revision of total shoulder repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23474	Revision of total shoulder repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23474	Revision of total shoulder repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23480	Incision to repair collar bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23480	Incision to repair collar bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23480	Incision to repair collar bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23485	Incision to repair collar bone for nonunion of fracture with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23485	Incision to repair collar bone for nonunion of fracture with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23485	Incision to repair collar bone for nonunion of fracture with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23490	Stabilization of collar bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23490	Stabilization of collar bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23490	Stabilization of collar bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23491	Stabilization of upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23491	Stabilization of upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23491	Stabilization of upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23500	Closed treatment of collar bone fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23500	Closed treatment of collar bone fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	6
23500	Closed treatment of collar bone fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
23505	Closed treatment of collar bone broken with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23505	Closed treatment of collar bone broken with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	12
23505	Closed treatment of collar bone broken with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
23515	Open treatment of collar bone broken	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23515	Open treatment of collar bone broken	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23515	Open treatment of collar bone broken	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
23520	Closed treatment of dislocation joint between collar and chest bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23520	Closed treatment of dislocation joint between collar and chest bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	6
23520	Closed treatment of dislocation joint between collar and chest bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
23525	Closed treatment of dislocation of joint between collar and chest bones with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23525	Closed treatment of dislocation of joint between collar and chest bones with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	66	6
23525	Closed treatment of dislocation of joint between collar and chest bones with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
23530	Open treatment of dislocation of joint between collar and chest bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23530	Open treatment of dislocation of joint between collar and chest bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23530	Open treatment of dislocation of joint between collar and chest bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23532	Open treatment of dislocation of joint between collar and chest bones with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23532	Open treatment of dislocation of joint between collar and chest bones with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23532	Open treatment of dislocation of joint between collar and chest bones with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23540	Closed treatment of collar bone and shoulder joint dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23540	Closed treatment of collar bone and shoulder joint dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	6
23540	Closed treatment of collar bone and shoulder joint dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
23545	Closed treatment of collar bone and shoulder joint dislocation with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23545	Closed treatment of collar bone and shoulder joint dislocation with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	6
23545	Closed treatment of collar bone and shoulder joint dislocation with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
23550	Open treatment of collar bone and shoulder joint dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23550	Open treatment of collar bone and shoulder joint dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23550	Open treatment of collar bone and shoulder joint dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23552	Open treatment of collar bone and shoulder joint dislocation with tissue graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23552	Open treatment of collar bone and shoulder joint dislocation with tissue graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23552	Open treatment of collar bone and shoulder joint dislocation with tissue graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23570	Closed treatment of shoulder blade fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23570	Closed treatment of shoulder blade fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	12
23570	Closed treatment of shoulder blade fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
23575	Closed treatment of broken shoulder blade with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23575	Closed treatment of broken shoulder blade with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	66	12
23575	Closed treatment of broken shoulder blade with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
23585	Open treatment of broken shoulder blade	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23585	Open treatment of broken shoulder blade	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23585	Open treatment of broken shoulder blade	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
23600	Closed treatment of upper arm fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23600	Closed treatment of upper arm fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	3
23600	Closed treatment of upper arm fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	117	117
23605	Closed treatment of broken upper arm bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23605	Closed treatment of broken upper arm bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	12
23605	Closed treatment of broken upper arm bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
23615	Open treatment of broken upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23615	Open treatment of broken upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23615	Open treatment of broken upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23616	Open treatment of broken upper arm bone with prosthetic replacement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23616	Open treatment of broken upper arm bone with prosthetic replacement	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23616	Open treatment of broken upper arm bone with prosthetic replacement	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23620	Closed treatment of fracture of upper arm bone at shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23620	Closed treatment of fracture of upper arm bone at shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	6
23620	Closed treatment of fracture of upper arm bone at shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
23625	Closed treatment of broken upper arm bone at shoulder joint with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23625	Closed treatment of broken upper arm bone at shoulder joint with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
23625	Closed treatment of broken upper arm bone at shoulder joint with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
23630	Open treatment of broken upper arm bone at shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23630	Open treatment of broken upper arm bone at shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23630	Open treatment of broken upper arm bone at shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23650	Closed treatment of shoulder dislocation with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23650	Closed treatment of shoulder dislocation with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	6
23650	Closed treatment of shoulder dislocation with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
23655	Closed treatment of shoulder dislocation with manipulation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23655	Closed treatment of shoulder dislocation with manipulation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23655	Closed treatment of shoulder dislocation with manipulation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
23660	Open treatment of shoulder dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23660	Open treatment of shoulder dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23660	Open treatment of shoulder dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23665	Closed treatment of shoulder dislocation and broken of upper arm bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23665	Closed treatment of shoulder dislocation and broken of upper arm bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	66	6
23665	Closed treatment of shoulder dislocation and broken of upper arm bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
23670	Open treatment of shoulder dislocation and broken upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23670	Open treatment of shoulder dislocation and broken upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23670	Open treatment of shoulder dislocation and broken upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
23675	Closed treatment of shoulder dislocation and broken upper arm bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
23675	Closed treatment of shoulder dislocation and broken upper arm bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	6
23675	Closed treatment of shoulder dislocation and broken upper arm bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
23680	Open treatment of shoulder dislocation and broken upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23680	Open treatment of shoulder dislocation and broken upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23680	Open treatment of shoulder dislocation and broken upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
23700	Manipulation of shoulder joint under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
23700	Manipulation of shoulder joint under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23700	Manipulation of shoulder joint under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
23800	Fusion of bones of shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23800	Fusion of bones of shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23800	Fusion of bones of shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
23802	Fusion of bones of shoulder joint with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23802	Fusion of bones of shoulder joint with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23802	Fusion of bones of shoulder joint with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
23900	Amputation of entire arm with removal shoulder blade and a portion of collar bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23900	Amputation of entire arm with removal shoulder blade and a portion of collar bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23900	Amputation of entire arm with removal shoulder blade and a portion of collar bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
23920	"Removal of tendons, ligaments, and muscles of shoulder"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23920	"Removal of tendons, ligaments, and muscles of shoulder"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23920	"Removal of tendons, ligaments, and muscles of shoulder"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
23921	"Removal of tendons, ligaments, and muscles of shoulder"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23921	"Removal of tendons, ligaments, and muscles of shoulder"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
23921	"Removal of tendons, ligaments, and muscles of shoulder"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
23930	Drainage of abscess or blood accumulation at upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
23930	Drainage of abscess or blood accumulation at upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	69	12
23930	Drainage of abscess or blood accumulation at upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
23931	Drainage of fluid-filled sac (bursa) of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
23931	Drainage of fluid-filled sac (bursa) of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	12
23931	Drainage of fluid-filled sac (bursa) of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
23935	Incision of bone of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
23935	Incision of bone of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
23935	Incision of bone of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24000	"Incision of elbow with exploration, drainage, or removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24000	"Incision of elbow with exploration, drainage, or removal of foreign body"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24000	"Incision of elbow with exploration, drainage, or removal of foreign body"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
24006	Incision of elbow with removal of joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24006	Incision of elbow with removal of joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24006	Incision of elbow with removal of joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24065	Biopsy of soft tissue of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
24065	Biopsy of soft tissue of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
24065	Biopsy of soft tissue of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
24066	Biopsy of soft tissue of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24066	Biopsy of soft tissue of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
24066	Biopsy of soft tissue of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
24071	Removal (3 centimeters or greater) tissue growth beneath the skin of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24071	Removal (3 centimeters or greater) tissue growth beneath the skin of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
24073	Removal (5 centimeters or greater) muscle growth of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24073	Removal (5 centimeters or greater) muscle growth of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24073	Removal (5 centimeters or greater) muscle growth of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
24075	Removal (less than 3 centimeters) tissue growth beneath the skin of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24075	Removal (less than 3 centimeters) tissue growth beneath the skin of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
24075	Removal (less than 3 centimeters) tissue growth beneath the skin of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
24076	Removal (less than 5 centimeters) muscle growth of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24076	Removal (less than 5 centimeters) muscle growth of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24076	Removal (less than 5 centimeters) muscle growth of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
24077	Removal (less than 5 centimeters) tissue growth of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24077	Removal (less than 5 centimeters) tissue growth of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24077	Removal (less than 5 centimeters) tissue growth of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24079	Removal (5 centimeters or greater) tissue growth of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24079	Removal (5 centimeters or greater) tissue growth of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24079	Removal (5 centimeters or greater) tissue growth of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
24100	Incision of elbow with biopsy of joint lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24100	Incision of elbow with biopsy of joint lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24100	Incision of elbow with biopsy of joint lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
24101	Incision and exploration of elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24101	Incision and exploration of elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24101	Incision and exploration of elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24102	Removal of elbow joint lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24102	Removal of elbow joint lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24102	Removal of elbow joint lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24105	Removal of fluid-filled sac of elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24105	Removal of fluid-filled sac of elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24105	Removal of fluid-filled sac of elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24110	Removal of upper arm bone cyst or growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24110	Removal of upper arm bone cyst or growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24110	Removal of upper arm bone cyst or growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24115	Removal of upper arm bone cyst or growth with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24115	Removal of upper arm bone cyst or growth with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24115	Removal of upper arm bone cyst or growth with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24116	Removal of upper arm bone cyst or growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24116	Removal of upper arm bone cyst or growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24116	Removal of upper arm bone cyst or growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24120	Removal of elbow or upper forearm bone cyst or growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24120	Removal of elbow or upper forearm bone cyst or growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24120	Removal of elbow or upper forearm bone cyst or growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24125	Removal of elbow or upper forearm bone cyst or growth with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24125	Removal of elbow or upper forearm bone cyst or growth with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24125	Removal of elbow or upper forearm bone cyst or growth with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24126	Removal of elbow or upper forearm bone cyst or growth with donor graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24126	Removal of elbow or upper forearm bone cyst or growth with donor graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24126	Removal of elbow or upper forearm bone cyst or growth with donor graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24130	Removal of forearm bone at elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24130	Removal of forearm bone at elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24130	Removal of forearm bone at elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24134	Removal of dead upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24134	Removal of dead upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24134	Removal of dead upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24136	Removal of dead forearm bone at elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24136	Removal of dead forearm bone at elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24136	Removal of dead forearm bone at elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24138	Removal of dead elbow bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24138	Removal of dead elbow bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24138	Removal of dead elbow bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		149
24140	Partial removal of upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24140	Partial removal of upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24140	Partial removal of upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24145	Partial removal of forearm bone at elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24145	Partial removal of forearm bone at elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24145	Partial removal of forearm bone at elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24147	Partial removal of elbow bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24147	Partial removal of elbow bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24147	Partial removal of elbow bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24149	Removal of elbow joint capsule and bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24149	Removal of elbow joint capsule and bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24149	Removal of elbow joint capsule and bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		216
24150	Removal of upper arm bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24150	Removal of upper arm bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24150	Removal of upper arm bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
24152	Removal of growth of forearm bone at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24152	Removal of growth of forearm bone at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24152	Removal of growth of forearm bone at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
24155	Removal of elbow joint bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24155	Removal of elbow joint bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24155	Removal of elbow joint bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24160	Removal of elbow joint hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24160	Removal of elbow joint hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24160	Removal of elbow joint hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24164	Removal of hardware of forearm bone at elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24164	Removal of hardware of forearm bone at elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24164	Removal of hardware of forearm bone at elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24200	"Removal of foreign body of upper arm or elbow area, accessed beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	30
24200	"Removal of foreign body of upper arm or elbow area, accessed beneath the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
24200	"Removal of foreign body of upper arm or elbow area, accessed beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
24201	"Removal of foreign body, upper arm or elbow area"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24201	"Removal of foreign body, upper arm or elbow area"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	90	6
24201	"Removal of foreign body, upper arm or elbow area"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
24220	Injection of dye for X-ray imaging of elbow joint	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	28	0
24220	Injection of dye for X-ray imaging of elbow joint	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	3	0
24300	Manipulation of elbow under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24300	Manipulation of elbow under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24300	Manipulation of elbow under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
24301	Relocation of muscle or tendon of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24301	Relocation of muscle or tendon of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24301	Relocation of muscle or tendon of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24305	Lengthening of tendon of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24305	Lengthening of tendon of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24305	Lengthening of tendon of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24310	"Incision of tendon located from elbow to shoulder, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24310	"Incision of tendon located from elbow to shoulder, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24310	"Incision of tendon located from elbow to shoulder, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
24320	Relocation of forearm tendon and muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24320	Relocation of forearm tendon and muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24320	Relocation of forearm tendon and muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24330	Relocation of forearm tendons	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24330	Relocation of forearm tendons	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24330	Relocation of forearm tendons	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24331	Relocation of forearm tendons	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24331	Relocation of forearm tendons	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24331	Relocation of forearm tendons	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24332	Release of scarring of upper arm tendon at shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24332	Release of scarring of upper arm tendon at shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24332	Release of scarring of upper arm tendon at shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
24340	Anchoring of biceps tendon at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24340	Anchoring of biceps tendon at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24340	Anchoring of biceps tendon at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24341	Repair of tendon or muscle of upper arm or elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24341	Repair of tendon or muscle of upper arm or elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24341	Repair of tendon or muscle of upper arm or elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
24342	Reinsertion of torn biceps or triceps tendon at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24342	Reinsertion of torn biceps or triceps tendon at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24342	Reinsertion of torn biceps or triceps tendon at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24343	Repair of ligament at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24343	Repair of ligament at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24343	Repair of ligament at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
24344	Repair of ligament at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24344	Repair of ligament at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24344	Repair of ligament at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
24345	Repair of ligament at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24345	Repair of ligament at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24345	Repair of ligament at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
24346	Repair of ligament at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24346	Repair of ligament at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24346	Repair of ligament at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
24357	"Incision of tendon to repair elbow joint, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24357	"Incision of tendon to repair elbow joint, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24357	"Incision of tendon to repair elbow joint, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24358	"Removal of tissue and/or bone at elbow, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24358	"Removal of tissue and/or bone at elbow, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24358	"Removal of tissue and/or bone at elbow, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24359	"Removal of tissue and/or bone at elbow with tendon repair, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24359	"Removal of tissue and/or bone at elbow with tendon repair, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24359	"Removal of tissue and/or bone at elbow with tendon repair, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24360	Repair of elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24360	Repair of elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24360	Repair of elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24361	Repair of elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24361	Repair of elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24361	Repair of elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24362	Repair of elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24362	Repair of elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24362	Repair of elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24363	Prosthetic repair of elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24363	Prosthetic repair of elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24363	Prosthetic repair of elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24365	Repair of forearm bone at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24365	Repair of forearm bone at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24365	Repair of forearm bone at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24366	Repair of forearm bone at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24366	Repair of forearm bone at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24366	Repair of forearm bone at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24370	Revision of total elbow repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24370	Revision of total elbow repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24370	Revision of total elbow repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24371	Revision of total elbow repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24371	Revision of total elbow repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24371	Revision of total elbow repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24400	Incision to repair upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24400	Incision to repair upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24400	Incision to repair upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24410	Repair of upper arm bone with rod insertion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24410	Repair of upper arm bone with rod insertion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24410	Repair of upper arm bone with rod insertion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24420	Reconstruction of upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24420	Reconstruction of upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24420	Reconstruction of upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24430	Repair of non-healed upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24430	Repair of non-healed upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24430	Repair of non-healed upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24435	Repair of non-healed upper arm bone with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24435	Repair of non-healed upper arm bone with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24435	Repair of non-healed upper arm bone with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
24470	Repair of growth plates of upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24470	Repair of growth plates of upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24470	Repair of growth plates of upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24495	Incision of tissue of forearm muscle compartment with exploration of artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24495	Incision of tissue of forearm muscle compartment with exploration of artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24495	Incision of tissue of forearm muscle compartment with exploration of artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24498	Stabilization of upper arm bone with hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24498	Stabilization of upper arm bone with hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24498	Stabilization of upper arm bone with hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24500	Closed treatment of upper arm fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24500	Closed treatment of upper arm fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	6
24500	Closed treatment of upper arm fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
24505	Closed treatment of broken upper arm bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24505	Closed treatment of broken upper arm bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	6
24505	Closed treatment of broken upper arm bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
24515	Open treatment of broken upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24515	Open treatment of broken upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24515	Open treatment of broken upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24516	Treatment of broken upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24516	Treatment of broken upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24516	Treatment of broken upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24530	Closed treatment of growth plate or broken upper arm bone at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24530	Closed treatment of growth plate or broken upper arm bone at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	64	6
24530	Closed treatment of growth plate or broken upper arm bone at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
24535	Closed treatment of growth plate or broken upper arm bone at elbow with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24535	Closed treatment of growth plate or broken upper arm bone at elbow with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	12
24535	Closed treatment of growth plate or broken upper arm bone at elbow with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	135	135
24538	"Insertion of hardware to growth plate or broken upper arm bone at elbow, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24538	"Insertion of hardware to growth plate or broken upper arm bone at elbow, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24538	"Insertion of hardware to growth plate or broken upper arm bone at elbow, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24545	Open treatment of growth plate or broken upper arm bone at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24545	Open treatment of growth plate or broken upper arm bone at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24545	Open treatment of growth plate or broken upper arm bone at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
24546	Open treatment of growth plate or broken upper arm at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24546	Open treatment of growth plate or broken upper arm at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24546	Open treatment of growth plate or broken upper arm at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24560	Closed treatment of broken upper arm bone at shoulder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24560	Closed treatment of broken upper arm bone at shoulder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	6
24560	Closed treatment of broken upper arm bone at shoulder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
24565	Closed treatment of broken upper arm bone at shoulder with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24565	Closed treatment of broken upper arm bone at shoulder with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	12
24565	Closed treatment of broken upper arm bone at shoulder with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
24566	"Insertion of hardware to broken upper arm bone at elbow with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24566	"Insertion of hardware to broken upper arm bone at elbow with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24566	"Insertion of hardware to broken upper arm bone at elbow with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
24575	Open treatment of broken upper arm bone at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24575	Open treatment of broken upper arm bone at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24575	Open treatment of broken upper arm bone at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24576	Closed treatment of broken upper arm bone at shoulder joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24576	Closed treatment of broken upper arm bone at shoulder joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
24576	Closed treatment of broken upper arm bone at shoulder joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
24577	Closed treatment of broken of upper arm bone at shoulder with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24577	Closed treatment of broken of upper arm bone at shoulder with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	12
24577	Closed treatment of broken of upper arm bone at shoulder with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
24579	Open treatment of broken upper arm bone at shoulder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24579	Open treatment of broken upper arm bone at shoulder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24579	Open treatment of broken upper arm bone at shoulder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24582	"Insertion of hardware to broken upper arm bone at shoulder with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24582	"Insertion of hardware to broken upper arm bone at shoulder with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24582	"Insertion of hardware to broken upper arm bone at shoulder with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
24586	Open treatment of broken and/or dislocated upper or lower arm bones at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24586	Open treatment of broken and/or dislocated upper or lower arm bones at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24586	Open treatment of broken and/or dislocated upper or lower arm bones at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24587	Open treatment of broken and/or dislocated upper or lower arm bones at elbow with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24587	Open treatment of broken and/or dislocated upper or lower arm bones at elbow with implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24587	Open treatment of broken and/or dislocated upper or lower arm bones at elbow with implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24600	Treatment of elbow dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24600	Treatment of elbow dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	54	6
24600	Treatment of elbow dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
24605	Treatment of dislocated elbow under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24605	Treatment of dislocated elbow under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24605	Treatment of dislocated elbow under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24615	Open treatment of dislocated elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24615	Open treatment of dislocated elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24615	Open treatment of dislocated elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24620	Closed treatment of broken and dislocated forearm bones at elbow with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24620	Closed treatment of broken and dislocated forearm bones at elbow with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24620	Closed treatment of broken and dislocated forearm bones at elbow with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
24635	Open treatment of broken and dislocated forearm bones at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24635	Open treatment of broken and dislocated forearm bones at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24635	Open treatment of broken and dislocated forearm bones at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
24640	"Closed treatment of dislocated forearm bone of elbow, child"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	5
24640	"Closed treatment of dislocated forearm bone of elbow, child"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	34	6
24640	"Closed treatment of dislocated forearm bone of elbow, child"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
24650	Closed treatment of broken forearm bone at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24650	Closed treatment of broken forearm bone at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
24650	Closed treatment of broken forearm bone at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
24655	Closed treatment of broken forearm bone at elbow with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24655	Closed treatment of broken forearm bone at elbow with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	66	6
24655	Closed treatment of broken forearm bone at elbow with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
24665	Open treatment of broken forearm bone at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24665	Open treatment of broken forearm bone at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24665	Open treatment of broken forearm bone at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24666	Open treatment of broken forearm bone at elbow with prosthetic replacement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24666	Open treatment of broken forearm bone at elbow with prosthetic replacement	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24666	Open treatment of broken forearm bone at elbow with prosthetic replacement	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24670	Closed treatment of broke forearm bone at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24670	Closed treatment of broke forearm bone at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	54	6
24670	Closed treatment of broke forearm bone at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
24675	Closed treatment of broken forearm bone at elbow with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
24675	Closed treatment of broken forearm bone at elbow with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	12
24675	Closed treatment of broken forearm bone at elbow with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
24685	Open treatment of broken forearm bone at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24685	Open treatment of broken forearm bone at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24685	Open treatment of broken forearm bone at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
24800	Fusion of elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24800	Fusion of elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24800	Fusion of elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24802	Fusion of elbow joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24802	Fusion of elbow joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24802	Fusion of elbow joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24900	Amputation at upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24900	Amputation at upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24900	Amputation at upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
24920	"Amputation at upper arm bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24920	"Amputation at upper arm bone, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24920	"Amputation at upper arm bone, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24925	Revision of scar or wound closure of previous amputation at upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24925	Revision of scar or wound closure of previous amputation at upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24925	Revision of scar or wound closure of previous amputation at upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24930	Re-amputation of remaining arm at upper arm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24930	Re-amputation of remaining arm at upper arm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24930	Re-amputation of remaining arm at upper arm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
24931	Amputation of arm at upper arm bone with implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24931	Amputation of arm at upper arm bone with implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
24931	Amputation of arm at upper arm bone with implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
24935	Lengthening of amputation stump of arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
24935	Lengthening of amputation stump of arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
24935	Lengthening of amputation stump of arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
25000	Incision to repair tendon covering at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25000	Incision to repair tendon covering at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25000	Incision to repair tendon covering at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25001	Incision to repair tendon covering at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25001	Incision to repair tendon covering at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25001	Incision to repair tendon covering at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
25020	Incision of tissue of forearm and/or wrist muscle compartment	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25020	Incision of tissue of forearm and/or wrist muscle compartment	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25020	Incision of tissue of forearm and/or wrist muscle compartment	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25023	Incision of tissue of forearm and/or wrist muscle compartment with removal of muscle and/or nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25023	Incision of tissue of forearm and/or wrist muscle compartment with removal of muscle and/or nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25023	Incision of tissue of forearm and/or wrist muscle compartment with removal of muscle and/or nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25024	Incision of tissue of forearm and/or wrist muscle compartment	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25024	Incision of tissue of forearm and/or wrist muscle compartment	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25024	Incision of tissue of forearm and/or wrist muscle compartment	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
25025	Incision of tissue of forearm and/or wrist muscle compartment with removal of muscle and/or nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25025	Incision of tissue of forearm and/or wrist muscle compartment with removal of muscle and/or nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25025	Incision of tissue of forearm and/or wrist muscle compartment with removal of muscle and/or nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
25028	Drainage of abscess or blood accumulation at forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25028	Drainage of abscess or blood accumulation at forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25028	Drainage of abscess or blood accumulation at forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25031	Drainage of infected fluid-filled sac (bursa) of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25031	Drainage of infected fluid-filled sac (bursa) of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25031	Drainage of infected fluid-filled sac (bursa) of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
25035	Incision of forearm and/or wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25035	Incision of forearm and/or wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25035	Incision of forearm and/or wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25040	Drainage or removal of foreign body of wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25040	Drainage or removal of foreign body of wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25040	Drainage or removal of foreign body of wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25065	Biopsy of tissue of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
25065	Biopsy of tissue of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	6
25065	Biopsy of tissue of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
25066	Biopsy of tissue of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25066	Biopsy of tissue of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25066	Biopsy of tissue of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25071	Removal (3 centimeters or greater) tissue growth beneath the skin at forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25071	Removal (3 centimeters or greater) tissue growth beneath the skin at forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25071	Removal (3 centimeters or greater) tissue growth beneath the skin at forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
25073	Removal (3 centimeters or greater) muscle growth at forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25073	Removal (3 centimeters or greater) muscle growth at forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25073	Removal (3 centimeters or greater) muscle growth at forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
25075	Removal (less than 3 centimeters) tissue growth beneath the skin at forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25075	Removal (less than 3 centimeters) tissue growth beneath the skin at forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
25075	Removal (less than 3 centimeters) tissue growth beneath the skin at forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
25076	Removal (less than 3 centimeters) muscle growth at forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25076	Removal (less than 3 centimeters) muscle growth at forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25076	Removal (less than 3 centimeters) muscle growth at forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
25077	Removal (less than 3 centimeters) tissue growth at forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25077	Removal (less than 3 centimeters) tissue growth at forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25077	Removal (less than 3 centimeters) tissue growth at forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
25078	Removal (3 centimeters or greater) tissue growth at forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25078	Removal (3 centimeters or greater) tissue growth at forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25078	Removal (3 centimeters or greater) tissue growth at forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
25085	Incision to repair wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25085	Incision to repair wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25085	Incision to repair wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25100	Incision of joint capsule of wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25100	Incision of joint capsule of wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25100	Incision of joint capsule of wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
25101	Incision and exploration of wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25101	Incision and exploration of wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25101	Incision and exploration of wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25105	Incision to repair wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25105	Incision to repair wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25105	Incision to repair wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25107	Incision to repair wrist joint with repair of cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25107	Incision to repair wrist joint with repair of cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25107	Incision to repair wrist joint with repair of cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
25109	Removal of tendon of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25109	Removal of tendon of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25109	Removal of tendon of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
25110	Removal of growth of tendon covering at forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25110	Removal of growth of tendon covering at forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25110	Removal of growth of tendon covering at forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
25111	Removal of cyst at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25111	Removal of cyst at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25111	Removal of cyst at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25112	Removal of cyst at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25112	Removal of cyst at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25112	Removal of cyst at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25115	Removal of fluid-filled sac (bursa) of wrist joint lining or forearm tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25115	Removal of fluid-filled sac (bursa) of wrist joint lining or forearm tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25115	Removal of fluid-filled sac (bursa) of wrist joint lining or forearm tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
25116	Removal of fluid-filled sac (bursa) of wrist joint lining or forearm tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25116	Removal of fluid-filled sac (bursa) of wrist joint lining or forearm tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25116	Removal of fluid-filled sac (bursa) of wrist joint lining or forearm tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
25118	Removal of lining of tendon covering of wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25118	Removal of lining of tendon covering of wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25118	Removal of lining of tendon covering of wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25119	Removal of lining of tendon covering of wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25119	Removal of lining of tendon covering of wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25119	Removal of lining of tendon covering of wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25120	Removal of forearm bone cyst or growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25120	Removal of forearm bone cyst or growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25120	Removal of forearm bone cyst or growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25125	Removal of forearm bone cyst or growth with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25125	Removal of forearm bone cyst or growth with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25125	Removal of forearm bone cyst or growth with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25126	Removal of forearm bone cyst or growth with donor bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25126	Removal of forearm bone cyst or growth with donor bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25126	Removal of forearm bone cyst or growth with donor bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25130	Removal of wrist bone cyst or growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25130	Removal of wrist bone cyst or growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25130	Removal of wrist bone cyst or growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25135	Removal of wrist bone cyst or growth with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25135	Removal of wrist bone cyst or growth with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25135	Removal of wrist bone cyst or growth with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25136	Removal of wrist bone cyst or growth with donor bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25136	Removal of wrist bone cyst or growth with donor bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25136	Removal of wrist bone cyst or growth with donor bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25145	Removal of dead forearm and/or wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25145	Removal of dead forearm and/or wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25145	Removal of dead forearm and/or wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25150	Partial removal of forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25150	Partial removal of forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25150	Partial removal of forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25151	Partial removal of forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25151	Partial removal of forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25151	Partial removal of forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25170	Removal of forearm bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25170	Removal of forearm bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
25210	Removal of wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25210	Removal of wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25210	Removal of wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25215	Removal of multiple wrist bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25215	Removal of multiple wrist bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25215	Removal of multiple wrist bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25230	Partial removal of wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25230	Partial removal of wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25230	Partial removal of wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25240	Partial removal of forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25240	Partial removal of forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25240	Partial removal of forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25246	Injection of dye for X-ray imaging of wrist joint	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	28	0
25246	Injection of dye for X-ray imaging of wrist joint	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	3	0
25248	Removal of foreign body of forearm or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25248	Removal of foreign body of forearm or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25248	Removal of foreign body of forearm or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25250	Removal of wrist prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25250	Removal of wrist prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25250	Removal of wrist prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25251	Removal of wrist prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25251	Removal of wrist prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25251	Removal of wrist prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25259	Manipulation of wrist under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25259	Manipulation of wrist under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25259	Manipulation of wrist under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
25260	Repair of tendon or muscle of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25260	Repair of tendon or muscle of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25260	Repair of tendon or muscle of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
25263	Repair of tendon or muscle of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25263	Repair of tendon or muscle of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25263	Repair of tendon or muscle of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25265	Repair of forearm and/or wrist tendon or muscle with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25265	Repair of forearm and/or wrist tendon or muscle with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25265	Repair of forearm and/or wrist tendon or muscle with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25270	Repair of forearm and/or wrist tendon or muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25270	Repair of forearm and/or wrist tendon or muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25270	Repair of forearm and/or wrist tendon or muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25272	Repair of forearm and/or wrist tendon or muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25272	Repair of forearm and/or wrist tendon or muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25272	Repair of forearm and/or wrist tendon or muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25274	Repair of forearm and/or wrist tendon or muscle with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25274	Repair of forearm and/or wrist tendon or muscle with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25274	Repair of forearm and/or wrist tendon or muscle with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25275	Repair of forearm and/or wrist tendon covering with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25275	Repair of forearm and/or wrist tendon covering with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25275	Repair of forearm and/or wrist tendon covering with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
25280	Lengthening or shortening of tendon of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25280	Lengthening or shortening of tendon of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25280	Lengthening or shortening of tendon of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25290	"Incision of tendon of forearm and/or wrist, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25290	"Incision of tendon of forearm and/or wrist, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25290	"Incision of tendon of forearm and/or wrist, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
25295	Removal of scar tissue of tendon of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25295	Removal of scar tissue of tendon of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25295	Removal of scar tissue of tendon of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25300	Anchoring of tendon of fingers to wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25300	Anchoring of tendon of fingers to wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25300	Anchoring of tendon of fingers to wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25301	Anchoring of tendon of fingers to wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25301	Anchoring of tendon of fingers to wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25301	Anchoring of tendon of fingers to wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25310	Relocation of tendon of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25310	Relocation of tendon of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25310	Relocation of tendon of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
25312	Relocation of tendon of forearm and/or wrist with grafts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25312	Relocation of tendon of forearm and/or wrist with grafts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25312	Relocation of tendon of forearm and/or wrist with grafts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25315	Repair of tendon of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25315	Repair of tendon of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25315	Repair of tendon of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25316	Repair and relocation of tendons of forearm and/or wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25316	Repair and relocation of tendons of forearm and/or wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25316	Repair and relocation of tendons of forearm and/or wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25320	"Repair of wrist joint, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25320	"Repair of wrist joint, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25320	"Repair of wrist joint, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		248
25332	Repair of wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25332	Repair of wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25332	Repair of wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25335	Advancement of tendons of outer forearm at wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25335	Advancement of tendons of outer forearm at wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25335	Advancement of tendons of outer forearm at wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25337	Repair of tendons of outer forearm at wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25337	Repair of tendons of outer forearm at wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25337	Repair of tendons of outer forearm at wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		195
25350	Incision to repair forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25350	Incision to repair forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25350	Incision to repair forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25355	Incision to repair forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25355	Incision to repair forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25355	Incision to repair forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25360	Incision to repair forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25360	Incision to repair forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25360	Incision to repair forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25365	Incision to repair forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25365	Incision to repair forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25365	Incision to repair forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25370	Incision to repair forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25370	Incision to repair forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25370	Incision to repair forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		149
25375	Incision to repair both forearm bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25375	Incision to repair both forearm bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25375	Incision to repair both forearm bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25390	Shortening of one of the forearm bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25390	Shortening of one of the forearm bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25390	Shortening of one of the forearm bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25391	Lengthening of one of the forearm bones with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25391	Lengthening of one of the forearm bones with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25391	Lengthening of one of the forearm bones with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25392	Shortening of both bones of forearm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25392	Shortening of both bones of forearm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25392	Shortening of both bones of forearm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25393	Lengthening of both bones of forearm with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25393	Lengthening of both bones of forearm with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25393	Lengthening of both bones of forearm with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25394	Shortening of bone of wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25394	Shortening of bone of wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25394	Shortening of bone of wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
25400	Repair non-healed fracture of forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25400	Repair non-healed fracture of forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25400	Repair non-healed fracture of forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25405	Repair non-healed fracture of forearm bone with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25405	Repair non-healed fracture of forearm bone with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25405	Repair non-healed fracture of forearm bone with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25415	Repair non-healed fracture of forearm bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25415	Repair non-healed fracture of forearm bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25415	Repair non-healed fracture of forearm bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25420	Repair non-healed fracture of forearm bones with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25420	Repair non-healed fracture of forearm bones with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25420	Repair non-healed fracture of forearm bones with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
25425	Repair of forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25425	Repair of forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25425	Repair of forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25426	Repair of forearm bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25426	Repair of forearm bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25426	Repair of forearm bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25430	Insertion of vascular bone graft into wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25430	Insertion of vascular bone graft into wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25430	Insertion of vascular bone graft into wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
25431	Repair of non-healed wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25431	Repair of non-healed wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25431	Repair of non-healed wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
25440	Repair of non-healed wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25440	Repair of non-healed wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25440	Repair of non-healed wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25441	Removal of forearm bone at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25441	Removal of forearm bone at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25441	Removal of forearm bone at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25442	Removal of forearm bone at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25442	Removal of forearm bone at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25442	Removal of forearm bone at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25443	Removal of wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25443	Removal of wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25443	Removal of wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25444	Removal of wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25444	Removal of wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25444	Removal of wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25445	Removal of wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25445	Removal of wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25445	Removal of wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25446	Removal of forearm bone at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25446	Removal of forearm bone at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25446	Removal of forearm bone at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25447	Removal of bone joints between wrist and fingers	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25447	Removal of bone joints between wrist and fingers	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25447	Removal of bone joints between wrist and fingers	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
25449	Removal and reinsertion of implant at wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25449	Removal and reinsertion of implant at wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25449	Removal and reinsertion of implant at wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25450	Stapling of growth plate of forearm bone at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25450	Stapling of growth plate of forearm bone at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25450	Stapling of growth plate of forearm bone at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25455	Stapling of growth plate of forearm bone at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25455	Stapling of growth plate of forearm bone at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25455	Stapling of growth plate of forearm bone at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25490	Stabilization of forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25490	Stabilization of forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25490	Stabilization of forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25491	Stabilization of forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25491	Stabilization of forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25491	Stabilization of forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25492	Stabilization of both forearm bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25492	Stabilization of both forearm bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25492	Stabilization of both forearm bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25500	Closed treatment of broken forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25500	Closed treatment of broken forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	6
25500	Closed treatment of broken forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
25505	Closed treatment of broken forearm bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25505	Closed treatment of broken forearm bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	6
25505	Closed treatment of broken forearm bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	135	135
25515	Open treatment of broken forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25515	Open treatment of broken forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25515	Open treatment of broken forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
25520	Closed treatment of broken forearm and dislocated wrist bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25520	Closed treatment of broken forearm and dislocated wrist bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
25520	Closed treatment of broken forearm and dislocated wrist bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	135	135
25525	Open treatment of broken forearm bone and closed treatment of joint dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25525	Open treatment of broken forearm bone and closed treatment of joint dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25525	Open treatment of broken forearm bone and closed treatment of joint dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
25526	Open treatment of broken forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25526	Open treatment of broken forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25526	Open treatment of broken forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
25530	Closed treatment of broken forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25530	Closed treatment of broken forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	6
25530	Closed treatment of broken forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
25535	Closed treatment of broken forearm bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25535	Closed treatment of broken forearm bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	6
25535	Closed treatment of broken forearm bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
25545	Open treatment of broken forearm bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25545	Open treatment of broken forearm bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25545	Open treatment of broken forearm bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
25560	Closed treatment of broken forearm bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25560	Closed treatment of broken forearm bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	6
25560	Closed treatment of broken forearm bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
25565	Closed treatment of broken forearm bones with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25565	Closed treatment of broken forearm bones with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	79	6
25565	Closed treatment of broken forearm bones with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
25574	Open treatment of broken forearm bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25574	Open treatment of broken forearm bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25574	Open treatment of broken forearm bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
25575	Open treatment of broken forearm bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25575	Open treatment of broken forearm bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25575	Open treatment of broken forearm bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
25600	Closed treatment of broken forearm bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25600	Closed treatment of broken forearm bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
25600	Closed treatment of broken forearm bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	135	135
25605	Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25605	Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
25605	Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
25606	"Insertion of hardware to lower forearm bone broken or growth plate separation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25606	"Insertion of hardware to lower forearm bone broken or growth plate separation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25606	"Insertion of hardware to lower forearm bone broken or growth plate separation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
25607	Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25607	Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25607	Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
25608	Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2 fragments	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25608	Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2 fragments	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25608	Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2 fragments	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
25609	Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25609	Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25609	Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		198
25622	Closed treatment of broken wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25622	Closed treatment of broken wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	6
25622	Closed treatment of broken wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
25624	Closed treatment of broken wrist bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25624	Closed treatment of broken wrist bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	6
25624	Closed treatment of broken wrist bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	135	135
25628	Open treatment of broken wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25628	Open treatment of broken wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25628	Open treatment of broken wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
25630	Closed treatment of broken wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25630	Closed treatment of broken wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	6
25630	Closed treatment of broken wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
25635	Closed treatment of broken wrist bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25635	Closed treatment of broken wrist bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
25635	Closed treatment of broken wrist bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
25645	Open treatment of broken wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25645	Open treatment of broken wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25645	Open treatment of broken wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25650	Closed treatment of broken forearm at wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25650	Closed treatment of broken forearm at wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	6
25650	Closed treatment of broken forearm at wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
25651	"Insertion of hardware broken bone of forearm at wrist, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25651	"Insertion of hardware broken bone of forearm at wrist, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25651	"Insertion of hardware broken bone of forearm at wrist, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
25652	Open treatment of broken wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25652	Open treatment of broken wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25652	Open treatment of broken wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
25660	Closed treatment of dislocated wrist with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25660	Closed treatment of dislocated wrist with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25660	Closed treatment of dislocated wrist with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25670	Open treatment of dislocated 1 or more wrist joint bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25670	Open treatment of dislocated 1 or more wrist joint bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25670	Open treatment of dislocated 1 or more wrist joint bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25671	"Insertion of hardware to dislocated wrist, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25671	"Insertion of hardware to dislocated wrist, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25671	"Insertion of hardware to dislocated wrist, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
25675	Closed treatment of dislocated wrist with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
25675	Closed treatment of dislocated wrist with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	6
25675	Closed treatment of dislocated wrist with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
25676	Open treatment of dislocated wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25676	Open treatment of dislocated wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25676	Open treatment of dislocated wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25680	Closed treatment of dislocated wrist with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25680	Closed treatment of dislocated wrist with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25680	Closed treatment of dislocated wrist with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
25685	Open treatment of broken and dislocated wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25685	Open treatment of broken and dislocated wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25685	Open treatment of broken and dislocated wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25690	Closed treatment of dislocated wrist bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25690	Closed treatment of dislocated wrist bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25690	Closed treatment of dislocated wrist bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25695	Open treatment of dislocated wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25695	Open treatment of dislocated wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25695	Open treatment of dislocated wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25800	Fusion of entire wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25800	Fusion of entire wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25800	Fusion of entire wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25805	Fusion of wrist joint with bone graft from wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25805	Fusion of wrist joint with bone graft from wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25805	Fusion of wrist joint with bone graft from wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
25810	Fusion of wrist joint with graft from hip or other bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25810	Fusion of wrist joint with graft from hip or other bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25810	Fusion of wrist joint with graft from hip or other bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
25820	Fusion of part of wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25820	Fusion of part of wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25820	Fusion of part of wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
25825	Fusion of part of wrist joint with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25825	Fusion of part of wrist joint with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25825	Fusion of part of wrist joint with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
25830	Fusion of both forearm bones at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25830	Fusion of both forearm bones at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25830	Fusion of both forearm bones at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		143
25900	Amputation through both bones of forearm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25900	Amputation through both bones of forearm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25900	Amputation through both bones of forearm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
25905	"Amputation through both bones of forearm, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25905	"Amputation through both bones of forearm, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25905	"Amputation through both bones of forearm, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25907	Revision of scar or wound closure of previous amputation through both bones of forearm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25907	Revision of scar or wound closure of previous amputation through both bones of forearm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25907	Revision of scar or wound closure of previous amputation through both bones of forearm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25909	Re-amputation of remaining upper arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25909	Re-amputation of remaining upper arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25909	Re-amputation of remaining upper arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25915	Conversion of wrist amputation stump to grasping function	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25915	Conversion of wrist amputation stump to grasping function	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25915	Conversion of wrist amputation stump to grasping function	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
25920	"Removal of tendons, ligaments, and muscles of wrist"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25920	"Removal of tendons, ligaments, and muscles of wrist"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25920	"Removal of tendons, ligaments, and muscles of wrist"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25922	"Removal of tendons, ligaments, and muscles of wrist"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25922	"Removal of tendons, ligaments, and muscles of wrist"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25922	"Removal of tendons, ligaments, and muscles of wrist"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25924	"Removal of tendons, ligaments, and muscles of wrist with re-amputation of remaining arm"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25924	"Removal of tendons, ligaments, and muscles of wrist with re-amputation of remaining arm"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25924	"Removal of tendons, ligaments, and muscles of wrist with re-amputation of remaining arm"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25927	Amputation of hand bone at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25927	Amputation of hand bone at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25927	Amputation of hand bone at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25929	Revision of scar or wound closure of previous hand bone amputation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25929	Revision of scar or wound closure of previous hand bone amputation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
25929	Revision of scar or wound closure of previous hand bone amputation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
25931	Re-amputation of remaining hand bone at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
25931	Re-amputation of remaining hand bone at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
25931	Re-amputation of remaining hand bone at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26010	Drainage of finger abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
26010	Drainage of finger abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	6
26010	Drainage of finger abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
26011	Drainage of finger abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
26011	Drainage of finger abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	6
26011	Drainage of finger abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
26020	Drainage of tendon of finger and/or palm	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
26020	Drainage of tendon of finger and/or palm	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
26020	Drainage of tendon of finger and/or palm	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
26020	Drainage of tendon of finger and/or palm	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
26020	Drainage of tendon of finger and/or palm	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
26020	Drainage of tendon of finger and/or palm	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
26020	Drainage of tendon of finger and/or palm	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	117
26025	Drainage of fluid-filled sac (bursa) of palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26025	Drainage of fluid-filled sac (bursa) of palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
26025	Drainage of fluid-filled sac (bursa) of palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26030	Drainage of multiple fluid-filled sacs (bursa) of palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26030	Drainage of multiple fluid-filled sacs (bursa) of palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
26030	Drainage of multiple fluid-filled sacs (bursa) of palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26034	Incision of bone of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26034	Incision of bone of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26034	Incision of bone of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
26035	Release of tissues of fingers and/or hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26035	Release of tissues of fingers and/or hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26035	Release of tissues of fingers and/or hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
26037	Incision of tissues of hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26037	Incision of tissues of hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
26037	Incision of tissues of hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26040	"Release of tissues of palm, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26040	"Release of tissues of palm, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26040	"Release of tissues of palm, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26045	"Partial release of tissues of palm, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26045	"Partial release of tissues of palm, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26045	"Partial release of tissues of palm, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26055	Incision of tendon covering	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	10	7
26055	Incision of tendon covering	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
26055	Incision of tendon covering	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	10	20
26055	Incision of tendon covering	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
26055	Incision of tendon covering	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
26055	Incision of tendon covering	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
26055	Incision of tendon covering	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
26055	Incision of tendon covering	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
26055	Incision of tendon covering	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
26055	Incision of tendon covering	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
26055	Incision of tendon covering	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	18	0
26055	Incision of tendon covering	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	18	0
26055	Incision of tendon covering	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
26055	Incision of tendon covering	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
26055	Incision of tendon covering	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	0
26055	Incision of tendon covering	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
26055	Incision of tendon covering	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
26055	Incision of tendon covering	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	63	63
26060	"Incision of finger tendon, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26060	"Incision of finger tendon, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26060	"Incision of finger tendon, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
26070	"Exploration, drainage, or removal of foreign body of wrist bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26070	"Exploration, drainage, or removal of foreign body of wrist bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26070	"Exploration, drainage, or removal of foreign body of wrist bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26075	"Exploration, drainage, or removal of foreign body of hand joint"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26075	"Exploration, drainage, or removal of foreign body of hand joint"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26075	"Exploration, drainage, or removal of foreign body of hand joint"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26080	"Exploration, drainage, or removal of foreign body of hand joint"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26080	"Exploration, drainage, or removal of foreign body of hand joint"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26080	"Exploration, drainage, or removal of foreign body of hand joint"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26100	Biopsy of wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26100	Biopsy of wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26100	Biopsy of wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26105	Biopsy of hand joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26105	Biopsy of hand joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26105	Biopsy of hand joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26110	Biopsy of finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26110	Biopsy of finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26110	Biopsy of finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26111	Removal (1.5 centimeters or greater) tissue beneath the skin growth of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26111	Removal (1.5 centimeters or greater) tissue beneath the skin growth of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26111	Removal (1.5 centimeters or greater) tissue beneath the skin growth of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
26113	Removal (1.5 centimeters or greater) muscle growth of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26113	Removal (1.5 centimeters or greater) muscle growth of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26113	Removal (1.5 centimeters or greater) muscle growth of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
26115	Removal (less than 1.5 centimeters) tissue beneath the skin growth of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26115	Removal (less than 1.5 centimeters) tissue beneath the skin growth of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
26115	Removal (less than 1.5 centimeters) tissue beneath the skin growth of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
26116	Removal (less than 1.5 centimeters) muscle growth of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26116	Removal (less than 1.5 centimeters) muscle growth of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26116	Removal (less than 1.5 centimeters) muscle growth of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
26117	Removal (less than 3 centimeters) tissue growth of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26117	Removal (less than 3 centimeters) tissue growth of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26117	Removal (less than 3 centimeters) tissue growth of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
26118	Removal (3 centimeters or greater) tissue growth of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26118	Removal (3 centimeters or greater) tissue growth of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
26118	Removal (3 centimeters or greater) tissue growth of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		179
26121	Removal of tissue of palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26121	Removal of tissue of palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26121	Removal of tissue of palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26123	Removal of tissue of palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26123	Removal of tissue of palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26123	Removal of tissue of palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
26130	Repair of wrist joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26130	Repair of wrist joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26130	Repair of wrist joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26135	Repair of hand joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26135	Repair of hand joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26135	Repair of hand joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26140	Repair of finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26140	Repair of finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26140	Repair of finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26145	"Repair of tendon, finger and/or hand"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26145	"Repair of tendon, finger and/or hand"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26145	"Repair of tendon, finger and/or hand"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26160	Removal of growth of tendon finger or hand	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	10	7
26160	Removal of growth of tendon finger or hand	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
26160	Removal of growth of tendon finger or hand	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	10	20
26160	Removal of growth of tendon finger or hand	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
26160	Removal of growth of tendon finger or hand	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
26160	Removal of growth of tendon finger or hand	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
26160	Removal of growth of tendon finger or hand	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
26160	Removal of growth of tendon finger or hand	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
26160	Removal of growth of tendon finger or hand	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
26160	Removal of growth of tendon finger or hand	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
26160	Removal of growth of tendon finger or hand	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
26160	Removal of growth of tendon finger or hand	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
26160	Removal of growth of tendon finger or hand	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
26160	Removal of growth of tendon finger or hand	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
26160	Removal of growth of tendon finger or hand	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	0
26160	Removal of growth of tendon finger or hand	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
26160	Removal of growth of tendon finger or hand	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
26160	Removal of growth of tendon finger or hand	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
26160	Removal of growth of tendon finger or hand	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	63	63
26170	Removal of tendon of palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26170	Removal of tendon of palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26170	Removal of tendon of palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26180	Removal of tendon of finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26180	Removal of tendon of finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26180	Removal of tendon of finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26185	Removal of bone at base of thumb	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26185	Removal of bone at base of thumb	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26185	Removal of bone at base of thumb	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
26200	Removal or scraping of hand bone cyst or growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26200	Removal or scraping of hand bone cyst or growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26200	Removal or scraping of hand bone cyst or growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26205	Removal or scraping of hand bone cyst or growth with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26205	Removal or scraping of hand bone cyst or growth with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26205	Removal or scraping of hand bone cyst or growth with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26210	Removal or scraping of finger bone cyst or growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26210	Removal or scraping of finger bone cyst or growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26210	Removal or scraping of finger bone cyst or growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26215	Removal or scraping of finger bone cyst or growth with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26215	Removal or scraping of finger bone cyst or growth with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26215	Removal or scraping of finger bone cyst or growth with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26230	Partial removal of hand bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26230	Partial removal of hand bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26230	Partial removal of hand bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26235	Partial removal of finger bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26235	Partial removal of finger bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26235	Partial removal of finger bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26236	Partial removal of finger bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26236	Partial removal of finger bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26236	Partial removal of finger bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26250	Removal of growth of hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26250	Removal of growth of hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26250	Removal of growth of hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
26260	Removal of growth of finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26260	Removal of growth of finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26260	Removal of growth of finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
26262	Removal of growth of finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26262	Removal of growth of finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26262	Removal of growth of finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
26320	Removal of implant from finger or hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26320	Removal of implant from finger or hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26320	Removal of implant from finger or hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26340	Manipulation of finger joint under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26340	Manipulation of finger joint under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26340	Manipulation of finger joint under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
26341	Manipulation of palm pretendinous cord following enzyme injection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
26341	Manipulation of palm pretendinous cord following enzyme injection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
26350	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26350	Repair of finger tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26350	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
26352	Repair of finger tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26352	Repair of finger tendon with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26352	Repair of finger tendon with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26356	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
26356	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
26356	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
26356	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
26356	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
26356	Repair of finger tendon	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		6
26356	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		108
26356	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
26357	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
26357	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
26357	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
26357	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
26357	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
26357	Repair of finger tendon	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		6
26357	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		108
26357	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
26358	Repair of finger tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
26358	Repair of finger tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
26358	Repair of finger tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
26358	Repair of finger tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
26358	Repair of finger tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
26358	Repair of finger tendon with graft	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		6
26358	Repair of finger tendon with graft	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		108
26358	Repair of finger tendon with graft	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
26370	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26370	Repair of finger tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26370	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26372	Repair of finger tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26372	Repair of finger tendon with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26372	Repair of finger tendon with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26373	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26373	Repair of finger tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26373	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26390	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26390	Repair of finger tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26390	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26392	Removal of synthetic rod and insertion of tendon graft at hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26392	Removal of synthetic rod and insertion of tendon graft at hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26392	Removal of synthetic rod and insertion of tendon graft at hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26410	Repair of hand tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26410	Repair of hand tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26410	Repair of hand tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26412	Repair of hand tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26412	Repair of hand tendon with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26412	Repair of hand tendon with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26415	Removal of tendon in hand or finger with rod insertion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26415	Removal of tendon in hand or finger with rod insertion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26415	Removal of tendon in hand or finger with rod insertion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26416	Removal of rod with tendon graft at hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26416	Removal of rod with tendon graft at hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26416	Removal of rod with tendon graft at hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26418	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26418	Repair of finger tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26418	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
26420	Repair of finger tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26420	Repair of finger tendon with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26420	Repair of finger tendon with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26426	Repair of finger tendon using tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26426	Repair of finger tendon using tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26426	Repair of finger tendon using tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26428	Repair of finger tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26428	Repair of finger tendon with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26428	Repair of finger tendon with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26432	Closed treatment of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26432	Closed treatment of finger tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26432	Closed treatment of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26433	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26433	Repair of finger tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26433	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26434	Repair of finger tendon with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26434	Repair of finger tendon with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26434	Repair of finger tendon with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26437	Repair of finger tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26437	Repair of finger tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26437	Repair of finger tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26440	Removal of scar tissue to release tendon of palm or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26440	Removal of scar tissue to release tendon of palm or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26440	Removal of scar tissue to release tendon of palm or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26442	Removal of scar tissue to release tendon of palm and finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26442	Removal of scar tissue to release tendon of palm and finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26442	Removal of scar tissue to release tendon of palm and finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
26445	Removal of scar tissue to release tendon of palm or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26445	Removal of scar tissue to release tendon of palm or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26445	Removal of scar tissue to release tendon of palm or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26449	Removal of scar tissue from tendon of finger and forearm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26449	Removal of scar tissue from tendon of finger and forearm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26449	Removal of scar tissue from tendon of finger and forearm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
26450	"Incision of tendon of palm, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26450	"Incision of tendon of palm, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26450	"Incision of tendon of palm, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26455	"Incision of tendon of finger, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26455	"Incision of tendon of finger, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26455	"Incision of tendon of finger, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26460	"Incision of tendon of hand or finger, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26460	"Incision of tendon of hand or finger, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26460	"Incision of tendon of hand or finger, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26471	Anchoring of tendon to first joint of finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26471	Anchoring of tendon to first joint of finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26471	Anchoring of tendon to first joint of finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26474	Anchoring of tendon to third joint of finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26474	Anchoring of tendon to third joint of finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26474	Anchoring of tendon to third joint of finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26476	Lengthening of tendon of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26476	Lengthening of tendon of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26476	Lengthening of tendon of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26477	Shortening of tendon of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26477	Shortening of tendon of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26477	Shortening of tendon of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26478	Lengthening of tendon of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26478	Lengthening of tendon of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26478	Lengthening of tendon of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26479	Lengthening of tendon of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26479	Lengthening of tendon of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26479	Lengthening of tendon of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26480	Transplant of tendon of hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26480	Transplant of tendon of hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26480	Transplant of tendon of hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
26483	Transplant of tendon of hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26483	Transplant of tendon of hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26483	Transplant of tendon of hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26485	Transplant of tendon to palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26485	Transplant of tendon to palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26485	Transplant of tendon to palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26489	Transplant of tendon to palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26489	Transplant of tendon to palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26489	Transplant of tendon to palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26490	Transplant of tendon to palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26490	Transplant of tendon to palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26490	Transplant of tendon to palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26492	Transplant of tendon to palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26492	Transplant of tendon to palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26492	Transplant of tendon to palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
26494	Transplant of muscle to palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26494	Transplant of muscle to palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26494	Transplant of muscle to palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26496	"Transplant of tendon thumb, palm, or wrist"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26496	"Transplant of tendon thumb, palm, or wrist"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26496	"Transplant of tendon thumb, palm, or wrist"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26497	Transplant of tendon to ring and small fingers	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26497	Transplant of tendon to ring and small fingers	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26497	Transplant of tendon to ring and small fingers	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26498	"Transfer of tendon of hand, all four fingers"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26498	"Transfer of tendon of hand, all four fingers"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26498	"Transfer of tendon of hand, all four fingers"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
26499	Correction of claw finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26499	Correction of claw finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26499	Correction of claw finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26500	Repair of tendon ligament	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26500	Repair of tendon ligament	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26500	Repair of tendon ligament	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26502	Repair of tendon ligament with tendon or tissue graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26502	Repair of tendon ligament with tendon or tissue graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26502	Repair of tendon ligament with tendon or tissue graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26508	Release of muscles of palm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26508	Release of muscles of palm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26508	Release of muscles of palm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26510	Transfer of tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26510	Transfer of tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26510	Transfer of tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26516	Repair of joint capsule of hand and finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26516	Repair of joint capsule of hand and finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26516	Repair of joint capsule of hand and finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26517	Repair of joint capsule of hand and finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26517	Repair of joint capsule of hand and finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26517	Repair of joint capsule of hand and finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26518	Repair of joint capsule of hand and finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26518	Repair of joint capsule of hand and finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26518	Repair of joint capsule of hand and finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26520	Removal of hand or finger joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26520	Removal of hand or finger joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26520	Removal of hand or finger joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26525	"Repair of joint capsule, hand and finger"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26525	"Repair of joint capsule, hand and finger"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26525	"Repair of joint capsule, hand and finger"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26530	Repair of joint of hand bone and finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26530	Repair of joint of hand bone and finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26530	Repair of joint of hand bone and finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26531	Repair of joint of hand bone and finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26531	Repair of joint of hand bone and finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26531	Repair of joint of hand bone and finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
26535	Repair of finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26535	Repair of finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26535	Repair of finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26536	Repair of finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26536	Repair of finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26536	Repair of finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26540	Repair of ligament of hand or finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26540	Repair of ligament of hand or finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26540	Repair of ligament of hand or finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26541	Repair of ligament of hand or finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26541	Repair of ligament of hand or finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26541	Repair of ligament of hand or finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26542	Repair of ligament of hand or finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26542	Repair of ligament of hand or finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26542	Repair of ligament of hand or finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26545	Repair of ligament of hand or finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26545	Repair of ligament of hand or finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26545	Repair of ligament of hand or finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26546	Repair of non-healed hand or finger bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26546	Repair of non-healed hand or finger bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26546	Repair of non-healed hand or finger bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		216
26548	Repair of floor of finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26548	Repair of floor of finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26548	Repair of floor of finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26550	Reconstruction of thumb	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26550	Reconstruction of thumb	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26550	Reconstruction of thumb	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
26551	Transfer of great toe to hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26551	Transfer of great toe to hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
26551	Transfer of great toe to hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		207
26553	Transfer of toe to hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26553	Transfer of toe to hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26553	Transfer of toe to hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		207
26554	Transfer of toe to hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26554	Transfer of toe to hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26554	Transfer of toe to hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		234
26555	Transfer of finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26555	Transfer of finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26555	Transfer of finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
26556	Transfer of toe joint to finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26556	Transfer of toe joint to finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26556	Transfer of toe joint to finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		252
26560	Repair of webbed finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26560	Repair of webbed finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26560	Repair of webbed finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
26561	Repair of webbed finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26561	Repair of webbed finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26561	Repair of webbed finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26562	Repair of webbed finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26562	Repair of webbed finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26562	Repair of webbed finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		197
26565	Incision of bone of hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26565	Incision of bone of hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26565	Incision of bone of hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26567	Incision of finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26567	Incision of finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26567	Incision of finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26568	Lengthening of hand or finger bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26568	Lengthening of hand or finger bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26568	Lengthening of hand or finger bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26580	Repair of deformed hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26580	Repair of deformed hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26580	Repair of deformed hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
26587	Removal of extra finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26587	Removal of extra finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26587	Removal of extra finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
26590	Repair of abnormal finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26590	Repair of abnormal finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26590	Repair of abnormal finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
26591	Repair of hand muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26591	Repair of hand muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26591	Repair of hand muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26593	Release of hand muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26593	Release of hand muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26593	Release of hand muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26596	Removal of constricting skin of finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26596	Removal of constricting skin of finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26596	Removal of constricting skin of finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26600	Closed treatment of fracture hand bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26600	Closed treatment of fracture hand bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
26600	Closed treatment of fracture hand bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
26605	Closed treatment of fracture of bone of hand with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26605	Closed treatment of fracture of bone of hand with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	54	6
26605	Closed treatment of fracture of bone of hand with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
26607	Closed treatment of fracture of bone of hand with manipulation and external hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26607	Closed treatment of fracture of bone of hand with manipulation and external hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26607	Closed treatment of fracture of bone of hand with manipulation and external hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
26608	"Insertion of hardware to broken finger, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26608	"Insertion of hardware to broken finger, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26608	"Insertion of hardware to broken finger, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26615	Open treatment of broken finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26615	Open treatment of broken finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26615	Open treatment of broken finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
26641	Closed treatment of thumb dislocation with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26641	Closed treatment of thumb dislocation with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
26641	Closed treatment of thumb dislocation with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
26645	Closed treatment of broken thumb with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26645	Closed treatment of broken thumb with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
26645	Closed treatment of broken thumb with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
26650	"Insertion of hardware to broken thumb with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26650	"Insertion of hardware to broken thumb with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26650	"Insertion of hardware to broken thumb with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
26665	Open treatment of broken thumb at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26665	Open treatment of broken thumb at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26665	Open treatment of broken thumb at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
26670	Closed treatment of dislocated hand bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26670	Closed treatment of dislocated hand bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
26670	Closed treatment of dislocated hand bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
26675	Closed treatment of dislocated hand bone under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26675	Closed treatment of dislocated hand bone under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	64	6
26675	Closed treatment of dislocated hand bone under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
26676	"Insertion of hardware to dislocated hand bone at wrist joint with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26676	"Insertion of hardware to dislocated hand bone at wrist joint with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26676	"Insertion of hardware to dislocated hand bone at wrist joint with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
26685	Open treatment of dislocated wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26685	Open treatment of dislocated wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26685	Open treatment of dislocated wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
26686	Open treatment of dislocated wrist bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26686	Open treatment of dislocated wrist bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26686	Open treatment of dislocated wrist bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26700	Closed treatment of dislocated hand joint with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26700	Closed treatment of dislocated hand joint with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	6
26700	Closed treatment of dislocated hand joint with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
26705	Closed treatment of dislocated hand joint with manipulation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26705	Closed treatment of dislocated hand joint with manipulation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
26705	Closed treatment of dislocated hand joint with manipulation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
26706	"Insertion of hardware to dislocated hand joint with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26706	"Insertion of hardware to dislocated hand joint with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26706	"Insertion of hardware to dislocated hand joint with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26715	Open treatment of dislocated hand joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26715	Open treatment of dislocated hand joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26715	Open treatment of dislocated hand joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
26720	Closed treatment of broken finger or thumb	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26720	Closed treatment of broken finger or thumb	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	6
26720	Closed treatment of broken finger or thumb	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
26725	Closed treatment of broken finger or thumb with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26725	Closed treatment of broken finger or thumb with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
26725	Closed treatment of broken finger or thumb with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
26727	"Insertion of hardware to broken finger or thumb with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26727	"Insertion of hardware to broken finger or thumb with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26727	"Insertion of hardware to broken finger or thumb with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26735	Open treatment of broken finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26735	Open treatment of broken finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26735	Open treatment of broken finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
26740	Closed treatment of broken hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26740	Closed treatment of broken hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	6
26740	Closed treatment of broken hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
26742	Closed treatment of broken hand or finger with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26742	Closed treatment of broken hand or finger with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
26742	Closed treatment of broken hand or finger with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
26746	Open treatment of broken hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26746	Open treatment of broken hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26746	Open treatment of broken hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
26750	Closed treatment of broken finger or thumb	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26750	Closed treatment of broken finger or thumb	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	6
26750	Closed treatment of broken finger or thumb	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
26755	Closed treatment of broken finger or thumb with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26755	Closed treatment of broken finger or thumb with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	68	6
26755	Closed treatment of broken finger or thumb with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
26756	"Insertion of hardware to broken finger or thumb, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26756	"Insertion of hardware to broken finger or thumb, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26756	"Insertion of hardware to broken finger or thumb, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26765	Open treatment of broken finger or thumb	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26765	Open treatment of broken finger or thumb	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26765	Open treatment of broken finger or thumb	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
26770	Closed treatment of dislocated finger joint with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26770	Closed treatment of dislocated finger joint with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	6
26770	Closed treatment of dislocated finger joint with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
26775	Closed treatment of dislocated finger joint with manipulation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26775	Closed treatment of dislocated finger joint with manipulation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	64	6
26775	Closed treatment of dislocated finger joint with manipulation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
26776	"Insertion of hardware to dislocated finger joint with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26776	"Insertion of hardware to dislocated finger joint with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26776	"Insertion of hardware to dislocated finger joint with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26785	Open treatment of dislocated finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26785	Open treatment of dislocated finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26785	Open treatment of dislocated finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
26820	Fusion of thumb	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26820	Fusion of thumb	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26820	Fusion of thumb	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26841	Fusion of thumb at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26841	Fusion of thumb at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26841	Fusion of thumb at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
26842	Fusion of thumb at wrist with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26842	Fusion of thumb at wrist with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26842	Fusion of thumb at wrist with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26843	Fusion of hand joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26843	Fusion of hand joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26843	Fusion of hand joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26844	Fusion of hand joint with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26844	Fusion of hand joint with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26844	Fusion of hand joint with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26850	Fusion of finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26850	Fusion of finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26850	Fusion of finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26852	Fusion of finger joint with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26852	Fusion of finger joint with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26852	Fusion of finger joint with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26860	Fusion of finger joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26860	Fusion of finger joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26860	Fusion of finger joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26862	Fusion of finger joint with bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26862	Fusion of finger joint with bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26862	Fusion of finger joint with bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26910	"Amputation of hand bone, finger, or thumb"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26910	"Amputation of hand bone, finger, or thumb"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26910	"Amputation of hand bone, finger, or thumb"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
26951	Amputation of finger or thumb	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26951	Amputation of finger or thumb	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26951	Amputation of finger or thumb	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
26952	Amputation of finger or thumb	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26952	Amputation of finger or thumb	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
26952	Amputation of finger or thumb	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26990	Drainage of abscess or blood accumulation in pelvis or hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26990	Drainage of abscess or blood accumulation in pelvis or hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
26990	Drainage of abscess or blood accumulation in pelvis or hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
26991	Incision of infected fluid-filled sac (bursa) of pelvis or hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
26991	Incision of infected fluid-filled sac (bursa) of pelvis or hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	12
26991	Incision of infected fluid-filled sac (bursa) of pelvis or hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
26992	Incision of pelvis and/or hip joint bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
26992	Incision of pelvis and/or hip joint bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
26992	Incision of pelvis and/or hip joint bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27000	"Incision of hip tendon, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27000	"Incision of hip tendon, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27000	"Incision of hip tendon, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
27001	"Incision of hip tendon, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27001	"Incision of hip tendon, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27001	"Incision of hip tendon, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27003	"Incision of hip tendon with removal of nerve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27003	"Incision of hip tendon with removal of nerve, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27003	"Incision of hip tendon with removal of nerve, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27005	"Incision of hip tendons, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27005	"Incision of hip tendons, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27005	"Incision of hip tendons, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27006	"Incision of hip tendons, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27006	"Incision of hip tendons, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27006	"Incision of hip tendons, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27025	Incision of tissues of hip or thigh	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27025	Incision of tissues of hip or thigh	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27025	Incision of tissues of hip or thigh	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
27027	Incision of tissue of muscle compartments of one side of pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		25
27027	Incision of tissue of muscle compartments of one side of pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27027	Incision of tissue of muscle compartments of one side of pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27030	Incision of hip joint with drainage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27030	Incision of hip joint with drainage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27030	Incision of hip joint with drainage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27033	Incision of hip joint with exploration or removal of loose or foreign body	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27033	Incision of hip joint with exploration or removal of loose or foreign body	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27033	Incision of hip joint with exploration or removal of loose or foreign body	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27035	Removal of hip or pelvic nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27035	Removal of hip or pelvic nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27035	Removal of hip or pelvic nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27036	Repair of hip joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27036	Repair of hip joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27036	Repair of hip joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27040	Biopsy of tissue of pelvis and hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
27040	Biopsy of tissue of pelvis and hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
27040	Biopsy of tissue of pelvis and hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
27041	Biopsy of tissue of pelvis and hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27041	Biopsy of tissue of pelvis and hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27041	Biopsy of tissue of pelvis and hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27043	Removal (3 centimeters or greater) tissue growth beneath the skin of pelvis or hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27043	Removal (3 centimeters or greater) tissue growth beneath the skin of pelvis or hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27043	Removal (3 centimeters or greater) tissue growth beneath the skin of pelvis or hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
27045	Removal (5 centimeters or greater) muscle growth of pelvis or hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27045	Removal (5 centimeters or greater) muscle growth of pelvis or hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27045	Removal (5 centimeters or greater) muscle growth of pelvis or hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
27047	Removal (less than 3 centimeters) tissue growth of pelvis or hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27047	Removal (less than 3 centimeters) tissue growth of pelvis or hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	70	6
27047	Removal (less than 3 centimeters) tissue growth of pelvis or hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
27048	Removal (less than 5 centimeters) muscle growth of pelvis or hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27048	Removal (less than 5 centimeters) muscle growth of pelvis or hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27048	Removal (less than 5 centimeters) muscle growth of pelvis or hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
27049	Removal of (less than 5 centimeters) tissue growth of pelvis or hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27049	Removal of (less than 5 centimeters) tissue growth of pelvis or hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27049	Removal of (less than 5 centimeters) tissue growth of pelvis or hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27050	Biopsy of sacroiliac joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27050	Biopsy of sacroiliac joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27050	Biopsy of sacroiliac joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27052	Biopsy of hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27052	Biopsy of hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27052	Biopsy of hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27054	Removal of membrane covering hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27054	Removal of membrane covering hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27054	Removal of membrane covering hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27057	Incision of tissue on one side of pelvic muscle compartment with removal of muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		25
27057	Incision of tissue on one side of pelvic muscle compartment with removal of muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27057	Incision of tissue on one side of pelvic muscle compartment with removal of muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27059	Removal (5 centimeters or greater) tissue growth of pelvis or hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27059	Removal (5 centimeters or greater) tissue growth of pelvis or hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27059	Removal (5 centimeters or greater) tissue growth of pelvis or hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
27060	Removal of fluid-filled sac (bursa) of pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27060	Removal of fluid-filled sac (bursa) of pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27060	Removal of fluid-filled sac (bursa) of pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27062	Removal of fluid-filled sac (bursa) or calcium deposit of pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27062	Removal of fluid-filled sac (bursa) or calcium deposit of pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27062	Removal of fluid-filled sac (bursa) or calcium deposit of pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27065	Removal of bone cyst or growth of hip or pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27065	Removal of bone cyst or growth of hip or pelvic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27065	Removal of bone cyst or growth of hip or pelvic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27066	Removal of bone cyst or growth of hip or pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27066	Removal of bone cyst or growth of hip or pelvic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27066	Removal of bone cyst or growth of hip or pelvic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27067	Removal of bone cyst or growth of hip or pelvic bone with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27067	Removal of bone cyst or growth of hip or pelvic bone with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27067	Removal of bone cyst or growth of hip or pelvic bone with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27070	Partial removal of hip or pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27070	Partial removal of hip or pelvic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27070	Partial removal of hip or pelvic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27071	Partial removal of hip or pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27071	Partial removal of hip or pelvic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27071	Partial removal of hip or pelvic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27075	Removal of growth or infected tissue of pelvic or pubic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27075	Removal of growth or infected tissue of pelvic or pubic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27075	Removal of growth or infected tissue of pelvic or pubic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
27076	Removal of growth or infected tissue of pelvic or pubic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27076	Removal of growth or infected tissue of pelvic or pubic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27076	Removal of growth or infected tissue of pelvic or pubic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
27077	Removal of infected tissue of pelvic or pubic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27077	Removal of infected tissue of pelvic or pubic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27077	Removal of infected tissue of pelvic or pubic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
27078	Removal of growth or infected tissue of pelvic or pubic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27078	Removal of growth or infected tissue of pelvic or pubic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27078	Removal of growth or infected tissue of pelvic or pubic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
27080	Removal of tailbone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27080	Removal of tailbone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27080	Removal of tailbone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27086	"Removal of foreign body in tissue of pelvis or hip, accessed beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	30
27086	"Removal of foreign body in tissue of pelvis or hip, accessed beneath the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
27086	"Removal of foreign body in tissue of pelvis or hip, accessed beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
27087	Removal of foreign body in tissue or muscle of pelvis or hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27087	Removal of foreign body in tissue or muscle of pelvis or hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27087	Removal of foreign body in tissue or muscle of pelvis or hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27090	Removal of hip prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27090	Removal of hip prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27090	Removal of hip prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27091	Removal of hip prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27091	Removal of hip prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27091	Removal of hip prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27093	Injection of dye for X-ray imaging of hip joint	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	33	0
27093	Injection of dye for X-ray imaging of hip joint	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	3	0
27095	Injection procedure for X-ray imaging of hip under anesthesia	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	42	0
27095	Injection procedure for X-ray imaging of hip under anesthesia	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	3	0
27096	Injection procedure into sacroiliac joint for anesthetic or steroid	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	0
27096	Injection procedure into sacroiliac joint for anesthetic or steroid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	12
27096	Injection procedure into sacroiliac joint for anesthetic or steroid	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	20	0
27096	Injection procedure into sacroiliac joint for anesthetic or steroid	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	39	0
27096	Injection procedure into sacroiliac joint for anesthetic or steroid	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
27097	Release of upper hamstring muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27097	Release of upper hamstring muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27097	Release of upper hamstring muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27098	Transfer of tendon to pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27098	Transfer of tendon to pelvic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27098	Transfer of tendon to pelvic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27100	Transfer of muscle to thigh bone at hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27100	Transfer of muscle to thigh bone at hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27100	Transfer of muscle to thigh bone at hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27105	Transfer of muscle to hip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27105	Transfer of muscle to hip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27105	Transfer of muscle to hip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27110	Transfer of muscle to thigh bone at hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27110	Transfer of muscle to thigh bone at hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27110	Transfer of muscle to thigh bone at hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27111	Transfer of muscle to upper thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27111	Transfer of muscle to upper thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27111	Transfer of muscle to upper thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27120	Repair of hip socket	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27120	Repair of hip socket	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27120	Repair of hip socket	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27122	Repair of hip socket with removal of head of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27122	Repair of hip socket with removal of head of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27122	Repair of hip socket with removal of head of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27125	Partial replacement of thigh bone at hip joint with prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27125	Partial replacement of thigh bone at hip joint with prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27125	Partial replacement of thigh bone at hip joint with prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
27130	Replacement of thigh bone and hip joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
27130	Replacement of thigh bone and hip joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
27130	Replacement of thigh bone and hip joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
27130	Replacement of thigh bone and hip joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
27130	Replacement of thigh bone and hip joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
27130	Replacement of thigh bone and hip joint prosthesis	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
27130	Replacement of thigh bone and hip joint prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	108
27132	Replacement of thigh bone and hip joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27132	Replacement of thigh bone and hip joint prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27132	Replacement of thigh bone and hip joint prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27134	Revision of thigh bone and hip joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27134	Revision of thigh bone and hip joint prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27134	Revision of thigh bone and hip joint prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27137	Revision of hip joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27137	Revision of hip joint prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27137	Revision of hip joint prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27138	Revision of thigh bone prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27138	Revision of thigh bone prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27138	Revision of thigh bone prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27140	Transfer of head of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27140	Transfer of head of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27140	Transfer of head of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27146	Incision of pelvic bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27146	Incision of pelvic bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27146	Incision of pelvic bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27147	"Incision of pelvic bone with repair of hip joint dislocation, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27147	"Incision of pelvic bone with repair of hip joint dislocation, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27147	"Incision of pelvic bone with repair of hip joint dislocation, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27151	Incision of pelvic and thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27151	Incision of pelvic and thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27151	Incision of pelvic and thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27156	"Incision of pelvic and thigh bone with repair of hip joint dislocation, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27156	"Incision of pelvic and thigh bone with repair of hip joint dislocation, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27156	"Incision of pelvic and thigh bone with repair of hip joint dislocation, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27158	Repair of pelvic bones on both sides	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27158	Repair of pelvic bones on both sides	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27158	Repair of pelvic bones on both sides	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27161	Incision of upper thigh bone at hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27161	Incision of upper thigh bone at hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27161	Incision of upper thigh bone at hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27165	Incision of upper thigh bone at hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27165	Incision of upper thigh bone at hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27165	Incision of upper thigh bone at hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
27170	Bone graft of upper thigh bone and hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27170	Bone graft of upper thigh bone and hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27170	Bone graft of upper thigh bone and hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27175	Treatment of slipped growth plate at upper thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27175	Treatment of slipped growth plate at upper thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27175	Treatment of slipped growth plate at upper thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27176	Surgical treatment of growth plate at upper thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27176	Surgical treatment of growth plate at upper thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27176	Surgical treatment of growth plate at upper thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27177	Open treatment of growth plate at upper thigh bone with pinning or bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27177	Open treatment of growth plate at upper thigh bone with pinning or bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27177	Open treatment of growth plate at upper thigh bone with pinning or bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27178	Open surgical treatment of growth plate at upper thigh bone with manipulation and pinning	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27178	Open surgical treatment of growth plate at upper thigh bone with manipulation and pinning	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27178	Open surgical treatment of growth plate at upper thigh bone with manipulation and pinning	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27179	Open treatment of growth plate at upper thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27179	Open treatment of growth plate at upper thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27179	Open treatment of growth plate at upper thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27181	Open treatment of growth plate at upper thigh bone with insertion of hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27181	Open treatment of growth plate at upper thigh bone with insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27181	Open treatment of growth plate at upper thigh bone with insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27185	Removal of growth plate of upper thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27185	Removal of growth plate of upper thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27185	Removal of growth plate of upper thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27187	Preventive fixation of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27187	Preventive fixation of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27187	Preventive fixation of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27197	Clsd tx pelvic ring fx	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
27197	Clsd tx pelvic ring fx	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		7
27197	Clsd tx pelvic ring fx	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		4
27197	Clsd tx pelvic ring fx	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		0
27197	Clsd tx pelvic ring fx	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		4
27197	Clsd tx pelvic ring fx	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
27197	Clsd tx pelvic ring fx	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		0
27197	Clsd tx pelvic ring fx	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		0
27198	Clsd tx pelvic ring fx	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
27198	Clsd tx pelvic ring fx	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		7
27198	Clsd tx pelvic ring fx	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		4
27198	Clsd tx pelvic ring fx	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		0
27198	Clsd tx pelvic ring fx	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		4
27198	Clsd tx pelvic ring fx	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
27198	Clsd tx pelvic ring fx	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		0
27198	Clsd tx pelvic ring fx	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		0
27200	Closed treatment of broken tailbone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27200	Closed treatment of broken tailbone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	12
27200	Closed treatment of broken tailbone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	41	41
27202	Open treatment of broken tailbone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27202	Open treatment of broken tailbone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27202	Open treatment of broken tailbone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
27215	Open treatment of broken bones on one side of pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		33
27215	Open treatment of broken bones on one side of pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27215	Open treatment of broken bones on one side of pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
27216	"Insertion of hardware to broken and/or dislocated bone on one side of pelvis, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		33
27216	"Insertion of hardware to broken and/or dislocated bone on one side of pelvis, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27216	"Insertion of hardware to broken and/or dislocated bone on one side of pelvis, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27217	Open treatment of fracture and/or dislocation on one side of pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		33
27217	Open treatment of fracture and/or dislocation on one side of pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27217	Open treatment of fracture and/or dislocation on one side of pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27218	Open treatment of fracture and/or dislocation on one side of pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		33
27218	Open treatment of fracture and/or dislocation on one side of pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27218	Open treatment of fracture and/or dislocation on one side of pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27220	Closed treatment of hip socket fractures	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	4
27220	Closed treatment of hip socket fractures	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
27220	Closed treatment of hip socket fractures	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
27220	Closed treatment of hip socket fractures	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
27220	Closed treatment of hip socket fractures	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
27220	Closed treatment of hip socket fractures	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
27220	Closed treatment of hip socket fractures	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
27220	Closed treatment of hip socket fractures	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
27220	Closed treatment of hip socket fractures	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
27220	Closed treatment of hip socket fractures	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
27220	Closed treatment of hip socket fractures	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	81	81
27222	Closed treatment of hip socket fractures with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27222	Closed treatment of hip socket fractures with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27222	Closed treatment of hip socket fractures with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27226	Open treatment of hip socket fracture with insertion of hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27226	Open treatment of hip socket fracture with insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27226	Open treatment of hip socket fracture with insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27227	Open treatment of hip socket fractures with insertion of hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27227	Open treatment of hip socket fractures with insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27227	Open treatment of hip socket fractures with insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27228	Open treatment of hip socket fractures with insertion of hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27228	Open treatment of hip socket fractures with insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27228	Open treatment of hip socket fractures with insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27230	Closed treatment of upper thigh bone fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27230	Closed treatment of upper thigh bone fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	12
27230	Closed treatment of upper thigh bone fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27232	Closed treatment of thigh bone fracture with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27232	Closed treatment of thigh bone fracture with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27232	Closed treatment of thigh bone fracture with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
27235	"Insertion of hardware to broken thigh bone, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27235	"Insertion of hardware to broken thigh bone, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27235	"Insertion of hardware to broken thigh bone, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27236	Open treatment of broken thigh bone with insertion of hardware or prosthetic replacement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27236	Open treatment of broken thigh bone with insertion of hardware or prosthetic replacement	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27236	Open treatment of broken thigh bone with insertion of hardware or prosthetic replacement	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27238	Closed treatment of fracture below neck of upper thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27238	Closed treatment of fracture below neck of upper thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27238	Closed treatment of fracture below neck of upper thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27240	Closed treatment of broken thigh bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27240	Closed treatment of broken thigh bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27240	Closed treatment of broken thigh bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27244	Surgical treatment of broken thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27244	Surgical treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27244	Surgical treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27245	Surgical treatment of broken thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27245	Surgical treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27245	Surgical treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27246	Closed treatment of broken thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27246	Closed treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	31	12
27246	Closed treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
27248	Open treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27248	Open treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27252	Closed treatment of hip dislocation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27252	Closed treatment of hip dislocation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27252	Closed treatment of hip dislocation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27253	Open treatment of traumatic hip dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27253	Open treatment of traumatic hip dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27253	Open treatment of traumatic hip dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27254	Open treatment of fracture and traumatic dislocation of hip socket and thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27254	Open treatment of fracture and traumatic dislocation of hip socket and thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27254	Open treatment of fracture and traumatic dislocation of hip socket and thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27256	Treatment of spontaneous hip dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	5
27256	Treatment of spontaneous hip dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	68	6
27256	Treatment of spontaneous hip dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
27257	Treatment of spontaneous hip dislocation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
27257	Treatment of spontaneous hip dislocation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27257	Treatment of spontaneous hip dislocation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
27258	Open treatment of spontaneous hip dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27258	Open treatment of spontaneous hip dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27258	Open treatment of spontaneous hip dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27259	Open treatment of spontaneous hip dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27259	Open treatment of spontaneous hip dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27259	Open treatment of spontaneous hip dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		161
27265	Closed treatment of dislocated hip prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27265	Closed treatment of dislocated hip prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27265	Closed treatment of dislocated hip prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27266	Closed treatment of dislocated hip prosthesis under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27266	Closed treatment of dislocated hip prosthesis under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27266	Closed treatment of dislocated hip prosthesis under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27267	Closed treatment of broken thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		35
27267	Closed treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27267	Closed treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27268	Closed treatment of fracture of upper portion and head of thigh bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		35
27268	Closed treatment of fracture of upper portion and head of thigh bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27268	Closed treatment of fracture of upper portion and head of thigh bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27269	Open treatment of fracture of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		35
27269	Open treatment of fracture of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27269	Open treatment of fracture of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27275	Manipulation of hip joint under general anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
27275	Manipulation of hip joint under general anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27275	Manipulation of hip joint under general anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
27279	"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
27279	"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
27279	"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
27279	"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
27279	"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
27279	"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
27279	"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	99
27280	"Arthrodesis, open, sacroiliac joint including obtaining bone graft"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
27280	"Arthrodesis, open, sacroiliac joint including obtaining bone graft"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
27280	"Arthrodesis, open, sacroiliac joint including obtaining bone graft"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
27280	"Arthrodesis, open, sacroiliac joint including obtaining bone graft"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
27280	"Arthrodesis, open, sacroiliac joint including obtaining bone graft"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
27280	"Arthrodesis, open, sacroiliac joint including obtaining bone graft"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
27280	"Arthrodesis, open, sacroiliac joint including obtaining bone graft"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
27280	"Arthrodesis, open, sacroiliac joint including obtaining bone graft"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
27282	Fusion of hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27282	Fusion of hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27282	Fusion of hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27284	Fusion of hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27284	Fusion of hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27284	Fusion of hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27286	Fusion of hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27286	Fusion of hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27286	Fusion of hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27290	Amputation of pelvic structures	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27290	Amputation of pelvic structures	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27290	Amputation of pelvic structures	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		149
27295	Detachment of hip joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27295	Detachment of hip joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27295	Detachment of hip joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27301	Drainage of abscess or blood collection at thigh or knee region	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27301	Drainage of abscess or blood collection at thigh or knee region	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	84	12
27301	Drainage of abscess or blood collection at thigh or knee region	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
27303	Incision of bone of thigh or knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27303	Incision of bone of thigh or knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27303	Incision of bone of thigh or knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27305	"Removal of tissue at thigh or knee region, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27305	"Removal of tissue at thigh or knee region, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27305	"Removal of tissue at thigh or knee region, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27306	"Incision of tendon of thigh or hamstring muscles, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27306	"Incision of tendon of thigh or hamstring muscles, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27306	"Incision of tendon of thigh or hamstring muscles, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
27307	"Incision of multiple tendons of thigh or hamstring muscles, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27307	"Incision of multiple tendons of thigh or hamstring muscles, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27307	"Incision of multiple tendons of thigh or hamstring muscles, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27310	"Exploration, drainage, or removal of foreign body in knee joint"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27310	"Exploration, drainage, or removal of foreign body in knee joint"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27310	"Exploration, drainage, or removal of foreign body in knee joint"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27323	Biopsy of thigh or knee region tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	30
27323	Biopsy of thigh or knee region tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
27323	Biopsy of thigh or knee region tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
27324	Biopsy of thigh or knee region tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27324	Biopsy of thigh or knee region tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27324	Biopsy of thigh or knee region tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27325	Removal of nerve of hamstring muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27325	Removal of nerve of hamstring muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27325	Removal of nerve of hamstring muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27326	Removal of nerve of calf muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27326	Removal of nerve of calf muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27326	Removal of nerve of calf muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27327	Removal (less than 3 centimeters) tissue growth beneath the skin of thigh or knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27327	Removal (less than 3 centimeters) tissue growth beneath the skin of thigh or knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
27327	Removal (less than 3 centimeters) tissue growth beneath the skin of thigh or knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
27328	Removal (less than 5 centimeters) muscle growth of thigh or knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27328	Removal (less than 5 centimeters) muscle growth of thigh or knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27328	Removal (less than 5 centimeters) muscle growth of thigh or knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
27329	Removal (less than 5 centimeters) tissue growth of thigh or knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27329	Removal (less than 5 centimeters) tissue growth of thigh or knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27329	Removal (less than 5 centimeters) tissue growth of thigh or knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27330	Biopsy of membrane covering knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27330	Biopsy of membrane covering knee joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27330	Biopsy of membrane covering knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27331	"Exploration, biopsy, or removal of loose or foreign body of knee"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27331	"Exploration, biopsy, or removal of loose or foreign body of knee"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27331	"Exploration, biopsy, or removal of loose or foreign body of knee"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27332	Removal of knee cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27332	Removal of knee cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27332	Removal of knee cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27333	Removal of knee cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27333	Removal of knee cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27333	Removal of knee cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27334	Removal of knee joint covering	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27334	Removal of knee joint covering	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27334	Removal of knee joint covering	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27335	Removal of knee joint covering	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27335	Removal of knee joint covering	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27335	Removal of knee joint covering	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27337	Removal (3 centimeters or greater) tissue growth beneath the skin of thigh or knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27337	Removal (3 centimeters or greater) tissue growth beneath the skin of thigh or knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27337	Removal (3 centimeters or greater) tissue growth beneath the skin of thigh or knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
27339	Removal (5 centimeters or greater) muscle growth of thigh or knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27339	Removal (5 centimeters or greater) muscle growth of thigh or knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27339	Removal (5 centimeters or greater) muscle growth of thigh or knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
27340	Removal of fluid-filled sac (bursa) below knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27340	Removal of fluid-filled sac (bursa) below knee joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27340	Removal of fluid-filled sac (bursa) below knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27345	Removal of cyst of membrane covering behind knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27345	Removal of cyst of membrane covering behind knee joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27345	Removal of cyst of membrane covering behind knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27347	Removal of growth of knee cartilage or capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27347	Removal of growth of knee cartilage or capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27347	Removal of growth of knee cartilage or capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27350	Removal of knee cap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27350	Removal of knee cap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27350	Removal of knee cap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27355	Removal or scraping of cyst or growth of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27355	Removal or scraping of cyst or growth of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27355	Removal or scraping of cyst or growth of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27356	Removal or scraping of cyst or growth of thigh bone with donor bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27356	Removal or scraping of cyst or growth of thigh bone with donor bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27356	Removal or scraping of cyst or growth of thigh bone with donor bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27357	Removal or scraping of cyst or growth of thigh bone with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27357	Removal or scraping of cyst or growth of thigh bone with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27357	Removal or scraping of cyst or growth of thigh bone with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27360	Partial removal of bone of thigh and/or lower leg bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27360	Partial removal of bone of thigh and/or lower leg bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27360	Partial removal of bone of thigh and/or lower leg bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27364	Removal (5 centimeters or greater) tissue growth of thigh or knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27364	Removal (5 centimeters or greater) tissue growth of thigh or knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27364	Removal (5 centimeters or greater) tissue growth of thigh or knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
27365	Removal of growth of thigh or knee bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27365	Removal of growth of thigh or knee bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27365	Removal of growth of thigh or knee bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
27369	Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography	Service  pre	L041B	Radiologic Technologist	0.52	"Confirm order, protocol exam"	0	0
27369	Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
27369	Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	3	0
27369	Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
27369	Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography	Service  pre	L041B	Radiologic Technologist	0.52	Provide education/obtain consent	3	0
27369	Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
27369	Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
27369	Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography	Service  post	L041B	Radiologic Technologist	0.52	"Review home care instructions, coordinate visits/prescriptions"	2	0
27369	Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	0	0
27372	Removal of foreign body of thigh or knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27372	Removal of foreign body of thigh or knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	92	6
27372	Removal of foreign body of thigh or knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
27380	Suture of tendon below knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27380	Suture of tendon below knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27380	Suture of tendon below knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27381	Suture of tendon below knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27381	Suture of tendon below knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27381	Suture of tendon below knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27385	Suture of ruptured muscle of thigh	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27385	Suture of ruptured muscle of thigh	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27385	Suture of ruptured muscle of thigh	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117.5
27386	Suture of ruptured muscle of thigh	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27386	Suture of ruptured muscle of thigh	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27386	Suture of ruptured muscle of thigh	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27390	"Repair of hamstring tendon, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27390	"Repair of hamstring tendon, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27390	"Repair of hamstring tendon, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27391	"Repair of multiple hamstring tendons, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27391	"Repair of multiple hamstring tendons, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27391	"Repair of multiple hamstring tendons, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27392	"Repair of multiple hamstring tendons of both legs, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27392	"Repair of multiple hamstring tendons of both legs, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27392	"Repair of multiple hamstring tendons of both legs, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27393	Lengthening of hamstring tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27393	Lengthening of hamstring tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27393	Lengthening of hamstring tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27394	Lengthening of multiple hamstring tendons in one leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27394	Lengthening of multiple hamstring tendons in one leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27394	Lengthening of multiple hamstring tendons in one leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27395	Lengthening of multiple hamstring tendons in both legs	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27395	Lengthening of multiple hamstring tendons in both legs	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27395	Lengthening of multiple hamstring tendons in both legs	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27396	Transplant or transfer of thigh tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27396	Transplant or transfer of thigh tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27396	Transplant or transfer of thigh tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27397	Transplant or transfer of multiple thigh tendons	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27397	Transplant or transfer of multiple thigh tendons	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27397	Transplant or transfer of multiple thigh tendons	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27400	Transfer of tendon or muscle in hamstring	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27400	Transfer of tendon or muscle in hamstring	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27400	Transfer of tendon or muscle in hamstring	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27403	Incision and repair of knee cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27403	Incision and repair of knee cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27403	Incision and repair of knee cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27405	Repair of torn collateral ligament and/or knee joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27405	Repair of torn collateral ligament and/or knee joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27405	Repair of torn collateral ligament and/or knee joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27407	Repair of torn cruciate ligament and/or knee joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27407	Repair of torn cruciate ligament and/or knee joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27407	Repair of torn cruciate ligament and/or knee joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27409	Repair of torn collateral and cruciate ligaments or knee joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27409	Repair of torn collateral and cruciate ligaments or knee joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27409	Repair of torn collateral and cruciate ligaments or knee joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27412	Implantation of patient's knee cartilage into knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
27412	Implantation of patient's knee cartilage into knee joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27412	Implantation of patient's knee cartilage into knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
27415	"Implantation of donor cartilage cells into knee bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
27415	"Implantation of donor cartilage cells into knee bone, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27415	"Implantation of donor cartilage cells into knee bone, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
27416	"Implantation of patient's knee cartilage cells into knee bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27416	"Implantation of patient's knee cartilage cells into knee bone, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27416	"Implantation of patient's knee cartilage cells into knee bone, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
27418	Repair of upper end of shin bone at knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27418	Repair of upper end of shin bone at knee joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27418	Repair of upper end of shin bone at knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27420	Repair of dislocating knee cap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27420	Repair of dislocating knee cap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27420	Repair of dislocating knee cap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27422	Repair of dislocating knee cap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27422	Repair of dislocating knee cap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27422	Repair of dislocating knee cap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27424	Reconstruction of dislocating knee cap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27424	Reconstruction of dislocating knee cap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27424	Reconstruction of dislocating knee cap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27425	"Release of ligaments of knee joint, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27425	"Release of ligaments of knee joint, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27425	"Release of ligaments of knee joint, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27427	Reconstruction of knee joint ligaments	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27427	Reconstruction of knee joint ligaments	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27427	Reconstruction of knee joint ligaments	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27428	"Reconstruction of knee joint ligaments, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27428	"Reconstruction of knee joint ligaments, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27428	"Reconstruction of knee joint ligaments, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
27429	"Reconstruction of knee joint ligaments, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27429	"Reconstruction of knee joint ligaments, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27429	"Reconstruction of knee joint ligaments, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		216
27430	Repair of muscle group above knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27430	Repair of muscle group above knee joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27430	Repair of muscle group above knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27435	Incision of back portion of knee joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27435	Incision of back portion of knee joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27435	Incision of back portion of knee joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27437	Repair of knee cap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27437	Repair of knee cap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27437	Repair of knee cap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27438	Repair of knee cap with insertion of prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27438	Repair of knee cap with insertion of prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27438	Repair of knee cap with insertion of prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27440	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27440	Repair of knee joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27440	Repair of knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27441	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27441	Repair of knee joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27441	Repair of knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27442	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27442	Repair of knee joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27442	Repair of knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27443	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27443	Repair of knee joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27443	Repair of knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27445	Repair of knee joint with hinged prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27445	Repair of knee joint with hinged prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27445	Repair of knee joint with hinged prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27446	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
27446	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
27446	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
27446	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
27446	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
27446	Repair of knee joint	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
27446	Repair of knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	125
27447	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
27447	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
27447	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
27447	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
27447	Repair of knee joint	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
27447	Repair of knee joint	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
27447	Repair of knee joint	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	108
27448	Repair of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27448	Repair of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27448	Repair of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27450	Repair of thigh bone with insertion of stabilizing fixation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27450	Repair of thigh bone with insertion of stabilizing fixation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27450	Repair of thigh bone with insertion of stabilizing fixation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27454	Repair of thigh bone with insertion of rod	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27454	Repair of thigh bone with insertion of rod	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27454	Repair of thigh bone with insertion of rod	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27455	Incision or correction of deformity of upper shin bone (prior to growth plate closure)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27455	Incision or correction of deformity of upper shin bone (prior to growth plate closure)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27455	Incision or correction of deformity of upper shin bone (prior to growth plate closure)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27457	Incision or correction of deformity of upper shin bone (after growth plate closure)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27457	Incision or correction of deformity of upper shin bone (after growth plate closure)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27457	Incision or correction of deformity of upper shin bone (after growth plate closure)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27465	Shortening of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27465	Shortening of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27465	Shortening of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
27466	Lengthening of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27466	Lengthening of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27466	Lengthening of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27468	Shortening and lengthening of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27468	Shortening and lengthening of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27468	Shortening and lengthening of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27470	Repair of non-healed fracture of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27470	Repair of non-healed fracture of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27470	Repair of non-healed fracture of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27472	Repair of non-healed fracture of thigh bone with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27472	Repair of non-healed fracture of thigh bone with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27472	Repair of non-healed fracture of thigh bone with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27475	Removal of growth plate of lower end of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27475	Removal of growth plate of lower end of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27475	Removal of growth plate of lower end of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27477	Removal of growth plate of both leg bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27477	Removal of growth plate of both leg bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27477	Removal of growth plate of both leg bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27479	Removal of growth plate of leg and thigh bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27479	Removal of growth plate of leg and thigh bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27479	Removal of growth plate of leg and thigh bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27485	Removal of growth plate of leg or thigh bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27485	Removal of growth plate of leg or thigh bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27485	Removal of growth plate of leg or thigh bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27486	Revision of one component of total knee joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27486	Revision of one component of total knee joint prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27486	Revision of one component of total knee joint prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27487	Revision of lower thigh bone and both shin bone components of total knee joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27487	Revision of lower thigh bone and both shin bone components of total knee joint prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27487	Revision of lower thigh bone and both shin bone components of total knee joint prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27488	Removal of total knee joint prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27488	Removal of total knee joint prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27488	Removal of total knee joint prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27495	Strengthening of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27495	Strengthening of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27495	Strengthening of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27496	Incision of tissue of thigh and/or knee muscle compartment	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27496	Incision of tissue of thigh and/or knee muscle compartment	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27496	Incision of tissue of thigh and/or knee muscle compartment	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27497	Incision of tissue of thigh and/or knee muscle compartment with removal of muscle and/or nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27497	Incision of tissue of thigh and/or knee muscle compartment with removal of muscle and/or nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27497	Incision of tissue of thigh and/or knee muscle compartment with removal of muscle and/or nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27498	Incision of tissue of multiple thigh and/or knee muscle compartments	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27498	Incision of tissue of multiple thigh and/or knee muscle compartments	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27498	Incision of tissue of multiple thigh and/or knee muscle compartments	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27499	Incision of tissue of multiple thigh and/or knee muscle compartments with removal of muscle and/or nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27499	Incision of tissue of multiple thigh and/or knee muscle compartments with removal of muscle and/or nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27499	Incision of tissue of multiple thigh and/or knee muscle compartments with removal of muscle and/or nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27500	Closed treatment of thigh bone fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27500	Closed treatment of thigh bone fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	12
27500	Closed treatment of thigh bone fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
27501	Closed treatment of broken thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27501	Closed treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	25	12
27501	Closed treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
27502	Closed treatment of broken thigh bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27502	Closed treatment of broken thigh bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27502	Closed treatment of broken thigh bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27503	Closed treatment of broken thigh bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27503	Closed treatment of broken thigh bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27503	Closed treatment of broken thigh bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27506	Open treatment of broken thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27506	Open treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27506	Open treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
27507	Open treatment of broken thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27507	Open treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27507	Open treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27508	Closed treatment of broken thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27508	Closed treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	12
27508	Closed treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27509	"Insertion of hardware to stabilize broken thigh bone or separated growth plate, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27509	"Insertion of hardware to stabilize broken thigh bone or separated growth plate, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27509	"Insertion of hardware to stabilize broken thigh bone or separated growth plate, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27510	Closed treatment of broken thigh bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27510	Closed treatment of broken thigh bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27510	Closed treatment of broken thigh bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27511	Open treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27511	Open treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27513	Open treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27513	Open treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27514	Open treatment of broken thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27514	Open treatment of broken thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27516	Closed treatment of growth plate separation at end of thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27516	Closed treatment of growth plate separation at end of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	12
27516	Closed treatment of growth plate separation at end of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
27517	Closed treatment of growth plate separation at end of thigh bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27517	Closed treatment of growth plate separation at end of thigh bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27517	Closed treatment of growth plate separation at end of thigh bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27519	Open treatment of growth plate separation at end of thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27519	Open treatment of growth plate separation at end of thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27520	Closed treatment of knee cap fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27520	Closed treatment of knee cap fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	54	6
27520	Closed treatment of knee cap fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
27524	Open treatment of knee cap fracture with insertion of hardware and/or removal of knee cap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27524	Open treatment of knee cap fracture with insertion of hardware and/or removal of knee cap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27524	Open treatment of knee cap fracture with insertion of hardware and/or removal of knee cap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27530	Closed treatment of fracture of shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27530	Closed treatment of fracture of shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
27530	Closed treatment of fracture of shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27532	Closed treatment of fracture of shin bone with traction	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27532	Closed treatment of fracture of shin bone with traction	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	12
27532	Closed treatment of fracture of shin bone with traction	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27535	Open treatment of broken shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27535	Open treatment of broken shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27536	Open treatment of broken shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27536	Open treatment of broken shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27536	Open treatment of broken shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27538	Closed treatment of broken shin bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27538	Closed treatment of broken shin bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	12
27538	Closed treatment of broken shin bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
27540	Open treatment of broken shin bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27540	Open treatment of broken shin bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27540	Open treatment of broken shin bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27550	Closed treatment of knee dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27550	Closed treatment of knee dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	6
27550	Closed treatment of knee dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
27552	Closed treatment of knee dislocation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27552	Closed treatment of knee dislocation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27552	Closed treatment of knee dislocation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27556	Open treatment of knee dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27556	Open treatment of knee dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27557	Open treatment of knee dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27557	Open treatment of knee dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27558	Open treatment of knee dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27558	Open treatment of knee dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27560	Closed treatment of dislocation of knee cap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27560	Closed treatment of dislocation of knee cap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	6
27560	Closed treatment of dislocation of knee cap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
27562	Closed treatment of knee cap dislocation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27562	Closed treatment of knee cap dislocation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27562	Closed treatment of knee cap dislocation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27566	Open treatment of knee cap dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27566	Open treatment of knee cap dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27566	Open treatment of knee cap dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27570	Alignment of knee joint under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
27570	Alignment of knee joint under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27570	Alignment of knee joint under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
27580	Fusion of knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27580	Fusion of knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27580	Fusion of knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27590	Amputation of thigh through thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27590	Amputation of thigh through thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27590	Amputation of thigh through thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27591	Amputation of thigh through thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27591	Amputation of thigh through thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27591	Amputation of thigh through thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27592	"Amputation of thigh through thigh bone, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27592	"Amputation of thigh through thigh bone, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27592	"Amputation of thigh through thigh bone, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27594	Amputation of thigh through thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27594	Amputation of thigh through thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27594	Amputation of thigh through thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27596	Re-amputation of thigh through thigh bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27596	Re-amputation of thigh through thigh bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27596	Re-amputation of thigh through thigh bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27598	Detachment of knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27598	Detachment of knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27598	Detachment of knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27600	Incision of tissue of front and/or lateral muscle compartments of lower leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27600	Incision of tissue of front and/or lateral muscle compartments of lower leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27600	Incision of tissue of front and/or lateral muscle compartments of lower leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27601	Incision of tissue of rear muscle compartments of lower leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27601	Incision of tissue of rear muscle compartments of lower leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27601	Incision of tissue of rear muscle compartments of lower leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27602	Incision of tissue of front and/or lateral and rear muscle compartments of lower leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27602	Incision of tissue of front and/or lateral and rear muscle compartments of lower leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27602	Incision of tissue of front and/or lateral and rear muscle compartments of lower leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27603	Drainage of abscess or blood collection at lower leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27603	Drainage of abscess or blood collection at lower leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	12
27603	Drainage of abscess or blood collection at lower leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
27604	Drainage of infected fluid-filled sac (bursa) of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27604	Drainage of infected fluid-filled sac (bursa) of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	12
27604	Drainage of infected fluid-filled sac (bursa) of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
27605	"Incision of Achilles tendon, accessed through the skin using local anesthetic"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
27605	"Incision of Achilles tendon, accessed through the skin using local anesthetic"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	6
27605	"Incision of Achilles tendon, accessed through the skin using local anesthetic"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
27606	"Incision of Achilles tendon, accessed through the skin requiring general anesthesia"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
27606	"Incision of Achilles tendon, accessed through the skin requiring general anesthesia"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27606	"Incision of Achilles tendon, accessed through the skin requiring general anesthesia"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
27607	Incision of bone of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27607	Incision of bone of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27607	Incision of bone of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27610	"Exploration, drainage, or removal of foreign body of ankle"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27610	"Exploration, drainage, or removal of foreign body of ankle"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27610	"Exploration, drainage, or removal of foreign body of ankle"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27612	Release of ankle joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27612	Release of ankle joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27612	Release of ankle joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27613	Biopsy of soft tissue of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	30
27613	Biopsy of soft tissue of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	6
27613	Biopsy of soft tissue of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
27614	Biopsy of tissue or muscle of lower leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27614	Biopsy of tissue or muscle of lower leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	98	6
27614	Biopsy of tissue or muscle of lower leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
27615	Removal (less than 5 centimeters) tissue growth of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27615	Removal (less than 5 centimeters) tissue growth of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27615	Removal (less than 5 centimeters) tissue growth of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27616	Removal (5 centimeters or greater) tissue growth of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27616	Removal (5 centimeters or greater) tissue growth of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27616	Removal (5 centimeters or greater) tissue growth of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
27618	Removal (less than 3 centimeters) tissue growth beneath the skin of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27618	Removal (less than 3 centimeters) tissue growth beneath the skin of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
27618	Removal (less than 3 centimeters) tissue growth beneath the skin of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
27619	Removal of (less than 5 centimeters) muscle growth of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27619	Removal of (less than 5 centimeters) muscle growth of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27619	Removal of (less than 5 centimeters) muscle growth of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
27620	Exploration of ankle joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27620	Exploration of ankle joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27620	Exploration of ankle joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27625	Removal of membrane covering of ankle joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27625	Removal of membrane covering of ankle joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27625	Removal of membrane covering of ankle joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27626	Removal of membrane covering ankle joint and tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27626	Removal of membrane covering ankle joint and tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27626	Removal of membrane covering ankle joint and tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27630	Removal of growth of leg and/or ankle tendon lining or capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27630	Removal of growth of leg and/or ankle tendon lining or capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
27630	Removal of growth of leg and/or ankle tendon lining or capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
27632	Removal (3 centimeters or greater) tissue growth beneath the skin of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27632	Removal (3 centimeters or greater) tissue growth beneath the skin of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27632	Removal (3 centimeters or greater) tissue growth beneath the skin of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
27634	Removal (5 centimeters or greater) muscle growth of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27634	Removal (5 centimeters or greater) muscle growth of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27634	Removal (5 centimeters or greater) muscle growth of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
27635	Removal or scraping of cyst or growth of either bone of lower leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27635	Removal or scraping of cyst or growth of either bone of lower leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27635	Removal or scraping of cyst or growth of either bone of lower leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27637	Removal or scraping of cyst or growth of either bone of lower leg with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27637	Removal or scraping of cyst or growth of either bone of lower leg with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27637	Removal or scraping of cyst or growth of either bone of lower leg with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27638	Removal or scraping of cyst or growth of either bone of lower leg with donor bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27638	Removal or scraping of cyst or growth of either bone of lower leg with donor bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27638	Removal or scraping of cyst or growth of either bone of lower leg with donor bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27640	Partial removal of shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27640	Partial removal of shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27640	Partial removal of shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27641	Partial removal of leg bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27641	Partial removal of leg bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27641	Partial removal of leg bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27645	Removal of growth of shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27645	Removal of growth of shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27645	Removal of growth of shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
27646	Removal of leg bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27646	Removal of leg bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27646	Removal of leg bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
27647	Removal of heel bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27647	Removal of heel bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27647	Removal of heel bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
27648	Injection for X-ray imaging of ankle	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	30	0
27648	Injection for X-ray imaging of ankle	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	3	0
27650	"Repair of ruptured Achilles tendon, open or through skin procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27650	"Repair of ruptured Achilles tendon, open or through skin procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27650	"Repair of ruptured Achilles tendon, open or through skin procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
27652	"Repair of ruptured Achilles tendon with graft, open or through skin procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27652	"Repair of ruptured Achilles tendon with graft, open or through skin procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27652	"Repair of ruptured Achilles tendon with graft, open or through skin procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27654	Repair of ruptured Achilles tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27654	Repair of ruptured Achilles tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27654	Repair of ruptured Achilles tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
27656	Repair of leg tissue defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27656	Repair of leg tissue defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	94	6
27656	Repair of leg tissue defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
27658	Repair of leg tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27658	Repair of leg tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27658	Repair of leg tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27659	Repair of leg tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27659	Repair of leg tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27659	Repair of leg tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27664	Repair of leg tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27664	Repair of leg tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27664	Repair of leg tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27665	Repair of leg tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27665	Repair of leg tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27665	Repair of leg tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27675	Repair of dislocating lower leg tendons	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27675	Repair of dislocating lower leg tendons	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27675	Repair of dislocating lower leg tendons	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27676	Repair of dislocating lower leg tendons	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27676	Repair of dislocating lower leg tendons	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27676	Repair of dislocating lower leg tendons	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27680	Release of leg and/or ankle tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27680	Release of leg and/or ankle tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27680	Release of leg and/or ankle tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27681	Release of multiple tendons of leg and/or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27681	Release of multiple tendons of leg and/or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27681	Release of multiple tendons of leg and/or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27685	Lengthening or shortening of tendon of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27685	Lengthening or shortening of tendon of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	94	6
27685	Lengthening or shortening of tendon of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27686	Lengthening or shortening of multiple tendons of leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27686	Lengthening or shortening of multiple tendons of leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27686	Lengthening or shortening of multiple tendons of leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27687	Lengthening of calf muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27687	Lengthening of calf muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27687	Lengthening of calf muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27690	Transplant of tendon and muscle rerouting at lower leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27690	Transplant of tendon and muscle rerouting at lower leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27690	Transplant of tendon and muscle rerouting at lower leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
27691	Transplant of deep tendon with muscle rerouting at lower leg or ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27691	Transplant of deep tendon with muscle rerouting at lower leg or ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27691	Transplant of deep tendon with muscle rerouting at lower leg or ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
27695	Repair of disrupted collateral ligament of ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27695	Repair of disrupted collateral ligament of ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27695	Repair of disrupted collateral ligament of ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27696	Repair of disruption of both collateral ligaments of ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27696	Repair of disruption of both collateral ligaments of ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27696	Repair of disruption of both collateral ligaments of ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27698	Repair of disrupted collateral ligament of ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27698	Repair of disrupted collateral ligament of ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27698	Repair of disrupted collateral ligament of ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27700	Repair of ankle joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27700	Repair of ankle joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27700	Repair of ankle joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27702	Repair of ankle joint with prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27702	Repair of ankle joint with prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27702	Repair of ankle joint with prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27703	Repair of ankle joint with revision of prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27703	Repair of ankle joint with revision of prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27703	Repair of ankle joint with revision of prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27704	Removal of ankle implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27704	Removal of ankle implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27704	Removal of ankle implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27705	Incision of shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27705	Incision of shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27705	Incision of shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27707	Incision of leg bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27707	Incision of leg bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27707	Incision of leg bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27709	Incision of shin and outer lower leg bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27709	Incision of shin and outer lower leg bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27709	Incision of shin and outer lower leg bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
27712	Insertion of rod in shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27712	Insertion of rod in shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27712	Insertion of rod in shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27715	Lengthening or shortening of lower leg bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27715	Lengthening or shortening of lower leg bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27715	Lengthening or shortening of lower leg bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27720	Repair of non-healed fracture of shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27720	Repair of non-healed fracture of shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27720	Repair of non-healed fracture of shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27722	Repair of non-healed shin bone with shin bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27722	Repair of non-healed shin bone with shin bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27722	Repair of non-healed shin bone with shin bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27724	Repair of non-healed shin bone with graft from hip or other bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27724	Repair of non-healed shin bone with graft from hip or other bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27724	Repair of non-healed shin bone with graft from hip or other bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
27725	Union of lower leg bones to repair non-healed bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27725	Union of lower leg bones to repair non-healed bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27725	Union of lower leg bones to repair non-healed bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		178
27726	Repair of non-healed shin bone with insertion of hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27726	Repair of non-healed shin bone with insertion of hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27726	Repair of non-healed shin bone with insertion of hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27727	Repair of congenital nonunion of shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27727	Repair of congenital nonunion of shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27727	Repair of congenital nonunion of shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27730	"Scraping or stapling of shin bone growth plate, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27730	"Scraping or stapling of shin bone growth plate, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27730	"Scraping or stapling of shin bone growth plate, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27732	"Scraping or stapling of leg bone growth plate, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27732	"Scraping or stapling of leg bone growth plate, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27732	"Scraping or stapling of leg bone growth plate, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
27734	"Scraping or stapling of growth plates of leg bones, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27734	"Scraping or stapling of growth plates of leg bones, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27734	"Scraping or stapling of growth plates of leg bones, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27740	Scraping or stapling of growth plates at upper and lower leg bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27740	Scraping or stapling of growth plates at upper and lower leg bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27740	Scraping or stapling of growth plates at upper and lower leg bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27742	Scraping or stapling of growth plates at lower thigh bone and upper and lower leg bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27742	Scraping or stapling of growth plates at lower thigh bone and upper and lower leg bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27742	Scraping or stapling of growth plates at lower thigh bone and upper and lower leg bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27745	Insertion of hardware to shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27745	Insertion of hardware to shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27745	Insertion of hardware to shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27750	Closed treatment of broken shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27750	Closed treatment of broken shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	12
27750	Closed treatment of broken shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
27752	Closed treatment of broken shin bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27752	Closed treatment of broken shin bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	76	12
27752	Closed treatment of broken shin bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27756	"Insertion of fixation to broken shin bone, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27756	"Insertion of fixation to broken shin bone, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27756	"Insertion of fixation to broken shin bone, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27758	Open treatment of broken shin bone with plate or screws	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27758	Open treatment of broken shin bone with plate or screws	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27758	Open treatment of broken shin bone with plate or screws	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27759	Treatment of broken shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27759	Treatment of broken shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27759	Treatment of broken shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27760	Closed treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27760	Closed treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
27760	Closed treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27762	Closed treatment of broken ankle with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27762	Closed treatment of broken ankle with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	6
27762	Closed treatment of broken ankle with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
27766	Open treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27766	Open treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27766	Open treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
27767	Closed treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	60
27767	Closed treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	24	6
27767	Closed treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	141	117
27768	Closed treatment of broken ankle with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27768	Closed treatment of broken ankle with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27768	Closed treatment of broken ankle with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27769	Open treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27769	Open treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27769	Open treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
27780	Closed treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27780	Closed treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	54	6
27780	Closed treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
27781	Closed treatment of broken ankle with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27781	Closed treatment of broken ankle with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	64	12
27781	Closed treatment of broken ankle with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27784	Open treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27784	Open treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27784	Open treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
27786	Closed treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27786	Closed treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
27786	Closed treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
27788	Closed treatment of broken ankle with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27788	Closed treatment of broken ankle with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
27788	Closed treatment of broken ankle with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27792	Open treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27792	Open treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27792	Open treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
27808	Closed treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27808	Closed treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
27808	Closed treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27810	Closed treatment of broken ankle with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27810	Closed treatment of broken ankle with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	12
27810	Closed treatment of broken ankle with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27814	Open treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27814	Open treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27814	Open treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
27816	Closed treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27816	Closed treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	6
27816	Closed treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
27818	Closed treatment of broken ankle with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27818	Closed treatment of broken ankle with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	79	6
27818	Closed treatment of broken ankle with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
27822	Open treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27822	Open treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27822	Open treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27823	Open treatment of broken ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27823	Open treatment of broken ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27823	Open treatment of broken ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27824	Closed treatment of fracture of lower weight bearing joint of shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27824	Closed treatment of fracture of lower weight bearing joint of shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	12
27824	Closed treatment of fracture of lower weight bearing joint of shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
27825	Closed treatment of fracture of lower weight bearing joint of shin bone with traction and/or manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27825	Closed treatment of fracture of lower weight bearing joint of shin bone with traction and/or manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	87	12
27825	Closed treatment of fracture of lower weight bearing joint of shin bone with traction and/or manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
27826	Open treatment of fracture of lower weight bearing joint of fibula (smaller lower leg bone)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27826	Open treatment of fracture of lower weight bearing joint of fibula (smaller lower leg bone)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27826	Open treatment of fracture of lower weight bearing joint of fibula (smaller lower leg bone)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27827	Open treatment of fracture of lower weight bearing joint of shin bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27827	Open treatment of fracture of lower weight bearing joint of shin bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27827	Open treatment of fracture of lower weight bearing joint of shin bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		171
27828	Open treatment of fracture of lower weight bearing joint of both lower leg bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27828	Open treatment of fracture of lower weight bearing joint of both lower leg bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27828	Open treatment of fracture of lower weight bearing joint of both lower leg bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		171
27829	Open treatment of ligament tear at ankle joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27829	Open treatment of ligament tear at ankle joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27829	Open treatment of ligament tear at ankle joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
27830	Closed treatment of knee joint dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
27830	Closed treatment of knee joint dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	6
27830	Closed treatment of knee joint dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
27831	Closed treatment of knee joint dislocation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27831	Closed treatment of knee joint dislocation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27831	Closed treatment of knee joint dislocation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
27832	Open treatment of knee joint dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27832	Open treatment of knee joint dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27832	Open treatment of knee joint dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
27840	Closed treatment of ankle dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27840	Closed treatment of ankle dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27840	Closed treatment of ankle dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27842	Closed treatment of ankle dislocation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27842	Closed treatment of ankle dislocation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27842	Closed treatment of ankle dislocation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27846	Open treatment of ankle dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27846	Open treatment of ankle dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27846	Open treatment of ankle dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27848	Open treatment of ankle dislocation with repair or internal or external hardware	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27848	Open treatment of ankle dislocation with repair or internal or external hardware	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27848	Open treatment of ankle dislocation with repair or internal or external hardware	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27860	Manipulation of ankle under general anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
27860	Manipulation of ankle under general anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
27860	Manipulation of ankle under general anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
27870	"Fusion of ankle joint, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27870	"Fusion of ankle joint, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27870	"Fusion of ankle joint, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
27871	Fusion of foreleg bones at knee or ankle joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27871	Fusion of foreleg bones at knee or ankle joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27871	Fusion of foreleg bones at knee or ankle joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27880	Amputation of both lower leg bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27880	Amputation of both lower leg bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27880	Amputation of both lower leg bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
27881	Amputation of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27881	Amputation of leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27881	Amputation of leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
27882	"Amputation of leg, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27882	"Amputation of leg, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27882	"Amputation of leg, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27884	Amputation of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27884	Amputation of leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27884	Amputation of leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27886	Re-amputation of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27886	Re-amputation of leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27886	Re-amputation of leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27888	Amputation of foot at ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27888	Amputation of foot at ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27888	Amputation of foot at ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27889	Amputation of foot at ankle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27889	Amputation of foot at ankle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27889	Amputation of foot at ankle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
27892	Incision of tissue of front and/or lateral muscle compartments of lower leg with removal of muscle and/or nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27892	Incision of tissue of front and/or lateral muscle compartments of lower leg with removal of muscle and/or nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27892	Incision of tissue of front and/or lateral muscle compartments of lower leg with removal of muscle and/or nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27893	Incision of tissue of rear muscle compartments of lower leg with removal of muscle and/or nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27893	Incision of tissue of rear muscle compartments of lower leg with removal of muscle and/or nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27893	Incision of tissue of rear muscle compartments of lower leg with removal of muscle and/or nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
27894	Incision of tissue of front and/or lateral and rear muscle compartments of lower leg with removal of muscle and/or nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
27894	Incision of tissue of front and/or lateral and rear muscle compartments of lower leg with removal of muscle and/or nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
27894	Incision of tissue of front and/or lateral and rear muscle compartments of lower leg with removal of muscle and/or nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
28001	Drainage of fluid-filled sac (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
28001	Drainage of fluid-filled sac (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
28001	Drainage of fluid-filled sac (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
28001	Drainage of fluid-filled sac (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	3
28001	Drainage of fluid-filled sac (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
28001	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
28001	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
28001	Drainage of fluid-filled sac (bursa) of foot	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
28002	Drainage of fluid-filled sac (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
28002	Drainage of fluid-filled sac (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28002	Drainage of fluid-filled sac (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	10
28002	Drainage of fluid-filled sac (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
28002	Drainage of fluid-filled sac (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
28002	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2	0
28002	Drainage of fluid-filled sac (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
28002	Drainage of fluid-filled sac (bursa) of foot	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	10
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	45	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
28003	Drainage of multiple fluid-filled sacs (bursa) of foot	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
28005	Incision of foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28005	Incision of foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28005	Incision of foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
28008	Incision of tissues of muscle compartment of foot and/or toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28008	Incision of tissues of muscle compartment of foot and/or toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	87	6
28008	Incision of tissues of muscle compartment of foot and/or toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28010	"Repair of toe tendon, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28010	"Repair of toe tendon, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	6
28010	"Repair of toe tendon, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28011	"Repair of multiple toe tendons, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28011	"Repair of multiple toe tendons, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	66	6
28011	"Repair of multiple toe tendons, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28020	"Incision of foot bone at ankle joint with exploration, drainage, or removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28020	"Incision of foot bone at ankle joint with exploration, drainage, or removal of foreign body"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	6
28020	"Incision of foot bone at ankle joint with exploration, drainage, or removal of foreign body"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28022	"Exploration, drainage, or removal of foreign body of foot"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28022	"Exploration, drainage, or removal of foreign body of foot"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	85	6
28022	"Exploration, drainage, or removal of foreign body of foot"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28024	"Exploration, drainage, or removal of foreign body of toe joint"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28024	"Exploration, drainage, or removal of foreign body of toe joint"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	6
28024	"Exploration, drainage, or removal of foreign body of toe joint"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28035	Release of nerve between tissue and bone of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28035	Release of nerve between tissue and bone of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	90	6
28035	Release of nerve between tissue and bone of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28039	Removal (1.5 centimeters or greater) tissue growth beneath the skin of foot or toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28039	Removal (1.5 centimeters or greater) tissue growth beneath the skin of foot or toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
28039	Removal (1.5 centimeters or greater) tissue growth beneath the skin of foot or toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
28041	Removal (1.5 centimeters or greater) muscle growth of foot or toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28041	Removal (1.5 centimeters or greater) muscle growth of foot or toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28041	Removal (1.5 centimeters or greater) muscle growth of foot or toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
28043	Removal (less than 1.5 centimeters) tissue growth beneath the skin of foot or toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28043	Removal (less than 1.5 centimeters) tissue growth beneath the skin of foot or toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
28043	Removal (less than 1.5 centimeters) tissue growth beneath the skin of foot or toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
28045	Removal (less than 1.5 centimeters) muscle growth of foot or toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28045	Removal (less than 1.5 centimeters) muscle growth of foot or toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
28045	Removal (less than 1.5 centimeters) muscle growth of foot or toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
28046	Removal (less than 3 centimeters) tissue growth of foot or toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28046	Removal (less than 3 centimeters) tissue growth of foot or toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28046	Removal (less than 3 centimeters) tissue growth of foot or toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
28047	Removal (3 centimeters or greater) tissue growth of foot or toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28047	Removal (3 centimeters or greater) tissue growth of foot or toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28047	Removal (3 centimeters or greater) tissue growth of foot or toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
28050	Biopsy of foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28050	Biopsy of foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	83	6
28050	Biopsy of foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28052	Biopsy of foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28052	Biopsy of foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	6
28052	Biopsy of foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28054	Biopsy of toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28054	Biopsy of toe joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	74	6
28054	Biopsy of toe joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28055	Removal of nerve of foot muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28055	Removal of nerve of foot muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28055	Removal of nerve of foot muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
28060	Partial removal of tissue at sole of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28060	Partial removal of tissue at sole of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	6
28060	Partial removal of tissue at sole of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28062	Removal of tissue at sole of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28062	Removal of tissue at sole of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	130	6
28062	Removal of tissue at sole of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28070	Removal of joint lining of foot bone at ankle joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28070	Removal of joint lining of foot bone at ankle joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	97	6
28070	Removal of joint lining of foot bone at ankle joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28072	Removal of joint lining at first joint of toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28072	Removal of joint lining at first joint of toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	92	6
28072	Removal of joint lining at first joint of toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28080	Removal of fibrous nerve growth from between toes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28080	Removal of fibrous nerve growth from between toes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	6
28080	Removal of fibrous nerve growth from between toes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	160	160
28086	Removal of foot tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28086	Removal of foot tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	6
28086	Removal of foot tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28088	Removal of foot tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28088	Removal of foot tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	6
28088	Removal of foot tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28090	Removal of growth of tendon covering or joint capsule of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28090	Removal of growth of tendon covering or joint capsule of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	6
28090	Removal of growth of tendon covering or joint capsule of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28092	Removal of growth of tendon covering or joint capsule of toes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28092	Removal of growth of tendon covering or joint capsule of toes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	6
28092	Removal of growth of tendon covering or joint capsule of toes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28100	Removal or scraping of bone cyst or growth of heel bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28100	Removal or scraping of bone cyst or growth of heel bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	109	6
28100	Removal or scraping of bone cyst or growth of heel bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28102	Removal or scraping of bone cyst or growth of heel bone with graft from hip or other bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28102	Removal or scraping of bone cyst or growth of heel bone with graft from hip or other bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28102	Removal or scraping of bone cyst or growth of heel bone with graft from hip or other bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
28103	Removal or scraping of bone cyst or growth of heel bone with donor bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28103	Removal or scraping of bone cyst or growth of heel bone with donor bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28103	Removal or scraping of bone cyst or growth of heel bone with donor bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
28104	Removal or scraping of bone cyst or growth of ankle bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28104	Removal or scraping of bone cyst or growth of ankle bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	97	6
28104	Removal or scraping of bone cyst or growth of ankle bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28106	Removal or scraping of bone cyst or growth of ankle bone with graft from hip or other bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28106	Removal or scraping of bone cyst or growth of ankle bone with graft from hip or other bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28106	Removal or scraping of bone cyst or growth of ankle bone with graft from hip or other bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
28107	Removal or scraping of bone cyst or growth of foot bone with donor bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28107	Removal or scraping of bone cyst or growth of foot bone with donor bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	126	6
28107	Removal or scraping of bone cyst or growth of foot bone with donor bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28108	Removal or scraping of bone cyst or growth of toes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28108	Removal or scraping of bone cyst or growth of toes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	6
28108	Removal or scraping of bone cyst or growth of toes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28110	Removal of bunion at fifth toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28110	Removal of bunion at fifth toe joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	6
28110	Removal of bunion at fifth toe joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28111	Removal of bone at fifth toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28111	Removal of bone at fifth toe joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	6
28111	Removal of bone at fifth toe joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28112	"Removal of bones at second, third, or fourth toe joints"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28112	"Removal of bones at second, third, or fourth toe joints"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	6
28112	"Removal of bones at second, third, or fourth toe joints"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28113	Removal of foot bone at fifth toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28113	Removal of foot bone at fifth toe joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
28113	Removal of foot bone at fifth toe joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	171	171
28114	Removal of multiple foot bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28114	Removal of multiple foot bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	135	6
28114	Removal of multiple foot bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	267	267
28116	Removal of abnormal bones at ankle joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28116	Removal of abnormal bones at ankle joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	125	6
28116	Removal of abnormal bones at ankle joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
28118	Removal of heel bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28118	Removal of heel bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	101	6
28118	Removal of heel bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28119	Removal of heel bone spur	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28119	Removal of heel bone spur	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	97	6
28119	Removal of heel bone spur	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28120	Partial removal of foot or heel bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28120	Partial removal of foot or heel bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	95	6
28120	Partial removal of foot or heel bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
28122	Partial removal of foot or heel bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28122	Partial removal of foot or heel bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	85	6
28122	Partial removal of foot or heel bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
28124	Partial removal of toe bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28124	Partial removal of toe bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	79	6
28124	Partial removal of toe bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
28126	Removal of bone at base of toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28126	Removal of bone at base of toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	74	6
28126	Removal of bone at base of toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28130	Removal of ankle joint bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28130	Removal of ankle joint bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28130	Removal of ankle joint bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
28140	Removal of foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28140	Removal of foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	103	12
28140	Removal of foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28150	Removal of toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28150	Removal of toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	6
28150	Removal of toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28153	Partial removal of toe bone joints	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28153	Partial removal of toe bone joints	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	74	6
28153	Partial removal of toe bone joints	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28160	Partial removal of toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28160	Partial removal of toe joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	6
28160	Partial removal of toe joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28171	"Extensive removal of bone growth, middle portion of foot"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28171	"Extensive removal of bone growth, middle portion of foot"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28171	"Extensive removal of bone growth, middle portion of foot"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
28173	Removal of bone growth of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28173	Removal of bone growth of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28173	Removal of bone growth of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
28175	Removal of bone growth of toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28175	Removal of bone growth of toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28175	Removal of bone growth of toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
28190	"Removal of foreign body of foot tissue, accessed beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	30
28190	"Removal of foreign body of foot tissue, accessed beneath the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
28190	"Removal of foreign body of foot tissue, accessed beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
28192	Removal of foreign body of foot tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28192	Removal of foreign body of foot tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	86	6
28192	Removal of foreign body of foot tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28193	Removal of foreign body of foot tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28193	Removal of foreign body of foot tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	103	6
28193	Removal of foreign body of foot tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28200	Repair of foot tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28200	Repair of foot tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	94	6
28200	Repair of foot tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28202	Repair of foot tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28202	Repair of foot tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	115	6
28202	Repair of foot tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28208	Repair of foot tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28208	Repair of foot tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	6
28208	Repair of foot tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28210	Repair of foot tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28210	Repair of foot tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
28210	Repair of foot tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28220	Release of foot tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28220	Release of foot tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	79	6
28220	Release of foot tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28222	Release of multiple foot tendons	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28222	Release of multiple foot tendons	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	100	6
28222	Release of multiple foot tendons	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28225	Release of foot tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28225	Release of foot tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	6
28225	Release of foot tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28226	Release of multiple tendons in foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28226	Release of multiple tendons in foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	90	6
28226	Release of multiple tendons in foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28230	"Incision to lengthen foot tendons, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28230	"Incision to lengthen foot tendons, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	6
28230	"Incision to lengthen foot tendons, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28232	"Incision to lengthen toe tendon, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28232	"Incision to lengthen toe tendon, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
28232	"Incision to lengthen toe tendon, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28234	"Incision to release foot tendon, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28234	"Incision to release foot tendon, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	6
28234	"Incision to release foot tendon, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28238	Advancement of ankle tendon with removal of ankle joint bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28238	Advancement of ankle tendon with removal of ankle joint bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	120	6
28238	Advancement of ankle tendon with removal of ankle joint bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28240	Incision to release foot muscle tendon	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28240	Incision to release foot muscle tendon	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	6
28240	Incision to release foot muscle tendon	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28250	Incision to release tissue and muscle of sole of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28250	Incision to release tissue and muscle of sole of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	6
28250	Incision to release tissue and muscle of sole of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28260	Incision of ankle joint capsule to correct foot deformity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28260	Incision of ankle joint capsule to correct foot deformity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	98	6
28260	Incision of ankle joint capsule to correct foot deformity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28261	Correction of foot deformity with incision of ankle joint capsule and tendon lengthening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28261	Correction of foot deformity with incision of ankle joint capsule and tendon lengthening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	148	6
28261	Correction of foot deformity with incision of ankle joint capsule and tendon lengthening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
28262	Correction of foot deformity with incision of ankle joint capsule and lengthening of tendons	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28262	Correction of foot deformity with incision of ankle joint capsule and lengthening of tendons	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	185	12
28262	Correction of foot deformity with incision of ankle joint capsule and lengthening of tendons	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
28264	Release of capsule of ankle joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28264	Release of capsule of ankle joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	119	6
28264	Release of capsule of ankle joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
28270	Incision of joint capsule of foot and toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28270	Incision of joint capsule of foot and toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	6
28270	Incision of joint capsule of foot and toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28272	Incision of toe joint capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28272	Incision of toe joint capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	6
28272	Incision of toe joint capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28280	Creation of web space between toes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28280	Creation of web space between toes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	93	6
28280	Creation of web space between toes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28285	Correction of toe joint deformity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28285	Correction of toe joint deformity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
28285	Correction of toe joint deformity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126.5	126.5
28286	Correction of fifth toe joint deformity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28286	Correction of fifth toe joint deformity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	91	6
28286	Correction of fifth toe joint deformity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28288	Removal of foot bone spur	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28288	Removal of foot bone spur	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
28288	Removal of foot bone spur	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	160	160
28289	Correction of deformity of first long bone at toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28289	Correction of deformity of first long bone at toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	10	20
28289	Correction of deformity of first long bone at toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	10	7
28289	Correction of deformity of first long bone at toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
28289	Correction of deformity of first long bone at toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
28289	Correction of deformity of first long bone at toe joint	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, ensure appropriate medical records are available"	3	
28289	Correction of deformity of first long bone at toe joint	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
28289	Correction of deformity of first long bone at toe joint	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
28289	Correction of deformity of first long bone at toe joint	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
28289	Correction of deformity of first long bone at toe joint	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
28289	Correction of deformity of first long bone at toe joint	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	45	
28289	Correction of deformity of first long bone at toe joint	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	6	
28289	Correction of deformity of first long bone at toe joint	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
28289	Correction of deformity of first long bone at toe joint	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
28289	Correction of deformity of first long bone at toe joint	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
28289	Correction of deformity of first long bone at toe joint	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	
28289	Correction of deformity of first long bone at toe joint	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	54	54
28289	Correction of deformity of first long bone at toe joint	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	72	72
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	10	20
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	10	7
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	50	
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	6	
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	54	54
28291	"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	72	72
28292	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28292	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	10	20
28292	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	10	7
28292	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
28292	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
28292	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, ensure appropriate medical records are available"	3	
28292	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
28292	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
28292	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
28292	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
28292	Correction of bunion	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	45	
28292	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	6	
28292	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
28292	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
28292	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
28292	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	
28292	Correction of bunion	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	81	81
28292	Correction of bunion	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	72	72
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	10	20
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	10	7
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, ensure appropriate medical records are available"	3	
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	60	
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	6	
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	81	81
28295	"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	72	72
28296	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28296	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	10	20
28296	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	10	7
28296	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
28296	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
28296	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, ensure appropriate medical records are available"	3	
28296	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
28296	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
28296	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
28296	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
28296	Correction of bunion	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	60	
28296	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	6	
28296	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
28296	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
28296	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
28296	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	
28296	Correction of bunion	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	81	81
28296	Correction of bunion	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	72	72
28297	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28297	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	10	20
28297	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	10	7
28297	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
28297	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
28297	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, ensure appropriate medical records are available"	3	
28297	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
28297	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
28297	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
28297	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
28297	Correction of bunion	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	75	
28297	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	6	
28297	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
28297	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
28297	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
28297	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	
28297	Correction of bunion	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	81	81
28297	Correction of bunion	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	72	72
28298	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28298	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	10	20
28298	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	10	7
28298	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
28298	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
28298	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, ensure appropriate medical records are available"	3	
28298	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
28298	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
28298	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
28298	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
28298	Correction of bunion	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	60	
28298	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	6	
28298	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
28298	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
28298	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
28298	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	
28298	Correction of bunion	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	54	54
28298	Correction of bunion	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	72	72
28299	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28299	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	10	20
28299	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	10	7
28299	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
28299	Correction of bunion	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
28299	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, ensure appropriate medical records are available"	3	
28299	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
28299	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
28299	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
28299	Correction of bunion	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
28299	Correction of bunion	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	75	
28299	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	6	
28299	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
28299	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	
28299	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
28299	Correction of bunion	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	
28299	Correction of bunion	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	81	81
28299	Correction of bunion	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	72	72
28300	Incision to repair heel bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28300	Incision to repair heel bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28300	Incision to repair heel bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
28302	Incision to repair ankle joint bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28302	Incision to repair ankle joint bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28302	Incision to repair ankle joint bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
28304	Incision to correct foot or ankle bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28304	Incision to correct foot or ankle bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	102	6
28304	Incision to correct foot or ankle bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
28305	Incision to correct foot or ankle bones with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28305	Incision to correct foot or ankle bones with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28305	Incision to correct foot or ankle bones with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
28306	Incision to straighten big toe bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28306	Incision to straighten big toe bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
28306	Incision to straighten big toe bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28307	Incision to straighten big toe bone with patient-derived bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28307	Incision to straighten big toe bone with patient-derived bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	115	6
28307	Incision to straighten big toe bone with patient-derived bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28308	Incision to straighten toe bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28308	Incision to straighten toe bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	84	6
28308	Incision to straighten toe bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
28309	Incision to straighten toe bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28309	Incision to straighten toe bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28309	Incision to straighten toe bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
28310	Incision to straighten big toe bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28310	Incision to straighten big toe bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	91	6
28310	Incision to straighten big toe bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28312	Incision to straighten toe bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28312	Incision to straighten toe bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	6
28312	Incision to straighten toe bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28313	Reconstruction of soft tissue angular deformity of toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28313	Reconstruction of soft tissue angular deformity of toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	79	6
28313	Reconstruction of soft tissue angular deformity of toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28315	Removal of small bone underlying long bone of foot at toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28315	Removal of small bone underlying long bone of foot at toe joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	84	6
28315	Removal of small bone underlying long bone of foot at toe joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28320	Repair of non-healed foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28320	Repair of non-healed foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28320	Repair of non-healed foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
28322	Repair of non-healed foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28322	Repair of non-healed foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	120	6
28322	Repair of non-healed foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
28340	Reconstruction of abnormal toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28340	Reconstruction of abnormal toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	123	6
28340	Reconstruction of abnormal toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28341	Reconstruction of abnormal toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28341	Reconstruction of abnormal toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	149	6
28341	Reconstruction of abnormal toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
28344	Reconstruction of extra toes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28344	Reconstruction of extra toes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	6
28344	Reconstruction of extra toes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28345	Removal of congenital web space deformity of toes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28345	Removal of congenital web space deformity of toes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	108	6
28345	Removal of congenital web space deformity of toes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28360	Reconstruction of congenitally deformed foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28360	Reconstruction of congenitally deformed foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28360	Reconstruction of congenitally deformed foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
28400	Closed treatment of broken heel bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28400	Closed treatment of broken heel bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	12
28400	Closed treatment of broken heel bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28405	Closed treatment of broken heel bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28405	Closed treatment of broken heel bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	6
28405	Closed treatment of broken heel bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28406	"Insertion of hardware to broken heel bone with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28406	"Insertion of hardware to broken heel bone with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28406	"Insertion of hardware to broken heel bone with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
28415	Open treatment of broken heel bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28415	Open treatment of broken heel bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28415	Open treatment of broken heel bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		171
28420	Open treatment of broken heel bone with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28420	Open treatment of broken heel bone with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28420	Open treatment of broken heel bone with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		171
28430	Closed treatment of broken ankle joint bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28430	Closed treatment of broken ankle joint bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
28430	Closed treatment of broken ankle joint bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28435	Closed treatment of broken ankle joint bone with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28435	Closed treatment of broken ankle joint bone with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	12
28435	Closed treatment of broken ankle joint bone with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28436	"Insertion of hardware to broken ankle joint with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28436	"Insertion of hardware to broken ankle joint with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28436	"Insertion of hardware to broken ankle joint with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
28445	Open treatment of broken heel bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28445	Open treatment of broken heel bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28445	Open treatment of broken heel bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		171
28446	"Implantation of donor cartilage cells into foot joint with grafts, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28446	"Implantation of donor cartilage cells into foot joint with grafts, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28446	"Implantation of donor cartilage cells into foot joint with grafts, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
28450	Treatment of broken foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28450	Treatment of broken foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	6
28450	Treatment of broken foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28455	Treatment of broken foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28455	Treatment of broken foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	69	12
28455	Treatment of broken foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28456	"Insertion of hardware to broken foot joint with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28456	"Insertion of hardware to broken foot joint with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28456	"Insertion of hardware to broken foot joint with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
28465	Open treatment of broken foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28465	Open treatment of broken foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28465	Open treatment of broken foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
28470	Closed treatment of broken foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28470	Closed treatment of broken foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
28470	Closed treatment of broken foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28475	Closed treatment of fracture of foot with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28475	Closed treatment of fracture of foot with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
28475	Closed treatment of fracture of foot with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	56	56
28476	"Insertion of hardware to broken foot bone with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28476	"Insertion of hardware to broken foot bone with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28476	"Insertion of hardware to broken foot bone with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
28485	Open treatment of broken foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28485	Open treatment of broken foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28485	Open treatment of broken foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
28490	Closed treatment of broken great toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28490	Closed treatment of broken great toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	6
28490	Closed treatment of broken great toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	41	41
28495	Closed treatment of broken great toe with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28495	Closed treatment of broken great toe with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	6
28495	Closed treatment of broken great toe with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
28496	"Insertion of hardware to broken great toe with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28496	"Insertion of hardware to broken great toe with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	92	6
28496	"Insertion of hardware to broken great toe with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28505	Open treatment of broken great toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28505	Open treatment of broken great toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	104	6
28505	Open treatment of broken great toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	126
28510	Closed treatment of broken toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28510	Closed treatment of broken toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	6
28510	Closed treatment of broken toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	41	41
28515	Closed treatment of broken toe with manipulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28515	Closed treatment of broken toe with manipulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	6
28515	Closed treatment of broken toe with manipulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
28525	Open treatment of broken toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28525	Open treatment of broken toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	6
28525	Open treatment of broken toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
28530	Closed treatment of broken foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28530	Closed treatment of broken foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	6
28530	Closed treatment of broken foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
28531	Open treatment of broken foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28531	Open treatment of broken foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	102	6
28531	Open treatment of broken foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
28540	Closed treatment of ankle joint bone dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28540	Closed treatment of ankle joint bone dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	6
28540	Closed treatment of ankle joint bone dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28545	Closed treatment of ankle joint bone dislocation under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28545	Closed treatment of ankle joint bone dislocation under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
28545	Closed treatment of ankle joint bone dislocation under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28546	"Insertion of hardware to foot joint dislocation with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28546	"Insertion of hardware to foot joint dislocation with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	95	6
28546	"Insertion of hardware to foot joint dislocation with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
28555	Open treatment of dislocated foot joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28555	Open treatment of dislocated foot joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	102	12
28555	Open treatment of dislocated foot joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
28570	Closed treatment of dislocated foot joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28570	Closed treatment of dislocated foot joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
28570	Closed treatment of dislocated foot joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
28575	Closed treatment of dislocated foot joint under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28575	Closed treatment of dislocated foot joint under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	12
28575	Closed treatment of dislocated foot joint under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28576	"Insertion of hardware to foot joint dislocation with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28576	"Insertion of hardware to foot joint dislocation with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28576	"Insertion of hardware to foot joint dislocation with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
28585	Open treatment of dislocated foot joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28585	Open treatment of dislocated foot joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	116	6
28585	Open treatment of dislocated foot joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	162	162
28600	Closed treatment of dislocated foot joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28600	Closed treatment of dislocated foot joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
28600	Closed treatment of dislocated foot joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
28605	Closed treatment of dislocated foot joint under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28605	Closed treatment of dislocated foot joint under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	64	12
28605	Closed treatment of dislocated foot joint under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
28606	"Insertion of hardware to foot joint dislocation with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28606	"Insertion of hardware to foot joint dislocation with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28606	"Insertion of hardware to foot joint dislocation with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
28615	Open treatment of dislocated foot joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28615	Open treatment of dislocated foot joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28615	Open treatment of dislocated foot joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
28630	Closed treatment of dislocated foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	5
28630	Closed treatment of dislocated foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	6
28630	Closed treatment of dislocated foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
28635	Closed treatment of dislocated foot bone under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
28635	Closed treatment of dislocated foot bone under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
28635	Closed treatment of dislocated foot bone under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
28636	"Insertion of hardware to foot bone dislocation with manipulation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
28636	"Insertion of hardware to foot bone dislocation with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	76	6
28636	"Insertion of hardware to foot bone dislocation with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
28645	Open treatment of dislocated foot bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28645	Open treatment of dislocated foot bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	86	6
28645	Open treatment of dislocated foot bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
28660	Closed treatment of dislocation of toe joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	5
28660	Closed treatment of dislocation of toe joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	6
28660	Closed treatment of dislocation of toe joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
28665	Closed treatment of dislocation of toe joint under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
28665	Closed treatment of dislocation of toe joint under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	6
28665	Closed treatment of dislocation of toe joint under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
28666	"Insertion of hardware to toe joint dislocation with manipulation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28666	"Insertion of hardware to toe joint dislocation with manipulation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
28675	Open treatment of toe joint dislocation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28675	Open treatment of toe joint dislocation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	6
28675	Open treatment of toe joint dislocation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	126	126
28705	Fusion of ankle joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28705	Fusion of ankle joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28705	Fusion of ankle joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
28715	Fusion of ankle joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28715	Fusion of ankle joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28715	Fusion of ankle joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		198
28725	Fusion of foot joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28725	Fusion of foot joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28725	Fusion of foot joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
28730	Fusion of multiple foot joints	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28730	Fusion of multiple foot joints	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28730	Fusion of multiple foot joints	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
28735	Fusion of multiple foot joints	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28735	Fusion of multiple foot joints	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28735	Fusion of multiple foot joints	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
28737	Fusion of foot joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28737	Fusion of foot joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
28737	Fusion of foot joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
28740	Fusion of foot joint	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28740	Fusion of foot joint	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	124	6
28740	Fusion of foot joint	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
28750	Fusion of great toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28750	Fusion of great toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	119	6
28750	Fusion of great toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
28755	Fusion of great toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28755	Fusion of great toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	6
28755	Fusion of great toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
28760	Fusion of great toe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
28760	Fusion of great toe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	134	6
28760	Fusion of great toe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	144	144
28800	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28800	Amputation of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28800	Amputation of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
28805	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28805	Amputation of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28805	Amputation of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
28810	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
28810	Amputation of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
28810	Amputation of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
28820	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
28820	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28820	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	10
28820	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
28820	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
28820	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
28820	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
28820	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
28820	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
28820	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
28820	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
28820	Amputation of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
28820	Amputation of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
28820	Amputation of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
28820	Amputation of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	0
28820	Amputation of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	2	0
28820	Amputation of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
28820	Amputation of foot	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
28825	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
28825	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
28825	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	10
28825	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
28825	Amputation of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
28825	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
28825	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
28825	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
28825	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
28825	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
28825	Amputation of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
28825	Amputation of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
28825	Amputation of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
28825	Amputation of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
28825	Amputation of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	0
28825	Amputation of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	2	0
28825	Amputation of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
28825	Amputation of foot	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
28890	Shock wave therapy under anesthesia to sole of the foot using ultrasound guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	24
28890	Shock wave therapy under anesthesia to sole of the foot using ultrasound guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	6
28890	Shock wave therapy under anesthesia to sole of the foot using ultrasound guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
29000	Application of halo type body cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	160	0
29000	Application of halo type body cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	57	57
29010	Application of jacket type body cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	160	0
29010	Application of jacket type body cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	57	57
29015	Application of jacket type body cast including head	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	160	0
29015	Application of jacket type body cast including head	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	57	57
29035	Application of body cast shoulder to hips	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	160	0
29035	Application of body cast shoulder to hips	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	57	57
29040	Application of body cast shoulder to hips including head	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	170	0
29040	Application of body cast shoulder to hips including head	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	62	62
29044	Application of body cast shoulder to hips including one thigh	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	170	0
29044	Application of body cast shoulder to hips including one thigh	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	62	62
29046	Application of body cast shoulder to hips including both thighs	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	180	0
29046	Application of body cast shoulder to hips including both thighs	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	67	67
29049	Application of figure-of-eight cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
29049	Application of figure-of-eight cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	25	25
29055	Application of shoulder spica cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	122	0
29055	Application of shoulder spica cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	48	48
29058	Application of plaster Velpeau cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
29058	Application of plaster Velpeau cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	25	25
29065	"Application of cast, shoulder to hand (long arm)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
29065	"Application of cast, shoulder to hand (long arm)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	25	25
29075	"Application of cast, elbow to finger (short arm)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	0
29075	"Application of cast, elbow to finger (short arm)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	25	25
29085	Application of cast to hand and lower forearm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
29085	Application of cast to hand and lower forearm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	25	25
29086	Application of cast to finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
29086	Application of cast to finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	25	25
29105	Application of long arm splint (shoulder to hand)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	5	0
29105	Application of long arm splint (shoulder to hand)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	1	0
29105	Application of long arm splint (shoulder to hand)	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
29105	Application of long arm splint (shoulder to hand)	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
29105	Application of long arm splint (shoulder to hand)	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
29105	Application of long arm splint (shoulder to hand)	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
29105	Application of long arm splint (shoulder to hand)	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	3	0
29105	Application of long arm splint (shoulder to hand)	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
29105	Application of long arm splint (shoulder to hand)	Post-service	L037D	RN/LPN/MTA	0.455	Remove splint or cast	13	0
29125	"Application of non-moveable, short arm splint (forearm to hand)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	0
29125	"Application of non-moveable, short arm splint (forearm to hand)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	19	19
29126	"Application of moveable, hinged short arm splint (forearm to hand)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	0
29126	"Application of moveable, hinged short arm splint (forearm to hand)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	19	19
29130	"Application of non-moveable, hinged finger splint"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
29130	"Application of non-moveable, hinged finger splint"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
29131	"Application of moveable, hinged finger splint"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
29131	"Application of moveable, hinged finger splint"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	6
29200	Strapping; thorax	Service  pre	L023A	Physical Therapy Aide	0.255	Greet patient and provide gowning	0	
29200	Strapping; thorax	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
29200	Strapping; thorax	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
29200	Strapping; thorax	Service  pre	L023A	Physical Therapy Aide	0.255	SVC Provide pre-service education/obtain consent	3	
29200	Strapping; thorax	Service  intra	L023A	Physical Therapy Aide	0.255	Assist physician in performing procedure	8	
29200	Strapping; thorax	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
29200	Strapping; thorax	Post-service	L023A	Physical Therapy Aide	0.255	Conduct phone calls/call in prescriptions	3	
29240	Strapping; shoulder	Service  pre	L023A	Physical Therapy Aide	0.255	Greet patient and provide gowning	0	
29240	Strapping; shoulder	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
29240	Strapping; shoulder	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
29240	Strapping; shoulder	Service  pre	L023A	Physical Therapy Aide	0.255	SVC Provide pre-service education/obtain consent	3	
29240	Strapping; shoulder	Service  intra	L023A	Physical Therapy Aide	0.255	Assist physician in performing procedure	8	
29240	Strapping; shoulder	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
29240	Strapping; shoulder	Post-service	L023A	Physical Therapy Aide	0.255	Conduct phone calls/call in prescriptions	3	
29260	Strapping; elbow/wrist	Service  pre	L023A	Physical Therapy Aide	0.255	Greet patient and provide gowning	0	
29260	Strapping; elbow/wrist	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
29260	Strapping; elbow/wrist	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
29260	Strapping; elbow/wrist	Service  pre	L023A	Physical Therapy Aide	0.255	SVC Provide pre-service education/obtain consent	3	
29260	Strapping; elbow/wrist	Service  intra	L023A	Physical Therapy Aide	0.255	Assist physician in performing procedure	8	
29260	Strapping; elbow/wrist	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
29260	Strapping; elbow/wrist	Post-service	L023A	Physical Therapy Aide	0.255	Conduct phone calls/call in prescriptions	3	
29280	Strapping; hand/finger	Service  pre	L023A	Physical Therapy Aide	0.255	Greet patient and provide gowning	0	
29280	Strapping; hand/finger	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
29280	Strapping; hand/finger	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
29280	Strapping; hand/finger	Service  pre	L023A	Physical Therapy Aide	0.255	SVC Provide pre-service education/obtain consent	3	
29280	Strapping; hand/finger	Service  intra	L023A	Physical Therapy Aide	0.255	Assist physician in performing procedure	8	
29280	Strapping; hand/finger	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
29280	Strapping; hand/finger	Post-service	L023A	Physical Therapy Aide	0.255	Conduct phone calls/call in prescriptions	3	
29305	Application of hip spica cast on one leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	123	0
29305	Application of hip spica cast on one leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	57	57
29325	"Application of hip spica cast, one and one-half hip spica or both legs"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	133	0
29325	"Application of hip spica cast, one and one-half hip spica or both legs"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	60	60
29345	Application of long leg cast (thigh to toes)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
29345	Application of long leg cast (thigh to toes)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	28	28
29355	"Application of long leg cast (thigh to toes), walker or ambulatory type"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
29355	"Application of long leg cast (thigh to toes), walker or ambulatory type"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	28	28
29358	Application of long leg cast brace	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	0
29358	Application of long leg cast brace	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	28	28
29365	Application of cylinder cast (thigh to ankle)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
29365	Application of cylinder cast (thigh to ankle)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	28	28
29405	Application of short leg cast (below knee to toes)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
29405	Application of short leg cast (below knee to toes)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	25	25
29425	"Application of short leg cast (below knee to toes), walking or ambulatory type"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	0
29425	"Application of short leg cast (below knee to toes), walking or ambulatory type"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	25	25
29435	Application of knee cap tendon bearing cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
29435	Application of knee cap tendon bearing cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	25	25
29440	Adding walker to previously applied cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
29440	Adding walker to previously applied cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	6
29445	Application of rigid total contact leg cast	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	
29445	Application of rigid total contact leg cast	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
29445	Application of rigid total contact leg cast	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	5	
29445	Application of rigid total contact leg cast	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	
29445	Application of rigid total contact leg cast	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	25	
29445	Application of rigid total contact leg cast	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
29445	Application of rigid total contact leg cast	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
29445	Application of rigid total contact leg cast	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	5	
29445	Application of rigid total contact leg cast	Service  post	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: REMOVE CAST	22	22
29445	Application of rigid total contact leg cast	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
29450	Application of long or short leg clubfoot cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	0
29450	Application of long or short leg clubfoot cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	25	25
29505	Application of long leg splint (thigh to ankle or toes)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
29505	Application of long leg splint (thigh to ankle or toes)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	22	22
29515	Application of short leg splint (calf to foot)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	0
29515	Application of short leg splint (calf to foot)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	22	22
29520	Strapping; hip	Service  pre	L023A	Physical Therapy Aide	0.255	Greet patient and provide gowning	0	
29520	Strapping; hip	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
29520	Strapping; hip	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
29520	Strapping; hip	Service  pre	L023A	Physical Therapy Aide	0.255	SVC Provide pre-service education/obtain consent	3	
29520	Strapping; hip	Service  intra	L023A	Physical Therapy Aide	0.255	Assist physician in performing procedure	8	
29520	Strapping; hip	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
29520	Strapping; hip	Post-service	L023A	Physical Therapy Aide	0.255	Conduct phone calls/call in prescriptions	3	
29530	Strapping; knee	Service  pre	L023A	Physical Therapy Aide	0.255	Greet patient and provide gowning	0	
29530	Strapping; knee	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
29530	Strapping; knee	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
29530	Strapping; knee	Service  pre	L023A	Physical Therapy Aide	0.255	SVC Provide pre-service education/obtain consent	3	
29530	Strapping; knee	Service  intra	L023A	Physical Therapy Aide	0.255	Assist physician in performing procedure	8	
29530	Strapping; knee	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
29530	Strapping; knee	Post-service	L023A	Physical Therapy Aide	0.255	Conduct phone calls/call in prescriptions	3	
29540	Strapping of ankle and/or foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
29540	Strapping of ankle and/or foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
29540	Strapping of ankle and/or foot	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
29540	Strapping of ankle and/or foot	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	7	0
29540	Strapping of ankle and/or foot	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
29540	Strapping of ankle and/or foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
29540	Strapping of ankle and/or foot	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	0	0
29550	Strapping of toes	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
29550	Strapping of toes	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
29550	Strapping of toes	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
29550	Strapping of toes	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
29550	Strapping of toes	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
29550	Strapping of toes	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	0	0
29580	"Strapping, Unna boot"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	
29580	"Strapping, Unna boot"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
29580	"Strapping, Unna boot"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
29580	"Strapping, Unna boot"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
29580	"Strapping, Unna boot"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	11	
29580	"Strapping, Unna boot"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
29580	"Strapping, Unna boot"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
29580	"Strapping, Unna boot"	Service  post	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: REMOVE multiyear compression system	7	
29581	Application of vein wound compression system lower leg below knee including ankle and foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	
29581	Application of vein wound compression system lower leg below knee including ankle and foot	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
29581	Application of vein wound compression system lower leg below knee including ankle and foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
29581	Application of vein wound compression system lower leg below knee including ankle and foot	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
29581	Application of vein wound compression system lower leg below knee including ankle and foot	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	13	
29581	Application of vein wound compression system lower leg below knee including ankle and foot	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
29581	Application of vein wound compression system lower leg below knee including ankle and foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
29581	Application of vein wound compression system lower leg below knee including ankle and foot	Service  post	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: REMOVE multiyear compression system	7	
29584	"Application of vein wound compression system upper arm, forearm, hand, and fingers"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	8	0
29584	"Application of vein wound compression system upper arm, forearm, hand, and fingers"	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	14	0
29584	"Application of vein wound compression system upper arm, forearm, hand, and fingers"	Post-service	L039B	Physical Therapy Assistant	0.5	Post service total costs	1	0
29700	"Removal or bivalving of gauntlet, boot, or body cast"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
29700	"Removal or bivalving of gauntlet, boot, or body cast"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	6
29705	Removal or bivalving of full arm or leg cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
29705	Removal or bivalving of full arm or leg cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	6
29710	"Removal or bivalving of shoulder, hip spica, or jacket cast"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
29710	"Removal or bivalving of shoulder, hip spica, or jacket cast"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	6
29720	"Repair of spica, body cast, or jacket"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
29720	"Repair of spica, body cast, or jacket"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	6
29730	Exposure of skin surface by creation of an opening in cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
29730	Exposure of skin surface by creation of an opening in cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	6
29740	Wedging of cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
29740	Wedging of cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	6
29750	Wedging of clubfoot cast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
29750	Wedging of clubfoot cast	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	6
29800	Diagnostic examination of jaw joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29800	Diagnostic examination of jaw joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29800	Diagnostic examination of jaw joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
29804	Examination of jaw joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29804	Examination of jaw joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29804	Examination of jaw joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29805	Diagnostic examination of shoulder using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29805	Diagnostic examination of shoulder using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29805	Diagnostic examination of shoulder using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29806	Incision of should joint capsule using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29806	Incision of should joint capsule using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29806	Incision of should joint capsule using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
29807	Repair of shoulder socket cartilage using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29807	Repair of shoulder socket cartilage using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29807	Repair of shoulder socket cartilage using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
29819	Removal of loose or foreign body of shoulder using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29819	Removal of loose or foreign body of shoulder using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29819	Removal of loose or foreign body of shoulder using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
29820	Partial removal of shoulder joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29820	Partial removal of shoulder joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29820	Partial removal of shoulder joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29821	Removal of entire shoulder joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29821	Removal of entire shoulder joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29821	Removal of entire shoulder joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
29822	"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
29822	"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
29822	"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
29822	"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
29822	"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
29822	"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
29822	"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	99
29823	"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
29823	"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
29823	"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
29823	"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
29823	"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
29823	"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
29823	"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	99
29824	Partial removal of collar bone at shoulder using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29824	Partial removal of collar bone at shoulder using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29824	Partial removal of collar bone at shoulder using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29825	Release or removal of shoulder scar tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29825	Release or removal of shoulder scar tissue using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29825	Release or removal of shoulder scar tissue using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
29827	Repair of shoulder rotator cuff using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29827	Repair of shoulder rotator cuff using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29827	Repair of shoulder rotator cuff using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
29828	Release of shoulder biceps tendon using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29828	Release of shoulder biceps tendon using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29828	Release of shoulder biceps tendon using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29830	Diagnostic examination of elbow joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29830	Diagnostic examination of elbow joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29830	Diagnostic examination of elbow joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
29834	Removal of loose or foreign body of elbow using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29834	Removal of loose or foreign body of elbow using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29834	Removal of loose or foreign body of elbow using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29835	Partial removal of elbow joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29835	Partial removal of elbow joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29835	Partial removal of elbow joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29836	Removal of entire elbow joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29836	Removal of entire elbow joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29836	Removal of entire elbow joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
29837	Removal of elbow tissue or frayed cartilage using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29837	Removal of elbow tissue or frayed cartilage using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29837	Removal of elbow tissue or frayed cartilage using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29838	Removal of elbow tissue or frayed cartilage from all joint compartments using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29838	Removal of elbow tissue or frayed cartilage from all joint compartments using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29838	Removal of elbow tissue or frayed cartilage from all joint compartments using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
29840	Diagnostic examination of the wrist using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29840	Diagnostic examination of the wrist using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29840	Diagnostic examination of the wrist using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29843	"Diagnostic examination of the wrist using an endoscope for infection, irrigation, and drainage"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29843	"Diagnostic examination of the wrist using an endoscope for infection, irrigation, and drainage"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
29843	"Diagnostic examination of the wrist using an endoscope for infection, irrigation, and drainage"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29844	Partial removal of wrist joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29844	Partial removal of wrist joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29844	Partial removal of wrist joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29845	Removal of wrist joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29845	Removal of wrist joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29845	Removal of wrist joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
29846	Removal or repair of wrist joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29846	Removal or repair of wrist joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29846	Removal or repair of wrist joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29847	Insertion of internal hardware using an endoscope to treat a broken wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29847	Insertion of internal hardware using an endoscope to treat a broken wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29847	Insertion of internal hardware using an endoscope to treat a broken wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29848	Release of wrist ligament using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29848	Release of wrist ligament using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29848	Release of wrist ligament using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29850	Treatment of knee joint fractures with assistance of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29850	Treatment of knee joint fractures with assistance of an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29850	Treatment of knee joint fractures with assistance of an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29851	Treatment of knee joint fractures with assistance of an endoscope with fixation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29851	Treatment of knee joint fractures with assistance of an endoscope with fixation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29851	Treatment of knee joint fractures with assistance of an endoscope with fixation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29855	Treatment of broken leg bone with assistance of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29855	Treatment of broken leg bone with assistance of an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
29855	Treatment of broken leg bone with assistance of an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29856	Treatment of broken leg bone with assistance of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29856	Treatment of broken leg bone with assistance of an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
29856	Treatment of broken leg bone with assistance of an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29860	Diagnostic examination of hip using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29860	Diagnostic examination of hip using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29860	Diagnostic examination of hip using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29861	Removal of loose or foreign body of hip joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29861	Removal of loose or foreign body of hip joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29861	Removal of loose or foreign body of hip joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29862	Removal or shaving of hip joint socket cartilage using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29862	Removal or shaving of hip joint socket cartilage using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29862	Removal or shaving of hip joint socket cartilage using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
29863	Removal of hip joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29863	Removal of hip joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29863	Removal of hip joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
29866	Patient-derived cartilage grafts at knee joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
29866	Patient-derived cartilage grafts at knee joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29866	Patient-derived cartilage grafts at knee joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
29867	Donor cartilage graft at knee joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
29867	Donor cartilage graft at knee joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
29867	Donor cartilage graft at knee joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
29868	Cartilage graft at knee joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
29868	Cartilage graft at knee joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
29868	Cartilage graft at knee joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
29870	Diagnostic examination of knee using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
29870	Diagnostic examination of knee using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	6
29870	Diagnostic examination of knee using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	67.5	68
29871	Irrigation and drainage of knee joint for infection using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29871	Irrigation and drainage of knee joint for infection using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
29871	Irrigation and drainage of knee joint for infection using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29873	Release of ligaments at outer aspect of knee joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29873	Release of ligaments at outer aspect of knee joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29873	Release of ligaments at outer aspect of knee joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
29874	Removal of loose or foreign body of knee joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29874	Removal of loose or foreign body of knee joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29874	Removal of loose or foreign body of knee joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29875	Partial removal of knee joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29875	Partial removal of knee joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29875	Partial removal of knee joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29876	Removal of joint lining from two or more knee joint compartments using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29876	Removal of joint lining from two or more knee joint compartments using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29876	Removal of joint lining from two or more knee joint compartments using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29877	Removal or shaving of knee joint cartilage using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29877	Removal or shaving of knee joint cartilage using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29877	Removal or shaving of knee joint cartilage using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29879	Repair of knee joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29879	Repair of knee joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29879	Repair of knee joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29880	Removal of both knee cartilages using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29880	Removal of both knee cartilages using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29880	Removal of both knee cartilages using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
29881	Removal of one knee cartilage using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29881	Removal of one knee cartilage using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29881	Removal of one knee cartilage using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
29882	Repair of knee joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29882	Repair of knee joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29882	Repair of knee joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29883	Repair of knee joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29883	Repair of knee joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29883	Repair of knee joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29884	Repair of knee joint and removal of scar tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29884	Repair of knee joint and removal of scar tissue using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29884	Repair of knee joint and removal of scar tissue using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29885	Repair of knee joint with bone graft using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29885	Repair of knee joint with bone graft using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29885	Repair of knee joint with bone graft using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29886	Repair of knee joint with bone graft using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29886	Repair of knee joint with bone graft using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29886	Repair of knee joint with bone graft using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29887	Repair of knee joint with bone graft and hardware using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29887	Repair of knee joint with bone graft and hardware using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29887	Repair of knee joint with bone graft and hardware using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29888	Repair of anterior cruciate ligament of knee with assistance of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29888	Repair of anterior cruciate ligament of knee with assistance of an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29888	Repair of anterior cruciate ligament of knee with assistance of an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29889	Repair of posterior cruciate ligament of knee with assistance of an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29889	Repair of posterior cruciate ligament of knee with assistance of an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29889	Repair of posterior cruciate ligament of knee with assistance of an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		188
29891	Removal of bone defect of shin and/or ankle using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29891	Removal of bone defect of shin and/or ankle using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29891	Removal of bone defect of shin and/or ankle using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
29892	Removal and repair of large bone defect of shin or ankle using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29892	Removal and repair of large bone defect of shin or ankle using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29892	Removal and repair of large bone defect of shin or ankle using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
29893	Repair of fibrous tissue of foot using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
29893	Repair of fibrous tissue of foot using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	54	6
29893	Repair of fibrous tissue of foot using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	189	189
29894	Removal of loose or foreign body of ankle using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29894	Removal of loose or foreign body of ankle using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29894	Removal of loose or foreign body of ankle using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29895	Partial removal of ankle joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29895	Partial removal of ankle joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29895	Partial removal of ankle joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29897	Partial removal of ankle joint lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29897	Partial removal of ankle joint lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29897	Partial removal of ankle joint lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
29898	Removal of dead or infected ankle joint tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29898	Removal of dead or infected ankle joint tissue using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29898	Removal of dead or infected ankle joint tissue using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
29899	Fusion of ankle joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29899	Fusion of ankle joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29899	Fusion of ankle joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
29900	Biopsy of lining of joint of finger using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29900	Biopsy of lining of joint of finger using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
29900	Biopsy of lining of joint of finger using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
29901	Removal of dead or infected finger joint tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29901	Removal of dead or infected finger joint tissue using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29901	Removal of dead or infected finger joint tissue using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
29902	Treatment of displaced ligament of finger joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29902	Treatment of displaced ligament of finger joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29902	Treatment of displaced ligament of finger joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
29904	Removal of loose or foreign body of ankle joint at heel bones using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29904	Removal of loose or foreign body of ankle joint at heel bones using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29904	Removal of loose or foreign body of ankle joint at heel bones using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
29905	Removal of lining of foot joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29905	Removal of lining of foot joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29905	Removal of lining of foot joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
29906	Removal of dead or infected foot joint tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29906	Removal of dead or infected foot joint tissue using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29906	Removal of dead or infected foot joint tissue using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
29907	Fusion of foot joint using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29907	Fusion of foot joint using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29907	Fusion of foot joint using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
29914	Reconstruction of hip socket and repair of thigh bone using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29914	Reconstruction of hip socket and repair of thigh bone using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29914	Reconstruction of hip socket and repair of thigh bone using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29915	Reconstruction of hip socket using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29915	Reconstruction of hip socket using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29915	Reconstruction of hip socket using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
29916	Removal and shaving of hip joint socket cartilage using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
29916	Removal and shaving of hip joint socket cartilage using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
29916	Removal and shaving of hip joint socket cartilage using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
30000	Drainage of abscess or blood accumulation in nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
30000	Drainage of abscess or blood accumulation in nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	6
30000	Drainage of abscess or blood accumulation in nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
30020	Drainage of abscess or blood accumulation in nasal cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
30020	Drainage of abscess or blood accumulation in nasal cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
30020	Drainage of abscess or blood accumulation in nasal cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
30100	Biopsy of lining of nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
30100	Biopsy of lining of nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
30100	Biopsy of lining of nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
30110	Removal of polyps in nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
30110	Removal of polyps in nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
30110	Removal of polyps in nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
30115	Removal of polyps in nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30115	Removal of polyps in nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30115	Removal of polyps in nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		64
30117	Removal or destruction of growth in nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
30117	Removal or destruction of growth in nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	106	6
30117	Removal or destruction of growth in nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	87	87
30118	Removal or destruction of growth in nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30118	Removal or destruction of growth in nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
30118	Removal or destruction of growth in nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		105
30120	Removal or scraping of skin on nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
30120	Removal or scraping of skin on nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	90	6
30120	Removal or scraping of skin on nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
30124	Removal of growth of skin and tissue on nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30124	Removal of growth of skin and tissue on nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30124	Removal of growth of skin and tissue on nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
30125	Removal of growth under nasal bone or cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30125	Removal of growth under nasal bone or cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
30125	Removal of growth under nasal bone or cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
30130	Removal of nasal air passage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30130	Removal of nasal air passage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30130	Removal of nasal air passage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		64
30140	Removal of nasal air passage	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
30140	Removal of nasal air passage	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	10
30140	Removal of nasal air passage	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
30140	Removal of nasal air passage	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
30140	Removal of nasal air passage	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
30140	Removal of nasal air passage	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
30140	Removal of nasal air passage	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
30140	Removal of nasal air passage	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
30140	Removal of nasal air passage	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
30140	Removal of nasal air passage	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
30140	Removal of nasal air passage	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
30140	Removal of nasal air passage	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
30140	Removal of nasal air passage	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
30140	Removal of nasal air passage	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4"	15	
30140	Removal of nasal air passage	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
30150	Partial removal of the nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30150	Partial removal of the nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
30150	Partial removal of the nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
30160	Removal of the nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30160	Removal of the nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
30160	Removal of the nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
30200	Injection of drug into nasal air passages	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
30200	Injection of drug into nasal air passages	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
30200	Injection of drug into nasal air passages	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
30210	Irrigation and drainage of sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
30210	Irrigation and drainage of sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
30210	Irrigation and drainage of sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
30220	Insertion of implant to close nasal passage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
30220	Insertion of implant to close nasal passage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	6
30220	Insertion of implant to close nasal passage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
30300	"Removal foreign body, intranasal; office type procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
30300	"Removal foreign body, intranasal; office type procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
30300	"Removal foreign body, intranasal; office type procedure"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
30300	"Removal foreign body, intranasal; office type procedure"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
30300	"Removal foreign body, intranasal; office type procedure"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
30300	"Removal foreign body, intranasal; office type procedure"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
30300	"Removal foreign body, intranasal; office type procedure"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
30300	"Removal foreign body, intranasal; office type procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	13	
30300	"Removal foreign body, intranasal; office type procedure"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
30300	"Removal foreign body, intranasal; office type procedure"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	10	
30300	"Removal foreign body, intranasal; office type procedure"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
30300	"Removal foreign body, intranasal; office type procedure"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management		0
30300	"Removal foreign body, intranasal; office type procedure"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains"	10	
30300	"Removal foreign body, intranasal; office type procedure"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
30310	Removal of foreign body in nose under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
30310	Removal of foreign body in nose under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30310	Removal of foreign body in nose under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
30320	Incisional removal of foreign body in nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30320	Incisional removal of foreign body in nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30320	Incisional removal of foreign body in nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		78
30400	Reshaping of tip of nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30400	Reshaping of tip of nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30400	Reshaping of tip of nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		214
30410	"Reshaping of bone, cartilage, or tip of nose"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30410	"Reshaping of bone, cartilage, or tip of nose"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30410	"Reshaping of bone, cartilage, or tip of nose"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		214
30420	Reshaping of bony cartilage dividing nasal passages	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30420	Reshaping of bony cartilage dividing nasal passages	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30420	Reshaping of bony cartilage dividing nasal passages	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		214
30430	Revision to reshape nose or tip of nose after previous repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30430	Revision to reshape nose or tip of nose after previous repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30430	Revision to reshape nose or tip of nose after previous repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		214
30435	Revision to reshape nasal bones after previous repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30435	Revision to reshape nasal bones after previous repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30435	Revision to reshape nasal bones after previous repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		214
30450	Revision to reshape nasal bones and tip of nose after previous repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30450	Revision to reshape nasal bones and tip of nose after previous repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30450	Revision to reshape nasal bones and tip of nose after previous repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		214
30460	Repair of congenital nasal defect to lengthen tip of nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30460	Repair of congenital nasal defect to lengthen tip of nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30460	Repair of congenital nasal defect to lengthen tip of nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
30462	Repair of congenital nasal defect with lengthening of tip of nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30462	Repair of congenital nasal defect with lengthening of tip of nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30462	Repair of congenital nasal defect with lengthening of tip of nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
30465	Widening of nasal passage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30465	Widening of nasal passage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
30465	Widening of nasal passage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
30468	Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
30520	Reshaping of nasal cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30520	Reshaping of nasal cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30520	Reshaping of nasal cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
30540	Reconstruction to create nasal passages	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30540	Reconstruction to create nasal passages	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
30540	Reconstruction to create nasal passages	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		105
30545	Reconstruction to create nasal passages	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30545	Reconstruction to create nasal passages	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
30545	Reconstruction to create nasal passages	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		118
30560	Release of nasal scar tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	27
30560	Release of nasal scar tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
30560	Release of nasal scar tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	34	34
30580	Repair of abnormal drainage tract between two nasal sinuses	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
30580	Repair of abnormal drainage tract between two nasal sinuses	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	103	6
30580	Repair of abnormal drainage tract between two nasal sinuses	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
30600	Repair of abnormal drainage tract between mouth and nasal cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
30600	Repair of abnormal drainage tract between mouth and nasal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	107	6
30600	Repair of abnormal drainage tract between mouth and nasal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
30620	Repair of mucous lining of nasal passage with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30620	Repair of mucous lining of nasal passage with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
30620	Repair of mucous lining of nasal passage with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
30630	Repair of openings in nasal cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30630	Repair of openings in nasal cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30630	Repair of openings in nasal cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
30801	Destruction of soft tissue of nasal passages	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	19
30801	Destruction of soft tissue of nasal passages	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
30801	Destruction of soft tissue of nasal passages	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
30802	Destruction of soft tissue in nasal passages	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	19
30802	Destruction of soft tissue in nasal passages	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
30802	Destruction of soft tissue in nasal passages	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
30901	Simple control of nose bleed	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
30901	Simple control of nose bleed	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	0
30901	Simple control of nose bleed	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	0
30901	Simple control of nose bleed	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	0
30901	Simple control of nose bleed	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	0
30901	Simple control of nose bleed	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
30901	Simple control of nose bleed	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
30901	Simple control of nose bleed	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
30901	Simple control of nose bleed	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	0	
30901	Simple control of nose bleed	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
30901	Simple control of nose bleed	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician/moderate sedation (% of physician time)	0	
30901	Simple control of nose bleed	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
30901	Simple control of nose bleed	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
30901	Simple control of nose bleed	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	0	
30901	Simple control of nose bleed	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
30901	Simple control of nose bleed	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	0	
30901	Simple control of nose bleed	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4 (not related to moderate sedation)"	4	
30901	Simple control of nose bleed	Service  post	L037D	RN/LPN/MTA	0.455	Using spatula aggregate clot and place in labeled specimen container	0	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	0
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	0
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	0
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	0
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	0	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician/moderate sedation (% of physician time)	0	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	0	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	0	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4 (not related to moderate sedation)"	4	
30903	"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	Service  post	L037D	RN/LPN/MTA	0.455	Using spatula aggregate clot and place in labeled specimen container	0	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	0
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	0
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	0	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician/moderate sedation (% of physician time)	0	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  post	L037D	RN/LPN/MTA	0.455	"Aspirate with or without biopsy: Carefully select and collect spicules using pipette, place on slide, make smear, air dry. Repeat for total 10 slides. Biopsy only: Carefully roll biopsy core on slide. Air dry, repeat for total 10 slides"	0	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	0	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	0	
30905	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, no multitasking 1:1 (not related to moderate sedation)"	30	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	0
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	0
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	0	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician/moderate sedation (% of physician time)	0	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  post	L037D	RN/LPN/MTA	0.455	"Aspirate with or without biopsy: Carefully select and collect spicules using pipette, place on slide, make smear, air dry. Repeat for total 10 slides. Biopsy only: Carefully roll biopsy core on slide. Air dry, repeat for total 10 slides"	0	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	0	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	0	
30906	"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, no multitasking 1:1 (not related to moderate sedation)"	30	
30915	Tying of artery for control of nose bleed	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30915	Tying of artery for control of nose bleed	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
30915	Tying of artery for control of nose bleed	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
30920	Tying of artery for control of nose bleed	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
30920	Tying of artery for control of nose bleed	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
30920	Tying of artery for control of nose bleed	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
30930	Therapeutic fracture of nasal passages	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
30930	Therapeutic fracture of nasal passages	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
30930	Therapeutic fracture of nasal passages	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
31000	Irrigation of nasal sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
31000	Irrigation of nasal sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	12
31000	Irrigation of nasal sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
31002	Irrigation of nasal sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31002	Irrigation of nasal sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31002	Irrigation of nasal sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
31020	Incision of nasal sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
31020	Incision of nasal sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	6
31020	Incision of nasal sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	78	78
31030	Incision of nasal sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
31030	Incision of nasal sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	111	6
31030	Incision of nasal sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	64	64
31032	Removal of nasal sinus growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31032	Removal of nasal sinus growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31032	Removal of nasal sinus growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		78
31040	Incision through sinus at cheek bone to reach nerves and blood vessels	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31040	Incision through sinus at cheek bone to reach nerves and blood vessels	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31040	Incision through sinus at cheek bone to reach nerves and blood vessels	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
31050	Incision of nasal sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31050	Incision of nasal sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31050	Incision of nasal sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		64
31051	Removal of nasal polyps	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31051	Removal of nasal polyps	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31051	Removal of nasal polyps	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		91
31070	Incision of nasal sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31070	Incision of nasal sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31070	Incision of nasal sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		78
31075	Incision of nasal sinus of one side of face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31075	Incision of nasal sinus of one side of face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31075	Incision of nasal sinus of one side of face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		105
31080	Insertion of material to stop growth of nasal sinus lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31080	Insertion of material to stop growth of nasal sinus lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31080	Insertion of material to stop growth of nasal sinus lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		154
31081	Insertion of material to stop growth of nasal sinus lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31081	Insertion of material to stop growth of nasal sinus lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31081	Insertion of material to stop growth of nasal sinus lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		154
31084	Insertion of material to stop growth of nasal sinus lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31084	Insertion of material to stop growth of nasal sinus lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31084	Insertion of material to stop growth of nasal sinus lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		154
31085	Insertion of material to stop growth of nasal sinus lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31085	Insertion of material to stop growth of nasal sinus lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31085	Insertion of material to stop growth of nasal sinus lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		154
31086	Incision of nasal sinus with placement of bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31086	Incision of nasal sinus with placement of bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31086	Incision of nasal sinus with placement of bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		154
31087	Incision of nasal sinus with placement of bone graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31087	Incision of nasal sinus with placement of bone graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31087	Incision of nasal sinus with placement of bone graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		136
31090	Removal of diseased tissue or growths in multiple nasal sinuses on one side of face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31090	Removal of diseased tissue or growths in multiple nasal sinuses on one side of face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31090	Removal of diseased tissue or growths in multiple nasal sinuses on one side of face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		215
31200	Partial removal of nasal sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31200	Partial removal of nasal sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31200	Partial removal of nasal sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		105
31201	Removal of nasal sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31201	Removal of nasal sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31201	Removal of nasal sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		105
31205	Removal of nasal sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31205	Removal of nasal sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31205	Removal of nasal sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		105
31225	Removal of nasal sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31225	Removal of nasal sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31225	Removal of nasal sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		188
31230	Removal of nasal sinus and eye bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31230	Removal of nasal sinus and eye bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31230	Removal of nasal sinus and eye bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		188
31231	Diagnostic examination of nasal passages using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
31231	Diagnostic examination of nasal passages using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
31233	Examination of nasal passage and sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
31233	Examination of nasal passage and sinus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	76	0
31233	Examination of nasal passage and sinus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
31235	Examination of nasal passages and sinus using an endoscope via sinus puncture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
31235	Examination of nasal passages and sinus using an endoscope via sinus puncture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	91	0
31235	Examination of nasal passages and sinus using an endoscope via sinus puncture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
31237	Biopsy or removal of nasal polyp or tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
31237	Biopsy or removal of nasal polyp or tissue using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	0
31237	Biopsy or removal of nasal polyp or tissue using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	6
31238	Control of nasal bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
31238	Control of nasal bleeding using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	0
31238	Control of nasal bleeding using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	6
31239	Incision of tear duct using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31239	Incision of tear duct using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31239	Incision of tear duct using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		46
31240	Removal of nasal breathing passages using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31240	Removal of nasal breathing passages using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31241	"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31241	"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	4
31241	"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31241	"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
31241	"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
31253	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31253	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31253	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31253	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31253	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31253	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	10	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
31254	"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
31255	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31255	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31255	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31255	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31255	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31255	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
31256	Incision of nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31256	Incision of nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31256	Incision of nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31256	Incision of nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31256	Incision of nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31256	Incision of nasal sinus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
31257	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31257	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31257	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31257	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31257	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31257	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
31259	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31259	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31259	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31259	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31259	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31259	"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
31267	Removal of nasal sinus tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31267	Removal of nasal sinus tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31267	Removal of nasal sinus tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31267	Removal of nasal sinus tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31267	Removal of nasal sinus tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31267	Removal of nasal sinus tissue using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
31276	"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31276	"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31276	"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31276	"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31276	"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31276	"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
31287	Incision of nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31287	Incision of nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31287	Incision of nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31287	Incision of nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31287	Incision of nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31287	Incision of nasal sinus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
31288	Removal of nasal sinus tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31288	Removal of nasal sinus tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31288	Removal of nasal sinus tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31288	Removal of nasal sinus tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31288	Removal of nasal sinus tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31288	Removal of nasal sinus tissue using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
31290	Repair of spinal fluid leak into nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31290	Repair of spinal fluid leak into nasal sinus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31290	Repair of spinal fluid leak into nasal sinus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
31291	Repair of spinal fluid leak into nasal sinus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31291	Repair of spinal fluid leak into nasal sinus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31291	Repair of spinal fluid leak into nasal sinus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
31292	Decompression of eye bone using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31292	Decompression of eye bone using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31292	Decompression of eye bone using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
31293	Decompression of eye bone using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31293	Decompression of eye bone using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31293	Decompression of eye bone using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
31294	Decompression of eye bone and release of optic nerve using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31294	Decompression of eye bone and release of optic nerve using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31294	Decompression of eye bone and release of optic nerve using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	10	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
31295	"Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Review requistion, assess for special needs"	2	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	25	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	10	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
31296	"Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	10	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
31297	"Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	4	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	40	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	20	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	15	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
31298	"Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
31300	Removal of vocal cord growth or cartilage attachment	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31300	Removal of vocal cord growth or cartilage attachment	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31300	Removal of vocal cord growth or cartilage attachment	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		191
31360	Removal of voice box	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
31360	Removal of voice box	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31360	Removal of voice box	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
31365	"Removal of voice box, muscle, lymph nodes, and glands"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
31365	"Removal of voice box, muscle, lymph nodes, and glands"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31365	"Removal of voice box, muscle, lymph nodes, and glands"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
31367	Removal of voice box	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
31367	Removal of voice box	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31367	Removal of voice box	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
31368	"Removal of voice box, muscle, lymph nodes, and glands"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
31368	"Removal of voice box, muscle, lymph nodes, and glands"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31368	"Removal of voice box, muscle, lymph nodes, and glands"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
31370	Partial removal of voice box	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
31370	Partial removal of voice box	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31370	Partial removal of voice box	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
31375	Partial removal of voice box	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
31375	Partial removal of voice box	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31375	Partial removal of voice box	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
31380	Partial removal of voice box	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
31380	Partial removal of voice box	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31380	Partial removal of voice box	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
31382	Partial removal of voice box	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
31382	Partial removal of voice box	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31382	Partial removal of voice box	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
31390	"Removal of voice box, throat, muscle, lymph nodes, and glands"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31390	"Removal of voice box, throat, muscle, lymph nodes, and glands"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31390	"Removal of voice box, throat, muscle, lymph nodes, and glands"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
31395	"Removal of voice box and throat, muscle, lymph nodes, and glands with reconstruction of defect"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31395	"Removal of voice box and throat, muscle, lymph nodes, and glands with reconstruction of defect"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31395	"Removal of voice box and throat, muscle, lymph nodes, and glands with reconstruction of defect"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
31400	Removal or repair of the voice box cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31400	Removal or repair of the voice box cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31400	Removal or repair of the voice box cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		200
31420	Removal of cartilage attaching the tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31420	Removal of cartilage attaching the tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31420	Removal of cartilage attaching the tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		118
31502	Change of breathing tube of windpipe in neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31505	Diagnostic examination of voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
31505	Diagnostic examination of voice box using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	0
31505	Diagnostic examination of voice box using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
31510	Biopsy of voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
31510	Biopsy of voice box using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	0
31510	Biopsy of voice box using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
31511	Removal of foreign body from voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
31511	Removal of foreign body from voice box using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	0
31511	Removal of foreign body from voice box using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
31512	Removal of growth of voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
31512	Removal of growth of voice box using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	0
31512	Removal of growth of voice box using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
31513	Vocal cord injection using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31513	Vocal cord injection using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31515	Aspiration of voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
31515	Aspiration of voice box using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	0
31515	Aspiration of voice box using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
31520	"Diagnostic examination of voice box using an endoscope, newborn"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31520	"Diagnostic examination of voice box using an endoscope, newborn"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31525	Diagnostic examination of voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
31525	Diagnostic examination of voice box using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	0
31525	Diagnostic examination of voice box using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
31526	Diagnostic examination of voice box using an endoscope with operating microscope or telescope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31526	Diagnostic examination of voice box using an endoscope with operating microscope or telescope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31527	Insertion of device to close opening to voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31527	Insertion of device to close opening to voice box using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31528	Dilation of the voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31529	Dilation of the voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31530	Removal of foreign body from voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31530	Removal of foreign body from voice box using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31531	Removal of foreign body from voice box using an endoscope with operating microscope or telescope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31531	Removal of foreign body from voice box using an endoscope with operating microscope or telescope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31535	Biopsy of voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31535	Biopsy of voice box using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31536	Biopsy of voice box using an endoscope with operating microscope or telescope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31536	Biopsy of voice box using an endoscope with operating microscope or telescope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31540	Removal of growth of tongue and/or vocal cord stripping using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31540	Removal of growth of tongue and/or vocal cord stripping using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31541	Removal of growth of tongue and/or vocal cord stripping using an endoscope with operating microscope or telescope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31541	Removal of growth of tongue and/or vocal cord stripping using an endoscope with operating microscope or telescope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31545	Removal of vocal cord growths with tissue flap repair using an endoscope with operating microscope or telescope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31545	Removal of vocal cord growths with tissue flap repair using an endoscope with operating microscope or telescope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31546	Removal of vocal cord growths with tissue flap repair using an endoscope with operating microscope or telescope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31546	Removal of vocal cord growths with tissue flap repair using an endoscope with operating microscope or telescope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31551	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31551	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
31551	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
31551	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
31551	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
31551	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Stoma Education		0
31551	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope		90
31551	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package		30
31551	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
31551	Laryngoplasty laryngeal sten	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
31552	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31552	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
31552	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
31552	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
31552	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
31552	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Stoma Education		0
31552	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope		90
31552	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package		30
31552	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
31552	Laryngoplasty laryngeal sten	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
31553	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31553	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
31553	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
31553	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
31553	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
31553	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Stoma Education		0
31553	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope		90
31553	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package		30
31553	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
31553	Laryngoplasty laryngeal sten	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
31554	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31554	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
31554	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
31554	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
31554	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
31554	Laryngoplasty laryngeal sten	Pre-service	L037D	RN/LPN/MTA	0.455	Stoma Education		0
31554	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope		90
31554	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package		30
31554	Laryngoplasty laryngeal sten	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
31554	Laryngoplasty laryngeal sten	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
31560	Removal of cartilage attaching voice box using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31561	Removal of cartilage attaching voice box using an endoscope with operating microscope or telescope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31570	Injection of vocal cords using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
31570	Injection of vocal cords using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	0
31570	Injection of vocal cords using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
31571	Injection of vocal cords using an endoscope with operating microscope or telescope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
31571	Injection of vocal cords using an endoscope with operating microscope or telescope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
31572	Largsc w/laser dstrj les	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31572	Largsc w/laser dstrj les	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
31572	Largsc w/laser dstrj les	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31572	Largsc w/laser dstrj les	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
31572	Largsc w/laser dstrj les	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
31572	Largsc w/laser dstrj les	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31572	Largsc w/laser dstrj les	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31572	Largsc w/laser dstrj les	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
31572	Largsc w/laser dstrj les	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
31572	Largsc w/laser dstrj les	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
31572	Largsc w/laser dstrj les	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	0
31572	Largsc w/laser dstrj les	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
31572	Largsc w/laser dstrj les	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
31572	Largsc w/laser dstrj les	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
31572	Largsc w/laser dstrj les	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
31572	Largsc w/laser dstrj les	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	0
31572	Largsc w/laser dstrj les	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	15	0
31572	Largsc w/laser dstrj les	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
31573	Largsc w/ther injection	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31573	Largsc w/ther injection	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
31573	Largsc w/ther injection	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31573	Largsc w/ther injection	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
31573	Largsc w/ther injection	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
31573	Largsc w/ther injection	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31573	Largsc w/ther injection	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31573	Largsc w/ther injection	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
31573	Largsc w/ther injection	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
31573	Largsc w/ther injection	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
31573	Largsc w/ther injection	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	0
31573	Largsc w/ther injection	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
31573	Largsc w/ther injection	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
31573	Largsc w/ther injection	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
31573	Largsc w/ther injection	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
31573	Largsc w/ther injection	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	0
31573	Largsc w/ther injection	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	0
31573	Largsc w/ther injection	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
31574	Largsc w/njx augmentation	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31574	Largsc w/njx augmentation	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
31574	Largsc w/njx augmentation	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31574	Largsc w/njx augmentation	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
31574	Largsc w/njx augmentation	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
31574	Largsc w/njx augmentation	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31574	Largsc w/njx augmentation	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31574	Largsc w/njx augmentation	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
31574	Largsc w/njx augmentation	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
31574	Largsc w/njx augmentation	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
31574	Largsc w/njx augmentation	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	0
31574	Largsc w/njx augmentation	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
31574	Largsc w/njx augmentation	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
31574	Largsc w/njx augmentation	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
31574	Largsc w/njx augmentation	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
31574	Largsc w/njx augmentation	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	0
31574	Largsc w/njx augmentation	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	0
31574	Largsc w/njx augmentation	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
31575	Diagnostic examination of voice box using flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
31575	Diagnostic examination of voice box using flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	10
31575	Diagnostic examination of voice box using flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	3
31575	Diagnostic examination of voice box using flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
31575	Diagnostic examination of voice box using flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
31575	Diagnostic examination of voice box using flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
31575	Diagnostic examination of voice box using flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
31575	Diagnostic examination of voice box using flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	0
31575	Diagnostic examination of voice box using flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
31575	Diagnostic examination of voice box using flexible endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	5	0
31575	Diagnostic examination of voice box using flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
31575	Diagnostic examination of voice box using flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	0
31575	Diagnostic examination of voice box using flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
31575	Diagnostic examination of voice box using flexible endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	0	3
31576	Biopsy of voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31576	Biopsy of voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
31576	Biopsy of voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31576	Biopsy of voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
31576	Biopsy of voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
31576	Biopsy of voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31576	Biopsy of voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31576	Biopsy of voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
31576	Biopsy of voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
31576	Biopsy of voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
31576	Biopsy of voice box using a flexible endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	0
31576	Biopsy of voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
31576	Biopsy of voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
31576	Biopsy of voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
31576	Biopsy of voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
31576	Biopsy of voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	0
31576	Biopsy of voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	0
31576	Biopsy of voice box using a flexible endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
31577	Removal of foreign body from voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
31577	Removal of foreign body from voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	10
31577	Removal of foreign body from voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	3
31577	Removal of foreign body from voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
31577	Removal of foreign body from voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
31577	Removal of foreign body from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Assemble/review x-ray, lab, path reports"	0	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic & referral forms	0	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	0	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	0	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician/moderate sedation (% of physician time)	0	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	15	0
31577	Removal of foreign body from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. following moderate sedation	0	0
31577	Removal of foreign body from voice box using a flexible endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	0	3
31577	Removal of foreign body from voice box using a flexible endoscope	Post-service	L037D	RN/LPN/MTA	0.455	"Review/read X-ray, lab, and pathology reports"	0	0
31578	Removal of growth from voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31578	Removal of growth from voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
31578	Removal of growth from voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31578	Removal of growth from voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
31578	Removal of growth from voice box using a flexible endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
31578	Removal of growth from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31578	Removal of growth from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31578	Removal of growth from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
31578	Removal of growth from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
31578	Removal of growth from voice box using a flexible endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
31578	Removal of growth from voice box using a flexible endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	0
31578	Removal of growth from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
31578	Removal of growth from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
31578	Removal of growth from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
31578	Removal of growth from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
31578	Removal of growth from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	0
31578	Removal of growth from voice box using a flexible endoscope	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	0
31578	Removal of growth from voice box using a flexible endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
31579	Examination to assess movement of vocal cord flaps using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
31579	Examination to assess movement of vocal cord flaps using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	10
31579	Examination to assess movement of vocal cord flaps using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	3
31579	Examination to assess movement of vocal cord flaps using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
31579	Examination to assess movement of vocal cord flaps using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
31579	Examination to assess movement of vocal cord flaps using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
31579	Examination to assess movement of vocal cord flaps using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
31579	Examination to assess movement of vocal cord flaps using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
31579	Examination to assess movement of vocal cord flaps using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	0
31579	Examination to assess movement of vocal cord flaps using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
31579	Examination to assess movement of vocal cord flaps using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	0
31579	Examination to assess movement of vocal cord flaps using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
31579	Examination to assess movement of vocal cord flaps using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	0
31579	Examination to assess movement of vocal cord flaps using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
31579	Examination to assess movement of vocal cord flaps using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	0	3
31580	Repair of congenital vocal cord defect	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31580	Repair of congenital vocal cord defect	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
31580	Repair of congenital vocal cord defect	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
31580	Repair of congenital vocal cord defect	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
31580	Repair of congenital vocal cord defect	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
31580	Repair of congenital vocal cord defect	Pre-service	L037D	RN/LPN/MTA	0.455	Stoma Education		0
31580	Repair of congenital vocal cord defect	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope		90
31580	Repair of congenital vocal cord defect	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package		30
31580	Repair of congenital vocal cord defect	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
31580	Repair of congenital vocal cord defect	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	0	108
31584	Incision of voice box to repair thyroid cartilage fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		0
31584	Incision of voice box to repair thyroid cartilage fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		0
31584	Incision of voice box to repair thyroid cartilage fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		0
31584	Incision of voice box to repair thyroid cartilage fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		0
31584	Incision of voice box to repair thyroid cartilage fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		0
31584	Incision of voice box to repair thyroid cartilage fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Stoma Education		0
31584	Incision of voice box to repair thyroid cartilage fracture	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope		90
31584	Incision of voice box to repair thyroid cartilage fracture	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package		30
31584	Incision of voice box to repair thyroid cartilage fracture	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
31584	Incision of voice box to repair thyroid cartilage fracture	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
31587	Repair of split in the voice box cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31587	Repair of split in the voice box cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
31587	Repair of split in the voice box cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
31587	Repair of split in the voice box cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
31587	Repair of split in the voice box cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
31587	Repair of split in the voice box cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Stoma Education		0
31587	Repair of split in the voice box cartilage	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope		90
31587	Repair of split in the voice box cartilage	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package		30
31587	Repair of split in the voice box cartilage	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
31587	Repair of split in the voice box cartilage	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
31590	Relocation of nerve and muscle to restore voice box function	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31590	Relocation of nerve and muscle to restore voice box function	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31590	Relocation of nerve and muscle to restore voice box function	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		285
31591	Laryngoplasty medialization	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31591	Laryngoplasty medialization	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
31591	Laryngoplasty medialization	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
31591	Laryngoplasty medialization	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
31591	Laryngoplasty medialization	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
31591	Laryngoplasty medialization	Pre-service	L037D	RN/LPN/MTA	0.455	Stoma Education		0
31591	Laryngoplasty medialization	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope		90
31591	Laryngoplasty medialization	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package		30
31591	Laryngoplasty medialization	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt same day  (0.5 x 99238) (enter 6 min)		6
31591	Laryngoplasty medialization	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
31592	Cricotracheal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31592	Cricotracheal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
31592	Cricotracheal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
31592	Cricotracheal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
31592	Cricotracheal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
31592	Cricotracheal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Stoma Education		0
31592	Cricotracheal resection	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope		90
31592	Cricotracheal resection	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package		30
31592	Cricotracheal resection	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
31592	Cricotracheal resection	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
31600	Opening of windpipe through neck for insertion of breathing tube	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31600	Opening of windpipe through neck for insertion of breathing tube	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
31600	Opening of windpipe through neck for insertion of breathing tube	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
31601	"Opening of windpipe through neck for insertion of breathing tube, patient younger than 2 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31601	"Opening of windpipe through neck for insertion of breathing tube, patient younger than 2 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
31601	"Opening of windpipe through neck for insertion of breathing tube, patient younger than 2 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
31601	"Opening of windpipe through neck for insertion of breathing tube, patient younger than 2 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
31601	"Opening of windpipe through neck for insertion of breathing tube, patient younger than 2 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
31603	Emergent surgical opening of windpipe through neck for insertion of breathing tube	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		0
31603	Emergent surgical opening of windpipe through neck for insertion of breathing tube	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		0
31603	Emergent surgical opening of windpipe through neck for insertion of breathing tube	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		0
31603	Emergent surgical opening of windpipe through neck for insertion of breathing tube	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		0
31603	Emergent surgical opening of windpipe through neck for insertion of breathing tube	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		0
31610	Creation of permanent opening of windpipe for breathing	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
31610	Creation of permanent opening of windpipe for breathing	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
31610	Creation of permanent opening of windpipe for breathing	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
31610	Creation of permanent opening of windpipe for breathing	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
31610	Creation of permanent opening of windpipe for breathing	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
31610	Creation of permanent opening of windpipe for breathing	Service  pre	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
31610	Creation of permanent opening of windpipe for breathing	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
31610	Creation of permanent opening of windpipe for breathing	Post-service	L037D	RN/LPN/MTA	0.455	Clean Surgical Instrument Package		30
31611	Creation of opening of windpipe and with insertion of speech prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
31611	Creation of opening of windpipe and with insertion of speech prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
31611	Creation of opening of windpipe and with insertion of speech prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		91
31612	"Puncture of neck and windpipe cartilage for aspiration and/or injection, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
31613	Revision of permanent opening of windpipe for breathing	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31613	Revision of permanent opening of windpipe for breathing	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31613	Revision of permanent opening of windpipe for breathing	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
31614	Revision of permanent opening of windpipe for breathing	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31614	Revision of permanent opening of windpipe for breathing	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31614	Revision of permanent opening of windpipe for breathing	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
31615	Examination of windpipe and lung airways through permanent skin opening to windpipe using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
31615	Examination of windpipe and lung airways through permanent skin opening to windpipe using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	0
31615	Examination of windpipe and lung airways through permanent skin opening to windpipe using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
31622	Diagnostic examination of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31622	Diagnostic examination of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
31622	Diagnostic examination of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31622	Diagnostic examination of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
31622	Diagnostic examination of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
31622	Diagnostic examination of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
31622	Diagnostic examination of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	
31622	Diagnostic examination of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Prepare and position pt/ monitor pt/ set up IV	2	
31622	Diagnostic examination of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment, supplies"	2	
31622	Diagnostic examination of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Setup scope (non facility setting only)	5	
31622	Diagnostic examination of lung airways using an endoscope	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	30	
31622	Diagnostic examination of lung airways using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	
31622	Diagnostic examination of lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
31622	Diagnostic examination of lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by physician staff	3	
31622	Diagnostic examination of lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean scope	30	
31622	Diagnostic examination of lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete diagnostic forms, lab, X-ray requisitions"	4	
31623	Examination of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
31623	Examination of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31623	Examination of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	5
31623	Examination of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	0
31623	Examination of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31623	Examination of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31623	Examination of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	0
31623	Examination of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	2	0
31623	Examination of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
31623	Examination of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Setup scope (nonfacility setting only)	5	0
31623	Examination of lung airways using an endoscope	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
31623	Examination of lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	"Check dressings, catheters, wounds"	1	0
31623	Examination of lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by clinical staff	3	0
31623	Examination of lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean scope	30	0
31623	Examination of lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	5
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	2	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Setup scope (nonfacility setting only)	5	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	"Check dressings, catheters, wounds"	1	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by clinical staff	3	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean scope	30	0
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
31625	Biopsy of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31625	Biopsy of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
31625	Biopsy of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31625	Biopsy of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
31625	Biopsy of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
31625	Biopsy of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
31625	Biopsy of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	
31625	Biopsy of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Prepare and position pt/ monitor pt/ set up IV	2	
31625	Biopsy of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment, supplies"	2	
31625	Biopsy of lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Setup scope (non facility setting only)	5	
31625	Biopsy of lung airways using an endoscope	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	35	
31625	Biopsy of lung airways using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	
31625	Biopsy of lung airways using an endoscope	Post-service	L047C	RN/Respiratory Therapist	0.585	Check dressings & wound/home care instructions / coordinate office visits / prescriptions	3	
31625	Biopsy of lung airways using an endoscope	Post-service	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by physician staff	3	
31625	Biopsy of lung airways using an endoscope	Post-service	L047C	RN/Respiratory Therapist	0.585	Clean scope	30	
31625	Biopsy of lung airways using an endoscope	Post-service	L047C	RN/Respiratory Therapist	0.585	"Complete diagnostic forms, lab & X-ray requisitions"	4	
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	0
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Prepare and position pt/ monitor pt/ set up IV	2	0
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment, supplies"	2	0
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Setup scope (non facility setting only)	5	0
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	45	0
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by physician staff	3	0
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean scope	30	0
31626	Insertion of radiation therapy markers into lung airways using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete diagnostic forms, lab, X-ray requisitions"	4	0
31627	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed"	Service  pre	L042B	Respiratory Therapist	0.53	"Power, System Preparation & Attaching to Bronchoscope"	11	
31627	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Prepare and position pt/ monitor pt/ set up IV	0	
31627	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	30	
31627	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
31628	Biopsy of one lobe of lung using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31628	Biopsy of one lobe of lung using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
31628	Biopsy of one lobe of lung using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31628	Biopsy of one lobe of lung using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
31628	Biopsy of one lobe of lung using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
31628	Biopsy of one lobe of lung using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
31628	Biopsy of one lobe of lung using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	
31628	Biopsy of one lobe of lung using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Prepare and position pt/ monitor pt/ set up IV	2	
31628	Biopsy of one lobe of lung using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment, supplies"	2	
31628	Biopsy of one lobe of lung using an endoscope	Service  pre	L047C	RN/Respiratory Therapist	0.585	Setup scope (non facility setting only)	5	
31628	Biopsy of one lobe of lung using an endoscope	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	40	
31628	Biopsy of one lobe of lung using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	
31628	Biopsy of one lobe of lung using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
31628	Biopsy of one lobe of lung using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by physician staff	3	
31628	Biopsy of one lobe of lung using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean scope	30	
31628	Biopsy of one lobe of lung using an endoscope	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete diagnostic forms, lab, X-ray requisitions"	4	
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Prepare and position pt/ monitor pt/ set up IV	2	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment, supplies"	2	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Setup scope (non facility setting only)	5	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	35	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  post	L047C	RN/Respiratory Therapist	0.585	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by physician staff	3	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean scope	30	0
31629	"Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete diagnostic forms, lab, X-ray requisitions"	4	0
31630	Treatment of windpipe cartilage fracture or dilation of windpipe cartilage using an endoscope	Pre-service	L042B	Respiratory Therapist	0.53	Preservice total costs		18
31631	Insertion of stents into windpipe using an endoscope	Pre-service	L042B	Respiratory Therapist	0.53	Preservice total costs		18
31632	Biopsy of lung using an endoscope	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	18	
31632	Biopsy of lung using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	
31633	Needle biopsy of lung using an endoscope	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	20	
31633	Needle biopsy of lung using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	
31634	Examination of lung airways with repair of air leak using an endoscope	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs	16	15
31634	Examination of lung airways with repair of air leak using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
31634	Examination of lung airways with repair of air leak using an endoscope	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	87	0
31635	Removal of foreign body in lung airways using an endoscope	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs	15	15
31635	Removal of foreign body in lung airways using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
31635	Removal of foreign body in lung airways using an endoscope	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	79	0
31636	Insertion of stents in lung airways using an endoscope	Pre-service	L042B	Respiratory Therapist	0.53	Preservice total costs		18
31638	Revision of previously inserted stent in lung airways using an endoscope	Pre-service	L042B	Respiratory Therapist	0.53	Preservice total costs		18
31640	Removal of growth in lung airways using an endoscope	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs		15
31641	Destruction of growth or narrowing of lung airway using an endoscope	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs		15
31643	Insertion of catheters for radiation delivery in lung airway using an endoscope	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs		15
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Prepare and position pt/ monitor pt/ set up IV	2	
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment, supplies"	2	
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Setup scope (non facility setting only)	5	
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	35	
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Service  post	L047C	RN/Respiratory Therapist	0.585	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by physician staff	3	
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean scope	30	
31645	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete diagnostic forms, lab, X-ray requisitions"	4	
31646	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
31646	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	5
31646	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	3
31646	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	
31646	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
31647	"Assessment of air leak, airway sizing, and insertion of bronchial valves in lung airways using an endoscope"	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs		13
31648	Removal of bronchial valves in lung airways using an endoscope	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs		13
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Prepare and position pt/ monitor pt/ set up IV	2	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment, supplies"	2	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Setup scope (non facility setting only)	10	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	60	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  post	L047C	RN/Respiratory Therapist	0.585	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by physician staff	3	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean scope	60	
31652	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete diagnostic forms, lab, X-ray requisitions"	4	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Prepare and position pt/ monitor pt/ set up IV	2	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment, supplies"	2	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Setup scope (non facility setting only)	10	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	75	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  post	L047C	RN/Respiratory Therapist	0.585	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by physician staff	3	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean scope	60	
31653	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete diagnostic forms, lab, X-ray requisitions"	4	
31654	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) (List separately in addition to code for primary procedure[s])"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment, supplies"	2	0
31654	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) (List separately in addition to code for primary procedure[s])"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	30	0
31654	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) (List separately in addition to code for primary procedure[s])"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
31654	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) (List separately in addition to code for primary procedure[s])"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by physician staff	3	0
31660	Thermal repair of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		10
31661	Thermal repair of lung airways using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		8
31717	Insertion of catheter into airway of lung for brush biopsy	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs	18	15
31717	Insertion of catheter into airway of lung for brush biopsy	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	69	0
31730	"Insertion into windpipe of needle wire, dilator, stent, or tube for oxygen delivery"	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs	18	0
31730	"Insertion into windpipe of needle wire, dilator, stent, or tube for oxygen delivery"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	63	0
31750	Repair of windpipe cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31750	Repair of windpipe cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31750	Repair of windpipe cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		237
31755	Creation of drainage tract from throat to windpipe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31755	Creation of drainage tract from throat to windpipe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31755	Creation of drainage tract from throat to windpipe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		376
31760	Repair of windpipe cartilage by insertion of splint or graft	Pre-service	L051A	RN	0.635	Preservice total costs		60
31760	Repair of windpipe cartilage by insertion of splint or graft	Service  intra	L051A	RN	0.635	Service total costs		12
31760	Repair of windpipe cartilage by insertion of splint or graft	Post-service	L051A	RN	0.635	Post service total costs		108
31766	Repair through chest of upper breast bone	Pre-service	L051A	RN	0.635	Preservice total costs		60
31766	Repair through chest of upper breast bone	Service  intra	L051A	RN	0.635	Service total costs		12
31766	Repair through chest of upper breast bone	Post-service	L051A	RN	0.635	Post service total costs		81
31770	Repair of lung airway	Pre-service	L051A	RN	0.635	Preservice total costs		60
31770	Repair of lung airway	Service  intra	L051A	RN	0.635	Service total costs		12
31770	Repair of lung airway	Post-service	L051A	RN	0.635	Post service total costs		54
31775	Repair of narrowed area in lung airway	Pre-service	L051A	RN	0.635	Preservice total costs		60
31775	Repair of narrowed area in lung airway	Service  intra	L051A	RN	0.635	Service total costs		12
31775	Repair of narrowed area in lung airway	Post-service	L051A	RN	0.635	Post service total costs		68
31780	Repair of narrowed area of windpipe cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31780	Repair of narrowed area of windpipe cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31780	Repair of narrowed area of windpipe cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
31781	Repair of narrowed area of windpipe cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31781	Repair of narrowed area of windpipe cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31781	Repair of narrowed area of windpipe cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
31785	Removal of windpipe cartilage growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
31785	Removal of windpipe cartilage growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31785	Removal of windpipe cartilage growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
31786	"Removal of windpipe cartilage growth, open chest procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
31786	"Removal of windpipe cartilage growth, open chest procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
31786	"Removal of windpipe cartilage growth, open chest procedure"	Post-service	L051A	RN	0.635	Post service total costs		68
31800	Suture of wound or injury to windpipe cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
31800	Suture of wound or injury to windpipe cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		114
31805	Suture of wound or injury to windpipe cartilage	Pre-service	L051A	RN	0.635	Preservice total costs		60
31805	Suture of wound or injury to windpipe cartilage	Service  intra	L051A	RN	0.635	Service total costs		12
31805	Suture of wound or injury to windpipe cartilage	Post-service	L051A	RN	0.635	Post service total costs		68
31820	Closure of permanent windpipe opening or abnormal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
31820	Closure of permanent windpipe opening or abnormal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	6
31820	Closure of permanent windpipe opening or abnormal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
31825	Plastic repair and closure of permanent windpipe opening or abnormal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
31825	Plastic repair and closure of permanent windpipe opening or abnormal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	109	6
31825	Plastic repair and closure of permanent windpipe opening or abnormal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
31830	Revision of permanent windpipe opening scar	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
31830	Revision of permanent windpipe opening scar	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	6
31830	Revision of permanent windpipe opening scar	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
32035	Removal of rib with creation of tract for drainage of infected material	Pre-service	L051A	RN	0.635	Preservice total costs		60
32035	Removal of rib with creation of tract for drainage of infected material	Service  intra	L051A	RN	0.635	Service total costs		12
32035	Removal of rib with creation of tract for drainage of infected material	Post-service	L051A	RN	0.635	Post service total costs		81
32036	Removal of rib with creation of open flap tract for drainage of infected material from lung	Pre-service	L051A	RN	0.635	Preservice total costs		60
32036	Removal of rib with creation of open flap tract for drainage of infected material from lung	Service  intra	L051A	RN	0.635	Service total costs		12
32036	Removal of rib with creation of open flap tract for drainage of infected material from lung	Post-service	L051A	RN	0.635	Post service total costs		81
32096	Opening in chest with biopsy of fluid collection in one lung	Pre-service	L051A	RN	0.635	Preservice total costs		60
32096	Opening in chest with biopsy of fluid collection in one lung	Service  intra	L051A	RN	0.635	Service total costs		12
32096	Opening in chest with biopsy of fluid collection in one lung	Post-service	L051A	RN	0.635	Post service total costs		36
32097	Opening in chest with biopsy of growths in one lung	Pre-service	L051A	RN	0.635	Preservice total costs		60
32097	Opening in chest with biopsy of growths in one lung	Service  intra	L051A	RN	0.635	Service total costs		12
32097	Opening in chest with biopsy of growths in one lung	Post-service	L051A	RN	0.635	Post service total costs		36
32098	Opening in chest with biopsy of lung lining	Pre-service	L051A	RN	0.635	Preservice total costs		60
32098	Opening in chest with biopsy of lung lining	Service  intra	L051A	RN	0.635	Service total costs		12
32098	Opening in chest with biopsy of lung lining	Post-service	L051A	RN	0.635	Post service total costs		36
32100	Incision and exploration of chest cavity	Pre-service	L051A	RN	0.635	Preservice total costs		60
32100	Incision and exploration of chest cavity	Service  intra	L051A	RN	0.635	Service total costs		12
32100	Incision and exploration of chest cavity	Post-service	L051A	RN	0.635	Post service total costs		36
32110	Repair of traumatic tear in lung and/or control of bleeding	Pre-service	L051A	RN	0.635	Preservice total costs		60
32110	Repair of traumatic tear in lung and/or control of bleeding	Service  intra	L051A	RN	0.635	Service total costs		12
32110	Repair of traumatic tear in lung and/or control of bleeding	Post-service	L051A	RN	0.635	Post service total costs		89
32120	Incision of chest cavity for complication after surgery	Pre-service	L051A	RN	0.635	Preservice total costs		60
32120	Incision of chest cavity for complication after surgery	Service  intra	L051A	RN	0.635	Service total costs		12
32120	Incision of chest cavity for complication after surgery	Post-service	L051A	RN	0.635	Post service total costs		80
32124	Opening in chest with release of lung lining	Pre-service	L051A	RN	0.635	Preservice total costs		60
32124	Opening in chest with release of lung lining	Service  intra	L051A	RN	0.635	Service total costs		12
32124	Opening in chest with release of lung lining	Post-service	L051A	RN	0.635	Post service total costs		80
32140	Opening in chest with removal of lung cysts	Pre-service	L051A	RN	0.635	Preservice total costs		60
32140	Opening in chest with removal of lung cysts	Service  intra	L051A	RN	0.635	Service total costs		12
32140	Opening in chest with removal of lung cysts	Post-service	L051A	RN	0.635	Post service total costs		80
32141	Removal of air sac of lung	Pre-service	L051A	RN	0.635	Preservice total costs		60
32141	Removal of air sac of lung	Service  intra	L051A	RN	0.635	Service total costs		12
32141	Removal of air sac of lung	Post-service	L051A	RN	0.635	Post service total costs		63
32150	Removal of foreign body or clot protein deposit in lung lining	Pre-service	L051A	RN	0.635	Preservice total costs		60
32150	Removal of foreign body or clot protein deposit in lung lining	Service  intra	L051A	RN	0.635	Service total costs		12
32150	Removal of foreign body or clot protein deposit in lung lining	Post-service	L051A	RN	0.635	Post service total costs		80
32151	Removal of foreign body in lung	Pre-service	L051A	RN	0.635	Preservice total costs		60
32151	Removal of foreign body in lung	Service  intra	L051A	RN	0.635	Service total costs		12
32151	Removal of foreign body in lung	Post-service	L051A	RN	0.635	Post service total costs		80
32160	Massage of heart muscle through chest cavity	Pre-service	L051A	RN	0.635	Preservice total costs		60
32160	Massage of heart muscle through chest cavity	Service  intra	L051A	RN	0.635	Service total costs		12
32160	Massage of heart muscle through chest cavity	Post-service	L051A	RN	0.635	Post service total costs		53
32200	"Drainage of infected lung material or cyst, open procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
32200	"Drainage of infected lung material or cyst, open procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
32200	"Drainage of infected lung material or cyst, open procedure"	Post-service	L051A	RN	0.635	Post service total costs		133
32215	Creation of scarring on surface of lung	Pre-service	L051A	RN	0.635	Preservice total costs		60
32215	Creation of scarring on surface of lung	Service  intra	L051A	RN	0.635	Service total costs		12
32215	Creation of scarring on surface of lung	Post-service	L051A	RN	0.635	Post service total costs		80
32220	Removal of lung lining for lung expansion	Pre-service	L051A	RN	0.635	Preservice total costs		60
32220	Removal of lung lining for lung expansion	Service  intra	L051A	RN	0.635	Service total costs		12
32220	Removal of lung lining for lung expansion	Post-service	L051A	RN	0.635	Post service total costs		179
32225	Partial removal of lung lining for lung expansion	Pre-service	L051A	RN	0.635	Preservice total costs		60
32225	Partial removal of lung lining for lung expansion	Service  intra	L051A	RN	0.635	Service total costs		12
32225	Partial removal of lung lining for lung expansion	Post-service	L051A	RN	0.635	Post service total costs		80
32310	Removal of chest cavity lining	Pre-service	L051A	RN	0.635	Preservice total costs		60
32310	Removal of chest cavity lining	Service  intra	L051A	RN	0.635	Service total costs		12
32310	Removal of chest cavity lining	Post-service	L051A	RN	0.635	Post service total costs		80
32320	Removal of chest cavity and lung lining	Pre-service	L051A	RN	0.635	Preservice total costs		60
32320	Removal of chest cavity and lung lining	Service  intra	L051A	RN	0.635	Service total costs		12
32320	Removal of chest cavity and lung lining	Post-service	L051A	RN	0.635	Post service total costs		152
32400	"Needle biopsy of lining of lung, accessed through the skin"	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs	15	0
32400	"Needle biopsy of lining of lung, accessed through the skin"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	78	0
32400	"Needle biopsy of lining of lung, accessed through the skin"	Post-service	L047C	RN/Respiratory Therapist	0.585	Post service total costs	3	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	3	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	3	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	4	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	40	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	30	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	10	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	"Check dressings, catheters, wounds"	3	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  post	L051A	RN	0.635	"Monitor patient following procedure/service, multitasking 1:4"	45	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
32408	"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
32440	Removal of lung	Pre-service	L051A	RN	0.635	Preservice total costs		75
32440	Removal of lung	Service  intra	L051A	RN	0.635	Service total costs		12
32440	Removal of lung	Post-service	L051A	RN	0.635	Post service total costs		90
32442	Removal of lung and portion of windpipe cartilage	Pre-service	L051A	RN	0.635	Preservice total costs		60
32442	Removal of lung and portion of windpipe cartilage	Service  intra	L051A	RN	0.635	Service total costs		12
32442	Removal of lung and portion of windpipe cartilage	Post-service	L051A	RN	0.635	Post service total costs		72
32445	Removal of lung and chest cavity lining	Pre-service	L051A	RN	0.635	Preservice total costs		75
32445	Removal of lung and chest cavity lining	Service  intra	L051A	RN	0.635	Service total costs		12
32445	Removal of lung and chest cavity lining	Post-service	L051A	RN	0.635	Post service total costs		169
32480	Removal of one lobe of lung	Pre-service	L051A	RN	0.635	Preservice total costs		60
32480	Removal of one lobe of lung	Service  intra	L051A	RN	0.635	Service total costs		12
32480	Removal of one lobe of lung	Post-service	L051A	RN	0.635	Post service total costs		90
32482	Removal of two lobes of lung	Pre-service	L051A	RN	0.635	Preservice total costs		60
32482	Removal of two lobes of lung	Service  intra	L051A	RN	0.635	Service total costs		12
32482	Removal of two lobes of lung	Post-service	L051A	RN	0.635	Post service total costs		116
32484	Removal of a segment of lung tissue	Pre-service	L051A	RN	0.635	Preservice total costs		60
32484	Removal of a segment of lung tissue	Service  intra	L051A	RN	0.635	Service total costs		12
32484	Removal of a segment of lung tissue	Post-service	L051A	RN	0.635	Post service total costs		63
32486	Removal portion of lung tissue and segment of lung airway	Pre-service	L051A	RN	0.635	Preservice total costs		60
32486	Removal portion of lung tissue and segment of lung airway	Service  intra	L051A	RN	0.635	Service total costs		12
32486	Removal portion of lung tissue and segment of lung airway	Post-service	L051A	RN	0.635	Post service total costs		63
32488	Removal of remaining lung after prior lung surgery	Pre-service	L051A	RN	0.635	Preservice total costs		60
32488	Removal of remaining lung after prior lung surgery	Service  intra	L051A	RN	0.635	Service total costs		12
32488	Removal of remaining lung after prior lung surgery	Post-service	L051A	RN	0.635	Post service total costs		116
32491	Removal of a lung segment to reduce lung volume	Pre-service	L051A	RN	0.635	Preservice total costs		75
32491	Removal of a lung segment to reduce lung volume	Service  intra	L051A	RN	0.635	Service total costs		12
32491	Removal of a lung segment to reduce lung volume	Post-service	L051A	RN	0.635	Post service total costs		108
32503	Removal of lung growth and chest wall	Pre-service	L051A	RN	0.635	Preservice total costs		60
32503	Removal of lung growth and chest wall	Service  intra	L051A	RN	0.635	Service total costs		12
32503	Removal of lung growth and chest wall	Post-service	L051A	RN	0.635	Post service total costs		99
32504	Removal of lung growth and repair of chest wall	Pre-service	L051A	RN	0.635	Preservice total costs		60
32504	Removal of lung growth and repair of chest wall	Service  intra	L051A	RN	0.635	Service total costs		12
32504	Removal of lung growth and repair of chest wall	Post-service	L051A	RN	0.635	Post service total costs		99
32505	Opening in chest with partial removal of lung tissue	Pre-service	L051A	RN	0.635	Preservice total costs		60
32505	Opening in chest with partial removal of lung tissue	Service  intra	L051A	RN	0.635	Service total costs		12
32505	Opening in chest with partial removal of lung tissue	Post-service	L051A	RN	0.635	Post service total costs		63
32540	Removal of infected material between lung and chest wall	Pre-service	L051A	RN	0.635	Preservice total costs		60
32540	Removal of infected material between lung and chest wall	Service  intra	L051A	RN	0.635	Service total costs		12
32540	Removal of infected material between lung and chest wall	Post-service	L051A	RN	0.635	Post service total costs		108
32550	Insertion of permanent catheter for drainage of lung fluid	Pre-service	L042B	Respiratory Therapist	0.53	Preservice total costs	5	20
32550	Insertion of permanent catheter for drainage of lung fluid	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
32550	Insertion of permanent catheter for drainage of lung fluid	Service  intra	L042B	Respiratory Therapist	0.53	Service total costs	49	0
32550	Insertion of permanent catheter for drainage of lung fluid	Post-service	L042B	Respiratory Therapist	0.53	Post service total costs	3	3
32551	"Removal of fluid from between lung and chest cavity, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		6
32552	Removal of tunneled catheter in lung lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	19
32552	Removal of tunneled catheter in lung lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	6
32552	Removal of tunneled catheter in lung lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
32553	"Insertion of devices in chest cavity for radiation therapy guidance, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	11
32553	"Insertion of devices in chest cavity for radiation therapy guidance, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
32553	"Insertion of devices in chest cavity for radiation therapy guidance, accessed through the skin"	Service  intra	L046A	CT Technologist	0.61	Service total costs	36	0
32553	"Insertion of devices in chest cavity for radiation therapy guidance, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
32553	"Insertion of devices in chest cavity for radiation therapy guidance, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
32554	Removal of fluid from chest cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
32554	Removal of fluid from chest cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	0
32554	Removal of fluid from chest cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
32555	Removal of fluid from chest cavity with imaging guidance	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	12	0
32555	Removal of fluid from chest cavity with imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	60	0
32555	Removal of fluid from chest cavity with imaging guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	5	0
32555	Removal of fluid from chest cavity with imaging guidance	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	3	0
32556	"Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
32556	"Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
32556	"Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	3	0
32556	"Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
32557	"Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin"	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	15	0
32557	"Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin"	Service  intra	L046A	CT Technologist	0.61	Service total costs	58	0
32557	"Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin"	Service  intra	L051A	RN	0.635	Service total costs	15	0
32557	"Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin"	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	5	0
32557	"Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin"	Post-service	L046A	CT Technologist	0.61	Post service total costs	3	0
32560	Catheter instillation of agent onto lung surface	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs	3	0
32560	Catheter instillation of agent onto lung surface	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	43	0
32561	Catheter instillations of agent onto lung lining to break up scar tissue	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs	3	0
32561	Catheter instillations of agent onto lung lining to break up scar tissue	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	31	0
32562	Catheter instillations of agent onto lung lining to break up scar tissue	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs	3	0
32562	Catheter instillations of agent onto lung lining to break up scar tissue	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	26	0
32601	"Diagnostic examination of lungs, heart sac, mid-chest cavity, or lung lining using an endoscope"	Pre-service	L051A	RN	0.635	Preservice total costs		30
32604	Biopsy of sac that covers the heart using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		30
32604	Biopsy of sac that covers the heart using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		3
32606	Biopsy of tissue in mid-chest using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		30
32606	Biopsy of tissue in mid-chest using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		3
32607	Biopsy of fluid collection in one lung using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		30
32608	Biopsy of growths in one lung using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		30
32609	Biopsy of lung lining using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		30
32650	Adhesion of the lung linings using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32650	Adhesion of the lung linings using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32650	Adhesion of the lung linings using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		54
32651	Partial removal of chest cavity lining and lung using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32651	Partial removal of chest cavity lining and lung using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32651	Partial removal of chest cavity lining and lung using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32652	Complete removal of inside lining of chest cavity and lung using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32652	Complete removal of inside lining of chest cavity and lung using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32652	Complete removal of inside lining of chest cavity and lung using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		99
32653	Removal of foreign body from lining of chest cavity using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32653	Removal of foreign body from lining of chest cavity using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32653	Removal of foreign body from lining of chest cavity using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32654	Control of bleeding in chest using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32654	Control of bleeding in chest using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32654	Control of bleeding in chest using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32655	Removal of air sac of lung using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32655	Removal of air sac of lung using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32655	Removal of air sac of lung using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32656	Removal of lining of lung using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32656	Removal of lining of lung using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32656	Removal of lining of lung using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32658	Removal of blood clot or foreign body from sac that covers the heart using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32658	Removal of blood clot or foreign body from sac that covers the heart using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32658	Removal of blood clot or foreign body from sac that covers the heart using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		54
32659	Creation of opening or partial removal of sac that covers the heart using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32659	Creation of opening or partial removal of sac that covers the heart using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32659	Creation of opening or partial removal of sac that covers the heart using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32661	Removal of cyst or growth from sac that covers the heart using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32661	Removal of cyst or growth from sac that covers the heart using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32661	Removal of cyst or growth from sac that covers the heart using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		54
32662	Removal of cyst or growth from mid-chest cavity using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32662	Removal of cyst or growth from mid-chest cavity using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32662	Removal of cyst or growth from mid-chest cavity using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32663	Examination of lung with removal of lung lobe using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32663	Examination of lung with removal of lung lobe using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32663	Examination of lung with removal of lung lobe using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32664	Removal of nerves to chest cavity using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32664	Removal of nerves to chest cavity using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32664	Removal of nerves to chest cavity using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		54
32665	Repair of esophagus using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32665	Repair of esophagus using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32665	Repair of esophagus using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32666	Partial removal of tissue of one lung using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32666	Partial removal of tissue of one lung using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32666	Partial removal of tissue of one lung using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32669	Removal of a segment of lung tissue using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32669	Removal of a segment of lung tissue using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32669	Removal of a segment of lung tissue using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32670	Removal of two lobes of lung using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32670	Removal of two lobes of lung using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32670	Removal of two lobes of lung using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32671	Removal of lung using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32671	Removal of lung using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32671	Removal of lung using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32672	Partial removal of one lung to reduce lung volume using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32672	Partial removal of one lung to reduce lung volume using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32672	Partial removal of one lung to reduce lung volume using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32673	Removal of thymus gland using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
32673	Removal of thymus gland using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
32673	Removal of thymus gland using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		63
32800	Repair of lung herniation through chest wall	Pre-service	L051A	RN	0.635	Preservice total costs		60
32800	Repair of lung herniation through chest wall	Service  intra	L051A	RN	0.635	Service total costs		12
32800	Repair of lung herniation through chest wall	Post-service	L051A	RN	0.635	Post service total costs		80
32810	Closure of chest wall after open drainage of infected lung	Pre-service	L051A	RN	0.635	Preservice total costs		60
32810	Closure of chest wall after open drainage of infected lung	Service  intra	L051A	RN	0.635	Service total costs		12
32810	Closure of chest wall after open drainage of infected lung	Post-service	L051A	RN	0.635	Post service total costs		80
32815	"Closure of abnormal drainage tract from chest cavity to lung airway, open procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
32815	"Closure of abnormal drainage tract from chest cavity to lung airway, open procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
32815	"Closure of abnormal drainage tract from chest cavity to lung airway, open procedure"	Post-service	L051A	RN	0.635	Post service total costs		169
32820	Reconstruction of the chest wall after injury	Pre-service	L051A	RN	0.635	Preservice total costs		60
32820	Reconstruction of the chest wall after injury	Service  intra	L051A	RN	0.635	Service total costs		12
32820	Reconstruction of the chest wall after injury	Post-service	L051A	RN	0.635	Post service total costs		125
32851	Transplant of lung	Pre-service	L051A	RN	0.635	Preservice total costs		90
32851	Transplant of lung	Service  intra	L051A	RN	0.635	Service total costs		15
32851	Transplant of lung	Post-service	L051A	RN	0.635	Post service total costs		116
32852	Transplant of lung on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		90
32852	Transplant of lung on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		15
32852	Transplant of lung on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		116
32853	Transplant of both lungs	Pre-service	L051A	RN	0.635	Preservice total costs		90
32853	Transplant of both lungs	Service  intra	L051A	RN	0.635	Service total costs		15
32853	Transplant of both lungs	Post-service	L051A	RN	0.635	Post service total costs		116
32854	Transplant of both lungs on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		90
32854	Transplant of both lungs on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		15
32854	Transplant of both lungs on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		116
32900	Removal of ribs	Pre-service	L051A	RN	0.635	Preservice total costs		60
32900	Removal of ribs	Service  intra	L051A	RN	0.635	Service total costs		12
32900	Removal of ribs	Post-service	L051A	RN	0.635	Post service total costs		80
32905	Removal of infected area of chest cavity	Pre-service	L051A	RN	0.635	Preservice total costs		60
32905	Removal of infected area of chest cavity	Service  intra	L051A	RN	0.635	Service total costs		12
32905	Removal of infected area of chest cavity	Post-service	L051A	RN	0.635	Post service total costs		80
32906	Removal of infected area in chest cavity and closure of abnormal drainage tract	Pre-service	L051A	RN	0.635	Preservice total costs		60
32906	Removal of infected area in chest cavity and closure of abnormal drainage tract	Service  intra	L051A	RN	0.635	Service total costs		12
32906	Removal of infected area in chest cavity and closure of abnormal drainage tract	Post-service	L051A	RN	0.635	Post service total costs		80
32940	Release of lining covering lung from chest wall	Pre-service	L051A	RN	0.635	Preservice total costs		60
32940	Release of lining covering lung from chest wall	Service  intra	L051A	RN	0.635	Service total costs		12
32940	Release of lining covering lung from chest wall	Post-service	L051A	RN	0.635	Post service total costs		80
32960	Injection of air into chest cavity to collapse lung	Pre-service	L051A	RN	0.635	Preservice total costs	0	10
32960	Injection of air into chest cavity to collapse lung	Service  intra	L051A	RN	0.635	Service total costs	50	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	5
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	2	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	6	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  intra	L046A	CT Technologist	0.61	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	90	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  intra	L046A	CT Technologist	0.61	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	68	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	22	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	3	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
32994	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	5
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	2	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	6	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  intra	L046A	CT Technologist	0.61	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	85	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  intra	L046A	CT Technologist	0.61	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	64	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	21	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	3	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
32998	"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
33020	Removal of blood clot or foreign body from sac that covers the heart	Pre-service	L051A	RN	0.635	Complete pre-procedure phone calls and prescription	0	6
33020	Removal of blood clot or foreign body from sac that covers the heart	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	5
33020	Removal of blood clot or foreign body from sac that covers the heart	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services (including test results)	0	10
33020	Removal of blood clot or foreign body from sac that covers the heart	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent	0	20
33020	Removal of blood clot or foreign body from sac that covers the heart	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility	0	8
33020	Removal of blood clot or foreign body from sac that covers the heart	Service  post	L051A	RN	0.635	Discharge day management	0	12
33020	Removal of blood clot or foreign body from sac that covers the heart	Post-service	L051A	RN	0.635	Post-operative visits (total time)	0	36
33025	Creation of opening or partial removal of sac that covers the heart	Pre-service	L051A	RN	0.635	Complete pre-procedure phone calls and prescription	0	7
33025	Creation of opening or partial removal of sac that covers the heart	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	5
33025	Creation of opening or partial removal of sac that covers the heart	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services (including test results)	0	20
33025	Creation of opening or partial removal of sac that covers the heart	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent	0	20
33025	Creation of opening or partial removal of sac that covers the heart	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility	0	8
33025	Creation of opening or partial removal of sac that covers the heart	Service  post	L051A	RN	0.635	Discharge day management	0	12
33025	Creation of opening or partial removal of sac that covers the heart	Post-service	L051A	RN	0.635	Post-operative visits (total time)	0	36
33030	Removal of sac that covers the heart	Pre-service	L051A	RN	0.635	Preservice total costs		60
33030	Removal of sac that covers the heart	Service  intra	L051A	RN	0.635	Service total costs		12
33030	Removal of sac that covers the heart	Post-service	L051A	RN	0.635	Post service total costs		89.5
33031	Removal of sac that covers the heart on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33031	Removal of sac that covers the heart on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		15
33031	Removal of sac that covers the heart on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33050	Removal of cyst or growth from sac that covers the heart	Pre-service	L051A	RN	0.635	Preservice total costs		60
33050	Removal of cyst or growth from sac that covers the heart	Service  intra	L051A	RN	0.635	Service total costs		12
33050	Removal of cyst or growth from sac that covers the heart	Post-service	L051A	RN	0.635	Post service total costs		80
33120	Removal of growth in heart on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33120	Removal of growth in heart on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33120	Removal of growth in heart on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		53.5
33130	Removal of growth on outside of heart	Pre-service	L051A	RN	0.635	Preservice total costs		60
33130	Removal of growth on outside of heart	Service  intra	L051A	RN	0.635	Service total costs		12
33130	Removal of growth on outside of heart	Post-service	L051A	RN	0.635	Post service total costs		80
33140	Laser treatment of heart muscle to improve blood flow	Pre-service	L051A	RN	0.635	Preservice total costs		60
33140	Laser treatment of heart muscle to improve blood flow	Service  intra	L051A	RN	0.635	Service total costs		12
33140	Laser treatment of heart muscle to improve blood flow	Post-service	L051A	RN	0.635	Post service total costs		53
33202	"Insertion of electrodes to outer layer of heart, open procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33202	"Insertion of electrodes to outer layer of heart, open procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
33202	"Insertion of electrodes to outer layer of heart, open procedure"	Post-service	L051A	RN	0.635	Post service total costs		36
33203	Insertion of electrodes to outer layer of heart using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
33203	Insertion of electrodes to outer layer of heart using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
33203	Insertion of electrodes to outer layer of heart using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		36
33206	Insertion or replacement of permanent pacemaker and upper chamber electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33206	Insertion or replacement of permanent pacemaker and upper chamber electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33206	Insertion or replacement of permanent pacemaker and upper chamber electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
33207	Insertion or replacement of permanent pacemaker and lower chamber electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33207	Insertion or replacement of permanent pacemaker and lower chamber electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33207	Insertion or replacement of permanent pacemaker and lower chamber electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33208	Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33208	Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33208	Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33212	Insertion of pacemaker pulse generator with existing single lead	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33212	Insertion of pacemaker pulse generator with existing single lead	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33212	Insertion of pacemaker pulse generator with existing single lead	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33213	Insertion of pacemaker pulse generator with existing dual leads	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33213	Insertion of pacemaker pulse generator with existing dual leads	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33213	Insertion of pacemaker pulse generator with existing dual leads	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33214	Conversion to two chamber pacemaker system	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33214	Conversion to two chamber pacemaker system	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33214	Conversion to two chamber pacemaker system	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
33215	Repositioning of implanted pacemaker or defibrillator device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33215	Repositioning of implanted pacemaker or defibrillator device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33215	Repositioning of implanted pacemaker or defibrillator device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
33216	Insertion of electrode for permanent pacemaker or pacing defibrillator device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33216	Insertion of electrode for permanent pacemaker or pacing defibrillator device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33216	Insertion of electrode for permanent pacemaker or pacing defibrillator device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
33217	Insertion of electrodes for permanent pacemaker or pacing defibrillator device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33217	Insertion of electrodes for permanent pacemaker or pacing defibrillator device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33217	Insertion of electrodes for permanent pacemaker or pacing defibrillator device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
33218	Repair of electrode for permanent pacemaker or defibrillator device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33218	Repair of electrode for permanent pacemaker or defibrillator device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33218	Repair of electrode for permanent pacemaker or defibrillator device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
33220	Repair of 2 electrodes for permanent pacemaker or defibrillator device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33220	Repair of 2 electrodes for permanent pacemaker or defibrillator device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33220	Repair of 2 electrodes for permanent pacemaker or defibrillator device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
33221	Insertion of pacemaker pulse generator with existing multiple leads	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33221	Insertion of pacemaker pulse generator with existing multiple leads	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33221	Insertion of pacemaker pulse generator with existing multiple leads	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33222	Relocation of pacemaker generator skin pocket	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33222	Relocation of pacemaker generator skin pocket	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33222	Relocation of pacemaker generator skin pocket	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
33223	Relocation of defibrillator device skin pocket	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33223	Relocation of defibrillator device skin pocket	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33223	Relocation of defibrillator device skin pocket	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
33224	Insertion of left heart electrode with attachment to pacemaker or pacing defibrillator device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
33224	Insertion of left heart electrode with attachment to pacemaker or pacing defibrillator device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
33226	Repositioning of implanted left heart electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
33226	Repositioning of implanted left heart electrode	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
33227	Removal and replacement of single lead permanent pacemaker pulse generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33227	Removal and replacement of single lead permanent pacemaker pulse generator	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33227	Removal and replacement of single lead permanent pacemaker pulse generator	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33228	Removal and replacement of dual lead permanent pacemaker pulse generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33228	Removal and replacement of dual lead permanent pacemaker pulse generator	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33228	Removal and replacement of dual lead permanent pacemaker pulse generator	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33229	Removal and replacement of multiple lead permanent pacemaker pulse generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33229	Removal and replacement of multiple lead permanent pacemaker pulse generator	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33229	Removal and replacement of multiple lead permanent pacemaker pulse generator	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33230	Insertion of pacing defibrillator pulse generator with existing dual leads	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33230	Insertion of pacing defibrillator pulse generator with existing dual leads	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33230	Insertion of pacing defibrillator pulse generator with existing dual leads	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33231	Insertion of pacing defibrillator pulse generator with existing multiple leads	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33231	Insertion of pacing defibrillator pulse generator with existing multiple leads	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33231	Insertion of pacing defibrillator pulse generator with existing multiple leads	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33233	Removal of permanent pacemaker pulse generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33233	Removal of permanent pacemaker pulse generator	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33233	Removal of permanent pacemaker pulse generator	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
33234	Removal of electrode from right heart	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33234	Removal of electrode from right heart	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33234	Removal of electrode from right heart	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
33235	Removal of electrodes from right heart	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33235	Removal of electrodes from right heart	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33235	Removal of electrodes from right heart	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
33236	Removal of permanent right heart electrodes and pacemaker	Pre-service	L051A	RN	0.635	Preservice total costs		60
33236	Removal of permanent right heart electrodes and pacemaker	Service  intra	L051A	RN	0.635	Service total costs		12
33236	Removal of permanent right heart electrodes and pacemaker	Post-service	L051A	RN	0.635	Post service total costs		81
33237	Removal of permanent right heart electrodes and pacemaker	Pre-service	L051A	RN	0.635	Preservice total costs		60
33237	Removal of permanent right heart electrodes and pacemaker	Service  intra	L051A	RN	0.635	Service total costs		12
33237	Removal of permanent right heart electrodes and pacemaker	Post-service	L051A	RN	0.635	Post service total costs		81
33238	Removal of permanent pacemaker venous electrodes	Pre-service	L051A	RN	0.635	Preservice total costs		60
33238	Removal of permanent pacemaker venous electrodes	Service  intra	L051A	RN	0.635	Service total costs		12
33238	Removal of permanent pacemaker venous electrodes	Post-service	L051A	RN	0.635	Post service total costs		108
33240	Insertion of pacing defibrillator pulse generator with existing single lead	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33240	Insertion of pacing defibrillator pulse generator with existing single lead	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33240	Insertion of pacing defibrillator pulse generator with existing single lead	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33241	Removal of defibrillator pulse generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33241	Removal of defibrillator pulse generator	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33241	Removal of defibrillator pulse generator	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
33243	Removal of defibrillator electrodes	Pre-service	L051A	RN	0.635	Preservice total costs		60
33243	Removal of defibrillator electrodes	Service  intra	L051A	RN	0.635	Service total costs		12
33243	Removal of defibrillator electrodes	Post-service	L051A	RN	0.635	Post service total costs		108
33244	Removal of defibrillator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33244	Removal of defibrillator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33244	Removal of defibrillator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
33249	Insertion or replacement of single or dual chamber pacing defibrillator leads	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33249	Insertion or replacement of single or dual chamber pacing defibrillator leads	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33249	Insertion or replacement of single or dual chamber pacing defibrillator leads	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
33250	Destruction of pathway of abnormal heart beats	Pre-service	L051A	RN	0.635	Preservice total costs		60
33250	Destruction of pathway of abnormal heart beats	Service  intra	L051A	RN	0.635	Service total costs		12
33250	Destruction of pathway of abnormal heart beats	Post-service	L051A	RN	0.635	Post service total costs		80
33251	Destruction of pathway of abnormal heart beats on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33251	Destruction of pathway of abnormal heart beats on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33251	Destruction of pathway of abnormal heart beats on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		80
33254	Partial destruction and reconstruction of upper heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33254	Partial destruction and reconstruction of upper heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33254	Partial destruction and reconstruction of upper heart chamber	Post-service	L051A	RN	0.635	Post service total costs		89
33255	Partial destruction and reconstruction of right upper heart	Pre-service	L051A	RN	0.635	Preservice total costs		60
33255	Partial destruction and reconstruction of right upper heart	Service  intra	L051A	RN	0.635	Service total costs		12
33255	Partial destruction and reconstruction of right upper heart	Post-service	L051A	RN	0.635	Post service total costs		89
33256	Destruction and reconstruction of right upper heart on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33256	Destruction and reconstruction of right upper heart on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33256	Destruction and reconstruction of right upper heart on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33257	Destruction and reconstruction of right upper heart	Pre-service	L051A	RN	0.635	Preservice total costs		60
33257	Destruction and reconstruction of right upper heart	Service  intra	L051A	RN	0.635	Service total costs		6
33257	Destruction and reconstruction of right upper heart	Post-service	L051A	RN	0.635	Post service total costs		36
33258	Destruction and reconstruction of right upper heart	Pre-service	L051A	RN	0.635	Preservice total costs		60
33258	Destruction and reconstruction of right upper heart	Service  intra	L051A	RN	0.635	Service total costs		6
33258	Destruction and reconstruction of right upper heart	Post-service	L051A	RN	0.635	Post service total costs		36
33259	Destruction of tissue and reconstruction of right upper heart on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33259	Destruction of tissue and reconstruction of right upper heart on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		6
33259	Destruction of tissue and reconstruction of right upper heart on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		72
33261	Destruction of tissue and reconstruction of right lower heart on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33261	Destruction of tissue and reconstruction of right lower heart on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33261	Destruction of tissue and reconstruction of right lower heart on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		80
33262	Removal and replacement of defibrillator pulse generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33262	Removal and replacement of defibrillator pulse generator	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33262	Removal and replacement of defibrillator pulse generator	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33263	Removal and replacement of defibrillator pulse generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33263	Removal and replacement of defibrillator pulse generator	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33263	Removal and replacement of defibrillator pulse generator	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33264	Removal and replacement of defibrillator pulse generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33264	Removal and replacement of defibrillator pulse generator	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33264	Removal and replacement of defibrillator pulse generator	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33265	Reconstruction of upper heart chamber tissue and alteration of electrical pathway using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
33265	Reconstruction of upper heart chamber tissue and alteration of electrical pathway using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
33265	Reconstruction of upper heart chamber tissue and alteration of electrical pathway using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		89
33266	Reconstruction of upper heart chamber tissue and alteration of electrical pathway using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		60
33266	Reconstruction of upper heart chamber tissue and alteration of electrical pathway using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
33266	Reconstruction of upper heart chamber tissue and alteration of electrical pathway using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		89
33267	"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Pre-service	L051A	RN	0.635	Complete pre-procedure phone calls and prescription	0	7
33267	"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	5
33267	"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services (including test results)	0	20
33267	"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent	0	20
33267	"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility	0	8
33267	"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Service  post	L051A	RN	0.635	Discharge day management	0	12
33267	"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Post-service	L051A	RN	0.635	Post-operative visits (total time)	0	36
33269	"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Pre-service	L051A	RN	0.635	Complete pre-procedure phone calls and prescription	0	7
33269	"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	5
33269	"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services (including test results)	0	20
33269	"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent	0	20
33269	"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility	0	8
33269	"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Service  post	L051A	RN	0.635	Discharge day management	0	12
33269	"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)"	Post-service	L051A	RN	0.635	Post-operative visits (total time)	0	36
33270	Insertion or replacement of permanent subcutaneous implantable defibrillator system; with subcutaneous electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
33270	Insertion or replacement of permanent subcutaneous implantable defibrillator system; with subcutaneous electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
33270	Insertion or replacement of permanent subcutaneous implantable defibrillator system; with subcutaneous electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
33270	Insertion or replacement of permanent subcutaneous implantable defibrillator system; with subcutaneous electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
33270	Insertion or replacement of permanent subcutaneous implantable defibrillator system; with subcutaneous electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
33270	Insertion or replacement of permanent subcutaneous implantable defibrillator system; with subcutaneous electrode	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
33270	Insertion or replacement of permanent subcutaneous implantable defibrillator system; with subcutaneous electrode	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
33271	Insertion of subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
33271	Insertion of subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
33271	Insertion of subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
33271	Insertion of subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
33271	Insertion of subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
33271	Insertion of subcutaneous implantable defibrillator electrode	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
33271	Insertion of subcutaneous implantable defibrillator electrode	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
33272	Removal of subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
33272	Removal of subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
33272	Removal of subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
33272	Removal of subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
33272	Removal of subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
33272	Removal of subcutaneous implantable defibrillator electrode	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
33272	Removal of subcutaneous implantable defibrillator electrode	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
33273	Repositioning of previously implanted subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
33273	Repositioning of previously implanted subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
33273	Repositioning of previously implanted subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
33273	Repositioning of previously implanted subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
33273	Repositioning of previously implanted subcutaneous implantable defibrillator electrode	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
33273	Repositioning of previously implanted subcutaneous implantable defibrillator electrode	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
33273	Repositioning of previously implanted subcutaneous implantable defibrillator electrode	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
33274	"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
33274	"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
33274	"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
33274	"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
33274	"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
33274	"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
33274	"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	36
33275	"Transcatheter removal of permanent leadless pacemaker, right ventricular"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
33275	"Transcatheter removal of permanent leadless pacemaker, right ventricular"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
33275	"Transcatheter removal of permanent leadless pacemaker, right ventricular"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
33275	"Transcatheter removal of permanent leadless pacemaker, right ventricular"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
33275	"Transcatheter removal of permanent leadless pacemaker, right ventricular"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
33275	"Transcatheter removal of permanent leadless pacemaker, right ventricular"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
33275	"Transcatheter removal of permanent leadless pacemaker, right ventricular"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	36
33285	"Insertion, subcutaneous cardiac rhythm monitor, including programming"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
33285	"Insertion, subcutaneous cardiac rhythm monitor, including programming"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	3
33285	"Insertion, subcutaneous cardiac rhythm monitor, including programming"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
33285	"Insertion, subcutaneous cardiac rhythm monitor, including programming"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
33285	"Insertion, subcutaneous cardiac rhythm monitor, including programming"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
33285	"Insertion, subcutaneous cardiac rhythm monitor, including programming"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
33285	"Insertion, subcutaneous cardiac rhythm monitor, including programming"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
33285	"Insertion, subcutaneous cardiac rhythm monitor, including programming"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
33286	"Removal, subcutaneous cardiac rhythm monitor"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
33286	"Removal, subcutaneous cardiac rhythm monitor"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	3
33286	"Removal, subcutaneous cardiac rhythm monitor"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
33286	"Removal, subcutaneous cardiac rhythm monitor"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
33286	"Removal, subcutaneous cardiac rhythm monitor"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
33286	"Removal, subcutaneous cardiac rhythm monitor"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
33286	"Removal, subcutaneous cardiac rhythm monitor"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
33286	"Removal, subcutaneous cardiac rhythm monitor"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
33289	"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
33289	"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
33289	"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
33289	"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	3
33289	"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
33300	Repair of wound to heart	Pre-service	L051A	RN	0.635	Preservice total costs		60
33300	Repair of wound to heart	Service  intra	L051A	RN	0.635	Service total costs		12
33300	Repair of wound to heart	Post-service	L051A	RN	0.635	Post service total costs		53
33305	Repair of wound to heart on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33305	Repair of wound to heart on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33305	Repair of wound to heart on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		53
33310	"Incision, exploration, and removal of foreign body of upper or lower heart chamber"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33310	"Incision, exploration, and removal of foreign body of upper or lower heart chamber"	Service  intra	L051A	RN	0.635	Service total costs		12
33310	"Incision, exploration, and removal of foreign body of upper or lower heart chamber"	Post-service	L051A	RN	0.635	Post service total costs		80
33315	"Incision, exploration, and removal of foreign body of upper or lower heart chamber on heart-lung machine"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33315	"Incision, exploration, and removal of foreign body of upper or lower heart chamber on heart-lung machine"	Service  intra	L051A	RN	0.635	Service total costs		12
33315	"Incision, exploration, and removal of foreign body of upper or lower heart chamber on heart-lung machine"	Post-service	L051A	RN	0.635	Post service total costs		53.5
33320	Suture repair of great vessels of heart and chest	Pre-service	L051A	RN	0.635	Preservice total costs		60
33320	Suture repair of great vessels of heart and chest	Service  intra	L051A	RN	0.635	Service total costs		12
33320	Suture repair of great vessels of heart and chest	Post-service	L051A	RN	0.635	Post service total costs		54
33321	Insertion of blood flow shunt from heart and great vessels	Pre-service	L051A	RN	0.635	Preservice total costs		60
33321	Insertion of blood flow shunt from heart and great vessels	Service  intra	L051A	RN	0.635	Service total costs		12
33321	Insertion of blood flow shunt from heart and great vessels	Post-service	L051A	RN	0.635	Post service total costs		72
33322	Suture repair of great vessels and heart on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33322	Suture repair of great vessels and heart on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33322	Suture repair of great vessels and heart on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		80
33330	Insertion of great vessel graft	Pre-service	L051A	RN	0.635	Preservice total costs		60
33330	Insertion of great vessel graft	Service  intra	L051A	RN	0.635	Service total costs		12
33330	Insertion of great vessel graft	Post-service	L051A	RN	0.635	Post service total costs		80
33335	Insertion of great vessel graft on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33335	Insertion of great vessel graft on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33335	Insertion of great vessel graft on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		80
33340	"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
33340	"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
33340	"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
33340	"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
33340	"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
33361	"Replacement of aortic valve with prosthetic valve, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
33361	"Replacement of aortic valve with prosthetic valve, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
33361	"Replacement of aortic valve with prosthetic valve, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
33361	"Replacement of aortic valve with prosthetic valve, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
33361	"Replacement of aortic valve with prosthetic valve, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
33362	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
33362	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
33362	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
33362	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
33362	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
33363	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
33363	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
33363	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
33363	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
33363	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
33364	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
33364	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
33364	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
33364	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
33364	"Replacement of aortic valve with prosthetic valve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
33365	Replacement of aortic valve with prosthetic valve	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
33365	Replacement of aortic valve with prosthetic valve	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
33365	Replacement of aortic valve with prosthetic valve	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
33365	Replacement of aortic valve with prosthetic valve	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
33365	Replacement of aortic valve with prosthetic valve	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
33366	"Transcatheter aortic valve replacement (tavr/tavi) with prosthetic valve; transapical exposure (eg, left thoracotomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
33366	"Transcatheter aortic valve replacement (tavr/tavi) with prosthetic valve; transapical exposure (eg, left thoracotomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
33366	"Transcatheter aortic valve replacement (tavr/tavi) with prosthetic valve; transapical exposure (eg, left thoracotomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
33366	"Transcatheter aortic valve replacement (tavr/tavi) with prosthetic valve; transapical exposure (eg, left thoracotomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
33366	"Transcatheter aortic valve replacement (tavr/tavi) with prosthetic valve; transapical exposure (eg, left thoracotomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
33390	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
33390	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		20
33390	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple"	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		7
33390	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		20
33390	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		8
33390	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple"	Service  pre	L051A	RN	0.635	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
33390	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple"	Post-service	L051A	RN	0.635	99212    27  minutes		27
33390	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple"	Post-service	L051A	RN	0.635	99213    36  minutes		36
33391	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
33391	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		20
33391	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex"	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		7
33391	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		20
33391	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		8
33391	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex"	Service  pre	L051A	RN	0.635	Dischrg mgmt (1.0 x 99238) (enter 12 min)		12
33391	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex"	Post-service	L051A	RN	0.635	99213    36  minutes		36
33391	"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex"	Post-service	L051A	RN	0.635	99214    53  minutes		53
33404	Creation of blood flow from left lower heart chamber to aorta	Pre-service	L051A	RN	0.635	Preservice total costs		75
33404	Creation of blood flow from left lower heart chamber to aorta	Service  intra	L051A	RN	0.635	Service total costs		12
33404	Creation of blood flow from left lower heart chamber to aorta	Post-service	L051A	RN	0.635	Post service total costs		80
33405	Replacement of left lower heart chamber valve using artificial valve on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33405	Replacement of left lower heart chamber valve using artificial valve on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33405	Replacement of left lower heart chamber valve using artificial valve on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33406	Replacement of left lower heart chamber valve using artificial valve on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		75
33406	Replacement of left lower heart chamber valve using artificial valve on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33406	Replacement of left lower heart chamber valve using artificial valve on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33410	Replacement of left lower heart chamber valve using tissue valve on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		75
33410	Replacement of left lower heart chamber valve using tissue valve on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33410	Replacement of left lower heart chamber valve using tissue valve on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33411	Replacement and enlargement of left lower heart valve	Pre-service	L051A	RN	0.635	Preservice total costs		75
33411	Replacement and enlargement of left lower heart valve	Service  intra	L051A	RN	0.635	Service total costs		12
33411	Replacement and enlargement of left lower heart valve	Post-service	L051A	RN	0.635	Post service total costs		89
33412	Replacement of left lower heart chamber valve with enlargement of tissue ring at base of valve	Pre-service	L051A	RN	0.635	Preservice total costs		75
33412	Replacement of left lower heart chamber valve with enlargement of tissue ring at base of valve	Service  intra	L051A	RN	0.635	Service total costs		12
33412	Replacement of left lower heart chamber valve with enlargement of tissue ring at base of valve	Post-service	L051A	RN	0.635	Post service total costs		53
33413	Repair and enlargement of blood outflow tract to great vessels from the left or right lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		75
33413	Repair and enlargement of blood outflow tract to great vessels from the left or right lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33413	Repair and enlargement of blood outflow tract to great vessels from the left or right lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		89
33414	Repair and enlargement of blood outflow tract of left lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33414	Repair and enlargement of blood outflow tract of left lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33414	Repair and enlargement of blood outflow tract of left lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		53
33415	Incision or removal of tissue below left lower heart valve	Pre-service	L051A	RN	0.635	Preservice total costs		60
33415	Incision or removal of tissue below left lower heart valve	Service  intra	L051A	RN	0.635	Service total costs		12
33415	Incision or removal of tissue below left lower heart valve	Post-service	L051A	RN	0.635	Post service total costs		53
33416	Removal of thickened heart muscle at left lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33416	Removal of thickened heart muscle at left lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33416	Removal of thickened heart muscle at left lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		89
33417	Repair of aorta at heart	Pre-service	L051A	RN	0.635	Preservice total costs		60
33417	Repair of aorta at heart	Service  intra	L051A	RN	0.635	Service total costs		12
33417	Repair of aorta at heart	Post-service	L051A	RN	0.635	Post service total costs		106
33418	Transcatheter mitral valve repair; initial prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
33418	Transcatheter mitral valve repair; initial prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
33418	Transcatheter mitral valve repair; initial prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
33418	Transcatheter mitral valve repair; initial prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
33418	Transcatheter mitral valve repair; initial prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
33418	Transcatheter mitral valve repair; initial prosthesis	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		0
33418	Transcatheter mitral valve repair; initial prosthesis	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99239 -- 15 minutes		15
33418	Transcatheter mitral valve repair; initial prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		106
33420	"Removal of scar tissue of valve between left heart chambers, closed heart procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33420	"Removal of scar tissue of valve between left heart chambers, closed heart procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
33420	"Removal of scar tissue of valve between left heart chambers, closed heart procedure"	Post-service	L051A	RN	0.635	Post service total costs		80
33422	"Removal of valve scar tissue between left heart chambers on heart-lung machine, open procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		75
33422	"Removal of valve scar tissue between left heart chambers on heart-lung machine, open procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
33422	"Removal of valve scar tissue between left heart chambers on heart-lung machine, open procedure"	Post-service	L051A	RN	0.635	Post service total costs		80
33425	Repair of valve between left heart chambers on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		75
33425	Repair of valve between left heart chambers on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33425	Repair of valve between left heart chambers on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33426	Insertion of artificial valve between left heart chambers on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		75
33426	Insertion of artificial valve between left heart chambers on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33426	Insertion of artificial valve between left heart chambers on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33427	Repair of valve flaps between left heart chambers on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		75
33427	Repair of valve flaps between left heart chambers on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33427	Repair of valve flaps between left heart chambers on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		63
33430	Replacement of valve between left upper and lower chambers on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33430	Replacement of valve between left upper and lower chambers on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		15
33430	Replacement of valve between left upper and lower chambers on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		125
33440	"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure)"	Pre-service	L051A	RN	0.635	Complete pre-procedure phone calls and prescription	0	7
33440	"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure)"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	5
33440	"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure)"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services (including test results)	0	20
33440	"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure)"	Pre-service	L051A	RN	0.635	Perform regulatory mandated quality assurance activity (pre-service)	0	15
33440	"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure)"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent	0	20
33440	"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility	0	8
33440	"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure)"	Service  post	L051A	RN	0.635	Discharge day management	0	12
33440	"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure)"	Post-service	L051A	RN	0.635	Post-operative visits (total time)	0	53
33460	Removal of valve between right upper and lower chambers on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33460	Removal of valve between right upper and lower chambers on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33460	Removal of valve between right upper and lower chambers on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		53
33463	Repair of valve between right upper and lower heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33463	Repair of valve between right upper and lower heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33463	Repair of valve between right upper and lower heart chambers	Post-service	L051A	RN	0.635	Post service total costs		89
33464	Repair of heart valve between right chambers with insertion of prosthetic valve ring	Pre-service	L051A	RN	0.635	Preservice total costs		60
33464	Repair of heart valve between right chambers with insertion of prosthetic valve ring	Service  intra	L051A	RN	0.635	Service total costs		12
33464	Repair of heart valve between right chambers with insertion of prosthetic valve ring	Post-service	L051A	RN	0.635	Post service total costs		89
33465	Replacement of valve between right heart chambers on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33465	Replacement of valve between right heart chambers on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33465	Replacement of valve between right heart chambers on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33468	Repositioning of valve between right heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33468	Repositioning of valve between right heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33468	Repositioning of valve between right heart chambers	Post-service	L051A	RN	0.635	Post service total costs		53.5
33471	"Dilation of valve between right heart chambers, closed heart procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33471	"Dilation of valve between right heart chambers, closed heart procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
33471	"Dilation of valve between right heart chambers, closed heart procedure"	Post-service	L051A	RN	0.635	Post service total costs		89
33474	"Incision of valve at right lower heart chamber on heart-lung machine, open procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33474	"Incision of valve at right lower heart chamber on heart-lung machine, open procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
33474	"Incision of valve at right lower heart chamber on heart-lung machine, open procedure"	Post-service	L051A	RN	0.635	Post service total costs		89
33475	Replacement of valve at right lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33475	Replacement of valve at right lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33475	Replacement of valve at right lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		89
33476	Release of restrictive muscle bands or valve leaflets at right lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33476	Release of restrictive muscle bands or valve leaflets at right lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33476	Release of restrictive muscle bands or valve leaflets at right lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		106
33477	"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
33477	"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
33477	"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
33477	"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
33477	"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
33478	Enlargement of blood outflow tract in right lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33478	Enlargement of blood outflow tract in right lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33478	Enlargement of blood outflow tract in right lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		106
33496	Repair of artificial heart valve on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33496	Repair of artificial heart valve on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33496	Repair of artificial heart valve on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33500	Repair of drainage of heart artery and vein on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33500	Repair of drainage of heart artery and vein on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33500	Repair of drainage of heart artery and vein on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		80
33501	Repair of drainage of heart artery and vein	Pre-service	L051A	RN	0.635	Preservice total costs		60
33501	Repair of drainage of heart artery and vein	Service  intra	L051A	RN	0.635	Service total costs		12
33501	Repair of drainage of heart artery and vein	Post-service	L051A	RN	0.635	Post service total costs		63
33502	Repair of abnormal heart artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
33502	Repair of abnormal heart artery	Service  intra	L051A	RN	0.635	Service total costs		12
33502	Repair of abnormal heart artery	Post-service	L051A	RN	0.635	Post service total costs		106
33503	Placement of graft to repair abnormal heart artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
33503	Placement of graft to repair abnormal heart artery	Service  intra	L051A	RN	0.635	Service total costs		12
33503	Placement of graft to repair abnormal heart artery	Post-service	L051A	RN	0.635	Post service total costs		126
33504	Repair of abnormal heart artery on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33504	Repair of abnormal heart artery on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33504	Repair of abnormal heart artery on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		106
33505	Repair of abnormal heart artery with diversion of blood flow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33505	Repair of abnormal heart artery with diversion of blood flow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33505	Repair of abnormal heart artery with diversion of blood flow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33506	Repair of abnormal heart artery with diversion of blood flow to aorta	Pre-service	L051A	RN	0.635	Preservice total costs		60
33506	Repair of abnormal heart artery with diversion of blood flow to aorta	Service  intra	L051A	RN	0.635	Service total costs		6
33506	Repair of abnormal heart artery with diversion of blood flow to aorta	Post-service	L051A	RN	0.635	Post service total costs		36
33507	Repair of abnormal heart artery at its aortic origin	Pre-service	L051A	RN	0.635	Preservice total costs		60
33507	Repair of abnormal heart artery at its aortic origin	Service  intra	L051A	RN	0.635	Service total costs		12
33507	Repair of abnormal heart artery at its aortic origin	Post-service	L051A	RN	0.635	Post service total costs		36
33510	Heart artery bypass to repair one artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
33510	Heart artery bypass to repair one artery	Service  intra	L051A	RN	0.635	Service total costs		12
33510	Heart artery bypass to repair one artery	Post-service	L051A	RN	0.635	Post service total costs		80
33511	Heart artery bypass to repair multiple arteries	Pre-service	L051A	RN	0.635	Preservice total costs		75
33511	Heart artery bypass to repair multiple arteries	Service  intra	L051A	RN	0.635	Service total costs		12
33511	Heart artery bypass to repair multiple arteries	Post-service	L051A	RN	0.635	Post service total costs		80
33512	Heart artery bypass to repair multiple arteries	Pre-service	L051A	RN	0.635	Preservice total costs		75
33512	Heart artery bypass to repair multiple arteries	Service  intra	L051A	RN	0.635	Service total costs		12
33512	Heart artery bypass to repair multiple arteries	Post-service	L051A	RN	0.635	Post service total costs		80
33513	Heart artery bypass to repair multiple arteries	Pre-service	L051A	RN	0.635	Preservice total costs		75
33513	Heart artery bypass to repair multiple arteries	Service  intra	L051A	RN	0.635	Service total costs		12
33513	Heart artery bypass to repair multiple arteries	Post-service	L051A	RN	0.635	Post service total costs		80
33514	Heart artery bypass to repair multiple arteries	Pre-service	L051A	RN	0.635	Preservice total costs		75
33514	Heart artery bypass to repair multiple arteries	Service  intra	L051A	RN	0.635	Service total costs		12
33514	Heart artery bypass to repair multiple arteries	Post-service	L051A	RN	0.635	Post service total costs		80
33516	Heart artery bypass to repair multiple arteries	Pre-service	L051A	RN	0.635	Preservice total costs		75
33516	Heart artery bypass to repair multiple arteries	Service  intra	L051A	RN	0.635	Service total costs		12
33516	Heart artery bypass to repair multiple arteries	Post-service	L051A	RN	0.635	Post service total costs		80
33533	Heart artery bypass to repair one artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
33533	Heart artery bypass to repair one artery	Service  intra	L051A	RN	0.635	Service total costs		12
33533	Heart artery bypass to repair one artery	Post-service	L051A	RN	0.635	Post service total costs		80
33534	Heart artery bypass to repair multiple arteries	Pre-service	L051A	RN	0.635	Preservice total costs		75
33534	Heart artery bypass to repair multiple arteries	Service  intra	L051A	RN	0.635	Service total costs		12
33534	Heart artery bypass to repair multiple arteries	Post-service	L051A	RN	0.635	Post service total costs		80
33535	Heart artery bypass to repair multiple arteries	Pre-service	L051A	RN	0.635	Preservice total costs		75
33535	Heart artery bypass to repair multiple arteries	Service  intra	L051A	RN	0.635	Service total costs		12
33535	Heart artery bypass to repair multiple arteries	Post-service	L051A	RN	0.635	Post service total costs		80
33536	Heart artery bypass to repair multiple arteries	Pre-service	L051A	RN	0.635	Preservice total costs		75
33536	Heart artery bypass to repair multiple arteries	Service  intra	L051A	RN	0.635	Service total costs		12
33536	Heart artery bypass to repair multiple arteries	Post-service	L051A	RN	0.635	Post service total costs		80
33542	Partial removal of heart muscle	Pre-service	L051A	RN	0.635	Preservice total costs		60
33542	Partial removal of heart muscle	Service  intra	L051A	RN	0.635	Service total costs		12
33542	Partial removal of heart muscle	Post-service	L051A	RN	0.635	Post service total costs		89
33545	Repair of lower heart chamber defect following heart attack	Pre-service	L051A	RN	0.635	Preservice total costs		60
33545	Repair of lower heart chamber defect following heart attack	Service  intra	L051A	RN	0.635	Service total costs		12
33545	Repair of lower heart chamber defect following heart attack	Post-service	L051A	RN	0.635	Post service total costs		89
33548	Restoration and reshaping of left lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33548	Restoration and reshaping of left lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33548	Restoration and reshaping of left lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		125
33600	Suture or patch of valve between right heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33600	Suture or patch of valve between right heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33600	Suture or patch of valve between right heart chambers	Post-service	L051A	RN	0.635	Post service total costs		106
33602	Suture or patch of two-leaflet heart valve	Pre-service	L051A	RN	0.635	Preservice total costs		60
33602	Suture or patch of two-leaflet heart valve	Service  intra	L051A	RN	0.635	Service total costs		12
33602	Suture or patch of two-leaflet heart valve	Post-service	L051A	RN	0.635	Post service total costs		106
33606	Connection of pulmonary (lung) artery to aorta	Pre-service	L051A	RN	0.635	Preservice total costs		60
33606	Connection of pulmonary (lung) artery to aorta	Service  intra	L051A	RN	0.635	Service total costs		6
33606	Connection of pulmonary (lung) artery to aorta	Post-service	L051A	RN	0.635	Post service total costs		106
33608	Repair of congenital defect in right or left heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33608	Repair of congenital defect in right or left heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33608	Repair of congenital defect in right or left heart chamber	Post-service	L051A	RN	0.635	Post service total costs		106
33610	Enlargement of congenital defect in wall between two lower heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33610	Enlargement of congenital defect in wall between two lower heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33610	Enlargement of congenital defect in wall between two lower heart chambers	Post-service	L051A	RN	0.635	Post service total costs		106
33611	Repair of double outlet defect of right lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33611	Repair of double outlet defect of right lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33611	Repair of double outlet defect of right lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		53
33612	Repair of double outlet defect and outflow track of right lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33612	Repair of double outlet defect and outflow track of right lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33612	Repair of double outlet defect and outflow track of right lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		53
33615	Closure of congenital defect in wall between two upper heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33615	Closure of congenital defect in wall between two upper heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33615	Closure of congenital defect in wall between two upper heart chambers	Post-service	L051A	RN	0.635	Post service total costs		89
33617	Repair to improve congenital blood flow defect from right upper heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33617	Repair to improve congenital blood flow defect from right upper heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33617	Repair to improve congenital blood flow defect from right upper heart chamber	Post-service	L051A	RN	0.635	Post service total costs		89
33619	Repair to improve congenital blood flow defect from single lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33619	Repair to improve congenital blood flow defect from single lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33619	Repair to improve congenital blood flow defect from single lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		160
33620	"Placement of bands around the right and left pulmonary (lung) arteries, hybrid approach"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33620	"Placement of bands around the right and left pulmonary (lung) arteries, hybrid approach"	Service  intra	L051A	RN	0.635	Service total costs		12
33620	"Placement of bands around the right and left pulmonary (lung) arteries, hybrid approach"	Post-service	L051A	RN	0.635	Post service total costs		36
33621	Insertion of stent in defect between upper heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33621	Insertion of stent in defect between upper heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33621	Insertion of stent in defect between upper heart chambers	Post-service	L051A	RN	0.635	Post service total costs		36
33622	Reconstruction of complex cardiac defects	Pre-service	L051A	RN	0.635	Preservice total costs		60
33622	Reconstruction of complex cardiac defects	Service  intra	L051A	RN	0.635	Service total costs		12
33622	Reconstruction of complex cardiac defects	Post-service	L051A	RN	0.635	Post service total costs		53
33641	Repair of hole between upper heart chambers on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33641	Repair of hole between upper heart chambers on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33641	Repair of hole between upper heart chambers on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		53
33645	Direct or patch closure of extra tissue between two upper heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33645	Direct or patch closure of extra tissue between two upper heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33645	Direct or patch closure of extra tissue between two upper heart chambers	Post-service	L051A	RN	0.635	Post service total costs		53.5
33647	Repair of congenital defect in wall between both upper and lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33647	Repair of congenital defect in wall between both upper and lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33647	Repair of congenital defect in wall between both upper and lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		53
33660	Repair of congenital defect between both upper and lower heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33660	Repair of congenital defect between both upper and lower heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33660	Repair of congenital defect between both upper and lower heart chambers	Post-service	L051A	RN	0.635	Post service total costs		53
33665	Repair of congenital defect in valve between upper and lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33665	Repair of congenital defect in valve between upper and lower heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33665	Repair of congenital defect in valve between upper and lower heart chamber	Post-service	L051A	RN	0.635	Post service total costs		53
33670	Repair of congenital valve defect between upper and lower heart chamber	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33670	Repair of congenital valve defect between upper and lower heart chamber	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33670	Repair of congenital valve defect between upper and lower heart chamber	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33675	Closure of congenital multiple opening defects in wall between two upper and lower heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33675	Closure of congenital multiple opening defects in wall between two upper and lower heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33675	Closure of congenital multiple opening defects in wall between two upper and lower heart chambers	Post-service	L051A	RN	0.635	Post service total costs		53
33676	Closure of congenital multiple opening defects in wall between two upper and lower heart chambers with release of valve tissue	Pre-service	L051A	RN	0.635	Preservice total costs		60
33676	Closure of congenital multiple opening defects in wall between two upper and lower heart chambers with release of valve tissue	Service  intra	L051A	RN	0.635	Service total costs		12
33676	Closure of congenital multiple opening defects in wall between two upper and lower heart chambers with release of valve tissue	Post-service	L051A	RN	0.635	Post service total costs		53
33677	Closure of congenital multiple opening defect in wall between two upper and lower heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33677	Closure of congenital multiple opening defect in wall between two upper and lower heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33677	Closure of congenital multiple opening defect in wall between two upper and lower heart chambers	Post-service	L051A	RN	0.635	Post service total costs		53
33681	Closure of congenital single opening in wall between lower heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33681	Closure of congenital single opening in wall between lower heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33681	Closure of congenital single opening in wall between lower heart chambers	Post-service	L051A	RN	0.635	Post service total costs		125
33684	Closure of congenital single opening in wall between lower heart chambers and release of valve tissue	Pre-service	L051A	RN	0.635	Preservice total costs		60
33684	Closure of congenital single opening in wall between lower heart chambers and release of valve tissue	Service  intra	L051A	RN	0.635	Service total costs		12
33684	Closure of congenital single opening in wall between lower heart chambers and release of valve tissue	Post-service	L051A	RN	0.635	Post service total costs		53
33688	Closure and reinforcement of congenital opening in wall between lower heart chambers	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33688	Closure and reinforcement of congenital opening in wall between lower heart chambers	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33688	Closure and reinforcement of congenital opening in wall between lower heart chambers	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		53
33690	Banding pulmonary (lung) artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
33690	Banding pulmonary (lung) artery	Service  intra	L051A	RN	0.635	Service total costs		12
33690	Banding pulmonary (lung) artery	Post-service	L051A	RN	0.635	Post service total costs		106
33692	Repair and correction of four congenital heart defects	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33692	Repair and correction of four congenital heart defects	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33692	Repair and correction of four congenital heart defects	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		53
33694	Repair and correction of four congenital heart defects	Pre-service	L051A	RN	0.635	Preservice total costs		60
33694	Repair and correction of four congenital heart defects	Service  intra	L051A	RN	0.635	Service total costs		12
33694	Repair and correction of four congenital heart defects	Post-service	L051A	RN	0.635	Post service total costs		53
33697	Repair and correction of four congenital heart defects	Pre-service	L051A	RN	0.635	Preservice total costs		60
33697	Repair and correction of four congenital heart defects	Service  intra	L051A	RN	0.635	Service total costs		12
33697	Repair and correction of four congenital heart defects	Post-service	L051A	RN	0.635	Post service total costs		53
33702	Repair to improve blood flow to lung or heart on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33702	Repair to improve blood flow to lung or heart on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33702	Repair to improve blood flow to lung or heart on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33710	Repair of opening in wall between lower heart chambers on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33710	Repair of opening in wall between lower heart chambers on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33710	Repair of opening in wall between lower heart chambers on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		53
33720	Repair of bulging vessel (aneurysm) above heart valve to lung on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33720	Repair of bulging vessel (aneurysm) above heart valve to lung on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33720	Repair of bulging vessel (aneurysm) above heart valve to lung on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33724	Repair of abnormal lung vein blood return to left upper heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33724	Repair of abnormal lung vein blood return to left upper heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33724	Repair of abnormal lung vein blood return to left upper heart chamber	Post-service	L051A	RN	0.635	Post service total costs		53
33726	Repair of abnormal blockage of pulmonary (lung) vein to left upper heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33726	Repair of abnormal blockage of pulmonary (lung) vein to left upper heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33726	Repair of abnormal blockage of pulmonary (lung) vein to left upper heart chamber	Post-service	L051A	RN	0.635	Post service total costs		53
33730	Repair of abnormal pulmonary (lung) vein blood flow to left upper heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33730	Repair of abnormal pulmonary (lung) vein blood flow to left upper heart chamber	Service  intra	L051A	RN	0.635	Service total costs		6
33730	Repair of abnormal pulmonary (lung) vein blood flow to left upper heart chamber	Post-service	L051A	RN	0.635	Post service total costs		89
33732	Removal of congenital membrane at left upper heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33732	Removal of congenital membrane at left upper heart chamber	Service  intra	L051A	RN	0.635	Service total costs		12
33732	Removal of congenital membrane at left upper heart chamber	Post-service	L051A	RN	0.635	Post service total costs		106
33735	"Balloon enlargement of wall between two upper heart chambers, closed heart procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33735	"Balloon enlargement of wall between two upper heart chambers, closed heart procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
33735	"Balloon enlargement of wall between two upper heart chambers, closed heart procedure"	Post-service	L051A	RN	0.635	Post service total costs		106
33736	"Enlargement of wall between two upper heart chambers, open heart procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33736	"Enlargement of wall between two upper heart chambers, open heart procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
33736	"Enlargement of wall between two upper heart chambers, open heart procedure"	Post-service	L051A	RN	0.635	Post service total costs		106
33737	"Enlargement of wall between two upper heart chambers with correction of blood flow, open heart procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33737	"Enlargement of wall between two upper heart chambers with correction of blood flow, open heart procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
33737	"Enlargement of wall between two upper heart chambers with correction of blood flow, open heart procedure"	Post-service	L051A	RN	0.635	Post service total costs		89
33741	"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, any method (eg, Rashkind, Sang-Park, balloon, cutting balloon, blade)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
33745	"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when performed, left and right heart diagnostic cardiac catherization for congenital cardiac anomalies, and target zone angioplasty, when performed (eg, atrial septum, Fontan fenestration, right ventricular outflow tract, Mustard/Senning/Warden baffles); initial intracardiac shunt"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
33746	"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when performed, left and right heart diagnostic cardiac catherization for congenital cardiac anomalies, and target zone angioplasty, when performed (eg, atrial septum, Fontan fenestration, right ventricular outflow tract, Mustard/Senning/Warden baffles); each additional intracardiac shunt location (List separately in addition to code for primary procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
33750	Placement of shunt from a chest artery to pulmonary (lung) artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33750	Placement of shunt from a chest artery to pulmonary (lung) artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33750	Placement of shunt from a chest artery to pulmonary (lung) artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
33755	Placement of shunt from the aorta to pulmonary (lung) artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
33755	Placement of shunt from the aorta to pulmonary (lung) artery	Service  intra	L051A	RN	0.635	Service total costs		12
33755	Placement of shunt from the aorta to pulmonary (lung) artery	Post-service	L051A	RN	0.635	Post service total costs		106
33762	Placement of shunt from the aorta to pulmonary (lung) artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33762	Placement of shunt from the aorta to pulmonary (lung) artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33762	Placement of shunt from the aorta to pulmonary (lung) artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
33764	Placement of shunt and artificial graft from the aorta to pulmonary (lung) artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
33764	Placement of shunt and artificial graft from the aorta to pulmonary (lung) artery	Service  intra	L051A	RN	0.635	Service total costs		12
33764	Placement of shunt and artificial graft from the aorta to pulmonary (lung) artery	Post-service	L051A	RN	0.635	Post service total costs		106
33766	Placement of shunt from vena cava to pulmonary (lung) artery to improve blood flow to lung	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33766	Placement of shunt from vena cava to pulmonary (lung) artery to improve blood flow to lung	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33766	Placement of shunt from vena cava to pulmonary (lung) artery to improve blood flow to lung	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
33767	Placement of shunt from vena cava to pulmonary (lung) artery to improve blood flow to lung	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33767	Placement of shunt from vena cava to pulmonary (lung) artery to improve blood flow to lung	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33767	Placement of shunt from vena cava to pulmonary (lung) artery to improve blood flow to lung	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
33770	Repair of a group of congenital heart defects with reversal of blood flow	Pre-service	L051A	RN	0.635	Preservice total costs		60
33770	Repair of a group of congenital heart defects with reversal of blood flow	Service  intra	L051A	RN	0.635	Service total costs		6
33770	Repair of a group of congenital heart defects with reversal of blood flow	Post-service	L051A	RN	0.635	Post service total costs		36
33771	Repair of a group of congenital heart defects with reversal of blood flow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33771	Repair of a group of congenital heart defects with reversal of blood flow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33771	Repair of a group of congenital heart defects with reversal of blood flow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33774	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33774	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33774	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		116
33775	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33775	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		6
33775	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		106
33776	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33776	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		6
33776	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		126
33777	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33777	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33777	Repair of a group of congenital heart defects with reversal of blood flow on heart-lung machine	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
33778	Repair of a group of congenital heart defects with redirection of blood flow	Pre-service	L051A	RN	0.635	Preservice total costs		60
33778	Repair of a group of congenital heart defects with redirection of blood flow	Service  intra	L051A	RN	0.635	Service total costs		6
33778	Repair of a group of congenital heart defects with redirection of blood flow	Post-service	L051A	RN	0.635	Post service total costs		89
33779	Repair of a group of congenital heart defects with redirection of blood flow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33779	Repair of a group of congenital heart defects with redirection of blood flow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33779	Repair of a group of congenital heart defects with redirection of blood flow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		53
33780	Repair of a group of congenital heart defects with redirection of blood flow	Pre-service	L051A	RN	0.635	Preservice total costs		60
33780	Repair of a group of congenital heart defects with redirection of blood flow	Service  intra	L051A	RN	0.635	Service total costs		6
33780	Repair of a group of congenital heart defects with redirection of blood flow	Post-service	L051A	RN	0.635	Post service total costs		36
33781	Repair of a group of congenital heart defects with redirection of blood flow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33781	Repair of a group of congenital heart defects with redirection of blood flow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33781	Repair of a group of congenital heart defects with redirection of blood flow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
33782	Relocation of aorta and repair of wall between two lower heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33782	Relocation of aorta and repair of wall between two lower heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33782	Relocation of aorta and repair of wall between two lower heart chambers	Post-service	L051A	RN	0.635	Post service total costs		53
33783	Relocation of aorta and repair of wall between two lower heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33783	Relocation of aorta and repair of wall between two lower heart chambers	Service  intra	L051A	RN	0.635	Service total costs		12
33783	Relocation of aorta and repair of wall between two lower heart chambers	Post-service	L051A	RN	0.635	Post service total costs		53
33786	Repair of a group of congenital heart defects with redirection of blood flow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33786	Repair of a group of congenital heart defects with redirection of blood flow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33786	Repair of a group of congenital heart defects with redirection of blood flow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
33788	Reimplantation of abnormal pulmonary (lung) artery to heart	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33788	Reimplantation of abnormal pulmonary (lung) artery to heart	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33788	Reimplantation of abnormal pulmonary (lung) artery to heart	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
33800	Suture of aorta to chest bone	Pre-service	L051A	RN	0.635	Preservice total costs		60
33800	Suture of aorta to chest bone	Service  intra	L051A	RN	0.635	Service total costs		12
33800	Suture of aorta to chest bone	Post-service	L051A	RN	0.635	Post service total costs		36
33802	Division of extra arch of aorta	Pre-service	L051A	RN	0.635	Preservice total costs		60
33802	Division of extra arch of aorta	Service  intra	L051A	RN	0.635	Service total costs		12
33802	Division of extra arch of aorta	Post-service	L051A	RN	0.635	Post service total costs		89
33803	Division and reconnection of extra arch of aorta	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33803	Division and reconnection of extra arch of aorta	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
33803	Division and reconnection of extra arch of aorta	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
33813	Repair of defect of wall between aorta and pulmonary (lung) artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
33813	Repair of defect of wall between aorta and pulmonary (lung) artery	Service  intra	L051A	RN	0.635	Service total costs		12
33813	Repair of defect of wall between aorta and pulmonary (lung) artery	Post-service	L051A	RN	0.635	Post service total costs		89
33814	Repair of defect of wall between two lower heart chambers on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33814	Repair of defect of wall between two lower heart chambers on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33814	Repair of defect of wall between two lower heart chambers on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		106
33820	Tying off congenital blood flow tract defect	Pre-service	L051A	RN	0.635	Preservice total costs		60
33820	Tying off congenital blood flow tract defect	Service  intra	L051A	RN	0.635	Service total costs		12
33820	Tying off congenital blood flow tract defect	Post-service	L051A	RN	0.635	Post service total costs		53
33822	"Repair of congenital heart defect from pulmonary (lung) artery to aorta, patient younger than 18 years"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33822	"Repair of congenital heart defect from pulmonary (lung) artery to aorta, patient younger than 18 years"	Service  intra	L051A	RN	0.635	Service total costs		12
33822	"Repair of congenital heart defect from pulmonary (lung) artery to aorta, patient younger than 18 years"	Post-service	L051A	RN	0.635	Post service total costs		53
33824	"Repair of congenital heart defect from pulmonary (lung) artery to aorta, patient 18 years and older"	Pre-service	L051A	RN	0.635	Preservice total costs		60
33824	"Repair of congenital heart defect from pulmonary (lung) artery to aorta, patient 18 years and older"	Service  intra	L051A	RN	0.635	Service total costs		12
33824	"Repair of congenital heart defect from pulmonary (lung) artery to aorta, patient 18 years and older"	Post-service	L051A	RN	0.635	Post service total costs		89
33840	Repair of congenital narrowing of aorta and pulmonary (lung) artery to aorta	Pre-service	L051A	RN	0.635	Preservice total costs		60
33840	Repair of congenital narrowing of aorta and pulmonary (lung) artery to aorta	Service  intra	L051A	RN	0.635	Service total costs		12
33840	Repair of congenital narrowing of aorta and pulmonary (lung) artery to aorta	Post-service	L051A	RN	0.635	Post service total costs		89
33845	Repair of narrowed aorta with graft	Pre-service	L051A	RN	0.635	Preservice total costs		60
33845	Repair of narrowed aorta with graft	Service  intra	L051A	RN	0.635	Service total costs		12
33845	Repair of narrowed aorta with graft	Post-service	L051A	RN	0.635	Post service total costs		106
33851	Repair of narrowed aorta using left chest artery or prosthetic material	Pre-service	L051A	RN	0.635	Preservice total costs		60
33851	Repair of narrowed aorta using left chest artery or prosthetic material	Service  intra	L051A	RN	0.635	Service total costs		12
33851	Repair of narrowed aorta using left chest artery or prosthetic material	Post-service	L051A	RN	0.635	Post service total costs		89
33852	Repair of abnormal aortic arch	Pre-service	L051A	RN	0.635	Preservice total costs		60
33852	Repair of abnormal aortic arch	Service  intra	L051A	RN	0.635	Service total costs		12
33852	Repair of abnormal aortic arch	Post-service	L051A	RN	0.635	Post service total costs		89
33853	Repair of abnormal aortic arch on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33853	Repair of abnormal aortic arch on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33853	Repair of abnormal aortic arch on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		106
33858	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection"	Pre-service	L051A	RN	0.635	Complete pre-procedure phone calls and prescription	0	4
33858	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	5
33858	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services (including test results)	0	10
33858	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility	0	8
33858	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection"	Service  post	L051A	RN	0.635	Discharge day management	0	12
33858	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection"	Post-service	L051A	RN	0.635	Post-operative visits (total time)	0	89
33859	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)"	Pre-service	L051A	RN	0.635	Complete pre-procedure phone calls and prescription	0	7
33859	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	5
33859	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services (including test results)	0	20
33859	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent	0	20
33859	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility	0	8
33859	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)"	Service  post	L051A	RN	0.635	Discharge day management	0	12
33859	"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)"	Post-service	L051A	RN	0.635	Post-operative visits (total time)	0	53
33863	Placement of graft to aorta on heart-lung machine	Pre-service	L051A	RN	0.635	Complete pre-procedure phone calls and prescription	0	7
33863	Placement of graft to aorta on heart-lung machine	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	5
33863	Placement of graft to aorta on heart-lung machine	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services (including test results)	0	20
33863	Placement of graft to aorta on heart-lung machine	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent	0	20
33863	Placement of graft to aorta on heart-lung machine	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility	0	8
33863	Placement of graft to aorta on heart-lung machine	Service  post	L051A	RN	0.635	Discharge day management	0	12
33863	Placement of graft to aorta on heart-lung machine	Post-service	L051A	RN	0.635	Post-operative visits (total time)	0	53
33864	Placement of graft to aorta on heart-lung machine	Pre-service	L051A	RN	0.635	Complete pre-procedure phone calls and prescription	0	7
33864	Placement of graft to aorta on heart-lung machine	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	5
33864	Placement of graft to aorta on heart-lung machine	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services (including test results)	0	20
33864	Placement of graft to aorta on heart-lung machine	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent	0	20
33864	Placement of graft to aorta on heart-lung machine	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility	0	8
33864	Placement of graft to aorta on heart-lung machine	Service  post	L051A	RN	0.635	Discharge day management	0	12
33864	Placement of graft to aorta on heart-lung machine	Post-service	L051A	RN	0.635	Post-operative visits (total time)	0	53
33866	"Aortic hemiarch graft including isolation and control of the arch vessels, beveled open distal aortic anastomosis extending under one or more of the arch vessels, and total circulatory arrest or isolated cerebral perfusion"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	0
33871	"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation)"	Pre-service	L051A	RN	0.635	Complete pre-procedure phone calls and prescription	0	7
33871	"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation)"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms	0	5
33871	"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation)"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services (including test results)	0	20
33871	"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation)"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent	0	20
33871	"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility	0	8
33871	"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation)"	Service  post	L051A	RN	0.635	Discharge day management	0	12
33871	"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation)"	Post-service	L051A	RN	0.635	Post-operative visits (total time)	0	53
33875	Placement of graft to first portion of aorta	Pre-service	L051A	RN	0.635	Preservice total costs		60
33875	Placement of graft to first portion of aorta	Service  intra	L051A	RN	0.635	Service total costs		15
33875	Placement of graft to first portion of aorta	Post-service	L051A	RN	0.635	Post service total costs		89
33877	Repair of bulging defect (aneurysm) of aorta	Pre-service	L051A	RN	0.635	Preservice total costs		60
33877	Repair of bulging defect (aneurysm) of aorta	Service  intra	L051A	RN	0.635	Service total costs		12
33877	Repair of bulging defect (aneurysm) of aorta	Post-service	L051A	RN	0.635	Post service total costs		125
33880	Repair of defect of aorta in chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33880	Repair of defect of aorta in chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33880	Repair of defect of aorta in chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
33881	Repair of defect of aorta in chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33881	Repair of defect of aorta in chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33881	Repair of defect of aorta in chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
33883	Repair of defect of aorta in chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33883	Repair of defect of aorta in chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33883	Repair of defect of aorta in chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
33886	Repair of defect of aorta in chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33886	Repair of defect of aorta in chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33886	Repair of defect of aorta in chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
33910	Removal of blood clot in pulmonary (lung) artery on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33910	Removal of blood clot in pulmonary (lung) artery on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33910	Removal of blood clot in pulmonary (lung) artery on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89.5
33915	Removal of blood clot in pulmonary (lung) artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33915	Removal of blood clot in pulmonary (lung) artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33915	Removal of blood clot in pulmonary (lung) artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		80
33916	Removal of plaque from pulmonary (lung) artery on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33916	Removal of plaque from pulmonary (lung) artery on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33916	Removal of plaque from pulmonary (lung) artery on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89.5
33917	Repair of narrowing of pulmonary (lung) artery on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33917	Repair of narrowing of pulmonary (lung) artery on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33917	Repair of narrowing of pulmonary (lung) artery on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		106
33920	Removal of obstructive material from wall between two lower heart chambers	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
33920	Removal of obstructive material from wall between two lower heart chambers	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
33920	Removal of obstructive material from wall between two lower heart chambers	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
33922	Incision of lung artery on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33922	Incision of lung artery on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33922	Incision of lung artery on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		89
33925	Repair of defect of pulmonary (lung) artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
33925	Repair of defect of pulmonary (lung) artery	Service  intra	L051A	RN	0.635	Service total costs		12
33925	Repair of defect of pulmonary (lung) artery	Post-service	L051A	RN	0.635	Post service total costs		36
33926	Repair of defect of pulmonary (lung) artery on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
33926	Repair of defect of pulmonary (lung) artery on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
33926	Repair of defect of pulmonary (lung) artery on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		36
33935	Transplantation of donor heart and lung	Pre-service	L051A	RN	0.635	Preservice total costs		90
33935	Transplantation of donor heart and lung	Service  intra	L051A	RN	0.635	Service total costs		15
33935	Transplantation of donor heart and lung	Post-service	L051A	RN	0.635	Post service total costs		152
33945	Transplantation of donor heart	Pre-service	L051A	RN	0.635	Preservice total costs		90
33945	Transplantation of donor heart	Service  intra	L051A	RN	0.635	Service total costs		12
33945	Transplantation of donor heart	Post-service	L051A	RN	0.635	Post service total costs		152
33951	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33952	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33953	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;insertion of peripheral (arterial and/or venous) cannula(e), open birth through 5 years of age  "	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33954	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33955	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33956	"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33957	"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous,  birth through 5 years of age (includes fluoroscopic guidance, when performed)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33958	"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous,  6 years and older (includes fluoroscopic guidance, when performed)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33959	"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age (includes fluoroscopic guidance, when performed)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33962	"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula, open, 6 years and older (includes fluoroscopic guidance, when performed)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33963	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33964	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;reposition central cannula(e) by sternotomy or thoracotomy, 6 years and older"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33965	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33966	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33969	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33971	Removal of blood flow assist device in aorta	Pre-service	L051A	RN	0.635	Preservice total costs		60
33971	Removal of blood flow assist device in aorta	Service  intra	L051A	RN	0.635	Service total costs		12
33971	Removal of blood flow assist device in aorta	Post-service	L051A	RN	0.635	Post service total costs		53
33974	Removal of blood flow assist device and repair of aorta	Pre-service	L051A	RN	0.635	Preservice total costs		60
33974	Removal of blood flow assist device and repair of aorta	Service  intra	L051A	RN	0.635	Service total costs		12
33974	Removal of blood flow assist device and repair of aorta	Post-service	L051A	RN	0.635	Post service total costs		72
33977	Removal of assistive blood flow device from one lower heart chamber	Pre-service	L051A	RN	0.635	Preservice total costs		60
33978	Removal of assistive blood flow device from both lower heart chambers	Pre-service	L051A	RN	0.635	Preservice total costs		60
33980	Removal of lower heart chamber assistive blood flow device	Pre-service	L051A	RN	0.635	Preservice total costs		60
33984	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33985	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33986	"Extracorporeal membrane oxygenation (ecmo)/extracorporeal life support ecls) provided by physician;removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33988	Insertion of left heart vent by thoracic incision for ecmo/ecls	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33989	Removal of left heart vent by thoracic incision for ecmo/ecls	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
33990	"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
33991	"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
33992	"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
33993	Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
33995	"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
33997	"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
34001	Removal of blood clot in artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34001	Removal of blood clot in artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34001	Removal of blood clot in artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
34051	Removal of blood clot in artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
34051	Removal of blood clot in artery	Service  intra	L051A	RN	0.635	Service total costs		12
34051	Removal of blood clot in artery	Post-service	L051A	RN	0.635	Post service total costs		68
34101	Removal of blood clot in artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34101	Removal of blood clot in artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34101	Removal of blood clot in artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
34111	Removal of blood clot in artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34111	Removal of blood clot in artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34111	Removal of blood clot in artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
34151	Removal of blood clot in artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34151	Removal of blood clot in artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34151	Removal of blood clot in artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
34201	Removal of blood clot in artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34201	Removal of blood clot in artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34201	Removal of blood clot in artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
34203	Removal of blood clot in artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34203	Removal of blood clot in artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34203	Removal of blood clot in artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
34401	Removal of blood clot in vena cava	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34401	Removal of blood clot in vena cava	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34401	Removal of blood clot in vena cava	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
34421	"Removal of blood clot in vena cava, pelvic or thigh artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34421	"Removal of blood clot in vena cava, pelvic or thigh artery"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34421	"Removal of blood clot in vena cava, pelvic or thigh artery"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
34451	"Removal of blood clot in vena cava, pelvic or thigh artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34451	"Removal of blood clot in vena cava, pelvic or thigh artery"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34451	"Removal of blood clot in vena cava, pelvic or thigh artery"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
34471	Removal of blood clot in neck vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34471	Removal of blood clot in neck vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34471	Removal of blood clot in neck vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
34490	Removal of blood clot in underarm or upper chest vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34490	Removal of blood clot in underarm or upper chest vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
34490	Removal of blood clot in underarm or upper chest vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
34501	Repair of upper leg vein valve	Pre-service	L051A	RN	0.635	Preservice total costs		60
34501	Repair of upper leg vein valve	Service  intra	L051A	RN	0.635	Service total costs		12
34501	Repair of upper leg vein valve	Post-service	L051A	RN	0.635	Post service total costs		90
34502	Reconstruction of vena cava	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34502	Reconstruction of vena cava	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34502	Reconstruction of vena cava	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		142
34510	Relocation of vein valve to another vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34510	Relocation of vein valve to another vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34510	Relocation of vein valve to another vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
34520	Removal of vein segment due to nonfunctioning valves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34520	Removal of vein segment due to nonfunctioning valves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34520	Removal of vein segment due to nonfunctioning valves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
34530	Connection of two leg veins at back of knee	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34530	Connection of two leg veins at back of knee	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34530	Connection of two leg veins at back of knee	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
34701	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
34701	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34701	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
34701	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
34701	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
34701	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34701	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
34702	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	4
34702	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34702	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
34702	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
34702	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34702	"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	116
34703	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
34703	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34703	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
34703	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
34703	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
34703	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34703	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
34704	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	4
34704	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34704	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
34704	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
34704	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34704	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uniiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	116
34705	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
34705	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34705	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
34705	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
34705	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
34705	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34705	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
34706	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	4
34706	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34706	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
34706	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
34706	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34706	"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-biiliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	116
34707	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
34707	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34707	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
34707	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
34707	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
34707	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34707	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
34708	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	4
34708	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34708	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
34708	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
34708	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34708	"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting when performed, unilateral; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	116
34709	"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, penetrating ulcer, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting when performed, per vessel treated (List separately in addition to code for primary procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
34710	"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting when performed; initial vessel treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
34710	"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting when performed; initial vessel treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34710	"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting when performed; initial vessel treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
34710	"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting when performed; initial vessel treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
34710	"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting when performed; initial vessel treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
34710	"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting when performed; initial vessel treated"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34710	"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting when performed; initial vessel treated"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
34711	"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting when performed; each additional vessel treated (List separately in addition to code for primary procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
34712	"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
34712	"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34712	"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
34712	"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
34712	"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
34712	"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34712	"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
34713	"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
34714	"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilatera"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
34715	"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
34716	"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or supraclavicular incision, unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
34718		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
34718		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
34718		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
34718		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
34718		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
34718		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
34718		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
34812	"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
34820	"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
34830	"Repair of bulging (aneurysm) of aorta with prosthesis, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34830	"Repair of bulging (aneurysm) of aorta with prosthesis, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34830	"Repair of bulging (aneurysm) of aorta with prosthesis, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
34831	"Repair of bulging (aneurysm) of aorta or groin arteries with prosthesis, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34831	"Repair of bulging (aneurysm) of aorta or groin arteries with prosthesis, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34831	"Repair of bulging (aneurysm) of aorta or groin arteries with prosthesis, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
34832	"Repair of bulging (aneurysm) of aorta or upper thigh arteries with prosthesis, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
34832	"Repair of bulging (aneurysm) of aorta or upper thigh arteries with prosthesis, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
34832	"Repair of bulging (aneurysm) of aorta or upper thigh arteries with prosthesis, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
34833	"Open iliac artery exposure with creation of conduit for delivery of aortic or iliac endovascular prosthesis, by abdominal or retroperitoneal incision, unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
34834	"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
35001	Repair of diseased or bulging (aneurysm) artery of neck or upper chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35001	Repair of diseased or bulging (aneurysm) artery of neck or upper chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35001	Repair of diseased or bulging (aneurysm) artery of neck or upper chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
35002	Repair of diseased or ruptured bulging (aneurysm) artery of neck or upper chest	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35002	Repair of diseased or ruptured bulging (aneurysm) artery of neck or upper chest	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35002	Repair of diseased or ruptured bulging (aneurysm) artery of neck or upper chest	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
35005	Repair of diseased or bulging (aneurysm) artery of head	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35005	Repair of diseased or bulging (aneurysm) artery of head	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35005	Repair of diseased or bulging (aneurysm) artery of head	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
35011	Repair of diseased or bulging (aneurysm) artery of arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35011	Repair of diseased or bulging (aneurysm) artery of arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35011	Repair of diseased or bulging (aneurysm) artery of arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35013	Repair of diseased or ruptured bulging (aneurysm) artery of arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35013	Repair of diseased or ruptured bulging (aneurysm) artery of arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35013	Repair of diseased or ruptured bulging (aneurysm) artery of arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35021	Repair of diseased or bulging (aneurysm) artery of upper chest or neck	Pre-service	L051A	RN	0.635	Preservice total costs		60
35021	Repair of diseased or bulging (aneurysm) artery of upper chest or neck	Service  intra	L051A	RN	0.635	Service total costs		12
35021	Repair of diseased or bulging (aneurysm) artery of upper chest or neck	Post-service	L051A	RN	0.635	Post service total costs		68
35022	Repair of diseased or ruptured bulging (aneurysm) artery of upper chest or neck	Pre-service	L051A	RN	0.635	Preservice total costs		60
35022	Repair of diseased or ruptured bulging (aneurysm) artery of upper chest or neck	Service  intra	L051A	RN	0.635	Service total costs		12
35022	Repair of diseased or ruptured bulging (aneurysm) artery of upper chest or neck	Post-service	L051A	RN	0.635	Post service total costs		68
35045	Repair of diseased or bulging (aneurysm) artery of forearm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35045	Repair of diseased or bulging (aneurysm) artery of forearm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35045	Repair of diseased or bulging (aneurysm) artery of forearm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		50
35081	Repair of diseased or bulging (aneurysm) artery of abdominal aorta	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35081	Repair of diseased or bulging (aneurysm) artery of abdominal aorta	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35081	Repair of diseased or bulging (aneurysm) artery of abdominal aorta	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
35082	Repair of diseased or ruptured bulging (aneurysm) artery of abdominal aorta	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35082	Repair of diseased or ruptured bulging (aneurysm) artery of abdominal aorta	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35082	Repair of diseased or ruptured bulging (aneurysm) artery of abdominal aorta	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
35091	Repair of diseased or bulging (aneurysm) artery of abdominal organ	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35091	Repair of diseased or bulging (aneurysm) artery of abdominal organ	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35091	Repair of diseased or bulging (aneurysm) artery of abdominal organ	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		40
35092	Repair of diseased or ruptured bulging (aneurysm) artery of abdominal organ	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35092	Repair of diseased or ruptured bulging (aneurysm) artery of abdominal organ	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35092	Repair of diseased or ruptured bulging (aneurysm) artery of abdominal organ	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
35102	Repair of diseased or ruptured bulging (aneurysm) of abdominal aorta	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35102	Repair of diseased or ruptured bulging (aneurysm) of abdominal aorta	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35102	Repair of diseased or ruptured bulging (aneurysm) of abdominal aorta	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
35103	Repair of diseased or ruptured bulging (aneurysm) of abdominal aorta	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35103	Repair of diseased or ruptured bulging (aneurysm) of abdominal aorta	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35103	Repair of diseased or ruptured bulging (aneurysm) of abdominal aorta	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35111	Repair of diseased or bulging (aneurysm) artery of spleen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35111	Repair of diseased or bulging (aneurysm) artery of spleen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35111	Repair of diseased or bulging (aneurysm) artery of spleen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
35112	Repair of diseased or ruptured bulging (aneurysm) artery of spleen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35112	Repair of diseased or ruptured bulging (aneurysm) artery of spleen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35112	Repair of diseased or ruptured bulging (aneurysm) artery of spleen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35121	Repair of diseased or bulging (aneurysm) artery of abdominal organ	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35121	Repair of diseased or bulging (aneurysm) artery of abdominal organ	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35121	Repair of diseased or bulging (aneurysm) artery of abdominal organ	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
35122	Repair of diseased or ruptured bulging (aneurysm) artery of abdominal organ	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35122	Repair of diseased or ruptured bulging (aneurysm) artery of abdominal organ	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35122	Repair of diseased or ruptured bulging (aneurysm) artery of abdominal organ	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35131	Repair of diseased or bulging (aneurysm) artery of groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35131	Repair of diseased or bulging (aneurysm) artery of groin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35131	Repair of diseased or bulging (aneurysm) artery of groin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
35132	Repair of diseased or ruptured bulging (aneurysm) artery of groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35132	Repair of diseased or ruptured bulging (aneurysm) artery of groin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35132	Repair of diseased or ruptured bulging (aneurysm) artery of groin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35141	Repair of diseased or bulging (aneurysm) artery of upper thigh	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35141	Repair of diseased or bulging (aneurysm) artery of upper thigh	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35141	Repair of diseased or bulging (aneurysm) artery of upper thigh	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35142	Repair of diseased or ruptured bulging (aneurysm) artery of upper thigh	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35142	Repair of diseased or ruptured bulging (aneurysm) artery of upper thigh	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35142	Repair of diseased or ruptured bulging (aneurysm) artery of upper thigh	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35151	Repair of diseased or bulging (aneurysm) artery of lower leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35151	Repair of diseased or bulging (aneurysm) artery of lower leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35151	Repair of diseased or bulging (aneurysm) artery of lower leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
35152	Repair of diseased or ruptured bulging (aneurysm) artery of lower leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35152	Repair of diseased or ruptured bulging (aneurysm) artery of lower leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35152	Repair of diseased or ruptured bulging (aneurysm) artery of lower leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35180	Repair of congenital abnormal blood vessel of head and neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35180	Repair of congenital abnormal blood vessel of head and neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
35180	Repair of congenital abnormal blood vessel of head and neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
35182	Repair of congenital abnormal artery-vein connection in chest and abdomen	Pre-service	L051A	RN	0.635	Preservice total costs		60
35182	Repair of congenital abnormal artery-vein connection in chest and abdomen	Service  intra	L051A	RN	0.635	Service total costs		12
35182	Repair of congenital abnormal artery-vein connection in chest and abdomen	Post-service	L051A	RN	0.635	Post service total costs		99
35184	Repair of congenital abnormal artery-vein connection in arms or legs	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35184	Repair of congenital abnormal artery-vein connection in arms or legs	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35184	Repair of congenital abnormal artery-vein connection in arms or legs	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		77
35188	Repair of abnormal artery and vein connection of head and neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35188	Repair of abnormal artery and vein connection of head and neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35188	Repair of abnormal artery and vein connection of head and neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63.5
35189	Repair of abnormal artery-vein connection in chest and abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35189	Repair of abnormal artery-vein connection in chest and abdomen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35189	Repair of abnormal artery-vein connection in chest and abdomen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35190	Repair of abnormal artery-vein connection in arms or legs	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35190	Repair of abnormal artery-vein connection in arms or legs	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35190	Repair of abnormal artery-vein connection in arms or legs	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
35201	Repair of blood vessel of neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35201	Repair of blood vessel of neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35201	Repair of blood vessel of neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
35206	Repair of blood vessel of arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35206	Repair of blood vessel of arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35206	Repair of blood vessel of arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35207	Repair of blood vessel of hand or finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35207	Repair of blood vessel of hand or finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
35207	Repair of blood vessel of hand or finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
35211	Repair of blood vessel of chest on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
35211	Repair of blood vessel of chest on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
35211	Repair of blood vessel of chest on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		68
35216	Repair of blood vessel of chest	Pre-service	L051A	RN	0.635	Preservice total costs		60
35216	Repair of blood vessel of chest	Service  intra	L051A	RN	0.635	Service total costs		12
35216	Repair of blood vessel of chest	Post-service	L051A	RN	0.635	Post service total costs		105
35221	Repair of blood vessel of abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35221	Repair of blood vessel of abdomen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35221	Repair of blood vessel of abdomen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35226	Repair of blood vessel of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35226	Repair of blood vessel of leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35226	Repair of blood vessel of leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35231	Repair of blood vessel of neck with vein graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35231	Repair of blood vessel of neck with vein graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35231	Repair of blood vessel of neck with vein graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35236	Repair of blood vessel of arm with vein graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35236	Repair of blood vessel of arm with vein graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35236	Repair of blood vessel of arm with vein graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35241	Repair of blood vessel of chest with vein graft on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
35241	Repair of blood vessel of chest with vein graft on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
35241	Repair of blood vessel of chest with vein graft on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		68
35246	Repair of blood vessel in chest with vein graft	Pre-service	L051A	RN	0.635	Preservice total costs		60
35246	Repair of blood vessel in chest with vein graft	Service  intra	L051A	RN	0.635	Service total costs		12
35246	Repair of blood vessel in chest with vein graft	Post-service	L051A	RN	0.635	Post service total costs		63
35251	Repair of blood vessel of abdomen with vein graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35251	Repair of blood vessel of abdomen with vein graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35251	Repair of blood vessel of abdomen with vein graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35256	Repair of blood vessel of leg with vein graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35256	Repair of blood vessel of leg with vein graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35256	Repair of blood vessel of leg with vein graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35261	Repair of blood vessel of neck with graft	Pre-service	L051A	RN	0.635	Preservice total costs		60
35261	Repair of blood vessel of neck with graft	Service  intra	L051A	RN	0.635	Service total costs		12
35261	Repair of blood vessel of neck with graft	Post-service	L051A	RN	0.635	Post service total costs		63
35266	Repair of blood vessel of arm with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35266	Repair of blood vessel of arm with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35266	Repair of blood vessel of arm with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35271	Repair of blood vessel of chest with graft on heart-lung machine	Pre-service	L051A	RN	0.635	Preservice total costs		60
35271	Repair of blood vessel of chest with graft on heart-lung machine	Service  intra	L051A	RN	0.635	Service total costs		12
35271	Repair of blood vessel of chest with graft on heart-lung machine	Post-service	L051A	RN	0.635	Post service total costs		68
35276	Repair of blood vessel of chest with graft	Pre-service	L051A	RN	0.635	Preservice total costs		60
35276	Repair of blood vessel of chest with graft	Service  intra	L051A	RN	0.635	Service total costs		12
35276	Repair of blood vessel of chest with graft	Post-service	L051A	RN	0.635	Post service total costs		81
35281	Repair of blood vessel of abdomen with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35281	Repair of blood vessel of abdomen with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35281	Repair of blood vessel of abdomen with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35286	Repair of blood vessel of leg with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35286	Repair of blood vessel of leg with graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35286	Repair of blood vessel of leg with graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35301	Removal of blood clot and portion of artery of neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35301	Removal of blood clot and portion of artery of neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35301	Removal of blood clot and portion of artery of neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35302	Removal of blood clot and portion of artery of upper thigh	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35302	Removal of blood clot and portion of artery of upper thigh	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35302	Removal of blood clot and portion of artery of upper thigh	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35303	Removal of blood clot and portion of artery of lower leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35303	Removal of blood clot and portion of artery of lower leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35303	Removal of blood clot and portion of artery of lower leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35304	Removal of blood clot and portion of artery of lower leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35304	Removal of blood clot and portion of artery of lower leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35304	Removal of blood clot and portion of artery of lower leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35305	Removal of blood clot and portion of artery of lower leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35305	Removal of blood clot and portion of artery of lower leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35305	Removal of blood clot and portion of artery of lower leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35311	Removal of blood clot and portion of artery of neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35311	Removal of blood clot and portion of artery of neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35311	Removal of blood clot and portion of artery of neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35321	Removal of blood clot and portion of artery of upper arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35321	Removal of blood clot and portion of artery of upper arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35321	Removal of blood clot and portion of artery of upper arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35331	Removal of blood clot and portion of artery of abdominal aorta	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35331	Removal of blood clot and portion of artery of abdominal aorta	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35331	Removal of blood clot and portion of artery of abdominal aorta	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
35341	Removal of blood clot and portion of artery of abdominal organ	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35341	Removal of blood clot and portion of artery of abdominal organ	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35341	Removal of blood clot and portion of artery of abdominal organ	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
35351	Removal of blood clot and portion of artery of groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35351	Removal of blood clot and portion of artery of groin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35351	Removal of blood clot and portion of artery of groin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35355	Removal of blood clot and portion of artery of upper thigh	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35355	Removal of blood clot and portion of artery of upper thigh	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35355	Removal of blood clot and portion of artery of upper thigh	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35361	Removal of blood clot and portion of artery of abdominal aorta and groin artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35361	Removal of blood clot and portion of artery of abdominal aorta and groin artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35361	Removal of blood clot and portion of artery of abdominal aorta and groin artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35363	Removal of blood clot and portion of artery of abdominal aorta and upper thigh artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35363	Removal of blood clot and portion of artery of abdominal aorta and upper thigh artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35363	Removal of blood clot and portion of artery of abdominal aorta and upper thigh artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35371	Removal of blood clot and portion of artery of upper thigh artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35371	Removal of blood clot and portion of artery of upper thigh artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35371	Removal of blood clot and portion of artery of upper thigh artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35372	Removal of blood clot and portion of artery of upper thigh artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35372	Removal of blood clot and portion of artery of upper thigh artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35372	Removal of blood clot and portion of artery of upper thigh artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35501	Bypass of diseased or blocked artery (neck to brain artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35501	Bypass of diseased or blocked artery (neck to brain artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35501	Bypass of diseased or blocked artery (neck to brain artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35506	Bypass of diseased or blocked artery (neck to chest artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35506	Bypass of diseased or blocked artery (neck to chest artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35506	Bypass of diseased or blocked artery (neck to chest artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35508	Bypass of diseased or blocked artery (neck to brain artery)	Pre-service	L051A	RN	0.635	Preservice total costs		60
35508	Bypass of diseased or blocked artery (neck to brain artery)	Service  intra	L051A	RN	0.635	Service total costs		12
35508	Bypass of diseased or blocked artery (neck to brain artery)	Post-service	L051A	RN	0.635	Post service total costs		72
35509	Bypass of diseased or blocked artery (neck to opposite neck artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35509	Bypass of diseased or blocked artery (neck to opposite neck artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35509	Bypass of diseased or blocked artery (neck to opposite neck artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35510	Bypass of diseased or blocked artery (neck to arm artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35510	Bypass of diseased or blocked artery (neck to arm artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35510	Bypass of diseased or blocked artery (neck to arm artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35511	Bypass of diseased or blocked artery (chest to opposite chest artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35511	Bypass of diseased or blocked artery (chest to opposite chest artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35511	Bypass of diseased or blocked artery (chest to opposite chest artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35512	Bypass of diseased or blocked artery (chest to arm artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35512	Bypass of diseased or blocked artery (chest to arm artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35512	Bypass of diseased or blocked artery (chest to arm artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35515	Bypass of diseased or blocked artery (chest to brain artery)	Pre-service	L051A	RN	0.635	Preservice total costs		60
35515	Bypass of diseased or blocked artery (chest to brain artery)	Service  intra	L051A	RN	0.635	Service total costs		12
35515	Bypass of diseased or blocked artery (chest to brain artery)	Post-service	L051A	RN	0.635	Post service total costs		72
35516	Bypass of diseased or blocked artery (chest to arm artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35516	Bypass of diseased or blocked artery (chest to arm artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35516	Bypass of diseased or blocked artery (chest to arm artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35518	Bypass of diseased or blocked artery (arm to opposite arm artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35518	Bypass of diseased or blocked artery (arm to opposite arm artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35518	Bypass of diseased or blocked artery (arm to opposite arm artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35521	Bypass of diseased or blocked artery (arm to upper leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35521	Bypass of diseased or blocked artery (arm to upper leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35521	Bypass of diseased or blocked artery (arm to upper leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35522	Bypass of diseased or blocked artery (arm to arm artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35522	Bypass of diseased or blocked artery (arm to arm artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35522	Bypass of diseased or blocked artery (arm to arm artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35523	Bypass of diseased or blocked artery (arm to arm artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35523	Bypass of diseased or blocked artery (arm to arm artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35523	Bypass of diseased or blocked artery (arm to arm artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35525	Bypass of diseased or blocked artery (arm to opposite arm artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35525	Bypass of diseased or blocked artery (arm to opposite arm artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35525	Bypass of diseased or blocked artery (arm to opposite arm artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35526	Bypass of diseased or blocked artery (chest to neck artery)	Pre-service	L051A	RN	0.635	Preservice total costs		60
35526	Bypass of diseased or blocked artery (chest to neck artery)	Service  intra	L051A	RN	0.635	Service total costs		6
35526	Bypass of diseased or blocked artery (chest to neck artery)	Post-service	L051A	RN	0.635	Post service total costs		63
35531	Bypass of diseased or blocked artery (abdominal to abdominal artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35531	Bypass of diseased or blocked artery (abdominal to abdominal artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35531	Bypass of diseased or blocked artery (abdominal to abdominal artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35533	Bypass of diseased or blocked artery (arm to upper leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35533	Bypass of diseased or blocked artery (arm to upper leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35533	Bypass of diseased or blocked artery (arm to upper leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35535	Bypass of diseased or blocked artery (liver to kidney artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35535	Bypass of diseased or blocked artery (liver to kidney artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35535	Bypass of diseased or blocked artery (liver to kidney artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35536	Bypass of diseased or blocked artery (spleen to kidney artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35536	Bypass of diseased or blocked artery (spleen to kidney artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35536	Bypass of diseased or blocked artery (spleen to kidney artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35537	Bypass of diseased or blocked artery (aorta to groin artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35537	Bypass of diseased or blocked artery (aorta to groin artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35537	Bypass of diseased or blocked artery (aorta to groin artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35538	Bypass of diseased or blocked artery (aorta to groin and opposite groin artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35538	Bypass of diseased or blocked artery (aorta to groin and opposite groin artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35538	Bypass of diseased or blocked artery (aorta to groin and opposite groin artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35539	Bypass of diseased or blocked artery (aorta to upper leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35539	Bypass of diseased or blocked artery (aorta to upper leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35539	Bypass of diseased or blocked artery (aorta to upper leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35540	Bypass of diseased or blocked artery (aorta to upper leg and opposite upper leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35540	Bypass of diseased or blocked artery (aorta to upper leg and opposite upper leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35540	Bypass of diseased or blocked artery (aorta to upper leg and opposite upper leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35556	Bypass of diseased or blocked artery (upper to lower leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35556	Bypass of diseased or blocked artery (upper to lower leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35556	Bypass of diseased or blocked artery (upper to lower leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35558	Bypass of diseased or blocked artery (upper leg to opposite upper leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35558	Bypass of diseased or blocked artery (upper leg to opposite upper leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35558	Bypass of diseased or blocked artery (upper leg to opposite upper leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35560	Bypass of diseased or blocked artery (aorta to kidney artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35560	Bypass of diseased or blocked artery (aorta to kidney artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35560	Bypass of diseased or blocked artery (aorta to kidney artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35563	Bypass of diseased or blocked artery (groin to opposite groin artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35563	Bypass of diseased or blocked artery (groin to opposite groin artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35563	Bypass of diseased or blocked artery (groin to opposite groin artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35565	Bypass of diseased or blocked artery (groin to upper leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35565	Bypass of diseased or blocked artery (groin to upper leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35565	Bypass of diseased or blocked artery (groin to upper leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35566	Bypass of diseased or blocked artery (upper leg to lower leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35566	Bypass of diseased or blocked artery (upper leg to lower leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35566	Bypass of diseased or blocked artery (upper leg to lower leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35570	Bypass of diseased or blocked artery (lower leg to opposite lower leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35570	Bypass of diseased or blocked artery (lower leg to opposite lower leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35570	Bypass of diseased or blocked artery (lower leg to opposite lower leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
35571	Bypass of diseased or blocked artery (lower leg to lower leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35571	Bypass of diseased or blocked artery (lower leg to lower leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35571	Bypass of diseased or blocked artery (lower leg to lower leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35583	Bypass of diseased or blocked artery (upper leg to lower thigh artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35583	Bypass of diseased or blocked artery (upper leg to lower thigh artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35583	Bypass of diseased or blocked artery (upper leg to lower thigh artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35585	Bypass of diseased or blocked artery (upper leg to lower leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35585	Bypass of diseased or blocked artery (upper leg to lower leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35585	Bypass of diseased or blocked artery (upper leg to lower leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35587	Bypass of diseased or blocked artery (lower thigh to lower leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35587	Bypass of diseased or blocked artery (lower thigh to lower leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35587	Bypass of diseased or blocked artery (lower thigh to lower leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35601	Bypass of diseased or blocked artery (neck to brain artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35601	Bypass of diseased or blocked artery (neck to brain artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35601	Bypass of diseased or blocked artery (neck to brain artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35606	Bypass of diseased or blocked artery (neck to chest artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35606	Bypass of diseased or blocked artery (neck to chest artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35606	Bypass of diseased or blocked artery (neck to chest artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
35612	Bypass of diseased or blocked artery (chest to opposite chest artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35612	Bypass of diseased or blocked artery (chest to opposite chest artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35612	Bypass of diseased or blocked artery (chest to opposite chest artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99.5
35616	Bypass of diseased or blocked artery (chest to arm artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35616	Bypass of diseased or blocked artery (chest to arm artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35616	Bypass of diseased or blocked artery (chest to arm artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35621	Bypass of diseased or blocked artery (arm to chest artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35621	Bypass of diseased or blocked artery (arm to chest artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35621	Bypass of diseased or blocked artery (arm to chest artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35623	Bypass of diseased or blocked artery (arm to lower leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35623	Bypass of diseased or blocked artery (arm to lower leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35623	Bypass of diseased or blocked artery (arm to lower leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35626	Bypass of diseased or blocked artery (arm to lower thigh or leg artery)	Pre-service	L051A	RN	0.635	Preservice total costs		60
35626	Bypass of diseased or blocked artery (arm to lower thigh or leg artery)	Service  intra	L051A	RN	0.635	Service total costs		12
35626	Bypass of diseased or blocked artery (arm to lower thigh or leg artery)	Post-service	L051A	RN	0.635	Post service total costs		63
35631	Bypass of diseased or blocked artery (aorta to abdominal or kidney artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35631	Bypass of diseased or blocked artery (aorta to abdominal or kidney artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35631	Bypass of diseased or blocked artery (aorta to abdominal or kidney artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35632	Bypass of diseased or blocked artery (groin to abdominal artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35632	Bypass of diseased or blocked artery (groin to abdominal artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35632	Bypass of diseased or blocked artery (groin to abdominal artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35633	Bypass of diseased or blocked artery (groin to abdominal artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35633	Bypass of diseased or blocked artery (groin to abdominal artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35633	Bypass of diseased or blocked artery (groin to abdominal artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35634	Bypass of diseased or blocked artery (groin to abdominal artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35634	Bypass of diseased or blocked artery (groin to abdominal artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35634	Bypass of diseased or blocked artery (groin to abdominal artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35636	Bypass of diseased or blocked artery (spleen to kidney artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35636	Bypass of diseased or blocked artery (spleen to kidney artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35636	Bypass of diseased or blocked artery (spleen to kidney artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35637	Bypass of diseased or blocked artery (aorta to groin artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35637	Bypass of diseased or blocked artery (aorta to groin artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35637	Bypass of diseased or blocked artery (aorta to groin artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35638	Bypass of diseased or blocked artery (aorta to groin to opposite groin artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35638	Bypass of diseased or blocked artery (aorta to groin to opposite groin artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35638	Bypass of diseased or blocked artery (aorta to groin to opposite groin artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35642	Bypass of diseased or blocked artery (neck to brain artery)	Pre-service	L051A	RN	0.635	Preservice total costs		60
35642	Bypass of diseased or blocked artery (neck to brain artery)	Service  intra	L051A	RN	0.635	Service total costs		6
35642	Bypass of diseased or blocked artery (neck to brain artery)	Post-service	L051A	RN	0.635	Post service total costs		81
35645	Bypass of diseased or blocked artery (chest to brain artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35645	Bypass of diseased or blocked artery (chest to brain artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35645	Bypass of diseased or blocked artery (chest to brain artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
35646	Bypass of diseased or blocked artery (aorta to upper leg and opposite upper leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35646	Bypass of diseased or blocked artery (aorta to upper leg and opposite upper leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35646	Bypass of diseased or blocked artery (aorta to upper leg and opposite upper leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		107
35647	Bypass of diseased or blocked artery (aorta to upper leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35647	Bypass of diseased or blocked artery (aorta to upper leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35647	Bypass of diseased or blocked artery (aorta to upper leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
35650	Bypass of diseased or blocked artery (arm to opposite arm artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35650	Bypass of diseased or blocked artery (arm to opposite arm artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35650	Bypass of diseased or blocked artery (arm to opposite arm artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35654	Bypass of diseased or blocked artery (arm to both lower thigh arteries)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35654	Bypass of diseased or blocked artery (arm to both lower thigh arteries)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35654	Bypass of diseased or blocked artery (arm to both lower thigh arteries)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
35656	Bypass of diseased or blocked artery (upper leg to lower thigh artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35656	Bypass of diseased or blocked artery (upper leg to lower thigh artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35656	Bypass of diseased or blocked artery (upper leg to lower thigh artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35661	Bypass of diseased or blocked artery (upper leg to opposite upper leg artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35661	Bypass of diseased or blocked artery (upper leg to opposite upper leg artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35661	Bypass of diseased or blocked artery (upper leg to opposite upper leg artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35663	Bypass of diseased or blocked artery (groin to opposite groin artery)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35663	Bypass of diseased or blocked artery (groin to opposite groin artery)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35663	Bypass of diseased or blocked artery (groin to opposite groin artery)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35665	Bypass on diseased or blocked groin to upper leg artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35665	Bypass on diseased or blocked groin to upper leg artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35665	Bypass on diseased or blocked groin to upper leg artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35666	Bypass of diseased or blocked artery (upper leg to lower leg arteries)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35666	Bypass of diseased or blocked artery (upper leg to lower leg arteries)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35666	Bypass of diseased or blocked artery (upper leg to lower leg arteries)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35671	Bypass of diseased or blocked artery (upper leg to lower leg arteries)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35671	Bypass of diseased or blocked artery (upper leg to lower leg arteries)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35671	Bypass of diseased or blocked artery (upper leg to lower leg arteries)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35691	Transfer and/or reimplantation of vertebral (brain) artery to carotid (neck) artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35691	Transfer and/or reimplantation of vertebral (brain) artery to carotid (neck) artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35691	Transfer and/or reimplantation of vertebral (brain) artery to carotid (neck) artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
35693	Transfer and/or reimplantation of vertebral (brain) artery to subclavian (chest) artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
35693	Transfer and/or reimplantation of vertebral (brain) artery to subclavian (chest) artery	Service  intra	L051A	RN	0.635	Service total costs		12
35693	Transfer and/or reimplantation of vertebral (brain) artery to subclavian (chest) artery	Post-service	L051A	RN	0.635	Post service total costs		81
35694	Transfer and/or reimplantation of subclavian (chest) artery to carotid (neck) artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35694	Transfer and/or reimplantation of subclavian (chest) artery to carotid (neck) artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35694	Transfer and/or reimplantation of subclavian (chest) artery to carotid (neck) artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
35695	Transfer and/or reimplantation of carotid (neck) artery to subclavian (chest) artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35695	Transfer and/or reimplantation of carotid (neck) artery to subclavian (chest) artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35695	Transfer and/or reimplantation of carotid (neck) artery to subclavian (chest) artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
35701	"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	4
35701	Exploration of neck artery	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	4
35701	"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
35701	Exploration of neck artery	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
35701	"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
35701	Exploration of neck artery	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
35701	Exploration of neck artery	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
35701	"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
35701	"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
35701	Exploration of neck artery	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
35701	"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	27
35701	Exploration of neck artery	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	27
35702	"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	4
35702	"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
35702	"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
35702	"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
35702	"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
35702	"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	27
35703	"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	4
35703	"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
35703	"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
35703	"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
35703	"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
35703	"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	27
35800	"Exploration of neck for postsurgical bleeding, blood clot, or infection"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35800	"Exploration of neck for postsurgical bleeding, blood clot, or infection"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35800	"Exploration of neck for postsurgical bleeding, blood clot, or infection"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90.5
35820	"Exploration of chest for postsurgical bleeding, blood clot, or infection"	Pre-service	L051A	RN	0.635	Preservice total costs		60
35820	"Exploration of chest for postsurgical bleeding, blood clot, or infection"	Service  intra	L051A	RN	0.635	Service total costs		12
35820	"Exploration of chest for postsurgical bleeding, blood clot, or infection"	Post-service	L051A	RN	0.635	Post service total costs		53
35840	"Exploration of abdomen for postsurgical bleeding, blood clot, or infection"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35840	"Exploration of abdomen for postsurgical bleeding, blood clot, or infection"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35840	"Exploration of abdomen for postsurgical bleeding, blood clot, or infection"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
35860	"Exploration of arm or leg for postsurgical bleeding, blood clot, or infection"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35860	"Exploration of arm or leg for postsurgical bleeding, blood clot, or infection"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35860	"Exploration of arm or leg for postsurgical bleeding, blood clot, or infection"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90.5
35870	Repair of abnormal drainage tract of blood vessel graft and bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35870	Repair of abnormal drainage tract of blood vessel graft and bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35870	Repair of abnormal drainage tract of blood vessel graft and bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
35875	Removal of blood clot of arterial or venous graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35875	Removal of blood clot of arterial or venous graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35875	Removal of blood clot of arterial or venous graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35876	Removal of blood clot and revision of arterial or venous graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35876	Removal of blood clot and revision of arterial or venous graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35876	Removal of blood clot and revision of arterial or venous graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35879	"Revision of arterial bypass of leg with placement of vein patch, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35879	"Revision of arterial bypass of leg with placement of vein patch, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35879	"Revision of arterial bypass of leg with placement of vein patch, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
35881	"Revision of arterial bypass of leg with placement of relocated vein, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35881	"Revision of arterial bypass of leg with placement of relocated vein, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35881	"Revision of arterial bypass of leg with placement of relocated vein, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35883	"Revision of arterial bypass of groin with placement synthetic graft, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35883	"Revision of arterial bypass of groin with placement synthetic graft, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35883	"Revision of arterial bypass of groin with placement synthetic graft, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35884	"Revision of arterial bypass of groin with vein patch graft, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35884	"Revision of arterial bypass of groin with vein patch graft, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35884	"Revision of arterial bypass of groin with vein patch graft, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
35901	Removal of infected neck graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35901	Removal of infected neck graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35901	Removal of infected neck graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
35903	Removal of infected graft of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35903	Removal of infected graft of arm or leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35903	Removal of infected graft of arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
35905	Removal of infected chest graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35905	Removal of infected chest graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35905	Removal of infected chest graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
35907	Removal of infected abdominal graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
35907	Removal of infected abdominal graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
35907	Removal of infected abdominal graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
36000	Insertion of needle or catheter into a vein	Service  intra	L051A	RN	0.635	Service total costs	19	0
36002	"Injection to cause blood clot in a diseased or bulging vessel of arm or leg, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	5	20
36002	"Injection to cause blood clot in a diseased or bulging vessel of arm or leg, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
36002	"Injection to cause blood clot in a diseased or bulging vessel of arm or leg, accessed through the skin"	Service  intra	L054A	Vascular Technologist	0.725	Service total costs	41	0
36002	"Injection to cause blood clot in a diseased or bulging vessel of arm or leg, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
36005	Injection for X-ray imaging procedure on veins of arm or leg	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	43	0
36010	Introduction of catheter into the upper or lower major vein (vena cava)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36010	Introduction of catheter into the upper or lower major vein (vena cava)	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	37	0
36010	Introduction of catheter into the upper or lower major vein (vena cava)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	39	0
36010	Introduction of catheter into the upper or lower major vein (vena cava)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
36011	Insertion of catheter into vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36011	Insertion of catheter into vein	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	46	0
36011	Insertion of catheter into vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	39	0
36011	Insertion of catheter into vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36012	Insertion of catheter into vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36012	Insertion of catheter into vein	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	50	0
36012	Insertion of catheter into vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	39	0
36012	Insertion of catheter into vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36013	Insertion of catheter into right heart or main pulmonary (lung) artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36013	Insertion of catheter into right heart or main pulmonary (lung) artery	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	39	0
36013	Insertion of catheter into right heart or main pulmonary (lung) artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
36013	Insertion of catheter into right heart or main pulmonary (lung) artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36014	Insertion of catheter into left or right pulmonary (lung) artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36014	Insertion of catheter into left or right pulmonary (lung) artery	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	45	0
36014	Insertion of catheter into left or right pulmonary (lung) artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
36014	Insertion of catheter into left or right pulmonary (lung) artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36015	Insertion of catheter into an artery of a lobe of the lung	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36015	Insertion of catheter into an artery of a lobe of the lung	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	50	0
36015	Insertion of catheter into an artery of a lobe of the lung	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
36015	Insertion of catheter into an artery of a lobe of the lung	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36100	Insertion of needle or catheter into the carotid (neck) or vertebral (brain) artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36100	Insertion of needle or catheter into the carotid (neck) or vertebral (brain) artery	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	31	0
36100	Insertion of needle or catheter into the carotid (neck) or vertebral (brain) artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	0
36100	Insertion of needle or catheter into the carotid (neck) or vertebral (brain) artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
36140	Insertion of needle or catheter into an artery of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36140	Insertion of needle or catheter into an artery of arm or leg	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	36	0
36140	Insertion of needle or catheter into an artery of arm or leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	0
36140	Insertion of needle or catheter into an artery of arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
36160	Insertion of needle or catheter into aorta	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36160	Insertion of needle or catheter into aorta	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	40	0
36160	Insertion of needle or catheter into aorta	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	0
36160	Insertion of needle or catheter into aorta	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
36200	Insertion of catheter into aorta	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	0
36200	Insertion of catheter into aorta	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36200	Insertion of catheter into aorta	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	8	0
36200	Insertion of catheter into aorta	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	0
36200	Insertion of catheter into aorta	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
36215	Insertion of catheter into chest or arm artery	Pre-service	L041A	Angio Technician	0.503	Availability of prior images confirmed	2	
36215	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
36215	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	
36215	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
36215	Insertion of catheter into chest or arm artery	Pre-service	L041A	Angio Technician	0.503	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
36215	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
36215	Insertion of catheter into chest or arm artery	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36215	Insertion of catheter into chest or arm artery	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36215	Insertion of catheter into chest or arm artery	Service  pre	L041A	Angio Technician	0.503	Prepare and position pt/ monitor pt/ set up IV	2	
36215	Insertion of catheter into chest or arm artery	Service  pre	L041A	Angio Technician	0.503	"Prepare room, equipment, supplies"	2	
36215	Insertion of catheter into chest or arm artery	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36215	Insertion of catheter into chest or arm artery	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	30	
36215	Insertion of catheter into chest or arm artery	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	7	
36215	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36215	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36215	Insertion of catheter into chest or arm artery	Service  post	L041A	Angio Technician	0.503	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36215	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4 (not related to moderate sedation)"	45	
36215	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify:  Post-procedure doppler evaluation (extremity)	1	
36215	Insertion of catheter into chest or arm artery	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD	2	
36215	Insertion of catheter into chest or arm artery	Service  post	L041A	Angio Technician	0.503	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
36215	Insertion of catheter into chest or arm artery	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36216	Insertion of catheter into chest or arm artery	Pre-service	L041A	Angio Technician	0.503	Availability of prior images confirmed	2	
36216	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
36216	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	
36216	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
36216	Insertion of catheter into chest or arm artery	Pre-service	L041A	Angio Technician	0.503	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
36216	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
36216	Insertion of catheter into chest or arm artery	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36216	Insertion of catheter into chest or arm artery	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36216	Insertion of catheter into chest or arm artery	Service  pre	L041A	Angio Technician	0.503	Prepare and position pt/ monitor pt/ set up IV	2	
36216	Insertion of catheter into chest or arm artery	Service  pre	L041A	Angio Technician	0.503	"Prepare room, equipment, supplies"	2	
36216	Insertion of catheter into chest or arm artery	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36216	Insertion of catheter into chest or arm artery	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	45	
36216	Insertion of catheter into chest or arm artery	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	11	
36216	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36216	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36216	Insertion of catheter into chest or arm artery	Service  post	L041A	Angio Technician	0.503	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36216	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4 (not related to moderate sedation)"	45	
36216	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify:  Post-procedure doppler evaluation (extremity)	1	
36216	Insertion of catheter into chest or arm artery	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD	2	
36216	Insertion of catheter into chest or arm artery	Service  post	L041A	Angio Technician	0.503	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
36216	Insertion of catheter into chest or arm artery	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36217	Insertion of catheter into chest or arm artery	Pre-service	L041A	Angio Technician	0.503	Availability of prior images confirmed	2	
36217	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
36217	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	
36217	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
36217	Insertion of catheter into chest or arm artery	Pre-service	L041A	Angio Technician	0.503	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
36217	Insertion of catheter into chest or arm artery	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
36217	Insertion of catheter into chest or arm artery	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36217	Insertion of catheter into chest or arm artery	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36217	Insertion of catheter into chest or arm artery	Service  pre	L041A	Angio Technician	0.503	Prepare and position pt/ monitor pt/ set up IV	2	
36217	Insertion of catheter into chest or arm artery	Service  pre	L041A	Angio Technician	0.503	"Prepare room, equipment, supplies"	2	
36217	Insertion of catheter into chest or arm artery	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36217	Insertion of catheter into chest or arm artery	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	60	
36217	Insertion of catheter into chest or arm artery	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	15	
36217	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36217	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36217	Insertion of catheter into chest or arm artery	Service  post	L041A	Angio Technician	0.503	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36217	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4 (not related to moderate sedation)"	45	
36217	Insertion of catheter into chest or arm artery	Service  post	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify:  Post-procedure doppler evaluation (extremity)	1	
36217	Insertion of catheter into chest or arm artery	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD	2	
36217	Insertion of catheter into chest or arm artery	Service  post	L041A	Angio Technician	0.503	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
36217	Insertion of catheter into chest or arm artery	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36218	Insertion of catheter into chest or arm artery	Service  intra	L041A	Angio Technician	0.503	Assist physician	15	
36218	Insertion of catheter into chest or arm artery	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	4	
36221	Insertion of catheter into chest aorta for diagnosis or treatment including radiological supervision and interpretation	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
36221	Insertion of catheter into chest aorta for diagnosis or treatment including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36221	Insertion of catheter into chest aorta for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36221	Insertion of catheter into chest aorta for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041A	Angio Technician	0.503	Service total costs	38	0
36221	Insertion of catheter into chest aorta for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	35	0
36221	Insertion of catheter into chest aorta for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	22	0
36221	Insertion of catheter into chest aorta for diagnosis or treatment including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36222	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
36222	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36222	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36222	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041A	Angio Technician	0.503	Service total costs	43	0
36222	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	42	0
36222	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	24	0
36222	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36223	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
36223	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36223	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36223	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041A	Angio Technician	0.503	Service total costs	58	0
36223	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	46	0
36223	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	25	0
36223	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36224	"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
36224	"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36224	"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36224	"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed"	Service  intra	L041A	Angio Technician	0.503	Service total costs	63	0
36224	"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	50	0
36224	"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
36224	"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36225	Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
36225	Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36225	Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36225	Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041A	Angio Technician	0.503	Service total costs	58	0
36225	Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	48	0
36225	Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	25	0
36225	Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36226	Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
36226	Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36226	Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36226	Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041A	Angio Technician	0.503	Service total costs	63	0
36226	Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	50	0
36226	Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
36226	Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36227	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
36227	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041A	Angio Technician	0.503	Service total costs	17	0
36227	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	11	0
36227	Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	4	0
36228	"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological supervision and interpretation (eg, middle cerebral artery, posterior inferior cerebellar artery)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
36228	"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological supervision and interpretation (eg, middle cerebral artery, posterior inferior cerebellar artery)"	Service  intra	L041A	Angio Technician	0.503	Service total costs	32	0
36228	"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological supervision and interpretation (eg, middle cerebral artery, posterior inferior cerebellar artery)"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	23	0
36228	"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological supervision and interpretation (eg, middle cerebral artery, posterior inferior cerebellar artery)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	0
36245	Insertion of catheter into abdominal pelvic or leg artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36245	Insertion of catheter into abdominal pelvic or leg artery	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36245	Insertion of catheter into abdominal pelvic or leg artery	Service  intra	L041A	Angio Technician	0.503	Service total costs	48	0
36245	Insertion of catheter into abdominal pelvic or leg artery	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	4	0
36245	Insertion of catheter into abdominal pelvic or leg artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	13	0
36245	Insertion of catheter into abdominal pelvic or leg artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36246	Insertion of catheter into abdominal pelvic or leg artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	0
36246	Insertion of catheter into abdominal pelvic or leg artery	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36246	Insertion of catheter into abdominal pelvic or leg artery	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	8	0
36246	Insertion of catheter into abdominal pelvic or leg artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	64	0
36246	Insertion of catheter into abdominal pelvic or leg artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36247	Insertion of catheter into abdominal pelvic or leg artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	0
36247	Insertion of catheter into abdominal pelvic or leg artery	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36247	Insertion of catheter into abdominal pelvic or leg artery	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	8	0
36247	Insertion of catheter into abdominal pelvic or leg artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	79	0
36247	Insertion of catheter into abdominal pelvic or leg artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36248	"Insertion of catheter into each additional abdominal, pelvic or leg artery"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	14	0
36251	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
36251	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36251	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36251	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Service  intra	L041A	Angio Technician	0.503	Service total costs	53	0
36251	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	46	0
36251	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
36251	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36252	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
36252	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36252	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36252	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Service  intra	L041A	Angio Technician	0.503	Service total costs	61	0
36252	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	52	0
36252	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	29	0
36252	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36253	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
36253	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36253	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36253	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Service  intra	L041A	Angio Technician	0.503	Service total costs	68	0
36253	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	57	0
36253	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	31	0
36253	Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36254	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
36254	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
36254	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36254	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Service  intra	L041A	Angio Technician	0.503	Service total costs	76	0
36254	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	63	0
36254	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
36254	Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36260	Insertion of implantable arterial infusion pump	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
36260	Insertion of implantable arterial infusion pump	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
36260	Insertion of implantable arterial infusion pump	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
36261	Revision of implanted arterial infusion pump	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
36261	Revision of implanted arterial infusion pump	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
36261	Revision of implanted arterial infusion pump	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
36262	Removal of implanted arterial infusion pump	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
36262	Removal of implanted arterial infusion pump	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
36262	Removal of implanted arterial infusion pump	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
36400	"Insertion of needle into upper leg or neck vein, patient younger than 3 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
36405	"Insertion of needle into scalp vein, patient younger than 3 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
36406	"Insertion of needle into vein, patient younger than 3 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
36410	"Insertion of needle into vein, patient 3 years or older"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	13	0
36430	Transfusion of blood or blood products	Service  intra	L042A	RN/LPN	0.525	Service total costs	45	
36430	Transfusion of blood or blood products	Post-service	L042A	RN/LPN	0.525	Post service total costs	3	
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	4	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment and supplies"	2	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  pre	L054A	Vascular Technologist	0.725	Setup scope (nonfacility setting only)	0	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  intra	L042A	RN/LPN	0.525	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	25	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	6	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  intra	L054A	Vascular Technologist	0.725	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	19	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	7.5	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD/DO	2	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  post	L054A	Vascular Technologist	0.725	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Service  post	L054A	Vascular Technologist	0.725	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
36465	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	4	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment and supplies"	2	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  pre	L054A	Vascular Technologist	0.725	Setup scope (nonfacility setting only)	0	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  intra	L042A	RN/LPN	0.525	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	35	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	9	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  intra	L054A	Vascular Technologist	0.725	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	26	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	7.5	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD/DO	2	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  post	L054A	Vascular Technologist	0.725	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Service  post	L054A	Vascular Technologist	0.725	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
36466	"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	4	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Service  intra	L042A	RN/LPN	0.525	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	4	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Service  intra	L054A	Vascular Technologist	0.725	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	11	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
36470	Injection of sclerosant; single incompetent vein (other than telangiectasia)	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	4	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Service  intra	L042A	RN/LPN	0.525	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	7.5	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Service  intra	L054A	Vascular Technologist	0.725	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	22.5	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
36471	"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
36473	Endovenous mchnchem 1st vein	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	0	
36473	Endovenous mchnchem 1st vein	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
36473	Endovenous mchnchem 1st vein	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	
36473	Endovenous mchnchem 1st vein	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	
36473	Endovenous mchnchem 1st vein	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
36473	Endovenous mchnchem 1st vein	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	4	
36473	Endovenous mchnchem 1st vein	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36473	Endovenous mchnchem 1st vein	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36473	Endovenous mchnchem 1st vein	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
36473	Endovenous mchnchem 1st vein	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	0	
36473	Endovenous mchnchem 1st vein	Service  pre	L054A	Vascular Technologist	0.725	Setup scope (non facility setting only) (Set up US Equip)	2	
36473	Endovenous mchnchem 1st vein	Service  intra	L042A	RN/LPN	0.525	Assist physician in performing procedure	30	
36473	Endovenous mchnchem 1st vein	Service  intra	L054A	Vascular Technologist	0.725	Assisting with image acquisition (75%)	23	
36473	Endovenous mchnchem 1st vein	Service  intra	L037D	RN/LPN/MTA	0.455	Circulating throughout procedure (25%)	7	
36473	Endovenous mchnchem 1st vein	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
36473	Endovenous mchnchem 1st vein	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36473	Endovenous mchnchem 1st vein	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into U/S machine. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	0	
36473	Endovenous mchnchem 1st vein	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7.5	
36473	Endovenous mchnchem 1st vein	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	0	
36473	Endovenous mchnchem 1st vein	Service  post	L054A	Vascular Technologist	0.725	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	0	
36473	Endovenous mchnchem 1st vein	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
36474	Endovenous mchnchem add-on	Service  intra	L042A	RN/LPN	0.525	Assist physician in performing procedure	30	
36474	Endovenous mchnchem add-on	Service  intra	L054A	Vascular Technologist	0.725	Assisting with image acquisition (75%)	23	
36474	Endovenous mchnchem add-on	Service  intra	L037D	RN/LPN/MTA	0.455	Circulating throughout procedure (25%)	7	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	2	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	2
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	4	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  pre	L042A	RN/LPN	0.525	Prepare and position pt/ monitor pt/ set up IV	2	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  pre	L054A	Vascular Technologist	0.725	Setup scope (non facility setting only) (Set up US Equip)	2	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  intra	L042A	RN/LPN	0.525	Assist physician in performing procedure	45	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  intra	L054A	Vascular Technologist	0.725	Assist with image acquisition (75%)	34	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulating throughout procedure	11	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	2	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Service  post	L054A	Vascular Technologist	0.725	"Technologist QCs images US machine, checking for all images, reformats, and dose page"	2	
36475	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36476	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  intra	L042A	RN/LPN	0.525	Assist physician in performing procedure	30	
36476	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  intra	L054A	Vascular Technologist	0.725	Assist with image acquisition (75%)	23	
36476	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulating throughout procedure	7	
36476	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	0	
36476	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L054A	Vascular Technologist	0.725	"Technologist QCs images US machine, checking for all images, reformats, and dose page"	0	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	2	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	2
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	4	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  pre	L042A	RN/LPN	0.525	Prepare and position pt/ monitor pt/ set up IV	2	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  pre	L054A	Vascular Technologist	0.725	Setup scope (non facility setting only) (Set up US Equip)	2	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  intra	L042A	RN/LPN	0.525	Assist physician in performing procedure	45	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  intra	L054A	Vascular Technologist	0.725	Assist with image acquisition (75%)	34	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulating throughout procedure	11	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L037D	RN/LPN/MTA	0.455	Apply multi-layer comprehensive dressing	5	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	2	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L054A	Vascular Technologist	0.725	"Technologist QCs images US machine, checking for all images, reformats, and dose page"	2	
36478	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36479	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  intra	L042A	RN/LPN	0.525	Assist physician in performing procedure	30	
36479	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  intra	L054A	Vascular Technologist	0.725	Assist with image acquisition (75%)	23	
36479	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulating throughout procedure	7	
36479	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	0	
36479	"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through separate access sites"	Service  post	L054A	Vascular Technologist	0.725	"Technologist QCs images US machine, checking for all images, reformats, and dose page"	0	
36481	"Insertion of catheter into portal vein of liver, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	10
36481	"Insertion of catheter into portal vein of liver, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
36481	"Insertion of catheter into portal vein of liver, accessed through the skin"	Service  intra	L041A	Angio Technician	0.503	Service total costs	84	0
36481	"Insertion of catheter into portal vein of liver, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	21	0
36481	"Insertion of catheter into portal vein of liver, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	4	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment and supplies"	2	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  pre	L054A	Vascular Technologist	0.725	Setup scope (nonfacility setting only)	0	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  intra	L042A	RN/LPN	0.525	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	35	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	9	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  intra	L054A	Vascular Technologist	0.725	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	26	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	7.5	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD/DO	2	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  post	L054A	Vascular Technologist	0.725	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Service  post	L054A	Vascular Technologist	0.725	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
36482	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
36483	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; subsequent vein(s) treated in a single extremity, each through separate access sites"	Service  intra	L042A	RN/LPN	0.525	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
36483	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; subsequent vein(s) treated in a single extremity, each through separate access sites"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	5	0
36483	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; subsequent vein(s) treated in a single extremity, each through separate access sites"	Service  intra	L054A	Vascular Technologist	0.725	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	15	0
36483	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; subsequent vein(s) treated in a single extremity, each through separate access sites"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD/DO	2	0
36483	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; subsequent vein(s) treated in a single extremity, each through separate access sites"	Service  post	L054A	Vascular Technologist	0.725	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
36483	"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; subsequent vein(s) treated in a single extremity, each through separate access sites"	Service  post	L054A	Vascular Technologist	0.725	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
36510	"Insertion of catheter into vein of navel, newborn"	Service  intra	L042A	RN/LPN	0.525	Service total costs	45	0
36510	"Insertion of catheter into vein of navel, newborn"	Post-service	L042A	RN/LPN	0.525	Post service total costs	3	0
36514	Mechanical separation of plasma from opening blood	Pre-service	L042A	RN/LPN	0.525	Complete pre-service diagnostic and referral forms	5	
36514	Mechanical separation of plasma from opening blood	Pre-service	L042A	RN/LPN	0.525	Coordinate pre-surgery services	3	
36514	Mechanical separation of plasma from opening blood	Service  pre	L042A	RN/LPN	0.525	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36514	Mechanical separation of plasma from opening blood	Service  pre	L042A	RN/LPN	0.525	Obtain vital signs	5	
36514	Mechanical separation of plasma from opening blood	Service  pre	L042A	RN/LPN	0.525	Prepare and position pt/ monitor pt/ set up IV	15	
36514	Mechanical separation of plasma from opening blood	Service  pre	L042A	RN/LPN	0.525	"Prepare room, equipment, supplies"	20	
36514	Mechanical separation of plasma from opening blood	Service  intra	L042A	RN/LPN	0.525	"Assist physician in performing procedure, -assess/monitor pt continuously, -monitor and change replacement fluids, -monitor equipment"	120	
36514	Mechanical separation of plasma from opening blood	Service  post	L042A	RN/LPN	0.525	"Clean room/equipment by physician staff, - remove disposables from machine"	3	
36514	Mechanical separation of plasma from opening blood	Service  post	L042A	RN/LPN	0.525	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	10	
36514	Mechanical separation of plasma from opening blood	Post-service	L042A	RN/LPN	0.525	"Complete diagnostic forms, lab & X-ray requisitions, documentation and reporting"	2	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Pre-service	L042A	RN/LPN	0.525	Complete pre-service diagnostic and referral forms	5	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Pre-service	L042A	RN/LPN	0.525	Coordinate pre-surgery services	3	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Service  pre	L042A	RN/LPN	0.525	Adsorption column preparation	30	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Service  pre	L042A	RN/LPN	0.525	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Service  pre	L042A	RN/LPN	0.525	Obtain vital signs	5	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Service  pre	L042A	RN/LPN	0.525	Prepare and position pt/ monitor pt/ set up IV	15	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Service  pre	L042A	RN/LPN	0.525	"Prepare room, equipment, supplies"	30	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Service  intra	L042A	RN/LPN	0.525	"Assist physician in performing procedure, -assess/monitor pt continuously, -monitor and change replacement fluids, -monitor equipment"	240	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Service  post	L042A	RN/LPN	0.525	"Clean room/equipment by physician staff, - remove disposables from machine"	3	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Service  post	L042A	RN/LPN	0.525	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	10	
36516	"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion"	Post-service	L042A	RN/LPN	0.525	"Complete diagnostic forms, lab & X-ray requisitions, documentation and reporting"	2	
36522	Mechanical separation of white blood cells and platelets from blood	Pre-service	L042A	RN/LPN	0.525	Complete pre-service diagnostic and referral forms	5	
36522	Mechanical separation of white blood cells and platelets from blood	Pre-service	L042A	RN/LPN	0.525	Coordinate pre-surgery services	3	
36522	Mechanical separation of white blood cells and platelets from blood	Service  pre	L042A	RN/LPN	0.525	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36522	Mechanical separation of white blood cells and platelets from blood	Service  pre	L042A	RN/LPN	0.525	Obtain vital signs	5	
36522	Mechanical separation of white blood cells and platelets from blood	Service  pre	L042A	RN/LPN	0.525	Prepare and position pt/ monitor pt/ set up IV	15	
36522	Mechanical separation of white blood cells and platelets from blood	Service  pre	L042A	RN/LPN	0.525	"Prepare room, equipment, supplies"	20	
36522	Mechanical separation of white blood cells and platelets from blood	Service  intra	L042A	RN/LPN	0.525	"Assist physician in performing procedure, -assess/monitor pt continuously, -monitor and change replacement fluids, -monitor equipment"	120	
36522	Mechanical separation of white blood cells and platelets from blood	Service  post	L042A	RN/LPN	0.525	"Clean room/equipment by physician staff, - remove disposables from machine"	3	
36522	Mechanical separation of white blood cells and platelets from blood	Service  post	L042A	RN/LPN	0.525	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	10	
36522	Mechanical separation of white blood cells and platelets from blood	Post-service	L042A	RN/LPN	0.525	"Complete diagnostic forms, lab & X-ray requisitions, documentation and reporting"	2	
36555	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36555	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36555	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
36555	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
36555	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36555	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
36555	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36555	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36555	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4"	0	
36555	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36556	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36556	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36556	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
36556	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
36556	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36556	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
36556	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36556	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36556	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4"	7.5	
36556	"Insertion of central venous catheter for infusion, patient 5 years or older"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36557	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36557	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36557	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36557	"Insertion of central venous catheter for infusion, patient younger than 5 years"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36558	"Insertion of central venous catheter for infusion, patient 5 years or older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36558	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36558	"Insertion of central venous catheter for infusion, patient 5 years or older"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36558	"Insertion of central venous catheter for infusion, patient 5 years or older"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36560	"Insertion of central venous catheter and implanted device for infusion beneath the skin, patient younger than 5 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36560	"Insertion of central venous catheter and implanted device for infusion beneath the skin, patient younger than 5 years"	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36560	"Insertion of central venous catheter and implanted device for infusion beneath the skin, patient younger than 5 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36560	"Insertion of central venous catheter and implanted device for infusion beneath the skin, patient younger than 5 years"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36561	"Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36561	"Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older"	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36561	"Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36561	"Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36563	Insertion of central venous catheter and implanted device for infusion beneath the skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36563	Insertion of central venous catheter and implanted device for infusion beneath the skin	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36563	Insertion of central venous catheter and implanted device for infusion beneath the skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36563	Insertion of central venous catheter and implanted device for infusion beneath the skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36565	"Insertion of central venous catheters for infusion, two catheters in two veins"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36565	"Insertion of central venous catheters for infusion, two catheters in two veins"	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36565	"Insertion of central venous catheters for infusion, two catheters in two veins"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36565	"Insertion of central venous catheters for infusion, two catheters in two veins"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36566	"Insertion of central venous catheters, two catheters in two veins, and implanted devices for infusion beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36566	"Insertion of central venous catheters, two catheters in two veins, and implanted devices for infusion beneath the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36566	"Insertion of central venous catheters, two catheters in two veins, and implanted devices for infusion beneath the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36566	"Insertion of central venous catheters, two catheters in two veins, and implanted devices for infusion beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36568	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
36569	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
36570	"Insertion of central venous catheter for infusion with port beneath the skin, patient younger than 5 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36570	"Insertion of central venous catheter for infusion with port beneath the skin, patient younger than 5 years"	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36570	"Insertion of central venous catheter for infusion with port beneath the skin, patient younger than 5 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36570	"Insertion of central venous catheter for infusion with port beneath the skin, patient younger than 5 years"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36571	"Insertion of central venous catheter for infusion with port beneath the skin, patient 5 years or older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36571	"Insertion of central venous catheter for infusion with port beneath the skin, patient 5 years or older"	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36571	"Insertion of central venous catheter for infusion with port beneath the skin, patient 5 years or older"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36571	"Insertion of central venous catheter for infusion with port beneath the skin, patient 5 years or older"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	2	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	4	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	4	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	22	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	16	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	6	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
36572	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	2	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	4	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	4	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	11	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	4	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
36573	"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
36575	Repair of central venous catheter for infusion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	12	0
36575	Repair of central venous catheter for infusion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36576	Repair of central venous catheter for infusion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36576	Repair of central venous catheter for infusion	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36576	Repair of central venous catheter for infusion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36576	Repair of central venous catheter for infusion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36578	Catheter replacement of central venous access device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36578	Catheter replacement of central venous access device	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36578	Catheter replacement of central venous access device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36578	Catheter replacement of central venous access device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36580	Replacement of central venous catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	0
36580	Replacement of central venous catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
36580	Replacement of central venous catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36581	Replacement of central venous catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
36581	Replacement of central venous catheter	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36581	Replacement of central venous catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36581	Replacement of central venous catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36582	Replacement of central venous catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36582	Replacement of central venous catheter	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36582	Replacement of central venous catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36582	Replacement of central venous catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36583	Replacement of central venous catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36583	Replacement of central venous catheter	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36583	Replacement of central venous catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36583	Replacement of central venous catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	2	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	4	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	12	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	9	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	3	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
36584	"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
36585	Replacement of peripheral venous catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	26
36585	Replacement of peripheral venous catheter	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36585	Replacement of peripheral venous catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36585	Replacement of peripheral venous catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36589	Removal of central venous catheter for infusion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	15
36589	Removal of central venous catheter for infusion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	6
36589	Removal of central venous catheter for infusion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	16	16
36590	Removal of peripheral venous catheter for infusion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	15
36590	Removal of peripheral venous catheter for infusion	Service  intra	L051A	RN	0.635	Back out MS labor	0	6
36590	Removal of peripheral venous catheter for infusion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	6
36590	Removal of peripheral venous catheter for infusion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
36591	Collection of blood specimen from a completely implantable venous access device	Service  intra	L051A	RN	0.635	Service total costs	19	
36592	Collection of blood specimen from central or peripheral venous catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	
36593	Declotting infusion of implanted central venous access device or catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	
36595	Mechanical removal of obstructive material from central venous catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	10	15
36595	Mechanical removal of obstructive material from central venous catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	90	0
36595	Mechanical removal of obstructive material from central venous catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36596	Mechanical removal of tissue or obstructive material in central venous catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	10	15
36596	Mechanical removal of tissue or obstructive material in central venous catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
36596	Mechanical removal of tissue or obstructive material in central venous catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36597	Repositioning of central venous catheter using fluoroscopic guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	0
36597	Repositioning of central venous catheter using fluoroscopic guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
36597	Repositioning of central venous catheter using fluoroscopic guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
36598	Contrast injections for X-ray imaging procedure to evaluate central venous access device	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	19	0
36598	Contrast injections for X-ray imaging procedure to evaluate central venous access device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	14	0
36598	Contrast injections for X-ray imaging procedure to evaluate central venous access device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
36600	Arterial puncture withdrawal of blood for diagnosis	Service  intra	L051A	RN	0.635	Service total costs	5	0
36600	Arterial puncture withdrawal of blood for diagnosis	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	13	0
36640	Insertion of arterial catheter for blood sampling or infusion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
36680	Insertion of needle for infusion into bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
36810	Insertion of external tube from artery to vein for dialysis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
36815	Repositioning or removal of external dialysis tube from vein to artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
36818	Av fuse uppr arm cephalic	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
36818	Av fuse uppr arm cephalic	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
36818	Av fuse uppr arm cephalic	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
36818	Av fuse uppr arm cephalic	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
36818	Av fuse uppr arm cephalic	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
36818	Av fuse uppr arm cephalic	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
36818	Av fuse uppr arm cephalic	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
36818	Av fuse uppr arm cephalic	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
36819	Av fuse uppr arm basilic	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
36819	Av fuse uppr arm basilic	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
36819	Av fuse uppr arm basilic	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
36819	Av fuse uppr arm basilic	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
36819	Av fuse uppr arm basilic	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
36819	Av fuse uppr arm basilic	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
36819	Av fuse uppr arm basilic	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
36819	Av fuse uppr arm basilic	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
36820	Av fusion/forearm vein	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
36820	Av fusion/forearm vein	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
36820	Av fusion/forearm vein	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
36820	Av fusion/forearm vein	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
36820	Av fusion/forearm vein	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
36820	Av fusion/forearm vein	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
36820	Av fusion/forearm vein	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
36820	Av fusion/forearm vein	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
36821	Av fusion direct any site	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
36821	Av fusion direct any site	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
36821	Av fusion direct any site	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
36821	Av fusion direct any site	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
36821	Av fusion direct any site	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
36821	Av fusion direct any site	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
36821	Av fusion direct any site	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
36821	Av fusion direct any site	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
36823	Insertion of tubes into arm or leg for blood circulation with chemotherapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
36823	Insertion of tubes into arm or leg for blood circulation with chemotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
36823	Insertion of tubes into arm or leg for blood circulation with chemotherapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
36825	Artery-vein autograft	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
36825	Artery-vein autograft	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
36825	Artery-vein autograft	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
36825	Artery-vein autograft	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
36825	Artery-vein autograft	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
36825	Artery-vein autograft	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
36825	Artery-vein autograft	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
36825	Artery-vein autograft	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
36830	Artery-vein nonautograft	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
36830	Artery-vein nonautograft	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
36830	Artery-vein nonautograft	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
36830	Artery-vein nonautograft	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
36830	Artery-vein nonautograft	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
36830	Artery-vein nonautograft	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
36830	Artery-vein nonautograft	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
36830	Artery-vein nonautograft	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
36831	Open thrombect av fistula	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
36831	Open thrombect av fistula	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
36831	Open thrombect av fistula	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
36831	Open thrombect av fistula	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
36831	Open thrombect av fistula	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
36831	Open thrombect av fistula	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
36831	Open thrombect av fistula	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
36831	Open thrombect av fistula	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
36832	Av fistula revision open	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
36832	Av fistula revision open	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
36832	Av fistula revision open	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
36832	Av fistula revision open	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
36832	Av fistula revision open	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
36832	Av fistula revision open	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
36832	Av fistula revision open	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
36832	Av fistula revision open	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
36833	Av fistula revision	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
36833	Av fistula revision	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
36833	Av fistula revision	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
36833	Av fistula revision	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
36833	Av fistula revision	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
36833	Av fistula revision	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
36833	Av fistula revision	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
36833	Av fistula revision	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
36835	Insertion of synthetic dialysis shunt in artery or vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
36835	Insertion of synthetic dialysis shunt in artery or vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
36835	Insertion of synthetic dialysis shunt in artery or vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
36838	Repair of dialysis access in arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
36838	Repair of dialysis access in arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
36838	Repair of dialysis access in arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
36860	Injection for removal of blood clot from external dialysis cannula	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	10	0
36860	Injection for removal of blood clot from external dialysis cannula	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	0
36860	Injection for removal of blood clot from external dialysis cannula	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
368X1		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
368X1		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	0
368X1		Pre-service	L041A	Angio Technician	0.503	Confirm availability of prior images/studies	2	0
368X1		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	3
368X1		Pre-service	L041A	Angio Technician	0.503	Review patient clinical extant information and questionnaire	2	0
368X1		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
368X1		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
368X1		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
368X1		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
368X1		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
368X1		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
368X1		Service  intra	L041A	Angio Technician	0.503	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	60	0
368X1		Service  intra	L041A	Angio Technician	0.503	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	45	0
368X1		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	15	0
368X1		Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
368X1		Service  post	L041A	Angio Technician	0.503	Clean room/equipment by clinical staff	3	0
368X1		Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
368X1		Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD/DO	2	0
368X1		Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	3	3
368X1		Service  post	L041A	Angio Technician	0.503	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
368X1		Service  post	L041A	Angio Technician	0.503	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
368X1		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
368X2		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
368X2		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	0
368X2		Pre-service	L041A	Angio Technician	0.503	Confirm availability of prior images/studies	2	0
368X2		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	3
368X2		Pre-service	L041A	Angio Technician	0.503	Review patient clinical extant information and questionnaire	2	0
368X2		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
368X2		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
368X2		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
368X2		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
368X2		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
368X2		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
368X2		Service  intra	L041A	Angio Technician	0.503	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	75	0
368X2		Service  intra	L041A	Angio Technician	0.503	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	56	0
368X2		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	19	0
368X2		Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
368X2		Service  post	L041A	Angio Technician	0.503	Clean room/equipment by clinical staff	3	0
368X2		Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
368X2		Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD/DO	2	0
368X2		Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	3	3
368X2		Service  post	L041A	Angio Technician	0.503	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
368X2		Service  post	L041A	Angio Technician	0.503	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
368X2		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
36901	Intro cath dialysis circuit	Pre-service	L041A	Angio Technician	0.503	Availability of prior images confirmed	2	
36901	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	
36901	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	3
36901	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	
36901	Intro cath dialysis circuit	Pre-service	L041A	Angio Technician	0.503	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
36901	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
36901	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36901	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36901	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
36901	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
36901	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36901	Intro cath dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Acquire images (75%)	19	
36901	Intro cath dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	25	
36901	Intro cath dialysis circuit	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	6	
36901	Intro cath dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36901	Intro cath dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36901	Intro cath dialysis circuit	Service  post	L041A	Angio Technician	0.503	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36901	Intro cath dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related moderate sedation)"	15	
36901	Intro cath dialysis circuit	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD	2	
36901	Intro cath dialysis circuit	Service  post	L041A	Angio Technician	0.503	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
36901	Intro cath dialysis circuit	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36902	Intro cath dialysis circuit	Pre-service	L041A	Angio Technician	0.503	Availability of prior images confirmed	2	
36902	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	
36902	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	3
36902	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	
36902	Intro cath dialysis circuit	Pre-service	L041A	Angio Technician	0.503	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
36902	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
36902	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36902	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36902	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
36902	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
36902	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36902	Intro cath dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Acquire images (75%)	30	
36902	Intro cath dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	40	
36902	Intro cath dialysis circuit	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	10	
36902	Intro cath dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36902	Intro cath dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36902	Intro cath dialysis circuit	Service  post	L041A	Angio Technician	0.503	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36902	Intro cath dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	
36902	Intro cath dialysis circuit	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD	2	
36902	Intro cath dialysis circuit	Service  post	L041A	Angio Technician	0.503	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
36902	Intro cath dialysis circuit	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36903	Intro cath dialysis circuit	Pre-service	L041A	Angio Technician	0.503	Availability of prior images confirmed	2	
36903	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	
36903	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	3
36903	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	
36903	Intro cath dialysis circuit	Pre-service	L041A	Angio Technician	0.503	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
36903	Intro cath dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
36903	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36903	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36903	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
36903	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
36903	Intro cath dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36903	Intro cath dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Acquire images (75%)	38	
36903	Intro cath dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	50	
36903	Intro cath dialysis circuit	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	12	
36903	Intro cath dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36903	Intro cath dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36903	Intro cath dialysis circuit	Service  post	L041A	Angio Technician	0.503	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36903	Intro cath dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	
36903	Intro cath dialysis circuit	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD	2	
36903	Intro cath dialysis circuit	Service  post	L041A	Angio Technician	0.503	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
36903	Intro cath dialysis circuit	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36904	Thrmbc/nfs dialysis circuit	Pre-service	L041A	Angio Technician	0.503	Availability of prior images confirmed	2	
36904	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	0
36904	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	3
36904	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	0
36904	Thrmbc/nfs dialysis circuit	Pre-service	L041A	Angio Technician	0.503	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
36904	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
36904	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36904	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36904	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
36904	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
36904	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36904	Thrmbc/nfs dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Acquire images (75%)	45	
36904	Thrmbc/nfs dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	60	
36904	Thrmbc/nfs dialysis circuit	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	15	
36904	Thrmbc/nfs dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36904	Thrmbc/nfs dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36904	Thrmbc/nfs dialysis circuit	Service  post	L041A	Angio Technician	0.503	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36904	Thrmbc/nfs dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	
36904	Thrmbc/nfs dialysis circuit	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD	2	
36904	Thrmbc/nfs dialysis circuit	Service  post	L041A	Angio Technician	0.503	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
36904	Thrmbc/nfs dialysis circuit	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36905	Thrmbc/nfs dialysis circuit	Pre-service	L041A	Angio Technician	0.503	Availability of prior images confirmed	2	
36905	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	0
36905	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	3
36905	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	0
36905	Thrmbc/nfs dialysis circuit	Pre-service	L041A	Angio Technician	0.503	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
36905	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
36905	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36905	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36905	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
36905	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
36905	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36905	Thrmbc/nfs dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Acquire images (75%)	56	
36905	Thrmbc/nfs dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	75	
36905	Thrmbc/nfs dialysis circuit	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	19	
36905	Thrmbc/nfs dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36905	Thrmbc/nfs dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36905	Thrmbc/nfs dialysis circuit	Service  post	L041A	Angio Technician	0.503	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36905	Thrmbc/nfs dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	
36905	Thrmbc/nfs dialysis circuit	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD	2	
36905	Thrmbc/nfs dialysis circuit	Service  post	L041A	Angio Technician	0.503	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
36905	Thrmbc/nfs dialysis circuit	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36906	Thrmbc/nfs dialysis circuit	Pre-service	L041A	Angio Technician	0.503	Availability of prior images confirmed	2	
36906	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	0
36906	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	3
36906	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	0
36906	Thrmbc/nfs dialysis circuit	Pre-service	L041A	Angio Technician	0.503	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
36906	Thrmbc/nfs dialysis circuit	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
36906	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
36906	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
36906	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
36906	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
36906	Thrmbc/nfs dialysis circuit	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
36906	Thrmbc/nfs dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Acquire images (75%)	68	
36906	Thrmbc/nfs dialysis circuit	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	90	
36906	Thrmbc/nfs dialysis circuit	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	22	
36906	Thrmbc/nfs dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
36906	Thrmbc/nfs dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
36906	Thrmbc/nfs dialysis circuit	Service  post	L041A	Angio Technician	0.503	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
36906	Thrmbc/nfs dialysis circuit	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	
36906	Thrmbc/nfs dialysis circuit	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD	2	
36906	Thrmbc/nfs dialysis circuit	Service  post	L041A	Angio Technician	0.503	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
36906	Thrmbc/nfs dialysis circuit	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
36907	"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplasty"	Service  intra	L041A	Angio Technician	0.503	Acquire images (75%)	19	
36907	"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplasty"	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	25	
36907	"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplasty"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	6	
36908	"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the stenting, and all angioplasty in the central dialysis segment"	Service  intra	L041A	Angio Technician	0.503	Acquire images (75%)	30	
36908	"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the stenting, and all angioplasty in the central dialysis segment"	Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	40	
36908	"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the stenting, and all angioplasty in the central dialysis segment"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	10	
36909		Service  intra	L041A	Angio Technician	0.503	Acquire images (75%)	23	
36909		Service  intra	L041A	Angio Technician	0.503	Assist physician in performing procedure	30	
36909		Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	7	
37140	"Connection of vena cava and portal vein of liver, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37140	"Connection of vena cava and portal vein of liver, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37140	"Connection of vena cava and portal vein of liver, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108.5
37145	"Connection of renal (kidney) vein and portal vein of liver, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37145	"Connection of renal (kidney) vein and portal vein of liver, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37145	"Connection of renal (kidney) vein and portal vein of liver, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108.5
37160	"Connection of vena cava and abdominal vein, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37160	"Connection of vena cava and abdominal vein, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37160	"Connection of vena cava and abdominal vein, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108.5
37180	"Connection of splenic (spleen) and renal (kidney) vein near aorta, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37180	"Connection of splenic (spleen) and renal (kidney) vein near aorta, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37180	"Connection of splenic (spleen) and renal (kidney) vein near aorta, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108.5
37181	"Connection of splenic (spleen) and renal (kidney) vein, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37181	"Connection of splenic (spleen) and renal (kidney) vein, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37181	"Connection of splenic (spleen) and renal (kidney) vein, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108.5
37182	Insertion of shunts to bypass blood flow to liver using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
37182	Insertion of shunts to bypass blood flow to liver using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
37183	Revision of shunts to bypass blood flow to liver using imaging guidance	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37183	Revision of shunts to bypass blood flow to liver using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	10
37183	Revision of shunts to bypass blood flow to liver using imaging guidance	Service  intra	L051A	RN	0.635	Back out MS labor	48	0
37183	Revision of shunts to bypass blood flow to liver using imaging guidance	Service  intra	L041A	Angio Technician	0.503	Service total costs	93.5	0
37183	Revision of shunts to bypass blood flow to liver using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
37183	Revision of shunts to bypass blood flow to liver using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37184	"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	23
37184	"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37184	"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	79	0
37184	"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
37184	"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel"	Post-service	L051A	RN	0.635	Post service total costs	3	3
37184	"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37185	"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); second and all subsequent vessel(s) within the same vascular family (List separately in addition to code for primary mechanical thrombectomy procedure)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37185	"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); second and all subsequent vessel(s) within the same vascular family (List separately in addition to code for primary mechanical thrombectomy procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	32	0
37186	"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injections, provided in conjunction with another percutaneous intervention other than primary mechanical thrombectomy (List separately in addition to code for primary procedure)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37186	"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injections, provided in conjunction with another percutaneous intervention other than primary mechanical thrombectomy (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	48	0
37187	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	23
37187	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37187	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	75	0
37187	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
37187	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Post-service	L051A	RN	0.635	Post service total costs	3	3
37187	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37188	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	23
37188	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37188	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	53	0
37188	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
37188	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Post-service	L051A	RN	0.635	Post service total costs	3	3
37188	Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37191	"Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37191	"Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37191	"Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	15	0
37191	"Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L041A	Angio Technician	0.503	Service total costs	38	0
37191	"Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	35	0
37191	"Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
37191	"Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37192	"Repositioning of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37192	"Repositioning of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37192	"Repositioning of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37192	"Repositioning of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L041A	Angio Technician	0.503	Service total costs	53	0
37192	"Repositioning of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	46	0
37192	"Repositioning of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	29	0
37192	"Repositioning of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37193	"Removal of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37193	"Removal of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37193	"Removal of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37193	"Removal of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L041A	Angio Technician	0.503	Service total costs	53	0
37193	"Removal of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	46	0
37193	"Removal of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	29	0
37193	"Removal of vena cava filter by endovascular approach, including radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37197	"Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37197	"Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37197	"Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37197	"Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation"	Service  intra	L041A	Angio Technician	0.503	Service total costs	68	0
37197	"Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	52	0
37197	"Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	29	0
37197	"Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37215	"Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
37215	"Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
37215	"Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
37215	"Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
37215	"Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
37215	"Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
37215	"Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
37216	"Insertion of stents in neck artery, open or accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
37216	"Insertion of stents in neck artery, open or accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
37216	"Insertion of stents in neck artery, open or accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
37216	"Insertion of stents in neck artery, open or accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
37216	"Insertion of stents in neck artery, open or accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
37216	"Insertion of stents in neck artery, open or accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
37216	"Insertion of stents in neck artery, open or accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
37217	Insertion of intravascular stents in neck artery with radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37217	Insertion of intravascular stents in neck artery with radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37217	Insertion of intravascular stents in neck artery with radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
37218	"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
37218	"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
37218	"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
37218	"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
37218	"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
37218	"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
37218	"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
37220	"Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37220	"Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37220	"Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37220	"Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	65	0
37220	"Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	60	0
37220	"Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
37220	"Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37221	"Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37221	"Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37221	"Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37221	"Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	95	0
37221	"Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	83	0
37221	"Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	0
37221	"Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37222	"Balloon dilation of groin artery, endovascular, open, or percutaneous approach"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37222	"Balloon dilation of groin artery, endovascular, open, or percutaneous approach"	Service  intra	L041A	Angio Technician	0.503	Service total costs	42	0
37222	"Balloon dilation of groin artery, endovascular, open, or percutaneous approach"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	30	0
37222	"Balloon dilation of groin artery, endovascular, open, or percutaneous approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	10	0
37223	"Insertion of stents into groin artery, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37223	"Insertion of stents into groin artery, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	47	0
37223	"Insertion of stents into groin artery, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	34	0
37223	"Insertion of stents into groin artery, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	11	0
37224	"Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37224	"Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37224	"Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37224	"Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	85	0
37224	"Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	75	0
37224	"Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
37224	"Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37225	"Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37225	"Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37225	"Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37225	"Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	123	0
37225	"Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	104	0
37225	"Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	0
37225	"Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37226	"Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37226	"Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37226	"Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37226	"Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	95	0
37226	"Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	83	0
37226	"Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	0
37226	"Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37227	"Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37227	"Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37227	"Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37227	"Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	130	0
37227	"Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	109	0
37227	"Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	0
37227	"Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37228	"Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37228	"Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37228	"Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37228	"Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	95	0
37228	"Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	83	0
37228	"Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	0
37228	"Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37229	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37229	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37229	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37229	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	125	0
37229	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	105	0
37229	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	0
37229	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37230	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37230	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37230	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37230	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	125	0
37230	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	105	0
37230	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	0
37230	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37231	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37231	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37231	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37231	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	140	0
37231	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	116	0
37231	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	0
37231	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37232	"Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37232	"Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	42	0
37232	"Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	30	0
37232	"Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	10	0
37233	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37233	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	62	0
37233	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	45	0
37233	"Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
37234	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37234	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	62	0
37234	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	45	0
37234	"Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
37235	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37235	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041A	Angio Technician	0.503	Service total costs	82	0
37235	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	60	0
37235	"Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
37236	"Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37236	"Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37236	"Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
37236	"Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L041A	Angio Technician	0.503	Service total costs	163	0
37236	"Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
37236	"Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37237	"Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37237	"Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L041A	Angio Technician	0.503	Service total costs	84	0
37237	"Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	12	0
37238	"Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37238	"Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37238	"Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	30	0
37238	"Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L041A	Angio Technician	0.503	Service total costs	110	0
37238	"Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	0
37238	"Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
37239	"Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
37239	"Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L041A	Angio Technician	0.503	Service total costs	58	0
37239	"Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	0
37241	"Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37241	"Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37241	"Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L051A	RN	0.635	Back out MS labor	33	0
37241	"Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L041A	Angio Technician	0.503	Service total costs	178	0
37241	"Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
37241	"Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
37242	"Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37242	"Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37242	"Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L051A	RN	0.635	Back out MS labor	48	0
37242	"Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L041A	Angio Technician	0.503	Service total costs	195	0
37242	"Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	0
37242	"Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
37243	"Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37243	"Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37243	"Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L051A	RN	0.635	Back out MS labor	48	0
37243	"Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L041A	Angio Technician	0.503	Service total costs	230	0
37243	"Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	0
37243	"Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
37244	"Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidance"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
37244	"Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	6
37244	"Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L051A	RN	0.635	Back out MS labor	48	0
37244	"Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L041A	Angio Technician	0.503	Service total costs	178	0
37244	"Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
37244	"Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
37246	Trluml balo angiop 1st art	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
37246	Trluml balo angiop 1st art	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	
37246	Trluml balo angiop 1st art	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	3
37246	Trluml balo angiop 1st art	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	
37246	Trluml balo angiop 1st art	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
37246	Trluml balo angiop 1st art	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
37246	Trluml balo angiop 1st art	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
37246	Trluml balo angiop 1st art	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
37246	Trluml balo angiop 1st art	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient/ monitor patient/ set up IV	3	
37246	Trluml balo angiop 1st art	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
37246	Trluml balo angiop 1st art	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
37246	Trluml balo angiop 1st art	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	45	
37246	Trluml balo angiop 1st art	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	60	
37246	Trluml balo angiop 1st art	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	15	
37246	Trluml balo angiop 1st art	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
37246	Trluml balo angiop 1st art	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
37246	Trluml balo angiop 1st art	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
37246	Trluml balo angiop 1st art	Service  post	L051A	RN	0.635	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	45	
37246	Trluml balo angiop 1st art	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
37246	Trluml balo angiop 1st art	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
37246	Trluml balo angiop 1st art	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
37247	"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; each additional artery"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	23	
37247	"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; each additional artery"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	30	
37247	"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; each additional artery"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	7	
37248	Trluml balo angiop 1st vein	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
37248	Trluml balo angiop 1st vein	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	
37248	Trluml balo angiop 1st vein	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	3
37248	Trluml balo angiop 1st vein	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	
37248	Trluml balo angiop 1st vein	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
37248	Trluml balo angiop 1st vein	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
37248	Trluml balo angiop 1st vein	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
37248	Trluml balo angiop 1st vein	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
37248	Trluml balo angiop 1st vein	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient/ monitor patient/ set up IV	3	
37248	Trluml balo angiop 1st vein	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
37248	Trluml balo angiop 1st vein	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
37248	Trluml balo angiop 1st vein	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	45	
37248	Trluml balo angiop 1st vein	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	60	
37248	Trluml balo angiop 1st vein	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	15	
37248	Trluml balo angiop 1st vein	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
37248	Trluml balo angiop 1st vein	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
37248	Trluml balo angiop 1st vein	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
37248	Trluml balo angiop 1st vein	Service  post	L051A	RN	0.635	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	
37248	Trluml balo angiop 1st vein	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
37248	Trluml balo angiop 1st vein	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
37248	Trluml balo angiop 1st vein	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
37249	"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	23	
37249	"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	30	
37249	"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	7	
37252	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial non-coronary vessel (List separately in addition to code for primary procedure)"	Service  intra	L041A	Angio Technician	0.503	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
37252	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial non-coronary vessel (List separately in addition to code for primary procedure)"	Service  intra	L041A	Angio Technician	0.503	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	15	0
37252	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial non-coronary vessel (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	5	0
37252	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial non-coronary vessel (List separately in addition to code for primary procedure)"	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD/DO	2	0
37252	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial non-coronary vessel (List separately in addition to code for primary procedure)"	Service  post	L041A	Angio Technician	0.503	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
37252	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial non-coronary vessel (List separately in addition to code for primary procedure)"	Service  post	L041A	Angio Technician	0.503	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	1	0
37253	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)"	Service  intra	L041A	Angio Technician	0.503	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
37253	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)"	Service  intra	L041A	Angio Technician	0.503	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	15	0
37253	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	5	0
37253	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)"	Service  post	L041A	Angio Technician	0.503	Review examination with interpreting MD/DO	1	0
37253	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)"	Service  post	L041A	Angio Technician	0.503	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
37253	"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)"	Service  post	L041A	Angio Technician	0.503	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	1	0
37500	Tying of perforator veins in leg muscles using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37500	Tying of perforator veins in leg muscles using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37500	Tying of perforator veins in leg muscles using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
37565	Tying internal jugular vein (neck)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37565	Tying internal jugular vein (neck)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37565	Tying internal jugular vein (neck)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
37600	Tying external carotid artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37600	Tying external carotid artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37600	Tying external carotid artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
37605	Tying internal or common carotid artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37605	Tying internal or common carotid artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37605	Tying internal or common carotid artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
37606	Tying and gradual clamping of neck artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37606	Tying and gradual clamping of neck artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37606	Tying and gradual clamping of neck artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
37607	Tying or banding of a passage between an artery and vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37607	Tying or banding of a passage between an artery and vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37607	Tying or banding of a passage between an artery and vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
37609	Tying or biopsy of temporal artery (side of skull)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
37609	Tying or biopsy of temporal artery (side of skull)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	64	6
37609	Tying or biopsy of temporal artery (side of skull)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
37615	Tying of major neck artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37615	Tying of major neck artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37615	Tying of major neck artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
37616	Tying of major chest artery	Pre-service	L051A	RN	0.635	Preservice total costs		60
37616	Tying of major chest artery	Service  intra	L051A	RN	0.635	Service total costs		12
37616	Tying of major chest artery	Post-service	L051A	RN	0.635	Post service total costs		68
37617	Tying of major artery of the abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37617	Tying of major artery of the abdomen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37617	Tying of major artery of the abdomen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
37618	Tying of major artery of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37618	Tying of major artery of arm or leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37618	Tying of major artery of arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
37619	Tying inferior vena cava	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37619	Tying inferior vena cava	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
37650	Tying femoral vein (upper leg vein)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37650	Tying femoral vein (upper leg vein)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37650	Tying femoral vein (upper leg vein)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
37660	Tying common iliac vein (groin vein)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37660	Tying common iliac vein (groin vein)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
37660	Tying common iliac vein (groin vein)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
37700	Tying and incision leg vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37700	Tying and incision leg vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37700	Tying and incision leg vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
37718	Suturing incision and stripping leg vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37718	Suturing incision and stripping leg vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37718	Suturing incision and stripping leg vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
37722	Tying incision and stripping leg veins	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37722	Tying incision and stripping leg veins	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37722	Tying incision and stripping leg veins	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
37735	Tying incision and complete stripping leg veins with removal of ulcer skin graft deep tissue and/or interruption of connection with veins of the leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37735	Tying incision and complete stripping leg veins with removal of ulcer skin graft deep tissue and/or interruption of connection with veins of the leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37735	Tying incision and complete stripping leg veins with removal of ulcer skin graft deep tissue and/or interruption of connection with veins of the leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
37760	"Tying of varicosed veins in one leg, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37760	"Tying of varicosed veins in one leg, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37760	"Tying of varicosed veins in one leg, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
37761	"Tying of varicosed veins in one leg, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37761	"Tying of varicosed veins in one leg, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37761	"Tying of varicosed veins in one leg, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
37765	Multiple incisions for removal of varicose veins of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
37765	Multiple incisions for removal of varicose veins of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
37765	Multiple incisions for removal of varicose veins of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	10
37765	Multiple incisions for removal of varicose veins of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
37765	Multiple incisions for removal of varicose veins of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
37765	Multiple incisions for removal of varicose veins of arm or leg	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
37765	Multiple incisions for removal of varicose veins of arm or leg	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
37765	Multiple incisions for removal of varicose veins of arm or leg	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
37765	Multiple incisions for removal of varicose veins of arm or leg	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
37765	Multiple incisions for removal of varicose veins of arm or leg	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	45	0
37765	Multiple incisions for removal of varicose veins of arm or leg	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
37765	Multiple incisions for removal of varicose veins of arm or leg	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
37765	Multiple incisions for removal of varicose veins of arm or leg	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
37765	Multiple incisions for removal of varicose veins of arm or leg	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	6	0
37765	Multiple incisions for removal of varicose veins of arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
37765	Multiple incisions for removal of varicose veins of arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	36	36
37766	Multiple incisions for removal of varicose veins of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
37766	Multiple incisions for removal of varicose veins of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
37766	Multiple incisions for removal of varicose veins of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	10
37766	Multiple incisions for removal of varicose veins of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
37766	Multiple incisions for removal of varicose veins of arm or leg	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
37766	Multiple incisions for removal of varicose veins of arm or leg	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
37766	Multiple incisions for removal of varicose veins of arm or leg	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
37766	Multiple incisions for removal of varicose veins of arm or leg	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
37766	Multiple incisions for removal of varicose veins of arm or leg	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
37766	Multiple incisions for removal of varicose veins of arm or leg	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	60	0
37766	Multiple incisions for removal of varicose veins of arm or leg	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
37766	Multiple incisions for removal of varicose veins of arm or leg	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
37766	Multiple incisions for removal of varicose veins of arm or leg	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
37766	Multiple incisions for removal of varicose veins of arm or leg	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	6	0
37766	Multiple incisions for removal of varicose veins of arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
37766	Multiple incisions for removal of varicose veins of arm or leg	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	36	36
37780	Tying and incision leg vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37780	Tying and incision leg vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37780	Tying and incision leg vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
37785	Tying incision and/or removal of varicose vein clusters of leg	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
37785	Tying incision and/or removal of varicose vein clusters of leg	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
37785	Tying incision and/or removal of varicose vein clusters of leg	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
37788	Restoration of blood flow in penile artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37788	Restoration of blood flow in penile artery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37788	Restoration of blood flow in penile artery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
37790	Occlusion of penile vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
37790	Occlusion of penile vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
37790	Occlusion of penile vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
37X01		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
37X01		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
37X01		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
37X01		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
37X01		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
37X01		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
37X01		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
37X01		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
37X01		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
37X01		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
37X01		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
37X01		Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
37X01		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
37X01		Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
37X01		Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
37X01		Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
37X01		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
38100	Removal of spleen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38100	Removal of spleen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38100	Removal of spleen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
38101	Partial removal of spleen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38101	Partial removal of spleen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38101	Partial removal of spleen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
38115	Repair of ruptured spleen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38115	Repair of ruptured spleen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38115	Repair of ruptured spleen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
38120	Examination of spleen using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38120	Examination of spleen using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38120	Examination of spleen using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		114
38220	Diagnostic bone marrow; aspiration(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
38220	Diagnostic bone marrow; aspiration(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	
38220	Diagnostic bone marrow; aspiration(s)	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
38220	Diagnostic bone marrow; aspiration(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
38220	Diagnostic bone marrow; aspiration(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
38220	Diagnostic bone marrow; aspiration(s)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
38220	Diagnostic bone marrow; aspiration(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	12	
38220	Diagnostic bone marrow; aspiration(s)	Service  intra	L051A	RN	0.635	Assist physician in performing procedure	20	
38220	Diagnostic bone marrow; aspiration(s)	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
38220	Diagnostic bone marrow; aspiration(s)	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
38220	Diagnostic bone marrow; aspiration(s)	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
38220	Diagnostic bone marrow; aspiration(s)	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4 (not related to moderate sedation)"	7.5	
38220	Diagnostic bone marrow; aspiration(s)	Service  post	L033A	Lab Technician	0.44	Other Clinical Activity - specify:Lab Tech activities	9	
38220	Diagnostic bone marrow; aspiration(s)	Post-service	L051A	RN	0.635	Conduct phone calls/call in prescriptions	3	
38221	Diagnostic bone marrow; biopsy(ies)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
38221	Diagnostic bone marrow; biopsy(ies)	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	
38221	Diagnostic bone marrow; biopsy(ies)	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
38221	Diagnostic bone marrow; biopsy(ies)	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
38221	Diagnostic bone marrow; biopsy(ies)	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
38221	Diagnostic bone marrow; biopsy(ies)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
38221	Diagnostic bone marrow; biopsy(ies)	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	12	
38221	Diagnostic bone marrow; biopsy(ies)	Service  intra	L051A	RN	0.635	Assist physician in performing procedure	20	
38221	Diagnostic bone marrow; biopsy(ies)	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
38221	Diagnostic bone marrow; biopsy(ies)	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
38221	Diagnostic bone marrow; biopsy(ies)	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	1	
38221	Diagnostic bone marrow; biopsy(ies)	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4 (not related to moderate sedation)"	7.5	
38221	Diagnostic bone marrow; biopsy(ies)	Service  post	L033A	Lab Technician	0.44	Other Clinical Activity - specify:Lab Tech activities	7	
38221	Diagnostic bone marrow; biopsy(ies)	Post-service	L051A	RN	0.635	Conduct phone calls/call in prescriptions	3	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	12	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  intra	L051A	RN	0.635	Assist physician in performing procedure	30	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4 (not related to moderate sedation)"	7.5	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Service  post	L033A	Lab Technician	0.44	Other Clinical Activity - specify:Lab Tech activities	10	
38222	Diagnostic bone marrow; biopsy(ies) and aspiration(s)	Post-service	L051A	RN	0.635	Conduct phone calls/call in prescriptions	3	
38300	Drainage of lymph node abscess or inflammation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
38300	Drainage of lymph node abscess or inflammation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	54	6
38300	Drainage of lymph node abscess or inflammation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	63	63
38305	Drainage of extensive lymph node abscess or inflammation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38305	Drainage of extensive lymph node abscess or inflammation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38305	Drainage of extensive lymph node abscess or inflammation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
38308	Removal of growth of lymph node	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38308	Removal of growth of lymph node	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
38308	Removal of growth of lymph node	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
38380	Suture and/or tying chest lymph duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38380	Suture and/or tying chest lymph duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38380	Suture and/or tying chest lymph duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
38381	Suture and/or tying chest lymph duct	Pre-service	L051A	RN	0.635	Preservice total costs		60
38381	Suture and/or tying chest lymph duct	Service  intra	L051A	RN	0.635	Service total costs		12
38381	Suture and/or tying chest lymph duct	Post-service	L051A	RN	0.635	Post service total costs		54
38382	Suture and/or tying chest lymph duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38382	Suture and/or tying chest lymph duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38382	Suture and/or tying chest lymph duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
38500	"Biopsy or removal of lymph nodes, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
38500	"Biopsy or removal of lymph nodes, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
38500	"Biopsy or removal of lymph nodes, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
38505	Needle biopsy or removal of lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
38505	Needle biopsy or removal of lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
38505	Needle biopsy or removal of lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	3
38505	Needle biopsy or removal of lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	3
38505	Needle biopsy or removal of lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
38505	Needle biopsy or removal of lymph nodes	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
38505	Needle biopsy or removal of lymph nodes	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
38505	Needle biopsy or removal of lymph nodes	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
38505	Needle biopsy or removal of lymph nodes	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
38505	Needle biopsy or removal of lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
38505	Needle biopsy or removal of lymph nodes	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
38505	Needle biopsy or removal of lymph nodes	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
38505	Needle biopsy or removal of lymph nodes	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
38505	Needle biopsy or removal of lymph nodes	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
38505	Needle biopsy or removal of lymph nodes	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
38505	Needle biopsy or removal of lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
38510	"Biopsy or removal of lymph nodes of neck, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
38510	"Biopsy or removal of lymph nodes of neck, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	6
38510	"Biopsy or removal of lymph nodes of neck, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
38520	"Biopsy or removal of lymph nodes of neck, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38520	"Biopsy or removal of lymph nodes of neck, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
38520	"Biopsy or removal of lymph nodes of neck, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
38525	"Biopsy or removal of lymph nodes of under the arm, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38525	"Biopsy or removal of lymph nodes of under the arm, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
38525	"Biopsy or removal of lymph nodes of under the arm, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
38530	"Biopsy or removal of breast lymph nodes, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38530	"Biopsy or removal of breast lymph nodes, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38530	"Biopsy or removal of breast lymph nodes, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
38531	"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
38531	"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
38531	"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
38531	"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
38531	"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
38531	"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
38531	"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
38542	Removal of lymph nodes of neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38542	Removal of lymph nodes of neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
38542	Removal of lymph nodes of neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
38550	Removal of congenital defect of lymph nodes at underarm or neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38550	Removal of congenital defect of lymph nodes at underarm or neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
38550	Removal of congenital defect of lymph nodes at underarm or neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
38555	Removal of congenital defect of lymph nodes at underarm or neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38555	Removal of congenital defect of lymph nodes at underarm or neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38555	Removal of congenital defect of lymph nodes at underarm or neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		149
38562	Removal of pelvic or aortic lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38562	Removal of pelvic or aortic lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38562	Removal of pelvic or aortic lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
38564	Removal of lymph nodes behind abdominal cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38564	Removal of lymph nodes behind abdominal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38564	Removal of lymph nodes behind abdominal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
38570	Removal of abdominal cavity lymph nodes using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
38570	Removal of abdominal cavity lymph nodes using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
38570	Removal of abdominal cavity lymph nodes using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
38570	Removal of abdominal cavity lymph nodes using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
38570	Removal of abdominal cavity lymph nodes using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
38570	Removal of abdominal cavity lymph nodes using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
38570	Removal of abdominal cavity lymph nodes using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
38570	Removal of abdominal cavity lymph nodes using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
38571	Removal of total lymph nodes of both sides of pelvis using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
38571	Removal of total lymph nodes of both sides of pelvis using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
38571	Removal of total lymph nodes of both sides of pelvis using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
38571	Removal of total lymph nodes of both sides of pelvis using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
38571	Removal of total lymph nodes of both sides of pelvis using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
38571	Removal of total lymph nodes of both sides of pelvis using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
38571	Removal of total lymph nodes of both sides of pelvis using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
38571	Removal of total lymph nodes of both sides of pelvis using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
38572	Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
38572	Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
38572	Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
38572	Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
38572	Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
38572	Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
38572	Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
38572	Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
38573	"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
38573	"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
38573	"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
38573	"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
38573	"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
38573	"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
38573	"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
38573	"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed"	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
38700	Removal of lymph nodes from chin to thyroid cartilage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38700	Removal of lymph nodes from chin to thyroid cartilage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38700	Removal of lymph nodes from chin to thyroid cartilage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
38720	Removal of neck lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38720	Removal of neck lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38720	Removal of neck lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		161
38724	"Removal of lymph nodes, muscle, and tissue of neck"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38724	"Removal of lymph nodes, muscle, and tissue of neck"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38724	"Removal of lymph nodes, muscle, and tissue of neck"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		161
38740	Removal of underarm lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38740	Removal of underarm lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
38740	Removal of underarm lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
38745	Removal of all underarm lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38745	Removal of all underarm lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
38745	Removal of all underarm lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
38760	Removal of lymph nodes at groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38760	Removal of lymph nodes at groin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
38760	Removal of lymph nodes at groin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
38765	Removal of lymph nodes at groin and pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38765	Removal of lymph nodes at groin and pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38765	Removal of lymph nodes at groin and pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
38770	Removal of lymph nodes at groin and pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38770	Removal of lymph nodes at groin and pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38770	Removal of lymph nodes at groin and pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
38780	Removal of abdominal cavity lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38780	Removal of abdominal cavity lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
38780	Removal of abdominal cavity lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
38790	Injection procedure for X-ray imaging of the lymphatic system	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
38790	Injection procedure for X-ray imaging of the lymphatic system	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
38792	Injection of radioactive dye for X-ray identification of lymph node	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Complete pre-procedure phone calls and prescription	3	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Confirm availability of prior images/studies	2	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Coordinate pre-surgery services (including test results)	5	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (pre-service)	13	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Review patient clinical extant information and questionnaire	1	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Confirm order, protocol exam"	0	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment and supplies"	3	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide education/obtain consent	3	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Perform procedure/service---NOT directly related to physician work time	10	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by clinical staff	3	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Service  post	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (service period)	3	0
38792	Injection of radioactive dye for X-ray identification of lymph node	Service  post	L049A	Nuclear Medicine Technologist	0.713	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
38794	Exposure of lymph node of chest cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
38794	Exposure of lymph node of chest cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
38794	Exposure of lymph node of chest cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
39000	"Drainage, biopsy, or removal of foreign body of chest cavity"	Pre-service	L051A	RN	0.635	Preservice total costs		60
39000	"Drainage, biopsy, or removal of foreign body of chest cavity"	Service  intra	L051A	RN	0.635	Service total costs		12
39000	"Drainage, biopsy, or removal of foreign body of chest cavity"	Post-service	L051A	RN	0.635	Post service total costs		54
39010	"Drainage, biopsy, or removal of foreign body of chest cavity"	Pre-service	L051A	RN	0.635	Preservice total costs		60
39010	"Drainage, biopsy, or removal of foreign body of chest cavity"	Service  intra	L051A	RN	0.635	Service total costs		12
39010	"Drainage, biopsy, or removal of foreign body of chest cavity"	Post-service	L051A	RN	0.635	Post service total costs		54
39200	Removal of cyst below breast bone	Pre-service	L051A	RN	0.635	Preservice total costs		60
39200	Removal of cyst below breast bone	Service  intra	L051A	RN	0.635	Service total costs		12
39200	Removal of cyst below breast bone	Post-service	L051A	RN	0.635	Post service total costs		36
39220	Removal of tumor below breast bone	Pre-service	L051A	RN	0.635	Preservice total costs		60
39220	Removal of tumor below breast bone	Service  intra	L051A	RN	0.635	Service total costs		12
39220	Removal of tumor below breast bone	Post-service	L051A	RN	0.635	Post service total costs		63
39401	"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
39401	"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		10
39401	"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed"	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		3
39401	"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		7
39401	"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
39401	"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed"	Service  post	L051A	RN	0.635	Discharge day management 99238 --12 minutes		6
39402	"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
39402	"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		10
39402	"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)"	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		3
39402	"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		7
39402	"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		5
39402	"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)"	Service  post	L051A	RN	0.635	Discharge day management 99238 --12 minutes		6
39501	Repair of muscle tissue separating the chest and abdominal cavities	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
39501	Repair of muscle tissue separating the chest and abdominal cavities	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
39501	Repair of muscle tissue separating the chest and abdominal cavities	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
39503	"Repair of congenital defect of muscle separating the chest and abdominal cavities, neonate"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
39503	"Repair of congenital defect of muscle separating the chest and abdominal cavities, neonate"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
39503	"Repair of congenital defect of muscle separating the chest and abdominal cavities, neonate"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		179
39540	Repair of injury to muscle separating the chest and abdominal cavities	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
39540	Repair of injury to muscle separating the chest and abdominal cavities	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
39540	Repair of injury to muscle separating the chest and abdominal cavities	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
39541	Repair of injury to muscle separating the chest and abdominal cavities	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
39541	Repair of injury to muscle separating the chest and abdominal cavities	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
39541	Repair of injury to muscle separating the chest and abdominal cavities	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
39545	Suture of muscle separating the chest and abdominal cavities to restore function	Pre-service	L051A	RN	0.635	Preservice total costs		60
39545	Suture of muscle separating the chest and abdominal cavities to restore function	Service  intra	L051A	RN	0.635	Service total costs		12
39545	Suture of muscle separating the chest and abdominal cavities to restore function	Post-service	L051A	RN	0.635	Post service total costs		81
39560	Repair of the muscle separating the chest and abdominal cavities	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
39560	Repair of the muscle separating the chest and abdominal cavities	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
39560	Repair of the muscle separating the chest and abdominal cavities	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
39561	Repair of muscle separating chest and abdominal cavities	Pre-service	L051A	RN	0.635	Preservice total costs		60
39561	Repair of muscle separating chest and abdominal cavities	Service  intra	L051A	RN	0.635	Service total costs		12
39561	Repair of muscle separating chest and abdominal cavities	Post-service	L051A	RN	0.635	Post service total costs		159
40490	Biopsy of lip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
40500	Removal of border of lip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40500	Removal of border of lip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	117	6
40500	Removal of border of lip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
40510	Removal of wedge of lip tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40510	Removal of wedge of lip tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
40510	Removal of wedge of lip tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
40520	V-shaped removal of lip tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40520	V-shaped removal of lip tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	95	6
40520	V-shaped removal of lip tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
40525	Removal of lip with skin flap repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
40525	Removal of lip with skin flap repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
40525	Removal of lip with skin flap repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
40527	Removal of lip with skin flap repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
40527	Removal of lip with skin flap repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
40527	Removal of lip with skin flap repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
40530	Partial removal of lip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40530	Partial removal of lip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	105	6
40530	Partial removal of lip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
40650	Repair of lip and border	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40650	Repair of lip and border	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
40650	Repair of lip and border	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
40652	Repair of vertical lip wound extending to half of lip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40652	Repair of vertical lip wound extending to half of lip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	83	6
40652	Repair of vertical lip wound extending to half of lip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
40654	Repair of vertical lip wound extending to over half of lip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40654	Repair of vertical lip wound extending to over half of lip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	105	6
40654	Repair of vertical lip wound extending to over half of lip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	95	95
40700	Plastic repair of deformity present at birth on one side of the nose or lip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
40700	Plastic repair of deformity present at birth on one side of the nose or lip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
40700	Plastic repair of deformity present at birth on one side of the nose or lip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
40701	Plastic repair of deformity present at birth on both sides of the nose or lip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
40701	Plastic repair of deformity present at birth on both sides of the nose or lip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
40701	Plastic repair of deformity present at birth on both sides of the nose or lip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
40702	Plastic repair of deformity present at birth on both sides of the nose or lip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
40702	Plastic repair of deformity present at birth on both sides of the nose or lip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
40702	Plastic repair of deformity present at birth on both sides of the nose or lip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
40720	Plastic repair of nasal and lip deformity present at birth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
40720	Plastic repair of nasal and lip deformity present at birth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
40720	Plastic repair of nasal and lip deformity present at birth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
40761	Plastic repair of nasal and lip deformity present at birth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
40761	Plastic repair of nasal and lip deformity present at birth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
40761	Plastic repair of nasal and lip deformity present at birth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
40800	"Incision of abscess, cyst, or blood accumulation in mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
40800	"Incision of abscess, cyst, or blood accumulation in mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	6
40800	"Incision of abscess, cyst, or blood accumulation in mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	43	43
40801	"Incision of abscess, cyst, or blood accumulation in mouth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
40801	"Incision of abscess, cyst, or blood accumulation in mouth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	66	12
40801	"Incision of abscess, cyst, or blood accumulation in mouth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	10
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	0
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	0
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	0
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		0
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains"	5	0
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Post-service	L037D	RN/LPN/MTA	0.455	99211     16 minutes	16	16
40804	"Removal of embedded foreign body, vestibule of mouth; simple"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
40805	Removal of embedded foreign body of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
40805	Removal of embedded foreign body of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	12
40805	Removal of embedded foreign body of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
40806	Incision of tissue joining lip and gums	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
40806	Incision of tissue joining lip and gums	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	0
40806	Incision of tissue joining lip and gums	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
40808	Biopsy of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
40808	Biopsy of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
40808	Biopsy of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	10
40808	Biopsy of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
40808	Biopsy of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
40808	Biopsy of mouth	Service  pre	L037D	RN/LPN/MTA	0.455	"Confirm order, protocol exam"	0	0
40808	Biopsy of mouth	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
40808	Biopsy of mouth	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
40808	Biopsy of mouth	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	3	0
40808	Biopsy of mouth	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
40808	Biopsy of mouth	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
40808	Biopsy of mouth	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
40808	Biopsy of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
40808	Biopsy of mouth	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
40808	Biopsy of mouth	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
40808	Biopsy of mouth	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
40808	Biopsy of mouth	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
40808	Biopsy of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	27	27
40810	Removal of growth of tissue of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
40810	Removal of growth of tissue of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	6
40810	Removal of growth of tissue of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
40812	Removal of growth of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
40812	Removal of growth of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	6
40812	Removal of growth of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	43	43
40814	Removal of growth of mouth with plastic repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40814	Removal of growth of mouth with plastic repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	6
40814	Removal of growth of mouth with plastic repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	70	70
40816	Removal of tissue and muscle growth of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40816	Removal of tissue and muscle growth of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	6
40816	Removal of tissue and muscle growth of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	70	70
40818	Removal of mouth tissue for grafting	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40818	Removal of mouth tissue for grafting	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	79	6
40818	Removal of mouth tissue for grafting	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
40819	Removal of tissue at dental edge and cheek	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40819	Removal of tissue at dental edge and cheek	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	6
40819	Removal of tissue at dental edge and cheek	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
40820	Destruction of growth or scar of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	23
40820	Destruction of growth or scar of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	6
40820	Destruction of growth or scar of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	43	43
40830	Suture of (2.5 centimeter or less) mouth laceration	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
40830	Suture of (2.5 centimeter or less) mouth laceration	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
40830	Suture of (2.5 centimeter or less) mouth laceration	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	43	43
40831	Suture of (over 2.5 centimeter) mouth laceration	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
40831	Suture of (over 2.5 centimeter) mouth laceration	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	6
40831	Suture of (over 2.5 centimeter) mouth laceration	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	70	70
40840	Repair to increase depth of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40840	Repair to increase depth of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	157	6
40840	Repair to increase depth of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	106	106
40842	Repair to increase depth on one side of the mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40842	Repair to increase depth on one side of the mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	157	6
40842	Repair to increase depth on one side of the mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	106	106
40843	Repair to increase depth on both sides of the mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40843	Repair to increase depth on both sides of the mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	217	6
40843	Repair to increase depth on both sides of the mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	79	79
40844	Repair to increase depth of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40844	Repair to increase depth of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	217	6
40844	Repair to increase depth of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	169	169
40845	Repair to increase depth of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
40845	Repair to increase depth of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	197	12
40845	Repair to increase depth of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	169	169
41000	"Drainage of abscess, cyst, or blood accumulation of tongue"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
41000	"Drainage of abscess, cyst, or blood accumulation of tongue"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	12
41000	"Drainage of abscess, cyst, or blood accumulation of tongue"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
41005	"Drainage of abscess, cyst, or blood accumulation under the tongue"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41005	"Drainage of abscess, cyst, or blood accumulation under the tongue"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
41005	"Drainage of abscess, cyst, or blood accumulation under the tongue"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
41006	"Drainage of abscess, cyst, or blood accumulation under the tongue"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41006	"Drainage of abscess, cyst, or blood accumulation under the tongue"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
41006	"Drainage of abscess, cyst, or blood accumulation under the tongue"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41007	"Drainage of abscess, cyst, or blood accumulation under the tongue or lower lip"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41007	"Drainage of abscess, cyst, or blood accumulation under the tongue or lower lip"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
41007	"Drainage of abscess, cyst, or blood accumulation under the tongue or lower lip"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41008	"Drainage of abscess, cyst, or blood accumulation under the jaw bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41008	"Drainage of abscess, cyst, or blood accumulation under the jaw bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	66	6
41008	"Drainage of abscess, cyst, or blood accumulation under the jaw bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41009	"Drainage of abscess, cyst, or blood accumulation under lower teeth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41009	"Drainage of abscess, cyst, or blood accumulation under lower teeth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
41009	"Drainage of abscess, cyst, or blood accumulation under lower teeth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
41010	Incision of tissue connecting tongue and floor of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	23
41010	Incision of tissue connecting tongue and floor of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	39	6
41010	Incision of tissue connecting tongue and floor of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
41015	"Drainage of abscess, cyst, or blood accumulation under the tongue"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41015	"Drainage of abscess, cyst, or blood accumulation under the tongue"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	6
41015	"Drainage of abscess, cyst, or blood accumulation under the tongue"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
41016	"Drainage of abscess, cyst, or blood accumulation under the tongue or lower lip"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41016	"Drainage of abscess, cyst, or blood accumulation under the tongue or lower lip"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	12
41016	"Drainage of abscess, cyst, or blood accumulation under the tongue or lower lip"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
41017	"Drainage of abscess, cyst, or blood accumulation under the tongue or jaw bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41017	"Drainage of abscess, cyst, or blood accumulation under the tongue or jaw bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	12
41017	"Drainage of abscess, cyst, or blood accumulation under the tongue or jaw bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
41018	"Drainage of abscess, cyst, or blood accumulation under the tongue or lower teeth"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41018	"Drainage of abscess, cyst, or blood accumulation under the tongue or lower teeth"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	79	12
41018	"Drainage of abscess, cyst, or blood accumulation under the tongue or lower teeth"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
41019	"Insertion of needles, catheters, or devices into head and/or neck for radiation delivery"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
41019	"Insertion of needles, catheters, or devices into head and/or neck for radiation delivery"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
41100	Biopsy of tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	12
41100	Biopsy of tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	6
41100	Biopsy of tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
41105	Biopsy of tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	12
41105	Biopsy of tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
41105	Biopsy of tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	29	29
41108	Biopsy of floor of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	12
41108	Biopsy of floor of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	6
41108	Biopsy of floor of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	29	29
41110	Removal of growth of tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
41110	Removal of growth of tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	6
41110	Removal of growth of tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	16	16
41112	Removal of growth of tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41112	Removal of growth of tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	6
41112	Removal of growth of tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41113	Removal of growth of tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41113	Removal of growth of tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	6
41113	Removal of growth of tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41114	Removal of growth of tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
41114	Removal of growth of tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
41114	Removal of growth of tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
41115	Removal of tissue connecting tongue and floor of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	23
41115	Removal of tissue connecting tongue and floor of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	6
41115	Removal of tissue connecting tongue and floor of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
41116	Removal of growth of floor of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41116	Removal of growth of floor of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	6
41116	Removal of growth of floor of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	41	41
41120	Partial removal of tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
41120	Partial removal of tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
41120	Partial removal of tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		161
41130	Partial removal of tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
41130	Partial removal of tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
41130	Partial removal of tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		161
41135	Partial removal of tongue and surrounding lymph nodes on one side of neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
41135	Partial removal of tongue and surrounding lymph nodes on one side of neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
41135	Partial removal of tongue and surrounding lymph nodes on one side of neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		224
41140	Complete removal of tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
41140	Complete removal of tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
41140	Complete removal of tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
41145	Complete removal of tongue and surrounding lymph nodes on one side of neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
41145	Complete removal of tongue and surrounding lymph nodes on one side of neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
41145	Complete removal of tongue and surrounding lymph nodes on one side of neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
41150	"Removal of tongue, floor of mouth, and jaw bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
41150	"Removal of tongue, floor of mouth, and jaw bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
41150	"Removal of tongue, floor of mouth, and jaw bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
41153	"Removal of tongue, floor of mouth, soft tissue, and lymph nodes"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
41153	"Removal of tongue, floor of mouth, soft tissue, and lymph nodes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
41153	"Removal of tongue, floor of mouth, soft tissue, and lymph nodes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		224
41155	"Removal of tongue, floor of mouth, jaw bone, tissue, and lymph nodes"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
41155	"Removal of tongue, floor of mouth, jaw bone, tissue, and lymph nodes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
41155	"Removal of tongue, floor of mouth, jaw bone, tissue, and lymph nodes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		241
41250	Repair of (2.5 centimeter or less) laceration to floor of mouth and/or tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	20
41250	Repair of (2.5 centimeter or less) laceration to floor of mouth and/or tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	66	6
41250	Repair of (2.5 centimeter or less) laceration to floor of mouth and/or tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
41251	Repair of (2.5 centimeter or less) laceration to floor of mouth or tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	20
41251	Repair of (2.5 centimeter or less) laceration to floor of mouth or tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	6
41251	Repair of (2.5 centimeter or less) laceration to floor of mouth or tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
41252	Repair of (over 2.6 laceration) to floor of mouth or tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	20
41252	Repair of (over 2.6 laceration) to floor of mouth or tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	79	6
41252	Repair of (over 2.6 laceration) to floor of mouth or tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
41510	Suture of tongue to lip	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
41510	Suture of tongue to lip	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
41510	Suture of tongue to lip	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		101
41512	Suture of tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
41512	Suture of tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
41512	Suture of tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
41520	Revision of tissue connecting tongue to floor of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41520	Revision of tissue connecting tongue to floor of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
41520	Revision of tissue connecting tongue to floor of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	0
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		6
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
41530	"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	36	36
41800	"Drainage of abscess, cyst, or blood accumulation of dental bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	18
41800	"Drainage of abscess, cyst, or blood accumulation of dental bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	6
41800	"Drainage of abscess, cyst, or blood accumulation of dental bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41805	Removal of embedded foreign body from soft tissue of tooth bearing bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	18
41805	Removal of embedded foreign body from soft tissue of tooth bearing bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
41805	Removal of embedded foreign body from soft tissue of tooth bearing bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41806	Removal of foreign body in dental bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	18
41806	Removal of foreign body in dental bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	70	6
41806	Removal of foreign body in dental bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41822	Removal of tissue fiber at dental bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	18
41822	Removal of tissue fiber at dental bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	6
41822	Removal of tissue fiber at dental bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41823	Removal of dental bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41823	Removal of dental bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	6
41823	Removal of dental bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	117	117
41825	Removal of growth of dental bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	18
41825	Removal of growth of dental bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	6
41825	Removal of growth of dental bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41826	Removal of growth of dental bone with repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	18
41826	Removal of growth of dental bone with repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	6
41826	Removal of growth of dental bone with repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
41827	Removal of growth of dental bone with repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41827	Removal of growth of dental bone with repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	94	6
41827	Removal of growth of dental bone with repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
41828	Removal of enlarged membrane covering of teeth or tooth socket	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	18
41828	Removal of enlarged membrane covering of teeth or tooth socket	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	87	6
41828	Removal of enlarged membrane covering of teeth or tooth socket	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
41830	Removal of tissue overgrowth at teeth or tooth socket	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	18
41830	Removal of tissue overgrowth at teeth or tooth socket	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	97	6
41830	Removal of tissue overgrowth at teeth or tooth socket	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	70	70
41872	Relocation of mouth tissue to gum surface	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41872	Relocation of mouth tissue to gum surface	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	94	6
41872	Relocation of mouth tissue to gum surface	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	99	99
41874	Reshaping of tooth bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
41874	Reshaping of tooth bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	94	6
41874	Reshaping of tooth bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
42000	Incision and drainage of roof of mouth or its soft tissue projection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42000	Incision and drainage of roof of mouth or its soft tissue projection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
42000	Incision and drainage of roof of mouth or its soft tissue projection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42100	Biopsy of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42100	Biopsy of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	31	6
42100	Biopsy of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42104	Removal of growth of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
42104	Removal of growth of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
42104	Removal of growth of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42106	Removal of growth of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
42106	Removal of growth of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
42106	Removal of growth of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42107	Removal of growth of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42107	Removal of growth of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	103	6
42107	Removal of growth of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
42120	Partial removal of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42120	Partial removal of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42120	Partial removal of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
42140	Removal of soft tissue at roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42140	Removal of soft tissue at roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	6
42140	Removal of soft tissue at roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	41	41
42145	Removal of soft tissue at roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42145	Removal of soft tissue at roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42145	Removal of soft tissue at roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
42160	Destruction of growth or soft tissue at roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
42160	Destruction of growth or soft tissue at roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	6
42160	Destruction of growth or soft tissue at roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42180	Repair of (up to 2 centimeters) laceration at roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42180	Repair of (up to 2 centimeters) laceration at roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	12
42180	Repair of (up to 2 centimeters) laceration at roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42182	Repair of (over 2 centimeters) laceration at roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42182	Repair of (over 2 centimeters) laceration at roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	12
42182	Repair of (over 2 centimeters) laceration at roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42200	Repair of defect of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42200	Repair of defect of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42200	Repair of defect of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
42205	Repair of defect of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42205	Repair of defect of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42205	Repair of defect of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
42210	Repair of defect of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42210	Repair of defect of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42210	Repair of defect of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
42215	Repair of defect of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42215	Repair of defect of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42215	Repair of defect of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
42220	Lengthening of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42220	Lengthening of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42220	Lengthening of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
42225	Repair of defect of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42225	Repair of defect of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42225	Repair of defect of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		176
42226	Lengthening of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42226	Lengthening of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42226	Lengthening of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		176
42227	Lengthening of roof of mouth using mucous membrane flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42227	Lengthening of roof of mouth using mucous membrane flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42227	Lengthening of roof of mouth using mucous membrane flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		150
42235	Lengthening of roof of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42235	Lengthening of roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42235	Lengthening of roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		150
42260	Repair of abnormal connection from nasal sinus to skin surface	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42260	Repair of abnormal connection from nasal sinus to skin surface	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	127	6
42260	Repair of abnormal connection from nasal sinus to skin surface	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	106	106
42280	Impression of cheek bone for prosthesis at roof of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
42280	Impression of cheek bone for prosthesis at roof of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42281	Insertion of roof of mouth prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
42281	Insertion of roof of mouth prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	12
42281	Insertion of roof of mouth prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42300	Drainage of abscess of salivary gland	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42300	Drainage of abscess of salivary gland	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	12
42300	Drainage of abscess of salivary gland	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42305	Drainage of abscess of salivary gland	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42305	Drainage of abscess of salivary gland	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42305	Drainage of abscess of salivary gland	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
42310	Drainage of lower jaw abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42310	Drainage of lower jaw abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	12
42310	Drainage of lower jaw abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42320	Drainage of lower jaw abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42320	Drainage of lower jaw abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	12
42320	Drainage of lower jaw abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42330	Removal of salivary gland stone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
42330	Removal of salivary gland stone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	54	6
42330	Removal of salivary gland stone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42335	Removal of salivary gland stone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42335	Removal of salivary gland stone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
42335	Removal of salivary gland stone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
42340	Removal of salivary gland stone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42340	Removal of salivary gland stone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	6
42340	Removal of salivary gland stone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
42400	Needle biopsy of salivary gland	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42400	Needle biopsy of salivary gland	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	0
42400	Needle biopsy of salivary gland	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
42405	Biopsy of salivary gland	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
42405	Biopsy of salivary gland	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
42405	Biopsy of salivary gland	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42408	Removal of salivary cyst under tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42408	Removal of salivary cyst under tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	6
42408	Removal of salivary cyst under tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
42409	Creation of tract to drain salivary gland cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42409	Creation of tract to drain salivary gland cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
42409	Creation of tract to drain salivary gland cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
42410	"Removal of salivary gland growth or salivary gland, lateral lobe"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42410	"Removal of salivary gland growth or salivary gland, lateral lobe"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42410	"Removal of salivary gland growth or salivary gland, lateral lobe"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
42415	Partial removal of salivary gland growth with release of facial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42415	Partial removal of salivary gland growth with release of facial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42415	Partial removal of salivary gland growth with release of facial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
42420	Removal of total salivary gland growth or salivary gland with release of facial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42420	Removal of total salivary gland growth or salivary gland with release of facial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42420	Removal of total salivary gland growth or salivary gland with release of facial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
42425	Removal of total salivary gland growth or salivary gland and facial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42425	Removal of total salivary gland growth or salivary gland and facial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42425	Removal of total salivary gland growth or salivary gland and facial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
42426	Removal of total salivary gland growth or salivary gland and surrounding lymph nodes on one side of neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42426	Removal of total salivary gland growth or salivary gland and surrounding lymph nodes on one side of neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42426	Removal of total salivary gland growth or salivary gland and surrounding lymph nodes on one side of neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
42440	Removal of salivary gland under floor of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42440	Removal of salivary gland under floor of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42440	Removal of salivary gland under floor of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
42450	Removal of salivary gland under tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42450	Removal of salivary gland under tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	92	6
42450	Removal of salivary gland under tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
42500	Plastic repair of salivary duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42500	Plastic repair of salivary duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	87	6
42500	Plastic repair of salivary duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
42505	Plastic repair of salivary duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42505	Plastic repair of salivary duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	108	6
42505	Plastic repair of salivary duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	81	81
42507	Creation of new drainage tracts of major salivary gland ducts on both sides of mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42507	Creation of new drainage tracts of major salivary gland ducts on both sides of mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42507	Creation of new drainage tracts of major salivary gland ducts on both sides of mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
42509	Creation of new drainage tracts of major salivary gland ducts on both sides of mouth with excision of both salivary glands	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42509	Creation of new drainage tracts of major salivary gland ducts on both sides of mouth with excision of both salivary glands	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42509	Creation of new drainage tracts of major salivary gland ducts on both sides of mouth with excision of both salivary glands	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
42510	Creation of new drainage tracts of major salivary gland ducts on both sides of mouth with tying of salivary gland ducts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42510	Creation of new drainage tracts of major salivary gland ducts on both sides of mouth with tying of salivary gland ducts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42510	Creation of new drainage tracts of major salivary gland ducts on both sides of mouth with tying of salivary gland ducts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
42550	Injection of dye for X-ray of salivary glands	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	22	0
42600	Closure of abnormal salivary gland drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42600	Closure of abnormal salivary gland drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	96	6
42600	Closure of abnormal salivary gland drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
42650	Insertion of probe for salivary gland duct dilation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42650	Insertion of probe for salivary gland duct dilation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
42650	Insertion of probe for salivary gland duct dilation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
42660	Salivary gland duct dilation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42660	Salivary gland duct dilation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	31	0
42660	Salivary gland duct dilation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
42665	Tying salivary gland duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42665	Tying salivary gland duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	6
42665	Tying salivary gland duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
42700	Drainage of tonsil abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42700	Drainage of tonsil abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	6
42700	Drainage of tonsil abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42720	Drainage of throat abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42720	Drainage of throat abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	6
42720	Drainage of throat abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42725	Drainage of throat abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42725	Drainage of throat abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42725	Drainage of throat abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
42800	Biopsy of back of throat	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
42800	Biopsy of back of throat	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	6
42800	Biopsy of back of throat	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42804	Biopsy of throat lesion behind nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
42804	Biopsy of throat lesion behind nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	6
42804	Biopsy of throat lesion behind nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	34	34
42806	Biopsy of throat lesion behind nose	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
42806	Biopsy of throat lesion behind nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	68	6
42806	Biopsy of throat lesion behind nose	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	34	34
42808	Removal or destruction of throat growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
42808	Removal or destruction of throat growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
42808	Removal or destruction of throat growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
42809	Removal of foreign body from pharynx	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	3
42809	Removal of foreign body from pharynx	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
42809	Removal of foreign body from pharynx	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
42809	Removal of foreign body from pharynx	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
42809	Removal of foreign body from pharynx	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
42809	Removal of foreign body from pharynx	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
42809	Removal of foreign body from pharynx	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
42809	Removal of foreign body from pharynx	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	0
42809	Removal of foreign body from pharynx	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	0
42809	Removal of foreign body from pharynx	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
42809	Removal of foreign body from pharynx	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	17	0
42809	Removal of foreign body from pharynx	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
42809	Removal of foreign body from pharynx	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
42809	Removal of foreign body from pharynx	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
42809	Removal of foreign body from pharynx	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
42809	Removal of foreign body from pharynx	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	0
42809	Removal of foreign body from pharynx	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		0
42809	Removal of foreign body from pharynx	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains"	5	0
42809	Removal of foreign body from pharynx	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
42810	Removal of congenital skin and tissue cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
42810	Removal of congenital skin and tissue cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	6
42810	Removal of congenital skin and tissue cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	68	68
42815	Removal of congenital cyst or abnormal drainage tract into mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42815	Removal of congenital cyst or abnormal drainage tract into mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42815	Removal of congenital cyst or abnormal drainage tract into mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
42820	Removal of tonsils and adenoid glands patient younger than age 12	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42820	Removal of tonsils and adenoid glands patient younger than age 12	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42820	Removal of tonsils and adenoid glands patient younger than age 12	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
42821	Removal of tonsils and adenoid glands patient age 12 or over	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42821	Removal of tonsils and adenoid glands patient age 12 or over	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42821	Removal of tonsils and adenoid glands patient age 12 or over	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
42825	Removal of tonsils patient younger than age 12	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42825	Removal of tonsils patient younger than age 12	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42825	Removal of tonsils patient younger than age 12	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
42826	Removal of tonsils patient age 12 or over	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42826	Removal of tonsils patient age 12 or over	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42826	Removal of tonsils patient age 12 or over	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
42830	Removal of adenoids patient younger than age 12	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42830	Removal of adenoids patient younger than age 12	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42830	Removal of adenoids patient younger than age 12	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
42831	Removal of adenoids patient age 12 or over	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42831	Removal of adenoids patient age 12 or over	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42831	Removal of adenoids patient age 12 or over	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
42835	Removal of adenoids patient younger than age 12	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42835	Removal of adenoids patient younger than age 12	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42835	Removal of adenoids patient younger than age 12	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
42836	Removal of adenoids patient age 12 or over	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42836	Removal of adenoids patient age 12 or over	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42836	Removal of adenoids patient age 12 or over	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
42842	"Removal of tonsils, tissue, muscle, and bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42842	"Removal of tonsils, tissue, muscle, and bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42842	"Removal of tonsils, tissue, muscle, and bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
42844	"Removal of tonsils, tissue, muscle, and bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42844	"Removal of tonsils, tissue, muscle, and bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42844	"Removal of tonsils, tissue, muscle, and bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
42845	"Removal of tonsils, tissue, muscle, and bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42845	"Removal of tonsils, tissue, muscle, and bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42845	"Removal of tonsils, tissue, muscle, and bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
42860	Removal of remaining tonsil tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42860	Removal of remaining tonsil tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
42860	Removal of remaining tonsil tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
42870	Removal or destruction of growth of tongue lymph node	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42870	Removal or destruction of growth of tongue lymph node	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42870	Removal or destruction of growth of tongue lymph node	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		114
42890	Partial removal of throat	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42890	Partial removal of throat	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42890	Partial removal of throat	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
42892	Removal of throat tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42892	Removal of throat tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42892	Removal of throat tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		188
42894	Removal of throat tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42894	Removal of throat tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42894	Removal of throat tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		224
42900	Suture of wound or injury in the throat	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
42900	Suture of wound or injury in the throat	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42900	Suture of wound or injury in the throat	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
42950	Plastic or reconstructive repair of the throat	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42950	Plastic or reconstructive repair of the throat	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42950	Plastic or reconstructive repair of the throat	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		141
42953	Repair of the throat at esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42953	Repair of the throat at esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42953	Repair of the throat at esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		178
42955	Incision of throat for feeding	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42955	Incision of throat for feeding	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42955	Incision of throat for feeding	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		128
42960	Control of bleeding of throat	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42960	Control of bleeding of throat	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
42961	Control of bleeding of throat requiring hospitalization	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42961	Control of bleeding of throat requiring hospitalization	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42961	Control of bleeding of throat requiring hospitalization	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
42962	Control of bleeding of throat	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42962	Control of bleeding of throat	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42962	Control of bleeding of throat	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
42970	Control of bleeding of throat with insertion of packing	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42970	Control of bleeding of throat with insertion of packing	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42970	Control of bleeding of throat with insertion of packing	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
42971	Control of bleeding of throat with insertion of packing requiring hospitalization	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42971	Control of bleeding of throat with insertion of packing requiring hospitalization	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42971	Control of bleeding of throat with insertion of packing requiring hospitalization	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
42972	Control of bleeding of throat with insertion of packing	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
42972	Control of bleeding of throat with insertion of packing	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
42972	Control of bleeding of throat with insertion of packing	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
42975	"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
42975	"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
42975	"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
42975	"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
42975	"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
42975	"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
43020	Removal of foreign body in esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43020	Removal of foreign body in esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43020	Removal of foreign body in esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
43030	Severing of muscle at upper esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43030	Severing of muscle at upper esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43030	Severing of muscle at upper esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
43045	Removal of foreign body in esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43045	Removal of foreign body in esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43045	Removal of foreign body in esophagus	Post-service	L051A	RN	0.635	Post service total costs		126
43100	Removal of growth of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43100	Removal of growth of esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43100	Removal of growth of esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
43101	Removal of growth of esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43101	Removal of growth of esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43101	Removal of growth of esophagus	Post-service	L051A	RN	0.635	Post service total costs		68
43107	Removal of esophagus	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
43107	Removal of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		0
43107	Removal of esophagus	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		20
43107	Removal of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		0
43107	Removal of esophagus	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		7
43107	Removal of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		0
43107	Removal of esophagus	Pre-service	L051A	RN	0.635	Other Clinical Activity - specify: Additional coordination between multiple specialties for complex procedures		15
43107	Removal of esophagus	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		20
43107	Removal of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		0
43107	Removal of esophagus	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		8
43107	Removal of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		0
43107	Removal of esophagus	Service  pre	L051A	RN	0.635	Dischrg mgmt (1.0 x 99239) (enter 15 min)		15
43107	Removal of esophagus	Post-service	L051A	RN	0.635	99212    27  minutes		27
43107	Removal of esophagus	Post-service	L051A	RN	0.635	99213    36  minutes		72
43107	Removal of esophagus	Post-service	L051A	RN	0.635	99214    53  minutes		53
43108	Removal of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43108	Removal of esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43108	Removal of esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		0
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		20
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		0
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		7
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		0
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Other Clinical Activity - specify: Additional coordination between multiple specialties for complex procedures		15
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		20
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		0
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		8
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		0
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Service  pre	L051A	RN	0.635	Dischrg mgmt (1.0 x 99239) (enter 15 min)		15
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Post-service	L051A	RN	0.635	99212    27  minutes		27
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Post-service	L051A	RN	0.635	99213    36  minutes		72
43112	"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)"	Post-service	L051A	RN	0.635	99214    53  minutes		53
43113	Removal of esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43113	Removal of esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43113	Removal of esophagus	Post-service	L051A	RN	0.635	Post service total costs		152
43116	Partial removal of upper esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43116	Partial removal of upper esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43116	Partial removal of upper esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
43117	Partial removal of lower esophagus	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
43117	Partial removal of lower esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		0
43117	Partial removal of lower esophagus	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		20
43117	Partial removal of lower esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		0
43117	Partial removal of lower esophagus	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		7
43117	Partial removal of lower esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		0
43117	Partial removal of lower esophagus	Pre-service	L051A	RN	0.635	Other Clinical Activity - specify: Additional coordination between multiple specialties for complex procedures		15
43117	Partial removal of lower esophagus	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		20
43117	Partial removal of lower esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		0
43117	Partial removal of lower esophagus	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		8
43117	Partial removal of lower esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		0
43117	Partial removal of lower esophagus	Service  pre	L051A	RN	0.635	Dischrg mgmt (1.0 x 99239) (enter 15 min)		15
43117	Partial removal of lower esophagus	Post-service	L051A	RN	0.635	99212    27  minutes		27
43117	Partial removal of lower esophagus	Post-service	L051A	RN	0.635	99213    36  minutes		72
43117	Partial removal of lower esophagus	Post-service	L051A	RN	0.635	99214    53  minutes		53
43118	"Partial removal of lower esophagus, open chest and abdominal procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43118	"Partial removal of lower esophagus, open chest and abdominal procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43118	"Partial removal of lower esophagus, open chest and abdominal procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
43121	"Partial removal of lower esophagus, open chest procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
43121	"Partial removal of lower esophagus, open chest procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
43121	"Partial removal of lower esophagus, open chest procedure"	Post-service	L051A	RN	0.635	Post service total costs		152
43122	"Partial removal of lower esophagus, open chest and abdominal procedure or open abdominal procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		60
43122	"Partial removal of lower esophagus, open chest and abdominal procedure or open abdominal procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
43122	"Partial removal of lower esophagus, open chest and abdominal procedure or open abdominal procedure"	Post-service	L051A	RN	0.635	Post service total costs		152
43123	Partial removal of esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43123	Partial removal of esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43123	Partial removal of esophagus	Post-service	L051A	RN	0.635	Post service total costs		152
43124	Removal of esophagus with creation of artificial opening into the esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43124	Removal of esophagus with creation of artificial opening into the esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43124	Removal of esophagus with creation of artificial opening into the esophagus	Post-service	L051A	RN	0.635	Post service total costs		188
43130	Removal of defect in wall of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43130	Removal of defect in wall of esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43130	Removal of defect in wall of esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
43135	Removal of defect in wall of esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43135	Removal of defect in wall of esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43135	Removal of defect in wall of esophagus	Post-service	L051A	RN	0.635	Post service total costs		63
43180	"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker’s diverticulum)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
43180	"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker’s diverticulum)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
43180	"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker’s diverticulum)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
43180	"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker’s diverticulum)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
43180	"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker’s diverticulum)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
43180	"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker’s diverticulum)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
43180	"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker’s diverticulum)"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		36
43191	Diagnostic examination of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
43191	Diagnostic examination of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43192	Injections of substance in tissue lining of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
43192	Injections of substance in tissue lining of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43193	Biopsy of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
43193	Biopsy of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43194	Removal of foreign bodies of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43195	Balloon dilation of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
43195	Balloon dilation of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43196	Insertion of wire and dilation of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
43196	Insertion of wire and dilation of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43197	Diagnostic examination of esophagus using an endoscope	Service  intra	L026A	Medical/Technical Assistant	0.31	Service total costs	71	0
43197	Diagnostic examination of esophagus using an endoscope	Post-service	L026A	Medical/Technical Assistant	0.31	Post service total costs	3	0
43198	Biopsy of esophagus using an endoscope	Service  intra	L026A	Medical/Technical Assistant	0.31	Service total costs	78	0
43198	Biopsy of esophagus using an endoscope	Post-service	L026A	Medical/Technical Assistant	0.31	Post service total costs	3	0
43200	Diagnostic examination of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43200	Diagnostic examination of esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43200	Diagnostic examination of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	0
43200	Diagnostic examination of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43201	Injections into esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43201	Injections into esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43201	Injections into esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	0
43201	Injections into esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43202	Biopsy of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43202	Biopsy of esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43202	Biopsy of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	0
43202	Biopsy of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43204	Injection of dilated esophageal veins using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43204	Injection of dilated esophageal veins using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43205	Tying of esophageal veins using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43205	Tying of esophageal veins using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43206	Microscopic examination of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43206	Microscopic examination of esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43206	Microscopic examination of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	91	0
43206	Microscopic examination of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43210	"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
43210	"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
43210	"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
43210	"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
43210	"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
43211	Removal of tissue lining of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43211	Removal of tissue lining of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43212	Placement of stent on esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43213	Dilation of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43213	Dilation of esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43213	Dilation of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	103	0
43213	Dilation of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43214	Balloon dilation of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43214	Balloon dilation of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43215	Removal of foreign bodies in esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43215	Removal of foreign bodies in esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43215	Removal of foreign bodies in esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	0
43215	Removal of foreign bodies in esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43216	Removal of esophageal polyps or growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43216	Removal of esophageal polyps or growths using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43216	Removal of esophageal polyps or growths using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	0
43216	Removal of esophageal polyps or growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43217	Removal of esophageal polyps or growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43217	Removal of esophageal polyps or growths using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43217	Removal of esophageal polyps or growths using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	0
43217	Removal of esophageal polyps or growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43220	Balloon dilation of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43220	Balloon dilation of esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43220	Balloon dilation of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	0
43220	Balloon dilation of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43226	Insertion of guide wire for dilation of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43226	Insertion of guide wire for dilation of esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43226	Insertion of guide wire for dilation of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	93	0
43226	Insertion of guide wire for dilation of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43227	Control of esophageal bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43227	Control of esophageal bleeding using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43227	Control of esophageal bleeding using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	0
43227	Control of esophageal bleeding using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43229	Destruction of growths of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43229	Destruction of growths of esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43229	Destruction of growths of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	103	0
43229	Destruction of growths of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43231	Ultrasound examination of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	19
43231	Ultrasound examination of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
43232	Ultrasound guided fine needle aspiration or biopsy of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	19
43232	Ultrasound guided fine needle aspiration or biopsy of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
43233	"Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43233	"Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	5
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
43235	"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
43236	"Injections of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43236	"Injections of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43236	"Injections of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	0
43236	"Injections of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43237	"Ultrasound examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43237	"Ultrasound examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43238	Ultrasound guided needle aspiration or biopsies of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43238	Ultrasound guided needle aspiration or biopsies of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	5
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	17	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
43239	"Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
43240	"Drainage of cyst of the esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43240	"Drainage of cyst of the esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43241	Insertion of catheter or tube in esophagus stomach and/or upper small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43242	"Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43242	"Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43243	Injection of dilated veins of stomach and/or esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43244	Tying of dilated veins of stomach and/or esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43244	Tying of dilated veins of stomach and/or esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43245	Dilation of stomach outlet using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43245	Dilation of stomach outlet using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43245	Dilation of stomach outlet using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	0
43245	Dilation of stomach outlet using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43246	Insertion of stomach tube using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43247	"Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43247	"Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43247	"Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	0
43247	"Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43248	Insertion of guide wire with dilation of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43248	Insertion of guide wire with dilation of esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43248	Insertion of guide wire with dilation of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	0
43248	Insertion of guide wire with dilation of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43249	Balloon dilation of esophagus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43249	Balloon dilation of esophagus using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43249	Balloon dilation of esophagus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	0
43249	Balloon dilation of esophagus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43250	"Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43250	"Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43250	"Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	0
43250	"Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43251	"Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43251	"Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43251	"Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	0
43251	"Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43252	"Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43252	"Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43252	"Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	91	0
43252	"Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43253	"Injection of diagnostic or therapeutic substances or markers in esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43253	"Injection of diagnostic or therapeutic substances or markers in esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43254	"Removal of tissue lining of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43254	"Removal of tissue lining of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43255	"Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43255	"Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43255	"Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	0
43255	"Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43257	Heat delivery to muscle at esophagus and/or stomach to treat gastric reflux using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43257	Heat delivery to muscle at esophagus and/or stomach to treat gastric reflux using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43259	"Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43259	"Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43260	"Diagnostic examination of gallbladder and pancreatic, liver, and bile ducts using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43260	"Diagnostic examination of gallbladder and pancreatic, liver, and bile ducts using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43261	"Biopsy of gallbladder, pancreatic, liver, and bile ducts using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43261	"Biopsy of gallbladder, pancreatic, liver, and bile ducts using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43262	Incision of pancreatic outlet muscle using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43262	Incision of pancreatic outlet muscle using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43263	Pressure measurement of pancreatic or bile duct using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43263	Pressure measurement of pancreatic or bile duct using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43264	Removal of stone from bile or pancreatic duct using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43264	Removal of stone from bile or pancreatic duct using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43265	Destruction of stone in bile or pancreatic duct using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43265	Destruction of stone in bile or pancreatic duct using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43266	"Placement of stent in esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43270	"Destruction of growths on esophagus, stomach, and/or upper small bowel using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43270	"Destruction of growths on esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43270	"Destruction of growths on esophagus, stomach, and/or upper small bowel using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	103	0
43270	"Destruction of growths on esophagus, stomach, and/or upper small bowel using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43274	Placement of stent pancreatic or bile duct using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43274	Placement of stent pancreatic or bile duct using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43275	Removal of foreign body or stent from pancreatic or bile duct using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43275	Removal of foreign body or stent from pancreatic or bile duct using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43276	Replacement of stent pancreatic or bile duct using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43276	Replacement of stent pancreatic or bile duct using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43277	Balloon dilation of pancreatic or bile duct using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43277	Balloon dilation of pancreatic or bile duct using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43278	"Destruction of mass on gallbladder, pancreatic, liver, and bile ducts using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
43278	"Destruction of mass on gallbladder, pancreatic, liver, and bile ducts using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
43279	Repair of muscle to lower esophagus and stomach using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43279	Repair of muscle to lower esophagus and stomach using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43279	Repair of muscle to lower esophagus and stomach using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43280	Repair of muscle at esophagus and stomach using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43280	Repair of muscle at esophagus and stomach using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43280	Repair of muscle at esophagus and stomach using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43281	Repair of hernia of muscle at esophagus and stomach using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43281	Repair of hernia of muscle at esophagus and stomach using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43281	Repair of hernia of muscle at esophagus and stomach using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43282	Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43282	Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43282	Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43284	"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
43284	"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
43284	"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
43284	"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
43284	"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
43284	"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Dischrg mgmt same day (0.5 x 99238) (enter 6 min)		6
43284	"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
43285	Removal of esophageal sphincter augmentation device	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
43285	Removal of esophageal sphincter augmentation device	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
43285	Removal of esophageal sphincter augmentation device	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
43285	Removal of esophageal sphincter augmentation device	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
43285	Removal of esophageal sphincter augmentation device	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
43285	Removal of esophageal sphincter augmentation device	Service  pre	L037D	RN/LPN/MTA	0.455	Dischrg mgmt same day (0.5 x 99238) (enter 6 min)		6
43285	Removal of esophageal sphincter augmentation device	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		0
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		20
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		0
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		7
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		0
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L051A	RN	0.635	Other Clinical Activity - specify: Additional coordination between multiple specialties for complex procedures		15
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		20
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		0
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		8
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		0
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Service  pre	L051A	RN	0.635	Dischrg mgmt (1.0 x 99239) (enter 15 min)		15
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Post-service	L051A	RN	0.635	99212    27  minutes		27
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Post-service	L051A	RN	0.635	99213    36  minutes		72
43286	"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)"	Post-service	L051A	RN	0.635	99214    53  minutes		53
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		0
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		20
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		0
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		7
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		0
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L051A	RN	0.635	Other Clinical Activity - specify: Additional coordination between multiple specialties for complex procedures		15
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		20
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		0
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		8
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		0
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Service  pre	L051A	RN	0.635	Dischrg mgmt (1.0 x 99239) (enter 15 min)		15
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Post-service	L051A	RN	0.635	99212    27  minutes		27
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Post-service	L051A	RN	0.635	99213    36  minutes		72
43287	"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)"	Post-service	L051A	RN	0.635	99214    53  minutes		53
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		0
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		20
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		0
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		7
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		0
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Other Clinical Activity - specify: Additional coordination between multiple specialties for complex procedures		15
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		20
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		0
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		8
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		0
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Service  pre	L051A	RN	0.635	Dischrg mgmt (1.0 x 99239) (enter 15 min)		15
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Post-service	L051A	RN	0.635	99212    27  minutes		27
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Post-service	L051A	RN	0.635	99213    36  minutes		72
43288	"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)"	Post-service	L051A	RN	0.635	99214    53  minutes		53
43300	Repair and reconstruction of defect of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43300	Repair and reconstruction of defect of esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43300	Repair and reconstruction of defect of esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
43305	Repair of esophageal defect with repair of abnormal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43305	Repair of esophageal defect with repair of abnormal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43305	Repair of esophageal defect with repair of abnormal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
43310	Repair of esophageal defect with repair of abnormal drainage tract	Pre-service	L051A	RN	0.635	Preservice total costs		60
43310	Repair of esophageal defect with repair of abnormal drainage tract	Service  intra	L051A	RN	0.635	Service total costs		12
43310	Repair of esophageal defect with repair of abnormal drainage tract	Post-service	L051A	RN	0.635	Post service total costs		68
43312	Repair of esophageal defect with repair of abnormal drainage tract	Pre-service	L051A	RN	0.635	Preservice total costs		60
43312	Repair of esophageal defect with repair of abnormal drainage tract	Service  intra	L051A	RN	0.635	Service total costs		12
43312	Repair of esophageal defect with repair of abnormal drainage tract	Post-service	L051A	RN	0.635	Post service total costs		14
43313	Repair of congenital esophageal defect	Pre-service	L051A	RN	0.635	Preservice total costs		60
43313	Repair of congenital esophageal defect	Service  intra	L051A	RN	0.635	Service total costs		6
43313	Repair of congenital esophageal defect	Post-service	L051A	RN	0.635	Post service total costs		197
43314	Repair of congenital esophageal defect and repair abnormal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43314	Repair of congenital esophageal defect and repair abnormal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43314	Repair of congenital esophageal defect and repair abnormal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		197
43320	Repair of muscle at lower esophagus and stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43320	Repair of muscle at lower esophagus and stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43320	Repair of muscle at lower esophagus and stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43325	Repair of muscle at lower esophagus and stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43325	Repair of muscle at lower esophagus and stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43325	Repair of muscle at lower esophagus and stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43327	Repair of muscle at lower esophagus and stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43327	Repair of muscle at lower esophagus and stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43327	Repair of muscle at lower esophagus and stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43328	Repair of muscle at lower esophagus and stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43328	Repair of muscle at lower esophagus and stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43328	Repair of muscle at lower esophagus and stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43330	Repair of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43330	Repair of esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43330	Repair of esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43331	Repair of esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43331	Repair of esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43331	Repair of esophagus	Post-service	L051A	RN	0.635	Post service total costs		99
43332	Repair of paraesophageal hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43332	Repair of paraesophageal hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43332	Repair of paraesophageal hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43333	Repair of paraesophageal hernia with mesh implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43333	Repair of paraesophageal hernia with mesh implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43333	Repair of paraesophageal hernia with mesh implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43334	Repair of paraesophageal hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43334	Repair of paraesophageal hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43334	Repair of paraesophageal hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43335	Repair of paraesophageal hernia with mesh implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43335	Repair of paraesophageal hernia with mesh implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43335	Repair of paraesophageal hernia with mesh implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43336	Repair of paraesophageal hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43336	Repair of paraesophageal hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43336	Repair of paraesophageal hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43337	Repair of paraesophageal hernia with mesh implant	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43337	Repair of paraesophageal hernia with mesh implant	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43337	Repair of paraesophageal hernia with mesh implant	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43340	Partial removal of esophagus and stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43340	Partial removal of esophagus and stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43340	Partial removal of esophagus and stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43341	Partial removal of esophagus and stomach	Pre-service	L051A	RN	0.635	Preservice total costs		60
43341	Partial removal of esophagus and stomach	Service  intra	L051A	RN	0.635	Service total costs		12
43341	Partial removal of esophagus and stomach	Post-service	L051A	RN	0.635	Post service total costs		99
43351	Relocation of esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43351	Relocation of esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43351	Relocation of esophagus	Post-service	L051A	RN	0.635	Post service total costs		135
43352	Relocation of esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43352	Relocation of esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43352	Relocation of esophagus	Post-service	L051A	RN	0.635	Post service total costs		99
43360	Repositioning of remnant stomach to esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43360	Repositioning of remnant stomach to esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43360	Repositioning of remnant stomach to esophagus	Post-service	L051A	RN	0.635	Post service total costs		133
43361	Repositioning of remnant stomach to esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43361	Repositioning of remnant stomach to esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43361	Repositioning of remnant stomach to esophagus	Post-service	L051A	RN	0.635	Post service total costs		135
43400	Tying dilated esophagus veins	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43400	Tying dilated esophagus veins	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43400	Tying dilated esophagus veins	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43405	Tying or stapling of perforation at junction of esophagus and stomach	Pre-service	L051A	RN	0.635	Preservice total costs		60
43405	Tying or stapling of perforation at junction of esophagus and stomach	Service  intra	L051A	RN	0.635	Service total costs		12
43405	Tying or stapling of perforation at junction of esophagus and stomach	Post-service	L051A	RN	0.635	Post service total costs		135
43410	Suture of wound or injury to esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43410	Suture of wound or injury to esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43410	Suture of wound or injury to esophagus	Post-service	L051A	RN	0.635	Post service total costs		99
43415	Suture of wound or injury to esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43415	Suture of wound or injury to esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43415	Suture of wound or injury to esophagus	Post-service	L051A	RN	0.635	Post service total costs		169
43420	Repair of abnormal drainage tract of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43420	Repair of abnormal drainage tract of esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43420	Repair of abnormal drainage tract of esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43425	Repair of abnormal drainage tract of esophagus	Pre-service	L051A	RN	0.635	Preservice total costs		60
43425	Repair of abnormal drainage tract of esophagus	Service  intra	L051A	RN	0.635	Service total costs		12
43425	Repair of abnormal drainage tract of esophagus	Post-service	L051A	RN	0.635	Post service total costs		99
43450	Dilation of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43450	Dilation of esophagus	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43450	Dilation of esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
43450	Dilation of esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43453	Dilation of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43453	Dilation of esophagus	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
43453	Dilation of esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	0
43453	Dilation of esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
43460	Control of esophageal bleeding	Pre-service	L051A	RN	0.635	Preservice total costs		15
43497	"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
43497	"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
43497	"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
43497	"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
43497	"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
43497	"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
43497	"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
43500	Removal of foreign body from stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43500	Removal of foreign body from stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43500	Removal of foreign body from stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
43501	Suture of bleeding stomach ulcer	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43501	Suture of bleeding stomach ulcer	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43501	Suture of bleeding stomach ulcer	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43502	Suture of stomach laceration	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43502	Suture of stomach laceration	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43502	Suture of stomach laceration	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43510	Insertion of permanent stomach tube with dilation of esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43510	Insertion of permanent stomach tube with dilation of esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43510	Insertion of permanent stomach tube with dilation of esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43520	Severing of muscle at stomach outlet to upper small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43520	Severing of muscle at stomach outlet to upper small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43520	Severing of muscle at stomach outlet to upper small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
43605	Biopsy of stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43605	Biopsy of stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43605	Biopsy of stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
43610	Removal of stomach ulcer or growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43610	Removal of stomach ulcer or growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43610	Removal of stomach ulcer or growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
43611	Removal of malignant growth of stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43611	Removal of malignant growth of stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43611	Removal of malignant growth of stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43620	Removal of stomach with upper small bowel attachment to esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43620	Removal of stomach with upper small bowel attachment to esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43620	Removal of stomach with upper small bowel attachment to esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43621	Removal of stomach with lower small bowel attachment to esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43621	Removal of stomach with lower small bowel attachment to esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43621	Removal of stomach with lower small bowel attachment to esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43622	Removal of stomach with intestinal pouch attachment to esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43622	Removal of stomach with intestinal pouch attachment to esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43622	Removal of stomach with intestinal pouch attachment to esophagus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43631	Partial removal of stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43631	Partial removal of stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43631	Partial removal of stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43632	Partial removal of stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43632	Partial removal of stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43632	Partial removal of stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43633	Removal of end portion of stomach with attachment to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43633	Removal of end portion of stomach with attachment to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43633	Removal of end portion of stomach with attachment to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43634	Partial removal of stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43634	Partial removal of stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43634	Partial removal of stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43640	Severing of vagus nerve to stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43640	Severing of vagus nerve to stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43640	Severing of vagus nerve to stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43641	Repair of stomach outlet muscle and severing of vagus nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43641	Repair of stomach outlet muscle and severing of vagus nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43641	Repair of stomach outlet muscle and severing of vagus nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43644	Bypass operation of stomach using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43644	Bypass operation of stomach using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43644	Bypass operation of stomach using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
43645	Bypass operation of stomach with reconstruction of small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43645	Bypass operation of stomach with reconstruction of small bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43645	Bypass operation of stomach with reconstruction of small bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
43651	Incision of vagus nerves in stomach using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43651	Incision of vagus nerves in stomach using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43651	Incision of vagus nerves in stomach using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		76
43652	Incision of vagus nerves of stomach using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43652	Incision of vagus nerves of stomach using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43652	Incision of vagus nerves of stomach using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		76
43653	Creation of stomach feeding tube using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43653	Creation of stomach feeding tube using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43653	Creation of stomach feeding tube using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43754	Diagnostic insertion of stomach tube and aspiration of gastric contents	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43754	Diagnostic insertion of stomach tube and aspiration of gastric contents	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
43754	Diagnostic insertion of stomach tube and aspiration of gastric contents	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
43755	Diagnostic insertion of stomach tube and multiple aspirations of gastric contents	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43755	Diagnostic insertion of stomach tube and multiple aspirations of gastric contents	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	0
43755	Diagnostic insertion of stomach tube and multiple aspirations of gastric contents	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
43756	Diagnostic insertion of small bowel tube and specimen collection using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43756	Diagnostic insertion of small bowel tube and specimen collection using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
43756	Diagnostic insertion of small bowel tube and specimen collection using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
43757	Diagnostic insertion of small bowel tube and multiple specimen collection using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
43757	Diagnostic insertion of small bowel tube and multiple specimen collection using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	0
43757	Diagnostic insertion of small bowel tube and multiple specimen collection using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
43761	Repositioning of stomach feeding tube	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	6	0
43762	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
43762	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
43762	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
43762	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
43762	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
43762	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	7	0
43762	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
43762	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
43762	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	4
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	7
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	4
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	17	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
43763	"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
43770	Insertion of adjustable stomach reduction device using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43770	Insertion of adjustable stomach reduction device using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43770	Insertion of adjustable stomach reduction device using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
43771	Revision of stomach reduction device using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43771	Revision of stomach reduction device using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43771	Revision of stomach reduction device using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
43772	Removal of stomach reduction device using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43772	Removal of stomach reduction device using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43772	Removal of stomach reduction device using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
43773	Replacement of stomach reduction device using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43773	Replacement of stomach reduction device using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43773	Replacement of stomach reduction device using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
43774	Removal of stomach reduction device and port beneath the skin using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43774	Removal of stomach reduction device and port beneath the skin using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43774	Removal of stomach reduction device and port beneath the skin using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43800	Repair of muscle of stomach outlet into upper small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43800	Repair of muscle of stomach outlet into upper small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43800	Repair of muscle of stomach outlet into upper small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
43810	Removal of end portion of stomach with attachment to upper small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43810	Removal of end portion of stomach with attachment to upper small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43810	Removal of end portion of stomach with attachment to upper small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
43820	Partial removal of stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43820	Partial removal of stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43820	Partial removal of stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43825	Partial removal of stomach and severing of vagus nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43825	Partial removal of stomach and severing of vagus nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43825	Partial removal of stomach and severing of vagus nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43830	"Insertion of stomach feeding tube, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43830	"Insertion of stomach feeding tube, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43830	"Insertion of stomach feeding tube, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43831	"Insertion of stomach feeding tube, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43831	"Insertion of stomach feeding tube, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43831	"Insertion of stomach feeding tube, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
43832	"Creation of stomach feeding tube, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43832	"Creation of stomach feeding tube, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43832	"Creation of stomach feeding tube, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
43840	"Suture of perforated ulcer, wound, or injury of stomach or upper small bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43840	"Suture of perforated ulcer, wound, or injury of stomach or upper small bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43840	"Suture of perforated ulcer, wound, or injury of stomach or upper small bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43842	Banding of upper stomach to reduce size	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43842	Banding of upper stomach to reduce size	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43842	Banding of upper stomach to reduce size	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43843	Reduction of size of upper stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43843	Reduction of size of upper stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43843	Reduction of size of upper stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43845	Partial removal of stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43845	Partial removal of stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43845	Partial removal of stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
43846	Partial removal of stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43846	Partial removal of stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43846	Partial removal of stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
43847	Partial removal of stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43847	Partial removal of stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43847	Partial removal of stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
43848	"Revision of upper stomach bypass, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43848	"Revision of upper stomach bypass, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43848	"Revision of upper stomach bypass, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
43860	Revision of attachment of stomach to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43860	Revision of attachment of stomach to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43860	Revision of attachment of stomach to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43865	Revision of attachment of stomach to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43865	Revision of attachment of stomach to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43865	Revision of attachment of stomach to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43870	Closure of skin opening to stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43870	Closure of skin opening to stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43870	Closure of skin opening to stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
43880	Closure of abnormal drainage tract from stomach to large bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43880	Closure of abnormal drainage tract from stomach to large bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
43880	Closure of abnormal drainage tract from stomach to large bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
43886	"Revision of skin level port of stomach banding device, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43886	"Revision of skin level port of stomach banding device, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43886	"Revision of skin level port of stomach banding device, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43887	"Removal of skin level port of stomach banding device, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43887	"Removal of skin level port of stomach banding device, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43887	"Removal of skin level port of stomach banding device, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
43888	"Removal and replacement of skin level port of stomach banding device, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
43888	"Removal and replacement of skin level port of stomach banding device, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
43888	"Removal and replacement of skin level port of stomach banding device, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
43X21		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
43X21		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
43X21		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	5
43X21		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
43X21		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
43X21		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
43X21		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
43X21		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	5	0
43X21		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
43X21		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	10	0
43X21		Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
43X21		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
43X21		Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
43X21		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
43X21		Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
43X21		Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
43X21		Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
43X21		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
43X22		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
43X22		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
43X22		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	5
43X22		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
43X22		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
43X22		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
43X22		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
43X22		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	5	0
43X22		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
43X22		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
43X22		Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
43X22		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
43X22		Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
43X22		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
43X22		Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
43X22		Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
43X22		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
44005	Release of intestinal scar tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44005	Release of intestinal scar tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44005	Release of intestinal scar tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44010	Biopsy or foreign body removal in small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44010	Biopsy or foreign body removal in small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44010	Biopsy or foreign body removal in small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44020	"Incision of small bowel for exploration, biopsy, or foreign body removal"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44020	"Incision of small bowel for exploration, biopsy, or foreign body removal"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44020	"Incision of small bowel for exploration, biopsy, or foreign body removal"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44021	Incision of small bowel for insertion of tube	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44021	Incision of small bowel for insertion of tube	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44021	Incision of small bowel for insertion of tube	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44025	Biopsy or foreign body removal in large bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44025	Biopsy or foreign body removal in large bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44025	Biopsy or foreign body removal in large bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44050	Incisional repair of twisted or herniated small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44050	Incisional repair of twisted or herniated small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44050	Incisional repair of twisted or herniated small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44055	Incisional correction of abnormal rotation of small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44055	Incisional correction of abnormal rotation of small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44055	Incisional correction of abnormal rotation of small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
44110	Removal of growth of small or large bowels	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44110	Removal of growth of small or large bowels	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44110	Removal of growth of small or large bowels	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44111	Removal of multiple small or large bowel growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44111	Removal of multiple small or large bowel growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44111	Removal of multiple small or large bowel growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44120	Partial removal of small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44120	Partial removal of small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44120	Partial removal of small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44125	Partial removal of small bowel with creation of drainage tract to skin surface	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44125	Partial removal of small bowel with creation of drainage tract to skin surface	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44125	Partial removal of small bowel with creation of drainage tract to skin surface	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
44126	Partial removal of small bowel to correct congenital defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44126	Partial removal of small bowel to correct congenital defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44126	Partial removal of small bowel to correct congenital defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
44127	Partial removal of small bowel to correct congenital defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44127	Partial removal of small bowel to correct congenital defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
44127	Partial removal of small bowel to correct congenital defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
44130	Creation of connection between two segments of small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44130	Creation of connection between two segments of small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44130	Creation of connection between two segments of small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44140	Partial removal of large bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44140	Partial removal of large bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44140	Partial removal of large bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44141	Partial removal of large bowel with creation of opening to the skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
44141	Partial removal of large bowel with creation of opening to the skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44141	Partial removal of large bowel with creation of opening to the skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
44143	Partial removal of large bowel with creation of opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
44143	Partial removal of large bowel with creation of opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44143	Partial removal of large bowel with creation of opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
44144	Partial removal of large bowel with creation of small or large bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
44144	Partial removal of large bowel with creation of small or large bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44144	Partial removal of large bowel with creation of small or large bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
44145	Partial removal of large bowel and reattachment to rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44145	Partial removal of large bowel and reattachment to rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44145	Partial removal of large bowel and reattachment to rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44146	Partial removal of large bowel and reattachment to rectum and creation of large bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44146	Partial removal of large bowel and reattachment to rectum and creation of large bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44146	Partial removal of large bowel and reattachment to rectum and creation of large bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
44147	Partial removal of large bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44147	Partial removal of large bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44147	Partial removal of large bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44150	Removal of large bowel with attachment of small bowel to rectum or creation of small bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
44150	Removal of large bowel with attachment of small bowel to rectum or creation of small bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44150	Removal of large bowel with attachment of small bowel to rectum or creation of small bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		143
44151	Removal of large bowel with creation of small bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
44151	Removal of large bowel with creation of small bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44151	Removal of large bowel with creation of small bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		143
44155	Removal of large bowel and rectum with creation of small bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
44155	Removal of large bowel and rectum with creation of small bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44155	Removal of large bowel and rectum with creation of small bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		143
44156	Removal of large bowel and rectum with creation of small bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44156	Removal of large bowel and rectum with creation of small bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44156	Removal of large bowel and rectum with creation of small bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		143
44157	Removal of large bowel and rectum with attachment of small bowel to anus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44157	Removal of large bowel and rectum with attachment of small bowel to anus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44157	Removal of large bowel and rectum with attachment of small bowel to anus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		159
44158	Removal of large bowel and rectum with attachment of small bowel to anus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44158	Removal of large bowel and rectum with attachment of small bowel to anus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44158	Removal of large bowel and rectum with attachment of small bowel to anus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		159
44160	Partial removal of small and large bowel with attachment of small and large bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44160	Partial removal of small and large bowel with attachment of small and large bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44160	Partial removal of small and large bowel with attachment of small and large bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
44180	Release of small bowel scar tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44180	Release of small bowel scar tissue using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44180	Release of small bowel scar tissue using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44186	Creation of small bowel opening using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44186	Creation of small bowel opening using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44186	Creation of small bowel opening using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44187	Creation of small bowel opening using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44187	Creation of small bowel opening using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44187	Creation of small bowel opening using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
44188	Creation of large bowel opening using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44188	Creation of large bowel opening using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44188	Creation of large bowel opening using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		115
44202	Partial removal of small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44202	Partial removal of small bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44202	Partial removal of small bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44204	Partial removal of large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44204	Partial removal of large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44204	Partial removal of large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44205	Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44205	Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44205	Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
44206	Partial removal of large bowel with creation of opening using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
44206	Partial removal of large bowel with creation of opening using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
44206	Partial removal of large bowel with creation of opening using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		137
44207	Partial removal of large bowel and reattachment to rectum using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44207	Partial removal of large bowel and reattachment to rectum using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
44207	Partial removal of large bowel and reattachment to rectum using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44208	Partial removal of large bowel and reattachment to rectum and creation of large bowel opening using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44208	Partial removal of large bowel and reattachment to rectum and creation of large bowel opening using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
44208	Partial removal of large bowel and reattachment to rectum and creation of large bowel opening using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		120
44210	Removal of large bowel with attachment of small bowel to rectum or creation of small bowel opening using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44210	Removal of large bowel with attachment of small bowel to rectum or creation of small bowel opening using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
44210	Removal of large bowel with attachment of small bowel to rectum or creation of small bowel opening using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		166
44211	Removal of large bowel and rectum with attachment of small bowel to anus and creation of small bowel opening using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44211	Removal of large bowel and rectum with attachment of small bowel to anus and creation of small bowel opening using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
44211	Removal of large bowel and rectum with attachment of small bowel to anus and creation of small bowel opening using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
44212	Removal of large bowel and rectum with creation of small bowel opening using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44212	Removal of large bowel and rectum with creation of small bowel opening using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
44212	Removal of large bowel and rectum with creation of small bowel opening using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
44227	Closure of large or small bowel opening using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44227	Closure of large or small bowel opening using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44227	Closure of large or small bowel opening using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44300	"Insertion of small bowel tube, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44300	"Insertion of small bowel tube, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44300	"Insertion of small bowel tube, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
44310	Creation of small bowel feeding tube	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44310	Creation of small bowel feeding tube	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44310	Creation of small bowel feeding tube	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
44312	Revision of small bowel opening and scar tissue release	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44312	Revision of small bowel opening and scar tissue release	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44312	Revision of small bowel opening and scar tissue release	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
44314	Reconstruction of small bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44314	Reconstruction of small bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44314	Reconstruction of small bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44316	Creation of small bowel pouch with valve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
44316	Creation of small bowel pouch with valve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44316	Creation of small bowel pouch with valve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44320	Creation of large bowel drainage tract to skin surface	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44320	Creation of large bowel drainage tract to skin surface	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44320	Creation of large bowel drainage tract to skin surface	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
44322	Creation of large bowel opening with multiple biopsies	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44322	Creation of large bowel opening with multiple biopsies	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44322	Creation of large bowel opening with multiple biopsies	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		156
44340	Revision of large bowel opening and scar tissue release	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44340	Revision of large bowel opening and scar tissue release	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44340	Revision of large bowel opening and scar tissue release	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
44345	Reconstruction of large bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44345	Reconstruction of large bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44345	Reconstruction of large bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
44346	Revision of large bowel opening and hernia repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44346	Revision of large bowel opening and hernia repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44346	Revision of large bowel opening and hernia repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
44360	Examination of small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44360	Examination of small bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44361	Biopsy of small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44361	Biopsy of small bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44363	Removal of foreign bodies in small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44363	Removal of foreign bodies in small bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44364	Removal of small bowel polyps or growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44364	Removal of small bowel polyps or growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44365	Removal of small bowel polyps or growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44365	Removal of small bowel polyps or growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44366	Control of bleeding in small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44366	Control of bleeding in small bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44369	Destruction of small bowel polyps or growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44369	Destruction of small bowel polyps or growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44370	Insertion of small bowel stent using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
44370	Insertion of small bowel stent using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44372	Insertion of feeding tube (accessed beneath the skin) into small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44372	Insertion of feeding tube (accessed beneath the skin) into small bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44373	Convert stomach tube to small bowel tube (accessed beneath the skin) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44373	Convert stomach tube to small bowel tube (accessed beneath the skin) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44376	Diagnostic examination of small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44376	Diagnostic examination of small bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44377	Biopsy of small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44377	Biopsy of small bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44378	Control of bleeding beyond second portion of small bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
44378	Control of bleeding beyond second portion of small bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44379	Insertion of small bowel stent using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
44379	Insertion of small bowel stent using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44380	"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	25	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44381	"Ileoscopy, through stoma; with transendoscopic balloon dilation"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44382	"Ileoscopy, through stoma; with biopsy, single or multiple"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44384	"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
44384	"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	0	5
44384	"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	0	3
44384	"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
44384	"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
44384	"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	0	3
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44385	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	17	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44386	"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	25	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44388	"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44389	"Colonoscopy through stoma; with biopsy, single or multiple"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44390	Colonoscopy through stoma; with removal of foreign body	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44390	Colonoscopy through stoma; with removal of foreign body	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44390	Colonoscopy through stoma; with removal of foreign body	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44390	Colonoscopy through stoma; with removal of foreign body	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44390	Colonoscopy through stoma; with removal of foreign body	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44390	Colonoscopy through stoma; with removal of foreign body	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
44390	Colonoscopy through stoma; with removal of foreign body	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44390	Colonoscopy through stoma; with removal of foreign body	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44390	Colonoscopy through stoma; with removal of foreign body	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44390	Colonoscopy through stoma; with removal of foreign body	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
44390	Colonoscopy through stoma; with removal of foreign body	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44390	Colonoscopy through stoma; with removal of foreign body	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	35	
44390	Colonoscopy through stoma; with removal of foreign body	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44390	Colonoscopy through stoma; with removal of foreign body	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44390	Colonoscopy through stoma; with removal of foreign body	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44390	Colonoscopy through stoma; with removal of foreign body	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44390	Colonoscopy through stoma; with removal of foreign body	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44390	Colonoscopy through stoma; with removal of foreign body	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	40	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44391	"Colonoscopy through stoma; with control of bleeding, any method"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44392	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44394	"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44401	"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion (includes pre-and post-dilation and guide wire passage, when performed)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44402	"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guidewire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
44402	"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guidewire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
44402	"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guidewire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
44402	"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guidewire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44402	"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guidewire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44402	"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guidewire passage, when performed)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
44403	Colonoscopy through stoma; with endoscopic mucosal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
44403	Colonoscopy through stoma; with endoscopic mucosal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
44403	Colonoscopy through stoma; with endoscopic mucosal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
44403	Colonoscopy through stoma; with endoscopic mucosal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44403	Colonoscopy through stoma; with endoscopic mucosal resection	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44403	Colonoscopy through stoma; with endoscopic mucosal resection	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44404	"Colonoscopy through stoma; with directed submucosal injection(s), any substance"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	38	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  intra	L051A	RN	0.635	Back out MS labor	0	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
44405	Colonoscopy through stoma; with transendoscopic balloon dilation	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
44406	"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
44406	"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
44406	"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
44406	"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44406	"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44406	"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
44407	"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjace"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
44407	"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjace"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
44407	"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjace"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
44407	"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjace"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44407	"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjace"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44407	"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjace"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
44408	"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
44408	"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
44408	"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
44408	"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
44408	"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
44408	"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
44602	"Suture of small bowel for perforated ulcer, pouch, wound, injury or rupture"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
44602	"Suture of small bowel for perforated ulcer, pouch, wound, injury or rupture"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44602	"Suture of small bowel for perforated ulcer, pouch, wound, injury or rupture"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44603	"Suture of multiple small bowel ulcers, defects, wounds, injuries, or rupture"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
44603	"Suture of multiple small bowel ulcers, defects, wounds, injuries, or rupture"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44603	"Suture of multiple small bowel ulcers, defects, wounds, injuries, or rupture"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44604	"Suture of large bowel ulcer, defect, wound, injury, or rupture"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
44604	"Suture of large bowel ulcer, defect, wound, injury, or rupture"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44604	"Suture of large bowel ulcer, defect, wound, injury, or rupture"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
44605	"Suture of large bowel ulcer, defect, wound, injury, or rupture with creation of opening"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
44605	"Suture of large bowel ulcer, defect, wound, injury, or rupture with creation of opening"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44605	"Suture of large bowel ulcer, defect, wound, injury, or rupture with creation of opening"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		70
44615	Release of small bowel obstruction	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44615	Release of small bowel obstruction	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44615	Release of small bowel obstruction	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44620	Closure of large or small bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44620	Closure of large or small bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44620	Closure of large or small bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44625	Closure of large or small bowel opening with bowel removal and reattachment	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44625	Closure of large or small bowel opening with bowel removal and reattachment	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44625	Closure of large or small bowel opening with bowel removal and reattachment	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44626	Closure of large or small bowel opening with bowel removal and reattachment of large bowel and rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44626	Closure of large or small bowel opening with bowel removal and reattachment of large bowel and rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44626	Closure of large or small bowel opening with bowel removal and reattachment of large bowel and rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44640	Closure of abnormal drainage tract of small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44640	Closure of abnormal drainage tract of small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44640	Closure of abnormal drainage tract of small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44650	Closure of abnormal drainage tract within small bowel or small to large bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44650	Closure of abnormal drainage tract within small bowel or small to large bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44650	Closure of abnormal drainage tract within small bowel or small to large bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44660	Closure of abnormal drainage tract of small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44660	Closure of abnormal drainage tract of small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44660	Closure of abnormal drainage tract of small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44661	Closure of abnormal drainage tract from small bowel into urinary bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44661	Closure of abnormal drainage tract from small bowel into urinary bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44661	Closure of abnormal drainage tract from small bowel into urinary bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44680	Surgical folding of upper small bowel upon itself	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44680	Surgical folding of upper small bowel upon itself	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44680	Surgical folding of upper small bowel upon itself	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44700	Suspension of small bowel using mesh or prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44700	Suspension of small bowel using mesh or prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44700	Suspension of small bowel using mesh or prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44705	Assessment and overseeing preparation of donor fecal specimen	Pre-service	L037D	RN/LPN/MTA	0.455	Assemble equipment	1	
44705	Assessment and overseeing preparation of donor fecal specimen	Pre-service	L037D	RN/LPN/MTA	0.455	Receive and confirm sample	1	
44705	Assessment and overseeing preparation of donor fecal specimen	Service  intra	L037D	RN/LPN/MTA	0.455	Draw sample into syringe and label	3	
44705	Assessment and overseeing preparation of donor fecal specimen	Service  intra	L037D	RN/LPN/MTA	0.455	Filtering and manipulating sample	45	
44705	Assessment and overseeing preparation of donor fecal specimen	Service  intra	L037D	RN/LPN/MTA	0.455	Measuring and blending sample	5	
44705	Assessment and overseeing preparation of donor fecal specimen	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
44705	Assessment and overseeing preparation of donor fecal specimen	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
44705	Assessment and overseeing preparation of donor fecal specimen	Service  post	L037D	RN/LPN/MTA	0.455	Deliver sample to procedure site	1	
44800	Repair of congenital bowel defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44800	Repair of congenital bowel defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44800	Repair of congenital bowel defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
44820	Removal of growth from abdominal cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44820	Removal of growth from abdominal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44820	Removal of growth from abdominal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
44850	Suture of abdominal cavity tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44850	Suture of abdominal cavity tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44850	Suture of abdominal cavity tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44900	"Drainage of abscess of appendix, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
44900	"Drainage of abscess of appendix, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44900	"Drainage of abscess of appendix, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
44950	Removal of appendix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
44950	Removal of appendix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44950	Removal of appendix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
44960	Removal of ruptured infected appendix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
44960	Removal of ruptured infected appendix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44960	Removal of ruptured infected appendix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
44970	Removal of appendix using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
44970	Removal of appendix using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
44970	Removal of appendix using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
45000	Drainage of pelvic abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45000	Drainage of pelvic abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45000	Drainage of pelvic abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
45005	Drainage of rectal abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45005	Drainage of rectal abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
45005	Drainage of rectal abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	17	17
45020	Drainage of pelvic or rectal abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45020	Drainage of pelvic or rectal abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45020	Drainage of pelvic or rectal abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45100	Biopsy of rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45100	Biopsy of rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
45100	Biopsy of rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
45108	Removal of rectal muscle growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45108	Removal of rectal muscle growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
45108	Removal of rectal muscle growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
45110	"Removal of rectum with creation of large bowel opening, open abdominal and rectal procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		65
45110	"Removal of rectum with creation of large bowel opening, open abdominal and rectal procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45110	"Removal of rectum with creation of large bowel opening, open abdominal and rectal procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		150
45111	"Partial removal of rectum, open abdominal procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45111	"Partial removal of rectum, open abdominal procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45111	"Partial removal of rectum, open abdominal procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
45112	"Removal of rectum, open abdominal and rectal procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45112	"Removal of rectum, open abdominal and rectal procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45112	"Removal of rectum, open abdominal and rectal procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45113	Partial removal of rectum and attachment of small bowel to anus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45113	Partial removal of rectum and attachment of small bowel to anus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45113	Partial removal of rectum and attachment of small bowel to anus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
45114	Partial removal of rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45114	Partial removal of rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45114	Partial removal of rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
45116	Partial removal of rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45116	Partial removal of rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45116	Partial removal of rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
45119	"Removal of rectum, open abdominal and rectal procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45119	"Removal of rectum, open abdominal and rectal procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45119	"Removal of rectum, open abdominal and rectal procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
45120	Removal of congenital rectal defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45120	Removal of congenital rectal defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45120	Removal of congenital rectal defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
45121	"Removal of congenital rectal defect and large bowel with multiple biopsies, open abdominal and rectal procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45121	"Removal of congenital rectal defect and large bowel with multiple biopsies, open abdominal and rectal procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45121	"Removal of congenital rectal defect and large bowel with multiple biopsies, open abdominal and rectal procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
45123	Partial removal of rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45123	Partial removal of rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45123	Partial removal of rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
45126	"Removal of large bowel, rectum, prostate, urinary structures and/or uterus and cervix"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45126	"Removal of large bowel, rectum, prostate, urinary structures and/or uterus and cervix"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45126	"Removal of large bowel, rectum, prostate, urinary structures and/or uterus and cervix"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		159
45130	Repair of prolapsed rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45130	Repair of prolapsed rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45130	Repair of prolapsed rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45135	Repair of prolapsed rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45135	Repair of prolapsed rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45135	Repair of prolapsed rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
45136	Removal of small bowel pouch with creation of small bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45136	Removal of small bowel pouch with creation of small bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45136	Removal of small bowel pouch with creation of small bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		143
45150	Removal of scar tissue in rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45150	Removal of scar tissue in rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
45150	Removal of scar tissue in rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
45160	Removal of rectal growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45160	Removal of rectal growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45160	Removal of rectal growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
45171	Removal of rectal growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45171	Removal of rectal growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
45171	Removal of rectal growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		109
45172	Removal of rectal muscle growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45172	Removal of rectal muscle growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45172	Removal of rectal muscle growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		109
45190	Destruction of rectal growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45190	Destruction of rectal growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
45190	Destruction of rectal growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45300	Diagnostic examination of rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
45300	Diagnostic examination of rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
45300	Diagnostic examination of rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
45300	Diagnostic examination of rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
45300	Diagnostic examination of rectum and large bowel using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
45300	Diagnostic examination of rectum and large bowel using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
45300	Diagnostic examination of rectum and large bowel using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
45300	Diagnostic examination of rectum and large bowel using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
45300	Diagnostic examination of rectum and large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
45300	Diagnostic examination of rectum and large bowel using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
45300	Diagnostic examination of rectum and large bowel using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
45300	Diagnostic examination of rectum and large bowel using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	10	0
45300	Diagnostic examination of rectum and large bowel using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
45303	Dilation of rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45303	Dilation of rectum and large bowel using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
45303	Dilation of rectum and large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
45303	Dilation of rectum and large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
45305	Biopsy of rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45305	Biopsy of rectum and large bowel using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
45305	Biopsy of rectum and large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	0
45305	Biopsy of rectum and large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
45307	Foreign body removal in rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45307	Foreign body removal in rectum and large bowel using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
45307	Foreign body removal in rectum and large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
45307	Foreign body removal in rectum and large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
45308	Removal of polyp or growth of rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45308	Removal of polyp or growth of rectum and large bowel using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
45308	Removal of polyp or growth of rectum and large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
45308	Removal of polyp or growth of rectum and large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
45309	Removal of polyp or growth of rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45309	Removal of polyp or growth of rectum and large bowel using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
45309	Removal of polyp or growth of rectum and large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
45309	Removal of polyp or growth of rectum and large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
45315	Removal of multiple polyps or growths in rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45315	Removal of multiple polyps or growths in rectum and large bowel using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
45315	Removal of multiple polyps or growths in rectum and large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
45315	Removal of multiple polyps or growths in rectum and large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
45317	Control of bleeding in rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45317	Control of bleeding in rectum and large bowel using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
45317	Control of bleeding in rectum and large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
45317	Control of bleeding in rectum and large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
45320	Destruction of polyps or growths of the rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45320	Destruction of polyps or growths of the rectum and large bowel using an endoscope	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
45320	Destruction of polyps or growths of the rectum and large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	0
45320	Destruction of polyps or growths of the rectum and large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
45321	Release of twisted bowel in rectum and large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
45321	Release of twisted bowel in rectum and large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
45327	Insertion of rectal or large bowel stent using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
45327	Insertion of rectal or large bowel stent using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	2	
45330	"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	2	
45331	"Sigmoidoscopy, flexible; with biopsy, single or multiple"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45332	"Sigmoidoscopy, flexible;  with removal of foreign body"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45333	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45334	"Sigmoidoscopy, flexible; with control of bleeding, any method"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45335	"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45337	"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
45337	"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45338	"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45340	"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45341	"Sigmoidoscopy, flexible; with endoscopic ultrasound examination"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
45341	"Sigmoidoscopy, flexible; with endoscopic ultrasound examination"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
45341	"Sigmoidoscopy, flexible; with endoscopic ultrasound examination"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
45341	"Sigmoidoscopy, flexible; with endoscopic ultrasound examination"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45341	"Sigmoidoscopy, flexible; with endoscopic ultrasound examination"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45341	"Sigmoidoscopy, flexible; with endoscopic ultrasound examination"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
45342	"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
45342	"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
45342	"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
45342	"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45342	"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45342	"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45346	"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45347	"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
45347	"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
45347	"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
45347	"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45347	"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45349	"Sigmoidoscopy, flexible; with endoscopic mucosal resection"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
45349	"Sigmoidoscopy, flexible; with endoscopic mucosal resection"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
45349	"Sigmoidoscopy, flexible; with endoscopic mucosal resection"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
45349	"Sigmoidoscopy, flexible; with endoscopic mucosal resection"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45349	"Sigmoidoscopy, flexible; with endoscopic mucosal resection"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45349	"Sigmoidoscopy, flexible; with endoscopic mucosal resection"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45350	"Sigmoidoscopy, flexible;with banding (eg, hemorrhoids)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	25	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45378	"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed, (separate procedure)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45379	"Colonoscopy, flexible; with removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45379	"Colonoscopy, flexible; with removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45379	"Colonoscopy, flexible; with removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45379	"Colonoscopy, flexible; with removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45379	"Colonoscopy, flexible; with removal of foreign body"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	35	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45379	"Colonoscopy, flexible; with removal of foreign body"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45379	"Colonoscopy, flexible; with removal of foreign body"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	28	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45380	"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	28	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45381	"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	40	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45382	"Colonoscopy, flexible; with control of bleeding, any method"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	28	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45384	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	5
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
45385	"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	35	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45386	"Colonoscopy, flexible; with transendoscopic balloon dilation"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	35	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45388	"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45389	"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
45389	"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
45389	"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
45389	"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45389	"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45389	"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
45390	"Colonoscopy, flexible; with endoscopic mucosal resection"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
45390	"Colonoscopy, flexible; with endoscopic mucosal resection"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
45390	"Colonoscopy, flexible; with endoscopic mucosal resection"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
45390	"Colonoscopy, flexible; with endoscopic mucosal resection"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45390	"Colonoscopy, flexible; with endoscopic mucosal resection"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45390	"Colonoscopy, flexible; with endoscopic mucosal resection"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
45391	"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
45391	"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
45391	"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
45391	"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45391	"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45391	"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
45392	"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and a"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
45392	"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and a"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
45392	"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and a"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
45392	"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and a"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45392	"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and a"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45392	"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and a"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
45393	"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
45393	"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45395	"Removal of rectum with creation of large bowel opening through using an endoscope, abdominoperineal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45395	"Removal of rectum with creation of large bowel opening through using an endoscope, abdominoperineal approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45395	"Removal of rectum with creation of large bowel opening through using an endoscope, abdominoperineal approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		159
45397	"Removal of rectum using an endoscope, abdominoperineal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45397	"Removal of rectum using an endoscope, abdominoperineal approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45397	"Removal of rectum using an endoscope, abdominoperineal approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		159
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	5
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
45398	"Colonoscopy, flexible; with banding, (eg, hemorrhoids)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
45400	Repair of rectal prolapse using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45400	Repair of rectal prolapse using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45400	Repair of rectal prolapse using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45402	Repair of rectal prolapse with partial removal of lower large bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45402	Repair of rectal prolapse with partial removal of lower large bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45402	Repair of rectal prolapse with partial removal of lower large bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45500	Release of scar tissue and repair of rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45500	Release of scar tissue and repair of rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
45500	Release of scar tissue and repair of rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
45505	Repair of rectal prolapse	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45505	Repair of rectal prolapse	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
45505	Repair of rectal prolapse	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
45520	Injection of veins in rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45520	Injection of veins in rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	0
45520	Injection of veins in rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
45540	"Fixation of rectum to sacrum, open abdominal procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45540	"Fixation of rectum to sacrum, open abdominal procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45540	"Fixation of rectum to sacrum, open abdominal procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
45541	"Fixation of rectum to sacrum, perineal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45541	"Fixation of rectum to sacrum, perineal approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45541	"Fixation of rectum to sacrum, perineal approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45550	"Fixation of rectum to sacrum with removal of large bowel, open abdominal procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45550	"Fixation of rectum to sacrum with removal of large bowel, open abdominal procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45550	"Fixation of rectum to sacrum with removal of large bowel, open abdominal procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45560	Repair of herniated rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45560	Repair of herniated rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45560	Repair of herniated rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
45562	Repair of rectal wound	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45562	Repair of rectal wound	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45562	Repair of rectal wound	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
45563	Repair of rectal wound	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45563	Repair of rectal wound	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45563	Repair of rectal wound	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
45800	Repair of herniated rectum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45800	Repair of herniated rectum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45800	Repair of herniated rectum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45805	Repair of herniated rectum with creation of large bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45805	Repair of herniated rectum with creation of large bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45805	Repair of herniated rectum with creation of large bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45820	Repair of abnormal rectal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45820	Repair of abnormal rectal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45820	Repair of abnormal rectal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
45825	Repair of abnormal rectal drainage tract with creation of large bowel opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
45825	Repair of abnormal rectal drainage tract with creation of large bowel opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
45825	Repair of abnormal rectal drainage tract with creation of large bowel opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
45900	Repair of rectal prolapse under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
45900	Repair of rectal prolapse under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
45900	Repair of rectal prolapse under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
45905	Dilation of anal muscle under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
45905	Dilation of anal muscle under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
45905	Dilation of anal muscle under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
45910	Dilation of rectal scar tissue under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
45910	Dilation of rectal scar tissue under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
45910	Dilation of rectal scar tissue under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
45915	Removal of impacted stool or foreign body under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
45915	Removal of impacted stool or foreign body under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	6
45915	Removal of impacted stool or foreign body under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	30	30
45990	Diagnostic examination of anus and rectum under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
45990	Diagnostic examination of anus and rectum under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
46020	Insertion of drain device in anus	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
46020	Insertion of drain device in anus	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
46020	Insertion of drain device in anus	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
46020	Insertion of drain device in anus	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
46020	Insertion of drain device in anus	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
46020	Insertion of drain device in anus	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
46020	Insertion of drain device in anus	Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	0	0
46030	Removal of drain device from anus	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
46030	Removal of drain device from anus	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
46030	Removal of drain device from anus	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
46030	Removal of drain device from anus	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	3
46030	Removal of drain device from anus	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
46030	Removal of drain device from anus	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
46030	Removal of drain device from anus	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
46030	Removal of drain device from anus	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
46030	Removal of drain device from anus	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
46030	Removal of drain device from anus	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
46030	Removal of drain device from anus	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
46030	Removal of drain device from anus	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
46030	Removal of drain device from anus	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
46030	Removal of drain device from anus	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
46030	Removal of drain device from anus	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	5	0
46030	Removal of drain device from anus	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
46030	Removal of drain device from anus	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2	0
46030	Removal of drain device from anus	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
46030	Removal of drain device from anus	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
46030	Removal of drain device from anus	Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	0	0
46030	Removal of drain device from anus	Post-service	L037D	RN/LPN/MTA	0.455	Perform additional positioning of patient	8	0
46040	Drainage of rectal abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
46040	Drainage of rectal abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	6
46040	Drainage of rectal abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
46045	Drainage of rectal abscess under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46045	Drainage of rectal abscess under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
46045	Drainage of rectal abscess under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
46050	Drainage of rectal abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46050	Drainage of rectal abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	6
46050	Drainage of rectal abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
46060	Drainage of anal abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46060	Drainage of anal abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46060	Drainage of anal abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
46070	"Incision of anal tissue, infant"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46070	"Incision of anal tissue, infant"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46070	"Incision of anal tissue, infant"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
46080	Division of muscle of anus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46080	Division of muscle of anus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	70	6
46080	Division of muscle of anus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	14	14
46083	Incision of engorged external hemorrhoid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46083	Incision of engorged external hemorrhoid	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
46083	Incision of engorged external hemorrhoid	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
46200	Excision of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
46200	Excision of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	66	12
46200	Excision of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	98	98
46220	Removal of anal growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46220	Removal of anal growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
46220	Removal of anal growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
46221	Removal of hemorrhoid by rubber banding	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46221	Removal of hemorrhoid by rubber banding	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	6
46221	Removal of hemorrhoid by rubber banding	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
46230	Removal of multiple external anal growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46230	Removal of multiple external anal growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	6
46230	Removal of multiple external anal growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
46250	Removal of multiple external hemorrhoids	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46250	Removal of multiple external hemorrhoids	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	76	6
46250	Removal of multiple external hemorrhoids	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	66	66
46255	Removal of internal and external hemorrhoids	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46255	Removal of internal and external hemorrhoids	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	6
46255	Removal of internal and external hemorrhoids	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	66	66
46257	Removal of internal and external hemorrhoids with excision of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46257	Removal of internal and external hemorrhoids with excision of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46257	Removal of internal and external hemorrhoids with excision of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
46258	Removal of internal and external hemorrhoids with repair of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46258	Removal of internal and external hemorrhoids with repair of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46258	Removal of internal and external hemorrhoids with repair of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
46260	Removal of multiple internal and external hemorrhoids	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46260	Removal of multiple internal and external hemorrhoids	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46260	Removal of multiple internal and external hemorrhoids	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
46261	Removal of multiple internal and external hemorrhoids with excision of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46261	Removal of multiple internal and external hemorrhoids with excision of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46261	Removal of multiple internal and external hemorrhoids with excision of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
46262	Removal of multiple internal and external hemorrhoids with repair of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46262	Removal of multiple internal and external hemorrhoids with repair of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46262	Removal of multiple internal and external hemorrhoids with repair of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
46270	Repair of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
46270	Repair of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	6
46270	Repair of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
46275	Repair of anal muscle and abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
46275	Repair of anal muscle and abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
46275	Repair of anal muscle and abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
46280	Repair of anal muscle and abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46280	Repair of anal muscle and abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46280	Repair of anal muscle and abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
46285	Repair of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
46285	Repair of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	6
46285	Repair of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
46288	Repair of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46288	Repair of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46288	Repair of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
46320	Removal of engorged hemorrhoid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46320	Removal of engorged hemorrhoid	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	6
46320	Removal of engorged hemorrhoid	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	14	14
46500	Injection of hemorrhoids	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
46500	Injection of hemorrhoids	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
46500	Injection of hemorrhoids	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
46500	Injection of hemorrhoids	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
46500	Injection of hemorrhoids	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
46500	Injection of hemorrhoids	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
46500	Injection of hemorrhoids	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
46500	Injection of hemorrhoids	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
46500	Injection of hemorrhoids	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
46500	Injection of hemorrhoids	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
46500	Injection of hemorrhoids	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
46500	Injection of hemorrhoids	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
46500	Injection of hemorrhoids	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
46500	Injection of hemorrhoids	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	5	0
46500	Injection of hemorrhoids	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	0	0
46500	Injection of hemorrhoids	Post-service	L037D	RN/LPN/MTA	0.455	Clean scope at global postop office visit	5	5
46500	Injection of hemorrhoids	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	36	36
46500	Injection of hemorrhoids	Post-service	L037D	RN/LPN/MTA	0.455	Setup scope at global postop office visit	5	5
46505	Injection of agent to paralyze anal muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
46505	Injection of agent to paralyze anal muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	6
46505	Injection of agent to paralyze anal muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	42	42
46600	Diagnostic examination of the anus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46600	Diagnostic examination of the anus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	13	0
46600	Diagnostic examination of the anus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	5	
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	2	
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
46601	"Anoscopy; diagnostic, with high-resolution magnification"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
46604	Dilation of anus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46604	Dilation of anus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
46604	Dilation of anus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
46606	Biopsy of anus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46606	Biopsy of anus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
46606	Biopsy of anus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	5	
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	2	
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	25	
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
46607	"Anoscopy; with high-resolution magnification (hra) , with biopsy, single or multiple"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
46608	Removal of foreign body in anus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46608	Removal of foreign body in anus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	0
46608	Removal of foreign body in anus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
46610	Removal of anal polyps or growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46610	Removal of anal polyps or growths using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	0
46610	Removal of anal polyps or growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
46611	Removal of single anal polyp or growth using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46611	Removal of single anal polyp or growth using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	32	0
46611	Removal of single anal polyp or growth using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
46612	Removal of multiple anal polyps or growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46612	Removal of multiple anal polyps or growths using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
46612	Removal of multiple anal polyps or growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
46614	Control of anal bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46614	Control of anal bleeding using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
46614	Control of anal bleeding using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
46615	Destruction of anal polyps or growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46615	Destruction of anal polyps or growths using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
46615	Destruction of anal polyps or growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
46700	"Plastic repair of anal stricture, adult"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46700	"Plastic repair of anal stricture, adult"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46700	"Plastic repair of anal stricture, adult"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
46705	"Plastic repair of anal stricture, infant"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46705	"Plastic repair of anal stricture, infant"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
46705	"Plastic repair of anal stricture, infant"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
46706	Repair of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		35
46706	Repair of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46706	Repair of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
46707	Repair of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46707	Repair of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46707	Repair of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
46710	Repair of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46710	Repair of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
46710	Repair of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		105
46712	Repair of abnormal anal drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46712	Repair of abnormal anal drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
46712	Repair of abnormal anal drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		112
46715	Creation of an anal opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46715	Creation of an anal opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46715	Creation of an anal opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
46716	Reconstruction of absent anal opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46716	Reconstruction of absent anal opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46716	Reconstruction of absent anal opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		265
46730	Repair of absent anal opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46730	Repair of absent anal opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46730	Repair of absent anal opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		318
46735	Repair of absent anal opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46735	Repair of absent anal opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46735	Repair of absent anal opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		318
46740	Repair of absent anal opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46740	Repair of absent anal opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
46740	Repair of absent anal opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		318
46742	Repair of absent anal opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46742	Repair of absent anal opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46742	Repair of absent anal opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		318
46744	"Repair of defect for single channel outlet of rectum, vagina, and urinary tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46744	"Repair of defect for single channel outlet of rectum, vagina, and urinary tract"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
46744	"Repair of defect for single channel outlet of rectum, vagina, and urinary tract"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		318
46746	"Repair of defect for single channel outlet of rectum, vagina, and urinary tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46746	"Repair of defect for single channel outlet of rectum, vagina, and urinary tract"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46746	"Repair of defect for single channel outlet of rectum, vagina, and urinary tract"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		328
46748	"Repair of defect for single channel outlet of rectum, vagina, and urinary tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46748	"Repair of defect for single channel outlet of rectum, vagina, and urinary tract"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46748	"Repair of defect for single channel outlet of rectum, vagina, and urinary tract"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		328
46750	"Repair of anal muscle for incontinence or prolapse, adult"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46750	"Repair of anal muscle for incontinence or prolapse, adult"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
46750	"Repair of anal muscle for incontinence or prolapse, adult"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
46751	"Repair of anal muscle for incontinence or prolapse, child"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46751	"Repair of anal muscle for incontinence or prolapse, child"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46751	"Repair of anal muscle for incontinence or prolapse, child"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
46753	Repair of muscle of anus for incontinence and/or prolapse using wire or suture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46753	Repair of muscle of anus for incontinence and/or prolapse using wire or suture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
46753	Repair of muscle of anus for incontinence and/or prolapse using wire or suture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
46754	Removal of anal muscle wire or suture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46754	Removal of anal muscle wire or suture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
46754	Removal of anal muscle wire or suture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	99	99
46760	"Repair of anal muscle to correct incontinence, adult"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46760	"Repair of anal muscle to correct incontinence, adult"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
46760	"Repair of anal muscle to correct incontinence, adult"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		179
46761	"Repair of anal muscle to correct incontinence, adult"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46761	"Repair of anal muscle to correct incontinence, adult"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
46761	"Repair of anal muscle to correct incontinence, adult"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
46900	Chemical destruction of anal growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46900	Chemical destruction of anal growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	72	6
46900	Chemical destruction of anal growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
46910	Destruction of anal growths using electric current	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46910	Destruction of anal growths using electric current	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	6
46910	Destruction of anal growths using electric current	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
46916	Freezing destruction of anal growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46916	Freezing destruction of anal growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
46916	Freezing destruction of anal growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
46917	Laser destruction of anal growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46917	Laser destruction of anal growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	6
46917	Laser destruction of anal growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
46922	Excisional destruction of anal growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46922	Excisional destruction of anal growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	6
46922	Excisional destruction of anal growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
46924	Destruction of anal growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46924	Destruction of anal growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	80	6
46924	Destruction of anal growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
46930	Destruction of internal anal hemorrhoids	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46930	Destruction of internal anal hemorrhoids	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	39	6
46930	Destruction of internal anal hemorrhoids	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
46940	Repair of anal tear with dilation of anal muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46940	Repair of anal tear with dilation of anal muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
46940	Repair of anal tear with dilation of anal muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	14	14
46942	Repair of anal tear with dilation of anal muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
46942	Repair of anal tear with dilation of anal muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	70	6
46942	Repair of anal tear with dilation of anal muscle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	14	14
46945	"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
46945	"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
46945	"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
46945	"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
46945	"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
46945	"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
46945	"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	5
46945	"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
46945	"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	5
46946	"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
46946	"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
46946	"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
46946	"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
46946	"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
46946	"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
46946	"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	5
46946	"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	5
46946	"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
46947	Repair of prolapsing hemorrhoids	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
46947	Repair of prolapsing hemorrhoids	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
46947	Repair of prolapsing hemorrhoids	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
46948	"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
46948	"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
46948	"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
46948	"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
46948	"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
46948	"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
46948	"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	5
46948	"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
46948	"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	5
47000	"Needle biopsy of liver, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	16
47000	"Needle biopsy of liver, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
47000	"Needle biopsy of liver, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	50	0
47000	"Needle biopsy of liver, accessed through the skin"	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	3	3
47010	"Drainage of liver abscess or cyst, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47010	"Drainage of liver abscess or cyst, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47010	"Drainage of liver abscess or cyst, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47015	Injection and/or drainage of liver abscesses or cysts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47015	Injection and/or drainage of liver abscesses or cysts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47015	Injection and/or drainage of liver abscesses or cysts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47100	Partial removal of liver tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47100	Partial removal of liver tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47100	Partial removal of liver tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47120	Partial removal of liver lobe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47120	Partial removal of liver lobe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47120	Partial removal of liver lobe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		143
47122	Removal of right liver lobe with partial removal of left liver lobe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47122	Removal of right liver lobe with partial removal of left liver lobe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47122	Removal of right liver lobe with partial removal of left liver lobe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47125	Removal of left liver lobe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47125	Removal of left liver lobe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47125	Removal of left liver lobe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47130	Removal of right liver lobe	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47130	Removal of right liver lobe	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47130	Removal of right liver lobe	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47135	Transplantation of donor liver to anatomic position	Pre-service	L051A	RN	0.635	Complete pre-service diagnostic and referral forms		5
47135	Transplantation of donor liver to anatomic position	Pre-service	L051A	RN	0.635	Complex multidisciplinary coordination of care		30
47135	Transplantation of donor liver to anatomic position	Pre-service	L051A	RN	0.635	Coordinate pre-surgery services		20
47135	Transplantation of donor liver to anatomic position	Pre-service	L051A	RN	0.635	Follow-up phone calls and prescriptions		7
47135	Transplantation of donor liver to anatomic position	Pre-service	L051A	RN	0.635	Provide pre-service education/obtain consent		20
47135	Transplantation of donor liver to anatomic position	Pre-service	L051A	RN	0.635	Schedule space and equipment in facility		8
47135	Transplantation of donor liver to anatomic position	Service  post	L051A	RN	0.635	Discharge day management 99239 -- 15 minutes		15
47135	Transplantation of donor liver to anatomic position	Post-service	L051A	RN	0.635	99213    36  minutes		36
47135	Transplantation of donor liver to anatomic position	Post-service	L051A	RN	0.635	99214    53  minutes		318
47135	Transplantation of donor liver to anatomic position	Post-service	L051A	RN	0.635	99215    63  minutes		63
47140	Partial removal of donor liver left segment	Pre-service	L051A	RN	0.635	Preservice total costs		210
47140	Partial removal of donor liver left segment	Service  intra	L051A	RN	0.635	Service total costs		12
47140	Partial removal of donor liver left segment	Post-service	L051A	RN	0.635	Post service total costs		135
47141	Removal of donor liver left lobe	Pre-service	L051A	RN	0.635	Preservice total costs		210
47141	Removal of donor liver left lobe	Service  intra	L051A	RN	0.635	Service total costs		12
47141	Removal of donor liver left lobe	Post-service	L051A	RN	0.635	Post service total costs		171
47142	Removal of donor liver right lobe	Pre-service	L051A	RN	0.635	Preservice total costs		210
47142	Removal of donor liver right lobe	Service  intra	L051A	RN	0.635	Service total costs		12
47142	Removal of donor liver right lobe	Post-service	L051A	RN	0.635	Post service total costs		171
47300	Creation of tract to drain liver cyst or abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47300	Creation of tract to drain liver cyst or abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47300	Creation of tract to drain liver cyst or abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47350	Suture of liver wound to control bleeding	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47350	Suture of liver wound to control bleeding	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47350	Suture of liver wound to control bleeding	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47360	Suturing liver wound to control bleeding	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47360	Suturing liver wound to control bleeding	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47360	Suturing liver wound to control bleeding	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47361	Suture of liver wound to control bleeding	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47361	Suture of liver wound to control bleeding	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47361	Suture of liver wound to control bleeding	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47362	Re-exploration of liver wound with removal of packing	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47362	Re-exploration of liver wound with removal of packing	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47362	Re-exploration of liver wound with removal of packing	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47370	Destruction of liver growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47370	Destruction of liver growths using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47370	Destruction of liver growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47371	Freezing of liver growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47371	Freezing of liver growths using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47371	Freezing of liver growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47380	"Destruction of 1 or more growths on liver, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47380	"Destruction of 1 or more growths on liver, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47380	"Destruction of 1 or more growths on liver, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47381	"Destruction of 1 or more growths on liver, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47381	"Destruction of 1 or more growths on liver, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47381	"Destruction of 1 or more growths on liver, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47382	"Destruction of 1 or more growths in liver, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	14	23
47382	"Destruction of 1 or more growths in liver, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
47382	"Destruction of 1 or more growths in liver, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	153	0
47382	"Destruction of 1 or more growths in liver, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	6
47382	"Destruction of 1 or more growths in liver, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Pre-service	L046A	CT Technologist	0.61	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	6	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	2	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	4	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  intra	L046A	CT Technologist	0.61	Assist physician in performing procedure	90	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	23	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean RFA equipment	3	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
47383	"Ablation, 1 or more liver tumor(s), cryoablation"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes	27	27
47400	Drainage or removal of liver duct stone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47400	Drainage or removal of liver duct stone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47400	Drainage or removal of liver duct stone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47420	Drainage or removal of liver duct stone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47420	Drainage or removal of liver duct stone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47420	Drainage or removal of liver duct stone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
47425	Drainage or removal of bile duct stone with redirection of bile flow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47425	Drainage or removal of bile duct stone with redirection of bile flow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47425	Drainage or removal of bile duct stone with redirection of bile flow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
47460	Repair of bile duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47460	Repair of bile duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47460	Repair of bile duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
47480	"Drainage or removal of stones from gallbladder, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47480	"Drainage or removal of stones from gallbladder, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47480	"Drainage or removal of stones from gallbladder, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47490	Insertion of catheter (accessed through the skin) into gallbladder using imaging guidance including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47490	Insertion of catheter (accessed through the skin) into gallbladder using imaging guidance including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47490	Insertion of catheter (accessed through the skin) into gallbladder using imaging guidance including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	15	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L051A	RN	0.635	Sedate/Apply anesthesia	0	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	11	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	0	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	4	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47531	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	34	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	45	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	11	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  post	L051A	RN	0.635	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	45	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47532	"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	45	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	60	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	15	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47533	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	51	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	68	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	17	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47534	"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	34	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	45	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	11	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47535	"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	15	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	20	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	15	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	5	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47536	"Exchange of biliary drainage catheter (eg. external, internal-external, or conversion of internal/-external  to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  pre	L051A	RN	0.635	Sedate/Apply anesthesia	0	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	11	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	15	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	0	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	4	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47537	"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		5
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	40	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	53	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	13	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47538	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; existing access"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	56	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	75	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	19	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47539	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	64	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	85	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	21	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47540	"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange or removal when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	45	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	60	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	15	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
47541	"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
47542	"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each duct (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	23	
47542	"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each duct (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	30	
47542	"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each duct (List separately in addition to code for primary procedure)"	Service  intra	L051A	RN	0.635	Assist physician in performing procedure (CS)	0	
47542	"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each duct (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	7	
47543	"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, single or multiple (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	23	
47543	"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, single or multiple (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	30	
47543	"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, single or multiple (List separately in addition to code for primary procedure)"	Service  intra	L051A	RN	0.635	Assist physician in performing procedure (CS)	0	
47543	"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, single or multiple (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	7	
47544	"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	34	
47544	"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	45	
47544	"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L051A	RN	0.635	Assist physician in performing procedure (CS)	0	
47544	"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	11	
47552	"Diagnostic examination of bile ducts using an endoscope, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
47552	"Diagnostic examination of bile ducts using an endoscope, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
47554	"Removal of bile duct stones using an endoscope, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
47554	"Removal of bile duct stones using an endoscope, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
47562	Removal of gallbladder using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47562	Removal of gallbladder using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
47562	Removal of gallbladder using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
47563	Removal of gallbladder with X-ray study of bile ducts using endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47563	Removal of gallbladder with X-ray study of bile ducts using endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
47563	Removal of gallbladder with X-ray study of bile ducts using endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63.5
47564	Removal of gallbladder with exploration of common bile duct using endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47564	Removal of gallbladder with exploration of common bile duct using endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47564	Removal of gallbladder with exploration of common bile duct using endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
47570	Connection of gall bladder to bowel using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47570	Connection of gall bladder to bowel using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47570	Connection of gall bladder to bowel using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
47600	Removal of gallbladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47600	Removal of gallbladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47600	Removal of gallbladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47605	Removal of gallbladder with X-ray study of bile ducts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47605	Removal of gallbladder with X-ray study of bile ducts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47605	Removal of gallbladder with X-ray study of bile ducts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47610	Removal of gallbladder with exploration of common bile duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47610	Removal of gallbladder with exploration of common bile duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47610	Removal of gallbladder with exploration of common bile duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
47612	Removal of gallbladder and creation of bile duct drainage to bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47612	Removal of gallbladder and creation of bile duct drainage to bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47612	Removal of gallbladder and creation of bile duct drainage to bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
47620	Removal of gallbladder and creation of bile duct drainage to bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47620	Removal of gallbladder and creation of bile duct drainage to bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47620	Removal of gallbladder and creation of bile duct drainage to bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
47700	Exploration of congenital bile duct defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47700	Exploration of congenital bile duct defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47700	Exploration of congenital bile duct defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
47701	Connection of portion of upper small bowel to bile duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47701	Connection of portion of upper small bowel to bile duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47701	Connection of portion of upper small bowel to bile duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
47711	Removal of bile duct growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47711	Removal of bile duct growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47711	Removal of bile duct growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47712	Removal of bile duct growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47712	Removal of bile duct growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47712	Removal of bile duct growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47715	Removal of gallbladder cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47715	Removal of gallbladder cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47715	Removal of gallbladder cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47720	Incision of gallbladder cyst with creation of drainage tract into abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47720	Incision of gallbladder cyst with creation of drainage tract into abdomen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47720	Incision of gallbladder cyst with creation of drainage tract into abdomen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47721	Incision of gallbladder cyst with creation of drainage tract to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47721	Incision of gallbladder cyst with creation of drainage tract to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47721	Incision of gallbladder cyst with creation of drainage tract to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47740	Incision of gallbladder cyst with creation of drainage tract from bile duct in liver to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47740	Incision of gallbladder cyst with creation of drainage tract from bile duct in liver to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47740	Incision of gallbladder cyst with creation of drainage tract from bile duct in liver to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47741	Incision of gallbladder cyst with creation of drainage tract to stomach and small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47741	Incision of gallbladder cyst with creation of drainage tract to stomach and small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47741	Incision of gallbladder cyst with creation of drainage tract to stomach and small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47760	Connection of bile duct to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47760	Connection of bile duct to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47760	Connection of bile duct to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
47765	Connection of bile duct to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47765	Connection of bile duct to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47765	Connection of bile duct to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
47780	Connection of bile duct to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47780	Connection of bile duct to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47780	Connection of bile duct to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
47785	Connection of bile duct to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47785	Connection of bile duct to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47785	Connection of bile duct to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
47800	Reconstruction of bile duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47800	Reconstruction of bile duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47800	Reconstruction of bile duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47801	Insertion of stent into bile duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47801	Insertion of stent into bile duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47801	Insertion of stent into bile duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47802	Creation of drainage from liver bile duct to bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47802	Creation of drainage from liver bile duct to bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47802	Creation of drainage from liver bile duct to bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
47900	Suture of injured bile duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
47900	Suture of injured bile duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
47900	Suture of injured bile duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48000	"Insertion of external drains from gallbladder, bile duct and small bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48000	"Insertion of external drains from gallbladder, bile duct and small bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48000	"Insertion of external drains from gallbladder, bile duct and small bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48001	"Insertion of external drains from gallbladder, bile duct and small bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48001	"Insertion of external drains from gallbladder, bile duct and small bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48001	"Insertion of external drains from gallbladder, bile duct and small bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48020	Removal of pancreatic duct stones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48020	Removal of pancreatic duct stones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48020	Removal of pancreatic duct stones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48100	"Biopsy of pancreas, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48100	"Biopsy of pancreas, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48100	"Biopsy of pancreas, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
48102	"Needle biopsy of pancreas, accessed through the skin"	Service  intra	L042B	Respiratory Therapist	0.53	Service total costs	40	6
48102	"Needle biopsy of pancreas, accessed through the skin"	Service  intra	L051A	RN	0.635	Service total costs	15	0
48102	"Needle biopsy of pancreas, accessed through the skin"	Post-service	L042B	Respiratory Therapist	0.53	Post service total costs	14	14
48105	Removal of pancreatic tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48105	Removal of pancreatic tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48105	Removal of pancreatic tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
48120	Removal of growth of pancreas	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48120	Removal of growth of pancreas	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48120	Removal of growth of pancreas	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
48140	Partial removal of pancreas	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48140	Partial removal of pancreas	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48140	Partial removal of pancreas	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48145	Partial removal of pancreas with connection of pancreas to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48145	Partial removal of pancreas with connection of pancreas to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48145	Partial removal of pancreas with connection of pancreas to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48146	Partial removal of pancreas	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48146	Partial removal of pancreas	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48146	Partial removal of pancreas	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
48148	Partial removal of pancreatic and common bile ducts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48148	Partial removal of pancreatic and common bile ducts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48148	Partial removal of pancreatic and common bile ducts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48150	"Partial removal of pancreas, bile duct and small bowel with connection of pancreas to small bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48150	"Partial removal of pancreas, bile duct and small bowel with connection of pancreas to small bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48150	"Partial removal of pancreas, bile duct and small bowel with connection of pancreas to small bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
48152	"Partial removal of pancreas, bile duct and small bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48152	"Partial removal of pancreas, bile duct and small bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48152	"Partial removal of pancreas, bile duct and small bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
48153	"Partial removal of pancreas, bile duct and small bowel with connection of pancreas to small bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48153	"Partial removal of pancreas, bile duct and small bowel with connection of pancreas to small bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48153	"Partial removal of pancreas, bile duct and small bowel with connection of pancreas to small bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
48154	"Partial removal of pancreas, bile duct, and small bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48154	"Partial removal of pancreas, bile duct, and small bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48154	"Partial removal of pancreas, bile duct, and small bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
48155	Removal of pancreas	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48155	Removal of pancreas	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48155	Removal of pancreas	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
48500	Creation of drainage tract of pancreatic cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48500	Creation of drainage tract of pancreatic cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48500	Creation of drainage tract of pancreatic cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48510	"Insertion of drain from pancreatic cyst into abdominal cavity, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48510	"Insertion of drain from pancreatic cyst into abdominal cavity, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48510	"Insertion of drain from pancreatic cyst into abdominal cavity, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48520	Creation of drainage tract from pancreatic cyst to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48520	Creation of drainage tract from pancreatic cyst to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48520	Creation of drainage tract from pancreatic cyst to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
48540	Creation of drainage tract from pancreatic cyst to small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48540	Creation of drainage tract from pancreatic cyst to small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48540	Creation of drainage tract from pancreatic cyst to small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
48545	Suture of pancreatic injury	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48545	Suture of pancreatic injury	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48545	Suture of pancreatic injury	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48547	Repair of pancreatic injury	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48547	Repair of pancreatic injury	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48547	Repair of pancreatic injury	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48548	Creation of pancreatic drainage tract from pancreas and upper small bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
48548	Creation of pancreatic drainage tract from pancreas and upper small bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
48548	Creation of pancreatic drainage tract from pancreas and upper small bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
48554	Transplantation of donor pancreas	Pre-service	L051A	RN	0.635	Preservice total costs		90
48554	Transplantation of donor pancreas	Service  intra	L051A	RN	0.635	Service total costs		12
48554	Transplantation of donor pancreas	Post-service	L051A	RN	0.635	Post service total costs		492
48556	Removal of transplanted donor pancreas	Pre-service	L051A	RN	0.635	Preservice total costs		60
48556	Removal of transplanted donor pancreas	Service  intra	L051A	RN	0.635	Service total costs		12
48556	Removal of transplanted donor pancreas	Post-service	L051A	RN	0.635	Post service total costs		161
49000	Exploration of abdomen and abdominal organs	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49000	Exploration of abdomen and abdominal organs	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49000	Exploration of abdomen and abdominal organs	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
49002	Reopening of recent abdominal incision	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49002	Reopening of recent abdominal incision	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49002	Reopening of recent abdominal incision	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49010	Exploration behind abdominal cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49010	Exploration behind abdominal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49010	Exploration behind abdominal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49014	"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
49014	"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)		10
49014	"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
49020	"Drainage of abdominal abscess or infection, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49020	"Drainage of abdominal abscess or infection, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49020	"Drainage of abdominal abscess or infection, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
49040	"Drainage of abscess of muscle separating chest and abdomen (diaphragm), open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49040	"Drainage of abscess of muscle separating chest and abdomen (diaphragm), open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49040	"Drainage of abscess of muscle separating chest and abdomen (diaphragm), open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
49060	"Drainage of abscess behind abdominal cavity, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49060	"Drainage of abscess behind abdominal cavity, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49060	"Drainage of abscess behind abdominal cavity, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
49062	"Drainage of accumulated abdominal lymph fluid, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49062	"Drainage of accumulated abdominal lymph fluid, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49062	"Drainage of accumulated abdominal lymph fluid, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
49082	Drainage of fluid from abdominal cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	17
49082	Drainage of fluid from abdominal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	0
49082	Drainage of fluid from abdominal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
49083	Drainage of fluid from abdominal cavity using imaging guidance	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	0	5
49083	Drainage of fluid from abdominal cavity using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	7	12
49083	Drainage of fluid from abdominal cavity using imaging guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	40	0
49083	Drainage of fluid from abdominal cavity using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
49083	Drainage of fluid from abdominal cavity using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
49180	"Needle biopsy of abdominal cavity growth, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	50	0
49180	"Needle biopsy of abdominal cavity growth, accessed through the skin"	Service  intra	L051A	RN	0.635	Service total costs	16	0
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	23	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	30	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	0	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	7	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
49185	"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	Post-service	L041B	Radiologic Technologist	0.52	Conduct phone calls/call in prescriptions	3	
49203	"Removal or destruction of (5 centimeters or less) abdominal cavity growths, cysts, or abnormal tissue, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49203	"Removal or destruction of (5 centimeters or less) abdominal cavity growths, cysts, or abnormal tissue, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49203	"Removal or destruction of (5 centimeters or less) abdominal cavity growths, cysts, or abnormal tissue, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
49204	"Removal or destruction of (5.1 to 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open abdominal procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49204	"Removal or destruction of (5.1 to 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open abdominal procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49204	"Removal or destruction of (5.1 to 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open abdominal procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
49205	"Removal or destruction of (greater than 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49205	"Removal or destruction of (greater than 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49205	"Removal or destruction of (greater than 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
49215	Removal of pelvic or tailbone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49215	Removal of pelvic or tailbone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49215	Removal of pelvic or tailbone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
49250	Removal of navel and surrounding tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49250	Removal of navel and surrounding tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49250	Removal of navel and surrounding tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
49255	Removal of lining covering abdominal organs	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49255	Removal of lining covering abdominal organs	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49255	Removal of lining covering abdominal organs	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
49320	Diagnostic examination of the abdomen using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
49320	Diagnostic examination of the abdomen using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49320	Diagnostic examination of the abdomen using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
49321	Biopsy of abdomen using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
49321	Biopsy of abdomen using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49321	Biopsy of abdomen using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
49322	Aspiration of abdominal cavity or cyst using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
49322	Aspiration of abdominal cavity or cyst using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49322	Aspiration of abdominal cavity or cyst using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
49323	Drainage of lymph fluid to abdominal cavity using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49323	Drainage of lymph fluid to abdominal cavity using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49323	Drainage of lymph fluid to abdominal cavity using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
49324	Insertion of abdominal cavity catheter using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
49324	Insertion of abdominal cavity catheter using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49324	Insertion of abdominal cavity catheter using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
49325	Revision of abdominal cavity catheter using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
49325	Revision of abdominal cavity catheter using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49325	Revision of abdominal cavity catheter using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
49400	Injection of air or X-ray contrast material into abdominal cavity	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	23	0
49402	Removal of foreign body from abdominal cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49402	Removal of foreign body from abdominal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49402	Removal of foreign body from abdominal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49405	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	5	0
49405	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	6
49405	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	15	0
49405	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Service  intra	L046A	CT Technologist	0.61	Service total costs	79	0
49405	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
49406	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	5	0
49406	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	6
49406	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	15	0
49406	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Service  intra	L046A	CT Technologist	0.61	Service total costs	79	0
49406	"Fluid collection drainage by catheter using imaging guidance, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
49407	"Fluid collection drainage by catheter using imaging guidance, accessed throug vagina or rectum"	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	5	0
49407	"Fluid collection drainage by catheter using imaging guidance, accessed throug vagina or rectum"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	6
49407	"Fluid collection drainage by catheter using imaging guidance, accessed throug vagina or rectum"	Service  intra	L051A	RN	0.635	Back out MS labor	15	0
49407	"Fluid collection drainage by catheter using imaging guidance, accessed throug vagina or rectum"	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	88	0
49407	"Fluid collection drainage by catheter using imaging guidance, accessed throug vagina or rectum"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	0
49411	"Insertion of devices in abdominal cavity for radiation therapy guidance, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	11
49411	"Insertion of devices in abdominal cavity for radiation therapy guidance, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
49411	"Insertion of devices in abdominal cavity for radiation therapy guidance, accessed through the skin"	Service  intra	L046A	CT Technologist	0.61	Service total costs	32	0
49411	"Insertion of devices in abdominal cavity for radiation therapy guidance, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
49411	"Insertion of devices in abdominal cavity for radiation therapy guidance, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
49418	Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	5
49418	Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	5	15
49418	Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
49418	Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	96	0
49418	Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
49418	Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
49419	Insertion of abdominal cavity catheter for drug delivery beneath the skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49419	Insertion of abdominal cavity catheter for drug delivery beneath the skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49419	Insertion of abdominal cavity catheter for drug delivery beneath the skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
49421	"Insertion of abdominal cavity catheter for drainage or dialysis, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		8
49421	"Insertion of abdominal cavity catheter for drainage or dialysis, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
49422	Removal of abdominal cavity catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49422	Removal of abdominal cavity catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
49422	Removal of abdominal cavity catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
49422	Removal of abdominal cavity catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	3
49422	Removal of abdominal cavity catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
49422	Removal of abdominal cavity catheter	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
49423	Exchange of abdominal cavity drainage catheter using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	6	0
49423	Exchange of abdominal cavity drainage catheter using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	0
49423	Exchange of abdominal cavity drainage catheter using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
49424	Injection of contrast through abdominal cavity catheter for X-ray study	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	6	0
49424	Injection of contrast through abdominal cavity catheter for X-ray study	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
49424	Injection of contrast through abdominal cavity catheter for X-ray study	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
49425	Insertion of shunt from jugular vein to abdominal cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49425	Insertion of shunt from jugular vein to abdominal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49425	Insertion of shunt from jugular vein to abdominal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
49426	Revision of shunt from jugular vein to abdominal cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49426	Revision of shunt from jugular vein to abdominal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49426	Revision of shunt from jugular vein to abdominal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
49428	Closure of venous shunt abdominal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49428	Closure of venous shunt abdominal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49429	Removal of shunt from jugular vein to abdominal cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
49429	Removal of shunt from jugular vein to abdominal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49429	Removal of shunt from jugular vein to abdominal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
49436	Creation of abdominal cavity catheter exit site	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
49436	Creation of abdominal cavity catheter exit site	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
49436	Creation of abdominal cavity catheter exit site	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	10
49436	Creation of abdominal cavity catheter exit site	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49436	Creation of abdominal cavity catheter exit site	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49436	Creation of abdominal cavity catheter exit site	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
49436	Creation of abdominal cavity catheter exit site	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
49436	Creation of abdominal cavity catheter exit site	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
49436	Creation of abdominal cavity catheter exit site	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
49436	Creation of abdominal cavity catheter exit site	Service  pre	L051A	RN	0.635	Provide education/obtain consent	7	0
49436	Creation of abdominal cavity catheter exit site	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
49436	Creation of abdominal cavity catheter exit site	Service  intra	L051A	RN	0.635	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
49436	Creation of abdominal cavity catheter exit site	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
49436	Creation of abdominal cavity catheter exit site	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
49436	Creation of abdominal cavity catheter exit site	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
49436	Creation of abdominal cavity catheter exit site	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
49436	Creation of abdominal cavity catheter exit site	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
49436	Creation of abdominal cavity catheter exit site	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	27	27
49440	Insertion of stomach tube (accessed through the skin) using fluoroscopic guidance with contrast	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
49440	Insertion of stomach tube (accessed through the skin) using fluoroscopic guidance with contrast	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
49440	Insertion of stomach tube (accessed through the skin) using fluoroscopic guidance with contrast	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
49440	Insertion of stomach tube (accessed through the skin) using fluoroscopic guidance with contrast	Service  intra	L041A	Angio Technician	0.503	Service total costs	45	0
49440	Insertion of stomach tube (accessed through the skin) using fluoroscopic guidance with contrast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	19	0
49440	Insertion of stomach tube (accessed through the skin) using fluoroscopic guidance with contrast	Post-service	L051A	RN	0.635	Post service total costs	0	27
49441	Percutaneous insertion of small bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
49441	Percutaneous insertion of small bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
49441	Percutaneous insertion of small bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
49441	Percutaneous insertion of small bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Service  intra	L041A	Angio Technician	0.503	Service total costs	52	0
49441	Percutaneous insertion of small bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	19	0
49441	Percutaneous insertion of small bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Post-service	L051A	RN	0.635	Post service total costs	0	27
49442	Insertion of large bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
49442	Insertion of large bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
49442	Insertion of large bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
49442	Insertion of large bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Service  intra	L041A	Angio Technician	0.503	Service total costs	37	0
49442	Insertion of large bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	0
49442	Insertion of large bowel tube (accessed through the skin) using fluoroscopic guidance with contrast	Post-service	L051A	RN	0.635	Post service total costs	0	36
49446	"Conversion of stomach tube to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
49446	"Conversion of stomach tube to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
49446	"Conversion of stomach tube to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
49446	"Conversion of stomach tube to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Service  intra	L041A	Angio Technician	0.503	Service total costs	47	0
49446	"Conversion of stomach tube to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	0
49450	"Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
49450	"Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
49450	"Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Service  intra	L041A	Angio Technician	0.503	Service total costs	17	0
49450	"Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
49451	"Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
49451	"Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
49451	"Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Service  intra	L041A	Angio Technician	0.503	Service total costs	22	0
49451	"Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
49452	"Replacement of stomach to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
49452	"Replacement of stomach to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
49452	"Replacement of stomach to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Service  intra	L041A	Angio Technician	0.503	Service total costs	27	0
49452	"Replacement of stomach to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	0
49460	"Mechanical removal of obstructive material in stomach, large, or small bowel tube using fluoroscopic guidance with contrast"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
49460	"Mechanical removal of obstructive material in stomach, large, or small bowel tube using fluoroscopic guidance with contrast"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
49460	"Mechanical removal of obstructive material in stomach, large, or small bowel tube using fluoroscopic guidance with contrast"	Service  intra	L041A	Angio Technician	0.503	Service total costs	22	0
49460	"Mechanical removal of obstructive material in stomach, large, or small bowel tube using fluoroscopic guidance with contrast"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
49465	"Contrast injections for x-ray imaging through existing tube in stomach, small bowel or large bowel, accessed through the skin"	Pre-service	L041A	Angio Technician	0.503	Preservice total costs	6	0
49465	"Contrast injections for x-ray imaging through existing tube in stomach, small bowel or large bowel, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
49465	"Contrast injections for x-ray imaging through existing tube in stomach, small bowel or large bowel, accessed through the skin"	Service  intra	L041A	Angio Technician	0.503	Service total costs	17	0
49465	"Contrast injections for x-ray imaging through existing tube in stomach, small bowel or large bowel, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
49491	Repair of groin hernia preterm infant younger than 37 weeks gestation performed from birth to 50 weeks postconception	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49491	Repair of groin hernia preterm infant younger than 37 weeks gestation performed from birth to 50 weeks postconception	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49491	Repair of groin hernia preterm infant younger than 37 weeks gestation performed from birth to 50 weeks postconception	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
49492	Repair of trapped groin hernia preterm infant younger than 37 weeks gestation performed from birth to 50 weeks postconception	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49492	Repair of trapped groin hernia preterm infant younger than 37 weeks gestation performed from birth to 50 weeks postconception	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49492	Repair of trapped groin hernia preterm infant younger than 37 weeks gestation performed from birth to 50 weeks postconception	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
49495	Repair of groin hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at time of surgery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49495	Repair of groin hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at time of surgery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49495	Repair of groin hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at time of surgery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
49496	Repair of trapped groin hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at time of surgery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49496	Repair of trapped groin hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at time of surgery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49496	Repair of trapped groin hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at time of surgery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
49500	Repair of groin hernia patient age 6 months to younger than 5 years	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49500	Repair of groin hernia patient age 6 months to younger than 5 years	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49500	Repair of groin hernia patient age 6 months to younger than 5 years	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49501	Repair of trapped groin hernia patient age 6 months to younger than 5 years	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49501	Repair of trapped groin hernia patient age 6 months to younger than 5 years	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49501	Repair of trapped groin hernia patient age 6 months to younger than 5 years	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49505	Repair of groin hernia patient age 5 years or older	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49505	Repair of groin hernia patient age 5 years or older	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49505	Repair of groin hernia patient age 5 years or older	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49507	Repair of trapped groin hernia patient age 5 years or older	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49507	Repair of trapped groin hernia patient age 5 years or older	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49507	Repair of trapped groin hernia patient age 5 years or older	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49520	Repair of trapped groin hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49520	Repair of trapped groin hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49520	Repair of trapped groin hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49521	Repair of trapped groin hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49521	Repair of trapped groin hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49521	Repair of trapped groin hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49525	Repositioning of sliding groin hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49525	Repositioning of sliding groin hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49525	Repositioning of sliding groin hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49540	Repair of abdominal muscle herniation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49540	Repair of abdominal muscle herniation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49540	Repair of abdominal muscle herniation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49550	Repositioning of groin hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49550	Repositioning of groin hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49550	Repositioning of groin hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49553	Repositioning of trapped groin hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49553	Repositioning of trapped groin hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49553	Repositioning of trapped groin hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49555	Repositioning of groin hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49555	Repositioning of groin hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49555	Repositioning of groin hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49557	Repositioning of trapped groin hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49557	Repositioning of trapped groin hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49557	Repositioning of trapped groin hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
49600	Repair of fluid accumulation at navel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49600	Repair of fluid accumulation at navel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49600	Repair of fluid accumulation at navel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
49605	Repair of fluid accumulation or abdominal wall defect at navel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49605	Repair of fluid accumulation or abdominal wall defect at navel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49605	Repair of fluid accumulation or abdominal wall defect at navel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		159
49606	Repair of fluid accumulation or abdominal wall defect at navel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49606	Repair of fluid accumulation or abdominal wall defect at navel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49606	Repair of fluid accumulation or abdominal wall defect at navel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
49610	Repair of fluid accumulation or abdominal wall defect at navel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49610	Repair of fluid accumulation or abdominal wall defect at navel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49610	Repair of fluid accumulation or abdominal wall defect at navel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
49611	Repair of fluid accumulation or abdominal wall defect at navel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49611	Repair of fluid accumulation or abdominal wall defect at navel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49611	Repair of fluid accumulation or abdominal wall defect at navel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
49650	Repair of groin hernia using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49650	Repair of groin hernia using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49650	Repair of groin hernia using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
49651	Repositioning of recurrent groin hernia using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49651	Repositioning of recurrent groin hernia using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49651	Repositioning of recurrent groin hernia using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
49900	Suture of postsurgical abdominal wall opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49900	Suture of postsurgical abdominal wall opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
49900	Suture of postsurgical abdominal wall opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		159
49904	Harvest of abdominal cavity lining for grafting	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
49904	Harvest of abdominal cavity lining for grafting	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
49904	Harvest of abdominal cavity lining for grafting	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		153
49X01		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X01		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X01		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X01		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X01		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X01		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
49X02		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X02		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X02		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X02		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X02		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X03		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X03		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X03		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X03		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X03		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X04		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X04		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X04		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X04		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X04		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X05		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X05		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X05		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X05		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X05		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X06		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X06		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X06		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X06		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X06		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X07		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X07		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X07		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X07		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X07		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X07		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
49X08		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X08		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X08		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X08		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X08		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X09		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X09		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X09		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X09		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X09		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X10		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X10		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X10		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X10		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X10		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X11		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X11		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X11		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X11		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X11		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X12		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X12		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X12		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X12		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X12		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X13		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X13		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X13		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X13		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X13		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
49X14		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
49X14		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
49X14		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
49X14		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
49X14		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
50010	Exploration of kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50010	Exploration of kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50010	Exploration of kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50020	"Incision and drainage of kidney abscess, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50020	"Incision and drainage of kidney abscess, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50020	"Incision and drainage of kidney abscess, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
50040	Insertion of tube for kidney drainage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50040	Insertion of tube for kidney drainage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50040	Insertion of tube for kidney drainage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50045	Exploration of kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50045	Exploration of kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50045	Exploration of kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50060	Removal of kidney stone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50060	Removal of kidney stone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50060	Removal of kidney stone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50065	Removal of kidney stone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50065	Removal of kidney stone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50065	Removal of kidney stone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50070	Incision of kidney complicated by congenital abnormality	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50070	Incision of kidney complicated by congenital abnormality	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50070	Incision of kidney complicated by congenital abnormality	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50075	Removal of kidney stones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50075	Removal of kidney stones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50075	Removal of kidney stones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
50080		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
50080		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
50080		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
50080		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
50080		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
50080		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
50080		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
50081		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
50081		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
50081		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
50081		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
50081		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
50081		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
50081		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
50100	Incision or repositioning of abnormal kidney blood vessels	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50100	Incision or repositioning of abnormal kidney blood vessels	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50100	Incision or repositioning of abnormal kidney blood vessels	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50120	Exploration of kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50120	Exploration of kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
50120	Exploration of kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50125	Incision and drainage of kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50125	Incision and drainage of kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50125	Incision and drainage of kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50130	Removal of kidney stone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50130	Removal of kidney stone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50130	Removal of kidney stone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50135	Incision of kidney complicated by congenital defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50135	Incision of kidney complicated by congenital defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50135	Incision of kidney complicated by congenital defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50200	"Needle biopsy of kidney, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	14	26
50200	"Needle biopsy of kidney, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
50200	"Needle biopsy of kidney, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	51	0
50200	"Needle biopsy of kidney, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
50205	Biopsy of kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50205	Biopsy of kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50205	Biopsy of kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
50220	"Removal of kidney and partial removal of urinary duct (ureter), open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50220	"Removal of kidney and partial removal of urinary duct (ureter), open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50220	"Removal of kidney and partial removal of urinary duct (ureter), open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50225	"Removal of kidney and partial removal of urinary duct (ureter), open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50225	"Removal of kidney and partial removal of urinary duct (ureter), open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50225	"Removal of kidney and partial removal of urinary duct (ureter), open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50230	"Removal of kidney, lymph nodes, and/or blood clot from major vein (vena cava) with partial removal of urinary duct (ureter), open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50230	"Removal of kidney, lymph nodes, and/or blood clot from major vein (vena cava) with partial removal of urinary duct (ureter), open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50230	"Removal of kidney, lymph nodes, and/or blood clot from major vein (vena cava) with partial removal of urinary duct (ureter), open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
50234	Removal of kidney and urinary duct (ureter) with partial removal of bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50234	Removal of kidney and urinary duct (ureter) with partial removal of bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50234	Removal of kidney and urinary duct (ureter) with partial removal of bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50236	Removal of kidney and urinary duct (ureter) with partial removal of bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50236	Removal of kidney and urinary duct (ureter) with partial removal of bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50236	Removal of kidney and urinary duct (ureter) with partial removal of bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
50240	Partial removal of kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50240	Partial removal of kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50240	Partial removal of kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
50250	"Destruction of 1 or more growths in kidney, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50250	"Destruction of 1 or more growths in kidney, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50250	"Destruction of 1 or more growths in kidney, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
50280	Removal of kidney cysts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50280	Removal of kidney cysts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50280	Removal of kidney cysts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50290	Removal of kidney cysts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50290	Removal of kidney cysts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50290	Removal of kidney cysts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50320	"Removal of donor kidney, open procedure"	Pre-service	L051A	RN	0.635	Preservice total costs		165
50320	"Removal of donor kidney, open procedure"	Service  intra	L051A	RN	0.635	Service total costs		12
50320	"Removal of donor kidney, open procedure"	Post-service	L051A	RN	0.635	Post service total costs		135
50340	Removal of kidney from patient receiving donor kidney	Pre-service	L051A	RN	0.635	Preservice total costs		60
50340	Removal of kidney from patient receiving donor kidney	Service  intra	L051A	RN	0.635	Service total costs		12
50340	Removal of kidney from patient receiving donor kidney	Post-service	L051A	RN	0.635	Post service total costs		126
50360	Transplantation of donor kidney	Pre-service	L051A	RN	0.635	Preservice total costs		90
50360	Transplantation of donor kidney	Service  intra	L051A	RN	0.635	Service total costs		12
50360	Transplantation of donor kidney	Post-service	L051A	RN	0.635	Post service total costs		205
50365	Removal of kidney and transplantation of donor kidney	Pre-service	L051A	RN	0.635	Preservice total costs		90
50365	Removal of kidney and transplantation of donor kidney	Service  intra	L051A	RN	0.635	Service total costs		12
50365	Removal of kidney and transplantation of donor kidney	Post-service	L051A	RN	0.635	Post service total costs		324
50370	Removal of previously transplanted donor kidney	Pre-service	L051A	RN	0.635	Preservice total costs		60
50370	Removal of previously transplanted donor kidney	Service  intra	L051A	RN	0.635	Service total costs		12
50370	Removal of previously transplanted donor kidney	Post-service	L051A	RN	0.635	Post service total costs		144
50380	Removal with relocation of kidney	Pre-service	L051A	RN	0.635	Preservice total costs		60
50380	Removal with relocation of kidney	Service  intra	L051A	RN	0.635	Service total costs		12
50380	Removal with relocation of kidney	Post-service	L051A	RN	0.635	Post service total costs		324
50382	"Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	0
50382	"Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
50382	"Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
50382	"Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	56	0
50382	"Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	0
50382	"Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50384	"Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	0
50384	"Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
50384	"Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
50384	"Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	52	0
50384	"Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	0
50384	"Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50385	Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	23
50385	Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
50385	Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	79	0
50385	Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
50385	Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50386	Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	23
50386	Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
50386	Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	54	0
50386	Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
50386	Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50387	"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	0
50387	"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
50387	"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
50387	"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	22	0
50387	"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	0
50387	"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
50389	Removal of kidney drainage tube (ureter) using fluoroscopic guidance	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	0
50389	Removal of kidney drainage tube (ureter) using fluoroscopic guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
50389	Removal of kidney drainage tube (ureter) using fluoroscopic guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	8	0
50389	Removal of kidney drainage tube (ureter) using fluoroscopic guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	0
50389	Removal of kidney drainage tube (ureter) using fluoroscopic guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
50391	Instillations of drug into kidney and/or urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	0
50391	Instillations of drug into kidney and/or urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
50396	Measurement of urine flow in kidneys and urinary ducts (ureters)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50400	Reconstruction of kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50400	Reconstruction of kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50400	Reconstruction of kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50405	Reconstruction of congenital kidney defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50405	Reconstruction of congenital kidney defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50405	Reconstruction of congenital kidney defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	5
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	26	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	35	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	9	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
50430	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	5
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	11	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	15	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	0	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	4	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
50431	"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	5
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	36	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	48	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	12	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
50432	"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Post-service	L041B	Radiologic Technologist	0.52	Review examination with interpreting physician	2	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	5
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	45	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	60	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	15	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
50433	"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	5
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	34	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	45	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	11	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
50434	"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	5
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	15	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	20	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	0	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	5	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	15	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
50435	"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
50436	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed;"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
50436	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed;"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
50436	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed;"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	0	2
50436	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed;"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
50436	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed;"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
50436	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed;"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
50436	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed;"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
50437	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
50437	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
50437	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	0	2
50437	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
50437	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
50437	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
50437	"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
50500	Suture of wound or injury of kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50500	Suture of wound or injury of kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50500	Suture of wound or injury of kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50520	Closure of abnormal drainage tract from kidney to skin surface	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50520	Closure of abnormal drainage tract from kidney to skin surface	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50520	Closure of abnormal drainage tract from kidney to skin surface	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50525	Closure of abnormal drainage tract from kidney to other abdominal organ	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50525	Closure of abnormal drainage tract from kidney to other abdominal organ	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
50525	Closure of abnormal drainage tract from kidney to other abdominal organ	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
50526	Closure of abnormal drainage tract from kidney to other abdominal organ	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50526	Closure of abnormal drainage tract from kidney to other abdominal organ	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
50526	Closure of abnormal drainage tract from kidney to other abdominal organ	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
50540	Repair of abnormally shaped kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50540	Repair of abnormally shaped kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50540	Repair of abnormally shaped kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50541	Destruction of kidney cysts using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50541	Destruction of kidney cysts using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50541	Destruction of kidney cysts using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
50542	Destruction of kidney growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50542	Destruction of kidney growths using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
50542	Destruction of kidney growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
50543	Partial removal of kidney using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50543	Partial removal of kidney using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
50543	Partial removal of kidney using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		161
50544	Repair of kidney using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50544	Repair of kidney using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50544	Repair of kidney using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
50545	Removal of kidney and lymph nodes using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50545	Removal of kidney and lymph nodes using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50545	Removal of kidney and lymph nodes using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
50546	Removal of kidney and partial removal of urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50546	Removal of kidney and partial removal of urinary duct (ureter) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50546	Removal of kidney and partial removal of urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
50547	Removal of kidney from living donor using an endoscope	Pre-service	L051A	RN	0.635	Preservice total costs		165
50547	Removal of kidney from living donor using an endoscope	Service  intra	L051A	RN	0.635	Service total costs		12
50547	Removal of kidney from living donor using an endoscope	Post-service	L051A	RN	0.635	Post service total costs		72
50548	Removal of kidney and urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50548	Removal of kidney and urinary duct (ureter) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50548	Removal of kidney and urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
50551	Examination of kidney using an endoscopy which is inserted through an already created kidney opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50551	Examination of kidney using an endoscopy which is inserted through an already created kidney opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	90	0
50551	Examination of kidney using an endoscopy which is inserted through an already created kidney opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50553	Insertion of catheter into urinary duct (ureter) using an endoscopy which is inserted through an already created kidney opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50553	Insertion of catheter into urinary duct (ureter) using an endoscopy which is inserted through an already created kidney opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	102	0
50553	Insertion of catheter into urinary duct (ureter) using an endoscopy which is inserted through an already created kidney opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50555	Kidney biopsy using an endoscopy which is inserted through an already created kidney opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50555	Kidney biopsy using an endoscopy which is inserted through an already created kidney opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	102	0
50555	Kidney biopsy using an endoscopy which is inserted through an already created kidney opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50557	Destruction and/or removal of kidney growths using an endoscopy which is inserted through an already created kidney opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50557	Destruction and/or removal of kidney growths using an endoscopy which is inserted through an already created kidney opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	106	0
50557	Destruction and/or removal of kidney growths using an endoscopy which is inserted through an already created kidney opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50561	Removal of kidney foreign body or stone using an endoscopy which is inserted through an already created kidney opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50561	Removal of kidney foreign body or stone using an endoscopy which is inserted through an already created kidney opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	122	0
50561	Removal of kidney foreign body or stone using an endoscopy which is inserted through an already created kidney opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50562	Removal of kidney tumor using an endoscopy which is inserted through an already created kidney opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50562	Removal of kidney tumor using an endoscopy which is inserted through an already created kidney opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
50570	Examination of kidney using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50572	Insertion of catheter into urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50574	Kidney biopsy using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50575	Dilation and urinary duct (ureter) stent insertion using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50576	Destruction and/or removal of kidney growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50580	Removal of kidney foreign body or stone using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50590	Shock wave crushing of kidney stones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
50590	Shock wave crushing of kidney stones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	86	6
50590	Shock wave crushing of kidney stones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	102	102
50592	"Destruction of 1 or more growths in one kidney, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	14	23
50592	"Destruction of 1 or more growths in one kidney, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
50592	"Destruction of 1 or more growths in one kidney, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	57	0
50592	"Destruction of 1 or more growths in one kidney, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	6
50592	"Destruction of 1 or more growths in one kidney, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
50593	"Destruction of growths in one kidney, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	12	30
50593	"Destruction of growths in one kidney, accessed through the skin"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
50593	"Destruction of growths in one kidney, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	92	0
50593	"Destruction of growths in one kidney, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	6
50593	"Destruction of growths in one kidney, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
50600	Exploration of urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50600	Exploration of urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
50600	Exploration of urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
50605	Insertion of stent in urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50605	Insertion of stent in urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50605	Insertion of stent in urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
50606	"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	1	
50606	"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
50606	"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	34	
50606	"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	45	
50606	"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
50606	"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	11	
50606	"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50606	"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50606	"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	
50610	Removal of stone from upper urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50610	Removal of stone from upper urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50610	Removal of stone from upper urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
50620	Removal of stone from middle urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50620	Removal of stone from middle urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50620	Removal of stone from middle urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
50630	Removal of stone from lower urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50630	Removal of stone from lower urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50630	Removal of stone from lower urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
50650	Removal of urinary duct (ureter) and partial removal of bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50650	Removal of urinary duct (ureter) and partial removal of bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50650	Removal of urinary duct (ureter) and partial removal of bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50660	Removal of an extra urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50660	Removal of an extra urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50660	Removal of an extra urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50684	Injection of urinary duct (ureter) for X-ray imaging	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50684	Injection of urinary duct (ureter) for X-ray imaging	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	0
50684	Injection of urinary duct (ureter) for X-ray imaging	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
50686	Measurement of urine flow in urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50686	Measurement of urine flow in urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	0
50686	Measurement of urine flow in urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
50688	Change of tube or stent in urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50688	Change of tube or stent in urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
50688	Change of tube or stent in urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		14
50690	Injection of bladder and urinary duct (ureter) for X-ray imaging	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50690	Injection of bladder and urinary duct (ureter) for X-ray imaging	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	34	0
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	5
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education	5	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	34	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	45	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	11	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
50693	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	5
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education	5	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	46	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	62	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	16	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  post	L051A	RN	0.635	"Monitor pt. following service/check tubes, monitors, drains (not related to moderate sedation)"	45	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
50694	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	5
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education	5	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	56	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	75	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  intra	L051A	RN	0.635	Back out MS labor	45	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	19	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
50695	"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
50700	Reconstruction of urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50700	Reconstruction of urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50700	Reconstruction of urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50705	"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	1	
50705	"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
50705	"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	45	
50705	"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	60	
50705	"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
50705	"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	15	
50705	"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50705	"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50705	"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	
50706	"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	1	
50706	"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
50706	"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images (75%)	45	
50706	"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	60	
50706	"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L051A	RN	0.635	Back out MS labor	0	
50706	"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Circulator (25%)	15	
50706	"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
50706	"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
50706	"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	
50715	Release of scar tissue at urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50715	Release of scar tissue at urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50715	Release of scar tissue at urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50722	Release of abnormal veins blocking urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50722	Release of abnormal veins blocking urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50722	Release of abnormal veins blocking urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50725	Repair and repositioning of abnormally positioned duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50725	Repair and repositioning of abnormally positioned duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50725	Repair and repositioning of abnormally positioned duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50727	Revision of opening from urinary tract to skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50727	Revision of opening from urinary tract to skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50727	Revision of opening from urinary tract to skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50728	Revision of opening from urinary tract to skin with repair of hernia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50728	Revision of opening from urinary tract to skin with repair of hernia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50728	Revision of opening from urinary tract to skin with repair of hernia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50740	Connection of urinary duct (ureter) to kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50740	Connection of urinary duct (ureter) to kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50740	Connection of urinary duct (ureter) to kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50750	Connection of urinary duct (ureter) to kidney	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50750	Connection of urinary duct (ureter) to kidney	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50750	Connection of urinary duct (ureter) to kidney	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50760	Removal and reconnection of diseased or injured portion of urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50760	Removal and reconnection of diseased or injured portion of urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50760	Removal and reconnection of diseased or injured portion of urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50770	Partial removal of urinary duct (ureter) with connection to opposite urinary duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50770	Partial removal of urinary duct (ureter) with connection to opposite urinary duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50770	Partial removal of urinary duct (ureter) with connection to opposite urinary duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50780	Connection to bladder of lower portion of urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50780	Connection to bladder of lower portion of urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50780	Connection to bladder of lower portion of urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50782	Connection of extra urinary duct (ureter) to bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50782	Connection of extra urinary duct (ureter) to bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50782	Connection of extra urinary duct (ureter) to bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50783	Connection of lower portion of urinary duct (ureter) to bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50783	Connection of lower portion of urinary duct (ureter) to bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50783	Connection of lower portion of urinary duct (ureter) to bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50785	Repair of urinary duct (ureter) with creation of bladder and muscle flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50785	Repair of urinary duct (ureter) with creation of bladder and muscle flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50785	Repair of urinary duct (ureter) with creation of bladder and muscle flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50800	Connection of urinary duct (ureter) to bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50800	Connection of urinary duct (ureter) to bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50800	Connection of urinary duct (ureter) to bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
50810	Connection of urinary duct (ureter) to large bowel with creation of opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50810	Connection of urinary duct (ureter) to large bowel with creation of opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50810	Connection of urinary duct (ureter) to large bowel with creation of opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
50815	Connection of urinary duct (ureter) to large bowel with creation of opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50815	Connection of urinary duct (ureter) to large bowel with creation of opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50815	Connection of urinary duct (ureter) to large bowel with creation of opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
50820	Connection of urinary duct (ureter) to small bowel with creation of opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50820	Connection of urinary duct (ureter) to small bowel with creation of opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50820	Connection of urinary duct (ureter) to small bowel with creation of opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
50825	Connection of urinary duct (ureter) to large and/or small bowel with creation of opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50825	Connection of urinary duct (ureter) to large and/or small bowel with creation of opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50825	Connection of urinary duct (ureter) to large and/or small bowel with creation of opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
50830	Repair to restore urine flow in urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50830	Repair to restore urine flow in urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50830	Repair to restore urine flow in urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
50840	Replacement of urinary duct (ureter) using bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50840	Replacement of urinary duct (ureter) using bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50840	Replacement of urinary duct (ureter) using bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
50845	Connection of the bladder to pouch at junction of small and large bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50845	Connection of the bladder to pouch at junction of small and large bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50845	Connection of the bladder to pouch at junction of small and large bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
50860	Connection of urinary duct (ureter) to skin surface	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50860	Connection of urinary duct (ureter) to skin surface	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50860	Connection of urinary duct (ureter) to skin surface	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50900	Suture repair of urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50900	Suture repair of urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50900	Suture repair of urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50920	Closure of abnormal drainage tract from urinary duct (ureter) to skin surface	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50920	Closure of abnormal drainage tract from urinary duct (ureter) to skin surface	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50920	Closure of abnormal drainage tract from urinary duct (ureter) to skin surface	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50930	Closure of abnormal drainage tract from urinary duct (ureter) to an abdominal organ	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50930	Closure of abnormal drainage tract from urinary duct (ureter) to an abdominal organ	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50930	Closure of abnormal drainage tract from urinary duct (ureter) to an abdominal organ	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50940	Removal of previously-placed suture or wire in urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50940	Removal of previously-placed suture or wire in urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50940	Removal of previously-placed suture or wire in urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50945	Removal of stone from urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50945	Removal of stone from urinary duct (ureter) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50945	Removal of stone from urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
50947	Repositioning of urinary duct (ureter) and insertion of stent using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50947	Repositioning of urinary duct (ureter) and insertion of stent using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50947	Repositioning of urinary duct (ureter) and insertion of stent using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
50948	Repositioning of urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
50948	Repositioning of urinary duct (ureter) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
50948	Repositioning of urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
50951	Examination of kidney and urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50951	Examination of kidney and urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	93	0
50951	Examination of kidney and urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50953	Insertion of catheter into urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50953	Insertion of catheter into urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	98	0
50953	Insertion of catheter into urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50955	Biopsy of kidney or urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50955	Biopsy of kidney or urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	100	0
50955	Biopsy of kidney or urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50957	Destruction and/or removal of kidney or urinary duct (ureter) growths using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50957	Destruction and/or removal of kidney or urinary duct (ureter) growths using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	104	0
50957	Destruction and/or removal of kidney or urinary duct (ureter) growths using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50961	Removal of foreign body or stone from kidney or urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
50961	Removal of foreign body or stone from kidney or urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	94	0
50961	Removal of foreign body or stone from kidney or urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
50970	Examination of kidney and urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50972	Insertion of catheter into urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50974	Biopsy of kidney or urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50976	Destruction and/or removal of kidney or urinary duct (ureter) growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
50980	Removal of foreign body or stone from kidney or urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
51020	Incision of bladder with destruction of growths and/or insertion of radioactive material	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51020	Incision of bladder with destruction of growths and/or insertion of radioactive material	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51020	Incision of bladder with destruction of growths and/or insertion of radioactive material	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51030	Incision of bladder with destruction of bladder growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51030	Incision of bladder with destruction of bladder growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
51030	Incision of bladder with destruction of bladder growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51040	Incision of bladder with drainage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51040	Incision of bladder with drainage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51040	Incision of bladder with drainage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
51045	Incision of bladder with insertion of catheter or stent in urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51045	Incision of bladder with insertion of catheter or stent in urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51045	Incision of bladder with insertion of catheter or stent in urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51050	Incision of bladder with removal of bladder stone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51050	Incision of bladder with removal of bladder stone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51050	Incision of bladder with removal of bladder stone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
51060	Incision of bladder with removal of stone in urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51060	Incision of bladder with removal of stone in urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51060	Incision of bladder with removal of stone in urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51065	Incision of bladder with basket removal and/or ultrasonic crushing of stones in urinary duct (ureter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51065	Incision of bladder with basket removal and/or ultrasonic crushing of stones in urinary duct (ureter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
51065	Incision of bladder with basket removal and/or ultrasonic crushing of stones in urinary duct (ureter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51080	Incision and drainage of bladder abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51080	Incision and drainage of bladder abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51080	Incision and drainage of bladder abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
51100	Needle aspiration of bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
51100	Needle aspiration of bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
51101	Aspiration of bladder using catheter or trocar	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	25	0
51101	Aspiration of bladder using catheter or trocar	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
51102	Aspiration of bladder with insertion of bladder tube to skin surface	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	4
51102	Aspiration of bladder with insertion of bladder tube to skin surface	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	0
51500	Repair of congenital bladder defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51500	Repair of congenital bladder defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51500	Repair of congenital bladder defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51520	Removal of bladder neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51520	Removal of bladder neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51520	Removal of bladder neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51525	Repair of ruptured bowel into bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51525	Repair of ruptured bowel into bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51525	Repair of ruptured bowel into bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51530	Removal of bladder growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51530	Removal of bladder growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51530	Removal of bladder growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51535	"Incision, removal, or repair of abnormal drainage tract from bladder into bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51535	"Incision, removal, or repair of abnormal drainage tract from bladder into bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51535	"Incision, removal, or repair of abnormal drainage tract from bladder into bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51550	Partial removal of bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51550	Partial removal of bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51550	Partial removal of bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51555	Partial removal of bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51555	Partial removal of bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51555	Partial removal of bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
51565	Partial removal of bladder with reimplantation of urinary ducts (ureters)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51565	Partial removal of bladder with reimplantation of urinary ducts (ureters)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51565	Partial removal of bladder with reimplantation of urinary ducts (ureters)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
51570	Removal of bladder	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51570	Removal of bladder	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51570	Removal of bladder	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
51575	Removal of bladder and lymph nodes on both sides of pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51575	Removal of bladder and lymph nodes on both sides of pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51575	Removal of bladder and lymph nodes on both sides of pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
51580	Removal of bladder with transplantation of urinary ducts (ureters)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51580	Removal of bladder with transplantation of urinary ducts (ureters)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51580	Removal of bladder with transplantation of urinary ducts (ureters)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
51585	Removal of bladder and lymph nodes on both sides of pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51585	Removal of bladder and lymph nodes on both sides of pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51585	Removal of bladder and lymph nodes on both sides of pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
51590	Removal of bladder with transplantation of urinary ducts (ureters) to small or large bowel with creation of urinary opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51590	Removal of bladder with transplantation of urinary ducts (ureters) to small or large bowel with creation of urinary opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51590	Removal of bladder with transplantation of urinary ducts (ureters) to small or large bowel with creation of urinary opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
51595	Removal of bladder and lymph nodes on both sides of pelvis with transplantation of urinary ducts (ureters) to small or large bowel with creation of urinary opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51595	Removal of bladder and lymph nodes on both sides of pelvis with transplantation of urinary ducts (ureters) to small or large bowel with creation of urinary opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51595	Removal of bladder and lymph nodes on both sides of pelvis with transplantation of urinary ducts (ureters) to small or large bowel with creation of urinary opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
51596	"Removal of bladder and lymph nodes on both sides of pelvis with transplantation of urinary ducts (ureters) to small and/or large bowel with creation of urinary opening, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51596	"Removal of bladder and lymph nodes on both sides of pelvis with transplantation of urinary ducts (ureters) to small and/or large bowel with creation of urinary opening, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51596	"Removal of bladder and lymph nodes on both sides of pelvis with transplantation of urinary ducts (ureters) to small and/or large bowel with creation of urinary opening, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
51597	"Removal of bladder, urinary ducts (ureters)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51597	"Removal of bladder, urinary ducts (ureters)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51597	"Removal of bladder, urinary ducts (ureters)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
51600	Injection procedure for X-ray imaging of the bladder or during voiding	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	0
51600	Injection procedure for X-ray imaging of the bladder or during voiding	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	0
51605	Injection procedure for X-ray imaging of the bladder and bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
51610	Injection procedure through the bladder and bladder canal (urethra) for X-ray imaging	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	5	25
51610	Injection procedure through the bladder and bladder canal (urethra) for X-ray imaging	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	0
51610	Injection procedure through the bladder and bladder canal (urethra) for X-ray imaging	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
51700	Bladder irrigation and/or instillation	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	
51700	Bladder irrigation and/or instillation	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	4	
51700	Bladder irrigation and/or instillation	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
51700	Bladder irrigation and/or instillation	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
51700	Bladder irrigation and/or instillation	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient/ monitor patient/ set up IV	2	
51700	Bladder irrigation and/or instillation	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
51700	Bladder irrigation and/or instillation	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	5	
51700	Bladder irrigation and/or instillation	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
51700	Bladder irrigation and/or instillation	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
51700	Bladder irrigation and/or instillation	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
51700	Bladder irrigation and/or instillation	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. (no multitasking)	5	
51701	Insertion of temporary bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient/ monitor patient/ set up IV	2	
51701	Insertion of temporary bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
51701	Insertion of temporary bladder catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	5	
51701	Insertion of temporary bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
51701	Insertion of temporary bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
51701	Insertion of temporary bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
51701	Insertion of temporary bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. (no multitasking)	3	
51702	Insertion of indwelling bladder catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		1
51702	Insertion of indwelling bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, ensure appropriate medical records are available"	3	
51702	Insertion of indwelling bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
51702	Insertion of indwelling bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient/ monitor patient/ set up IV	2	
51702	Insertion of indwelling bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
51702	Insertion of indwelling bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
51702	Insertion of indwelling bladder catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	5	
51702	Insertion of indwelling bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
51702	Insertion of indwelling bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
51702	Insertion of indwelling bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
51702	Insertion of indwelling bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. (no multitasking)	5	
51703	Insertion of indwelling bladder catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
51703	Insertion of indwelling bladder catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		2
51703	Insertion of indwelling bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
51703	Insertion of indwelling bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
51703	Insertion of indwelling bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient/ monitor patient/ set up IV	2	
51703	Insertion of indwelling bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
51703	Insertion of indwelling bladder catheter	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
51703	Insertion of indwelling bladder catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
51703	Insertion of indwelling bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
51703	Insertion of indwelling bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
51703	Insertion of indwelling bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
51703	Insertion of indwelling bladder catheter	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. (no multitasking)	5	
51703	Insertion of indwelling bladder catheter	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
51705	Removal of skin suture with change of bladder tube	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	10	10
51705	Removal of skin suture with change of bladder tube	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
51710	Removal of suture around skin surface tube with change of bladder tube	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	14	23
51710	Removal of suture around skin surface tube with change of bladder tube	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	6
51715	Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	22
51715	Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	0
51715	Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
51720	"Bladder instillation of cancer preventive, inhibiting, or suppressive agent"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	
51720	"Bladder instillation of cancer preventive, inhibiting, or suppressive agent"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
51720	"Bladder instillation of cancer preventive, inhibiting, or suppressive agent"	Service  pre	L037D	RN/LPN/MTA	0.455	"Mixing BCG. Turn on, cleaning prepare BCG"	18	
51720	"Bladder instillation of cancer preventive, inhibiting, or suppressive agent"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
51720	"Bladder instillation of cancer preventive, inhibiting, or suppressive agent"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient/ monitor patient/ set up IV	2	
51720	"Bladder instillation of cancer preventive, inhibiting, or suppressive agent"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
51720	"Bladder instillation of cancer preventive, inhibiting, or suppressive agent"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	5	
51720	"Bladder instillation of cancer preventive, inhibiting, or suppressive agent"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
51720	"Bladder instillation of cancer preventive, inhibiting, or suppressive agent"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
51720	"Bladder instillation of cancer preventive, inhibiting, or suppressive agent"	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. (no multitasking)	5	
51725	Insertion of device into bladder to measure pressure of urine flow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	
51726	Insertion of electronic device into bladder with measurement of urine flow pressure	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	87	
51727	Insertion of electronic device into bladder with bladder canal (urethra) pressure studies	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	92	
51728	Insertion of electronic device into bladder with voiding pressure studies	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	92	
51729	Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	97	
51736	Timed assessment of bladder emptying	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	9	
51741	Electronic assessment of bladder emptying	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	9	
51784	Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
51784	Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
51784	Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
51784	Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
51785	Needle measurement and recording of electrical activity of muscles at bladder and bowel openings	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	27	
51785	Needle measurement and recording of electrical activity of muscles at bladder and bowel openings	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	75	
51792	Assessment of muscle signal of pelvic nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	19	
51792	Assessment of muscle signal of pelvic nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	93	
51797	Insertion of device into the abdomen with measurement of pressure and urine flow rate	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	12	
51798	Ultrasound measurement of bladder capacity after voiding	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
51798	Ultrasound measurement of bladder capacity after voiding	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
51798	Ultrasound measurement of bladder capacity after voiding	Service  intra	L037D	RN/LPN/MTA	0.455	Clinical staff performs procedure	10	
51798	Ultrasound measurement of bladder capacity after voiding	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
51800	Repair of bladder and/or bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51800	Repair of bladder and/or bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51800	Repair of bladder and/or bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
51820	"Repair of bladder, bladder canal (urethra) and urinary duct (ureter)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51820	"Repair of bladder, bladder canal (urethra) and urinary duct (ureter)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51820	"Repair of bladder, bladder canal (urethra) and urinary duct (ureter)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
51840	Suture of bladder neck to vaginal wall and pubic bone with bladder canal suspension	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51840	Suture of bladder neck to vaginal wall and pubic bone with bladder canal suspension	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51840	Suture of bladder neck to vaginal wall and pubic bone with bladder canal suspension	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
51841	Resuture of bladder neck to vaginal wall and pubic bone with bladder canal suspension	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51841	Resuture of bladder neck to vaginal wall and pubic bone with bladder canal suspension	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51841	Resuture of bladder neck to vaginal wall and pubic bone with bladder canal suspension	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
51845	Repair of female bladder neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51845	Repair of female bladder neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51845	Repair of female bladder neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
51860	"Suture of wound, injury, or rupture of the bladder"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51860	"Suture of wound, injury, or rupture of the bladder"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51860	"Suture of wound, injury, or rupture of the bladder"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
51865	"Suture of wound, injury, or rupture of bladder"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51865	"Suture of wound, injury, or rupture of bladder"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51865	"Suture of wound, injury, or rupture of bladder"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
51880	Closure of skin surface bladder tube site	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51880	Closure of skin surface bladder tube site	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51880	Closure of skin surface bladder tube site	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
51900	Repair of abnormal drainage tract from bladder into the vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51900	Repair of abnormal drainage tract from bladder into the vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51900	Repair of abnormal drainage tract from bladder into the vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
51920	Repair of abnormal drainage tract from bladder into the vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51920	Repair of abnormal drainage tract from bladder into the vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51920	Repair of abnormal drainage tract from bladder into the vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
51925	Repair of abnormal drainage tract from bladder into the vagina and removal of the uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51925	Repair of abnormal drainage tract from bladder into the vagina and removal of the uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
51925	Repair of abnormal drainage tract from bladder into the vagina and removal of the uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
51940	Repair of congenital bladder wall defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51940	Repair of congenital bladder wall defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51940	Repair of congenital bladder wall defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
51960	Enlargement of the bladder using a portion of bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51960	Enlargement of the bladder using a portion of bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51960	Enlargement of the bladder using a portion of bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
51980	Creation of a drainage tract from the bladder to the skin surface	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51980	Creation of a drainage tract from the bladder to the skin surface	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51980	Creation of a drainage tract from the bladder to the skin surface	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
51990	Suture suspension of bladder canal (urethra) to control leakage using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51990	Suture suspension of bladder canal (urethra) to control leakage using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51990	Suture suspension of bladder canal (urethra) to control leakage using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
51992	Creation of sling around bladder canal (urethra) to control leakage using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
51992	Creation of sling around bladder canal (urethra) to control leakage using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
51992	Creation of sling around bladder canal (urethra) to control leakage using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
52000	Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
52000	Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
52000	Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
52000	Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
52000	Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
52000	Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
52000	Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
52000	Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
52000	Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
52000	Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	
52001	Irrigation and removal of multiple blood clots from bladder and bladder canal (urethra) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
52001	Irrigation and removal of multiple blood clots from bladder and bladder canal (urethra) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
52001	Irrigation and removal of multiple blood clots from bladder and bladder canal (urethra) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
52005	Insertion of catheter into urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
52005	Insertion of catheter into urinary duct (ureter) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	0
52005	Insertion of catheter into urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
52007	Insertion of catheter into urinary duct (ureter) and biopsy of urinary duct and/or renal pelvis using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
52007	Insertion of catheter into urinary duct (ureter) and biopsy of urinary duct and/or renal pelvis using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	0
52007	Insertion of catheter into urinary duct (ureter) and biopsy of urinary duct and/or renal pelvis using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
52010	Insertion of catheter into sperm duct using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
52010	Insertion of catheter into sperm duct using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	68	0
52010	Insertion of catheter into sperm duct using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
52204	Biopsy of the bladder using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	24
52204	Biopsy of the bladder using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	0
52204	Biopsy of the bladder using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
52214	"Destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	97	0
52214	"Destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
52224	Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	99	0
52224	Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
52234	Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52234	Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52235	Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52235	Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52240	Destruction and/or removal of large growths of the bladder using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52240	Destruction and/or removal of large growths of the bladder using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52250	Insertion of radioactive substance of the bladder and bladder canal (urethra) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52250	Insertion of radioactive substance of the bladder and bladder canal (urethra) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52260	Dilation of the bladder using an endoscope under general or spinal anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		28
52260	Dilation of the bladder using an endoscope under general or spinal anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52265	Dilation of the bladder including local anesthetic using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	28
52265	Dilation of the bladder including local anesthetic using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
52265	Dilation of the bladder including local anesthetic using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
52270	"Incision of the bladder canal (urethra) using an endoscope, female"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	28
52270	"Incision of the bladder canal (urethra) using an endoscope, female"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	0
52270	"Incision of the bladder canal (urethra) using an endoscope, female"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
52275	"Incision of the bladder canal (urethra) using an endoscope, male"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	28
52275	"Incision of the bladder canal (urethra) using an endoscope, male"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	0
52275	"Incision of the bladder canal (urethra) using an endoscope, male"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
52276	Incision of the bladder canal (urethra) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52276	Incision of the bladder canal (urethra) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52277	Removal of muscles at urinary opening using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52277	Removal of muscles at urinary opening using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52281	Dilation of bladder canal (urethra) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
52281	Dilation of bladder canal (urethra) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	0
52281	Dilation of bladder canal (urethra) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
52282	Insertion of a permanent bladder canal (urethra) stent using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52282	Insertion of a permanent bladder canal (urethra) stent using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52283	Steroid injection into bladder canal (urethra) stricture using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
52283	Steroid injection into bladder canal (urethra) stricture using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	0
52283	Steroid injection into bladder canal (urethra) stricture using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
52285	Examination of bladder and bladder canal (urethra) for treatment of female urethral syndrome using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
52285	Examination of bladder and bladder canal (urethra) for treatment of female urethral syndrome using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	73	0
52285	Examination of bladder and bladder canal (urethra) for treatment of female urethral syndrome using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
52287	Examination with injections of chemical for destruction of bladder using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	15
52287	Examination with injections of chemical for destruction of bladder using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	0
52287	Examination with injections of chemical for destruction of bladder using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
52290	Incision of urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52290	Incision of urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52300	Removal or destruction of abnormal pouches of urinary duct (ureter) at bladder using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52300	Removal or destruction of abnormal pouches of urinary duct (ureter) at bladder using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52301	Removal or destruction of abnormal pouches of urinary duct (ureter) at bladder using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52301	Removal or destruction of abnormal pouches of urinary duct (ureter) at bladder using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52305	Removal of bladder pouches using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		26
52305	Removal of bladder pouches using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52310	"Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	21
52310	"Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	0
52310	"Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
52315	"Complicated removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	28
52315	"Complicated removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	91	0
52315	"Complicated removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
52317	"Crushing, fragmenting, and removal of (less than 2.5 centimeters) bladder stone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	21
52317	"Crushing, fragmenting, and removal of (less than 2.5 centimeters) bladder stone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	94	0
52317	"Crushing, fragmenting, and removal of (less than 2.5 centimeters) bladder stone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
52318	"Crushing, fragmenting, and removal of bladder stones, complicated or larger than 2.5 centimeters"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		23
52318	"Crushing, fragmenting, and removal of bladder stones, complicated or larger than 2.5 centimeters"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52320	Removal of stone in urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		23
52320	Removal of stone in urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52325	Fragmenting of stone in urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		24
52325	Fragmenting of stone in urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52330	Manipulation of stone in urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	23
52330	Manipulation of stone in urinary duct (ureter) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	81	0
52330	Manipulation of stone in urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
52332	Insertion of stent in urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
52332	Insertion of stent in urinary duct (ureter) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	0
52332	Insertion of stent in urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
52334	Insertion of guide wire through kidney into urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
52334	Insertion of guide wire through kidney into urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
52334	Insertion of guide wire through kidney into urinary duct (ureter) using an endoscope	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	0	0
52334	Insertion of guide wire through kidney into urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
52334	Insertion of guide wire through kidney into urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
52334	Insertion of guide wire through kidney into urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
52334	Insertion of guide wire through kidney into urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
52341	Treatment of stricture in urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52341	Treatment of stricture in urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52342	Treatment of stricture at junction of kidney and urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52342	Treatment of stricture at junction of kidney and urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52343	Treatment of kidney stricture using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52343	Treatment of kidney stricture using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52344	Treatment of stricture in urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52344	Treatment of stricture in urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52345	Treatment of kidney stricture using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52345	Treatment of kidney stricture using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52346	Treatment of kidney stricture using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52346	Treatment of kidney stricture using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52351	"Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52351	"Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52352	Removal or manipulation of stone in urinary duct (ureter) or kidney using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52352	Removal or manipulation of stone in urinary duct (ureter) or kidney using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52353	Crushing of stone in urinary duct (ureter) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52353	Crushing of stone in urinary duct (ureter) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52354	Biopsy and/or destruction of growth of urinary duct (ureter) or kidney using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52354	Biopsy and/or destruction of growth of urinary duct (ureter) or kidney using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52355	Removal of tumor urinary duct (ureter) or kidney using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52355	Removal of tumor urinary duct (ureter) or kidney using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		6
52356	Crushing of stone in urinary duct (ureter) with stent using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
52356	Crushing of stone in urinary duct (ureter) with stent using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
52400	"Incision, destruction, or removal of congenital bladder and bladder canal (urethra) defects using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
52400	"Incision, destruction, or removal of congenital bladder and bladder canal (urethra) defects using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
52400	"Incision, destruction, or removal of congenital bladder and bladder canal (urethra) defects using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
52402	"Incision or removal of ejaculatory ducts using an endoscope, male"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		4
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	5	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	25	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2.5	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	5	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
52441	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
52442	"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
52450	Incision of prostate through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
52450	Incision of prostate through bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
52450	Incision of prostate through bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
52500	Removal of bladder neck through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
52500	Removal of bladder neck through bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
52500	Removal of bladder neck through bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
52601	Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
52601	Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
52601	Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
52601	Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
52601	Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
52601	Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
52601	Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
52630	Removal of remaining or regrown prostate tissue with control of bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
52630	Removal of remaining or regrown prostate tissue with control of bleeding using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
52630	Removal of remaining or regrown prostate tissue with control of bleeding using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
52640	Removal of postsurgical bladder neck contracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
52640	Removal of postsurgical bladder neck contracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
52640	Removal of postsurgical bladder neck contracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
52647	Laser destruction of prostate including control of bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
52647	Laser destruction of prostate including control of bleeding using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	136	6
52647	Laser destruction of prostate including control of bleeding using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
52648	Laser vaporization of prostate including control of bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
52648	Laser vaporization of prostate including control of bleeding using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	146	6
52648	Laser vaporization of prostate including control of bleeding using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
52649	Laser fragmentation of prostate tissue with control of bleeding using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
52649	Laser fragmentation of prostate tissue with control of bleeding using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
52649	Laser fragmentation of prostate tissue with control of bleeding using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
52700	Drainage of prostate abscess through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
52700	Drainage of prostate abscess through bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
52700	Drainage of prostate abscess through bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
53000	Incision or repair of extra bladder canal (urethra) tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		23
53000	Incision or repair of extra bladder canal (urethra) tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53000	Incision or repair of extra bladder canal (urethra) tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
53010	Incision or repair of abnormal bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53010	Incision or repair of abnormal bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53010	Incision or repair of abnormal bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
53020	Incision of external urinary opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
53025	"Incision of external urinary opening, infant"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		25
53025	"Incision of external urinary opening, infant"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
53040	Drainage of abscess around bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53040	Drainage of abscess around bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53040	Drainage of abscess around bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
53060	"Drainage of abscess or cyst of Skene's glands, male"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	19
53060	"Drainage of abscess or cyst of Skene's glands, male"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	39	12
53060	"Drainage of abscess or cyst of Skene's glands, male"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
53080	Drainage of abnormal urine collection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53080	Drainage of abnormal urine collection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53080	Drainage of abnormal urine collection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
53085	Drainage of abnormal urine collection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53085	Drainage of abnormal urine collection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53085	Drainage of abnormal urine collection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53200	Biopsy of bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	21
53200	Biopsy of bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	0
53200	Biopsy of bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
53210	"Removal of bladder and bladder canal (urethra), female"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53210	"Removal of bladder and bladder canal (urethra), female"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53210	"Removal of bladder and bladder canal (urethra), female"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53215	"Removal of bladder and bladder canal (urethra), male"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53215	"Removal of bladder and bladder canal (urethra), male"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53215	"Removal of bladder and bladder canal (urethra), male"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53220	Removal or destruction of bladder canal (urethra) malignancy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53220	Removal or destruction of bladder canal (urethra) malignancy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53220	Removal or destruction of bladder canal (urethra) malignancy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
53230	Removal of pouch of female bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53230	Removal of pouch of female bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53230	Removal of pouch of female bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53235	Removal of pouch of male bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53235	Removal of pouch of male bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53235	Removal of pouch of male bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53240	Creation of drainage tract from pouch of bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53240	Creation of drainage tract from pouch of bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53240	Creation of drainage tract from pouch of bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
53250	Removal of seminal fluid gland	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53250	Removal of seminal fluid gland	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53250	Removal of seminal fluid gland	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
53260	Removal or destruction of bladder canal (urethra) polyps	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	25
53260	Removal or destruction of bladder canal (urethra) polyps	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	6
53260	Removal or destruction of bladder canal (urethra) polyps	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
53265	Removal or destruction of growth of bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	25
53265	Removal or destruction of growth of bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	6
53265	Removal or destruction of growth of bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
53270	Removal or destruction of bladder canal (urethra) mucous glands	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	25
53270	Removal or destruction of bladder canal (urethra) mucous glands	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	6
53270	Removal or destruction of bladder canal (urethra) mucous glands	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
53275	Removal or destruction of prolapsed bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		25
53275	Removal or destruction of prolapsed bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53275	Removal or destruction of prolapsed bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
53400	"Repair of bladder canal (urethra) for abnormal drainage tract, pouching, or narrowing"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53400	"Repair of bladder canal (urethra) for abnormal drainage tract, pouching, or narrowing"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53400	"Repair of bladder canal (urethra) for abnormal drainage tract, pouching, or narrowing"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
53405	Repair of bladder canal (urethra) with formation of urethra including creation of new urine drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53405	Repair of bladder canal (urethra) with formation of urethra including creation of new urine drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53405	Repair of bladder canal (urethra) with formation of urethra including creation of new urine drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
53410	"Reconstruction of bladder canal (urethra), male"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53410	"Reconstruction of bladder canal (urethra), male"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53410	"Reconstruction of bladder canal (urethra), male"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
53415	Reconstruction or repair of prostatic or membranous bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53415	Reconstruction or repair of prostatic or membranous bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53415	Reconstruction or repair of prostatic or membranous bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
53420	Reconstruction or repair of prostatic or membranous bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53420	Reconstruction or repair of prostatic or membranous bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53420	Reconstruction or repair of prostatic or membranous bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53425	Reconstruction or repair of prostatic or membranous bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53425	Reconstruction or repair of prostatic or membranous bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53425	Reconstruction or repair of prostatic or membranous bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53430	"Reconstruction of bladder canal (urethra), female"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53430	"Reconstruction of bladder canal (urethra), female"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53430	"Reconstruction of bladder canal (urethra), female"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53431	Repair of bladder canal (urethra) and/or lower bladder for incontinence	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53431	Repair of bladder canal (urethra) and/or lower bladder for incontinence	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53431	Repair of bladder canal (urethra) and/or lower bladder for incontinence	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
53440	Creation of sling around male bladder canal (urethra) to control leakage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53440	Creation of sling around male bladder canal (urethra) to control leakage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53440	Creation of sling around male bladder canal (urethra) to control leakage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
53442	Removal or revision of sling for male urinary incontinence	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53442	Removal or revision of sling for male urinary incontinence	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53442	Removal or revision of sling for male urinary incontinence	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
53444	Insertion of tandem cuff artificial urinary sphincter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53444	Insertion of tandem cuff artificial urinary sphincter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53444	Insertion of tandem cuff artificial urinary sphincter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
53445	Insertion of inflatable bladder canal (urethra) or bladder neck sphincter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53445	Insertion of inflatable bladder canal (urethra) or bladder neck sphincter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53445	Insertion of inflatable bladder canal (urethra) or bladder neck sphincter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
53446	Removal of inflatable bladder canal (urethra) or bladder neck sphincter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53446	Removal of inflatable bladder canal (urethra) or bladder neck sphincter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53446	Removal of inflatable bladder canal (urethra) or bladder neck sphincter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
53447	Removal and replacement of inflatable bladder canal (urethra) or bladder neck sphincter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53447	Removal and replacement of inflatable bladder canal (urethra) or bladder neck sphincter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53447	Removal and replacement of inflatable bladder canal (urethra) or bladder neck sphincter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
53448	Removal and replacement of inflatable bladder canal (urethra) or bladder neck sphincter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53448	Removal and replacement of inflatable bladder canal (urethra) or bladder neck sphincter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53448	Removal and replacement of inflatable bladder canal (urethra) or bladder neck sphincter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
53449	"Repair of inflatable bladder canal (urethra) or bladder neck sphincter, including pump, reservoir, and cuff"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53449	"Repair of inflatable bladder canal (urethra) or bladder neck sphincter, including pump, reservoir, and cuff"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53449	"Repair of inflatable bladder canal (urethra) or bladder neck sphincter, including pump, reservoir, and cuff"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53450	Repair of bladder canal (urethra) and urinary opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53450	Repair of bladder canal (urethra) and urinary opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53450	Repair of bladder canal (urethra) and urinary opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
53460	Repair and partial removal of bladder canal (urethra) and urinary opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53460	Repair and partial removal of bladder canal (urethra) and urinary opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
53460	Repair and partial removal of bladder canal (urethra) and urinary opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
53500	Release of bladder canal (urethra) scar tissue using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53500	Release of bladder canal (urethra) scar tissue using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53500	Release of bladder canal (urethra) scar tissue using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53502	"Suture of bladder canal (urethra) wound or injury, female"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53502	"Suture of bladder canal (urethra) wound or injury, female"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53502	"Suture of bladder canal (urethra) wound or injury, female"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
53505	"Suture of bladder canal (urethra) wound or injury, penis"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53505	"Suture of bladder canal (urethra) wound or injury, penis"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53505	"Suture of bladder canal (urethra) wound or injury, penis"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
53510	Suture of bladder canal (urethra) wound or injury	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53510	Suture of bladder canal (urethra) wound or injury	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53510	Suture of bladder canal (urethra) wound or injury	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53515	"Suture of bladder canal (urethra) wound or injury, prostate"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53515	"Suture of bladder canal (urethra) wound or injury, prostate"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53515	"Suture of bladder canal (urethra) wound or injury, prostate"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53520	"Closure of abnormal drainage tract from bladder canal (urethra) to skin, male"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
53520	"Closure of abnormal drainage tract from bladder canal (urethra) to skin, male"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
53520	"Closure of abnormal drainage tract from bladder canal (urethra) to skin, male"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
53600	"Dilation of narrowing of bladder canal (urethra), male"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	4
53600	"Dilation of narrowing of bladder canal (urethra), male"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
53600	"Dilation of narrowing of bladder canal (urethra), male"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
53601	"Dilation of narrowing of bladder canal (urethra), male"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	7	7
53601	"Dilation of narrowing of bladder canal (urethra), male"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	0
53601	"Dilation of narrowing of bladder canal (urethra), male"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
53620	"Dilation of narrowing of bladder canal (urethra), male"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	7	11
53620	"Dilation of narrowing of bladder canal (urethra), male"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
53620	"Dilation of narrowing of bladder canal (urethra), male"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
53621	"Dilation of narrowing of bladder canal (urethra), male"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	7	7
53621	"Dilation of narrowing of bladder canal (urethra), male"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
53621	"Dilation of narrowing of bladder canal (urethra), male"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
53660	"Dilation of bladder canal (urethra), female"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	11
53660	"Dilation of bladder canal (urethra), female"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
53660	"Dilation of bladder canal (urethra), female"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
53661	"Dilation of bladder canal (urethra), female"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	7	7
53661	"Dilation of bladder canal (urethra), female"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
53661	"Dilation of bladder canal (urethra), female"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
53850	Destruction of prostate tissue through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	10	7
53850	Destruction of prostate tissue through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
53850	Destruction of prostate tissue through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	10	20
53850	Destruction of prostate tissue through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
53850	Destruction of prostate tissue through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
53850	Destruction of prostate tissue through bladder canal (urethra)	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
53850	Destruction of prostate tissue through bladder canal (urethra)	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
53850	Destruction of prostate tissue through bladder canal (urethra)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
53850	Destruction of prostate tissue through bladder canal (urethra)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
53850	Destruction of prostate tissue through bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	45	0
53850	Destruction of prostate tissue through bladder canal (urethra)	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
53850	Destruction of prostate tissue through bladder canal (urethra)	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
53850	Destruction of prostate tissue through bladder canal (urethra)	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	3	0
53850	Destruction of prostate tissue through bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	108	108
53852	Destruction of prostate tissue through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	10	7
53852	Destruction of prostate tissue through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
53852	Destruction of prostate tissue through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	10	20
53852	Destruction of prostate tissue through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
53852	Destruction of prostate tissue through bladder canal (urethra)	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
53852	Destruction of prostate tissue through bladder canal (urethra)	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
53852	Destruction of prostate tissue through bladder canal (urethra)	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
53852	Destruction of prostate tissue through bladder canal (urethra)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
53852	Destruction of prostate tissue through bladder canal (urethra)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
53852	Destruction of prostate tissue through bladder canal (urethra)	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
53852	Destruction of prostate tissue through bladder canal (urethra)	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
53852	Destruction of prostate tissue through bladder canal (urethra)	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
53852	Destruction of prostate tissue through bladder canal (urethra)	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	3	0
53852	Destruction of prostate tissue through bladder canal (urethra)	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	108	108
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	10	7
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	10	20
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	20
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	25	0
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	3	0
53854	Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	108	108
53855	"Insertion of a temporary bladder canal (urethra) stent, male, using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
53855	"Insertion of a temporary bladder canal (urethra) stent, male, using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
53860	Reconstruction of female bladder neck for stress urinary incontinence	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
53860	Reconstruction of female bladder neck for stress urinary incontinence	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
53860	Reconstruction of female bladder neck for stress urinary incontinence	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	72	0
54000	Incision of newborn penile foreskin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	25
54000	Incision of newborn penile foreskin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	12
54000	Incision of newborn penile foreskin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
54001	Incision of penile foreskin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	25
54001	Incision of penile foreskin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	6
54001	Incision of penile foreskin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
54015	Incision and drainage of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
54015	Incision and drainage of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54015	Incision and drainage of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
54050	Chemical destruction of growths of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54050	Chemical destruction of growths of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	6
54050	Chemical destruction of growths of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
54055	Destruction of penile growths using electric current	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54055	Destruction of penile growths using electric current	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	6
54055	Destruction of penile growths using electric current	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	14	14
54056	Freezing destruction of penile growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54056	Freezing destruction of penile growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	6
54056	Freezing destruction of penile growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
54057	Laser destruction of growths of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54057	Laser destruction of growths of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	6
54057	Laser destruction of growths of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
54060	Excisional destruction of penile growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54060	Excisional destruction of penile growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	6
54060	Excisional destruction of penile growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
54065	Destruction of multiple penile growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54065	Destruction of multiple penile growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	6
54065	Destruction of multiple penile growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
54100	Biopsy of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54100	Biopsy of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
54100	Biopsy of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
54105	Biopsy of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	30
54105	Biopsy of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	6
54105	Biopsy of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
54110	Removal of abnormally thickened tissue in penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54110	Removal of abnormally thickened tissue in penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54110	Removal of abnormally thickened tissue in penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54111	Removal of abnormally thickened tissue in penis with up to 5 centimeter graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54111	Removal of abnormally thickened tissue in penis with up to 5 centimeter graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54111	Removal of abnormally thickened tissue in penis with up to 5 centimeter graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54112	Removal of abnormally thickened tissue in penis with greater than 5 centimeter graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54112	Removal of abnormally thickened tissue in penis with greater than 5 centimeter graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54112	Removal of abnormally thickened tissue in penis with greater than 5 centimeter graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54115	Removal of deep foreign body of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
54115	Removal of deep foreign body of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	6
54115	Removal of deep foreign body of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	90	90
54120	Partial amputation of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54120	Partial amputation of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54120	Partial amputation of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54125	Amputation of entire penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54125	Amputation of entire penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54125	Amputation of entire penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54130	Amputation of penis and removal of lymph nodes on both sides of the groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54130	Amputation of penis and removal of lymph nodes on both sides of the groin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54130	Amputation of penis and removal of lymph nodes on both sides of the groin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
54135	Amputation of penis and removal of lymph nodes on both sides of the pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54135	Amputation of penis and removal of lymph nodes on both sides of the pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54135	Amputation of penis and removal of lymph nodes on both sides of the pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
54150	Removal of foreskin of using clamp or device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	0
54150	Removal of foreskin of using clamp or device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	31	0
54150	Removal of foreskin of using clamp or device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
54160	"Removal of foreskin, neonate (28 days of age or less)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	3
54160	"Removal of foreskin, neonate (28 days of age or less)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	6
54160	"Removal of foreskin, neonate (28 days of age or less)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
54161	"Removal of foreskin, patient older than 28 days of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
54161	"Removal of foreskin, patient older than 28 days of age"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54161	"Removal of foreskin, patient older than 28 days of age"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
54162	Removal of scar tissue following penile foreskin removal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	30
54162	Removal of scar tissue following penile foreskin removal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	6
54162	Removal of scar tissue following penile foreskin removal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
54163	Repair of incomplete removal of penile foreskin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54163	Repair of incomplete removal of penile foreskin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54163	Repair of incomplete removal of penile foreskin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		40
54164	Incision of the membrane attaching foreskin and penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54164	Incision of the membrane attaching foreskin and penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54164	Incision of the membrane attaching foreskin and penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		40
54200	Injection procedure to correct abnormally thickened penile tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54200	Injection procedure to correct abnormally thickened penile tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	6
54200	Injection procedure to correct abnormally thickened penile tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
54205	Injection procedure and surgical exposure of abnormally thickened tissue in penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54205	Injection procedure and surgical exposure of abnormally thickened tissue in penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54205	Injection procedure and surgical exposure of abnormally thickened tissue in penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54220	Injection of drug into erectile tissue at sides and back of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54220	Injection of drug into erectile tissue at sides and back of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	0
54220	Injection of drug into erectile tissue at sides and back of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
54230	Injection procedure for X-ray imaging of penile erection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	27
54230	Injection procedure for X-ray imaging of penile erection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
54230	Injection procedure for X-ray imaging of penile erection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
54231	Assessment of erectile dysfunction including injection of drugs into the penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54231	Assessment of erectile dysfunction including injection of drugs into the penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	0
54231	Assessment of erectile dysfunction including injection of drugs into the penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
54235	Injection procedure to induce erection	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
54235	Injection procedure to induce erection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	0
54235	Injection procedure to induce erection	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
54240	Assessment of penile blood flow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	
54240	Assessment of penile blood flow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	
54250	Assessment of nighttime erection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	17	
54300	Repair of curvature of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54300	Repair of curvature of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54300	Repair of curvature of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54304	Repair of curvature and urinary outlet of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54304	Repair of curvature and urinary outlet of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54304	Repair of curvature and urinary outlet of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54308	Repair of urinary outlet of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54308	Repair of urinary outlet of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54308	Repair of urinary outlet of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54312	Repair of urinary outlet of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54312	Repair of urinary outlet of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54312	Repair of urinary outlet of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54316	Repair of urinary outlet of penis with skin graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54316	Repair of urinary outlet of penis with skin graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54316	Repair of urinary outlet of penis with skin graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54318	Repair of urinary outlet of penis with release of penis from scrotum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54318	Repair of urinary outlet of penis with release of penis from scrotum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54318	Repair of urinary outlet of penis with release of penis from scrotum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54322	Repair of urinary outlet of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54322	Repair of urinary outlet of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54322	Repair of urinary outlet of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54324	Repair of urinary outlet of penis with skin flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54324	Repair of urinary outlet of penis with skin flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54324	Repair of urinary outlet of penis with skin flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54326	Repair of urinary outlet at underside of penis with skin flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54326	Repair of urinary outlet at underside of penis with skin flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54326	Repair of urinary outlet at underside of penis with skin flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54328	Repair of urinary outlet at underside of penis with skin graft and/or flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54328	Repair of urinary outlet at underside of penis with skin graft and/or flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54328	Repair of urinary outlet at underside of penis with skin graft and/or flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54332	Repair of urinary outlet at underside of penis with skin graft or flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54332	Repair of urinary outlet at underside of penis with skin graft or flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54332	Repair of urinary outlet at underside of penis with skin graft or flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54336	Repair of urinary outlet at underside of penis with skin graft and/or flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54336	Repair of urinary outlet at underside of penis with skin graft and/or flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54336	Repair of urinary outlet at underside of penis with skin graft and/or flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
54340	Repair of urinary outlet of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54340	Repair of urinary outlet of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54340	Repair of urinary outlet of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54344	Repair of urinary outlet of penis with skin graft or flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54344	Repair of urinary outlet of penis with skin graft or flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54344	Repair of urinary outlet of penis with skin graft or flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54348	Repair of urinary outlet of penis with skin graft or flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54348	Repair of urinary outlet of penis with skin graft or flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54348	Repair of urinary outlet of penis with skin graft or flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54352	Repair of urinary outlet of penis with skin graft or flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54352	Repair of urinary outlet of penis with skin graft or flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54352	Repair of urinary outlet of penis with skin graft or flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
54360	Reconstructive surgery to correct angle penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54360	Reconstructive surgery to correct angle penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54360	Reconstructive surgery to correct angle penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54380	Plastic repair of urinary outlet of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54380	Plastic repair of urinary outlet of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54380	Plastic repair of urinary outlet of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54385	Plastic repair of urinary outlet of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54385	Plastic repair of urinary outlet of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54385	Plastic repair of urinary outlet of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
54390	Plastic repair of urinary outlet of penis with creation of bladder opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54390	Plastic repair of urinary outlet of penis with creation of bladder opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54390	Plastic repair of urinary outlet of penis with creation of bladder opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
54400	Insertion of non-inflatable penile prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54400	Insertion of non-inflatable penile prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54400	Insertion of non-inflatable penile prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
54401	Insertion of inflatable penile prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54401	Insertion of inflatable penile prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54401	Insertion of inflatable penile prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		206
54405	Insertion of multi-component inflatable penile prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54405	Insertion of multi-component inflatable penile prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54405	Insertion of multi-component inflatable penile prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54406	Removal of all components of inflatable penile prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54406	Removal of all components of inflatable penile prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54406	Removal of all components of inflatable penile prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
54408	Repair of components of a multi-component inflatable penile prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54408	Repair of components of a multi-component inflatable penile prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54408	Repair of components of a multi-component inflatable penile prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
54410	Removal and replacement of all components of a multi-component inflatable penile prosthesis at same surgery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54410	Removal and replacement of all components of a multi-component inflatable penile prosthesis at same surgery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54410	Removal and replacement of all components of a multi-component inflatable penile prosthesis at same surgery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
54411	Removal and replacement of infected components of inflatable penile prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54411	Removal and replacement of infected components of inflatable penile prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54411	Removal and replacement of infected components of inflatable penile prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
54415	Removal of non-inflatable or inflatable penile prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54415	Removal of non-inflatable or inflatable penile prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54415	Removal of non-inflatable or inflatable penile prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
54416	Removal and replacement of non-inflatable penile prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54416	Removal and replacement of non-inflatable penile prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54416	Removal and replacement of non-inflatable penile prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		152
54417	Removal and replacement of infected non-inflatable penile prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54417	Removal and replacement of infected non-inflatable penile prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54417	Removal and replacement of infected non-inflatable penile prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
54420	Creation of blood flow tract from penis to groin vein	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54420	Creation of blood flow tract from penis to groin vein	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54420	Creation of blood flow tract from penis to groin vein	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54430	Creation of blood flow tract from penis to other penile anatomy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54430	Creation of blood flow tract from penis to other penile anatomy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54430	Creation of blood flow tract from penis to other penile anatomy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54435	Redirection of blood flow from penis with partial removal of head of penis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54435	Redirection of blood flow from penis with partial removal of head of penis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54435	Redirection of blood flow from penis with partial removal of head of penis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54437	Repair of traumatic corporeal tear(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
54437	Repair of traumatic corporeal tear(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
54437	Repair of traumatic corporeal tear(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
54437	Repair of traumatic corporeal tear(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
54437	Repair of traumatic corporeal tear(s)	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
54437	Repair of traumatic corporeal tear(s)	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
54437	Repair of traumatic corporeal tear(s)	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
54437	Repair of traumatic corporeal tear(s)	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
54438	"Replantation, penis, complete amputation including urethral repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
54438	"Replantation, penis, complete amputation including urethral repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
54438	"Replantation, penis, complete amputation including urethral repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
54438	"Replantation, penis, complete amputation including urethral repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
54438	"Replantation, penis, complete amputation including urethral repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
54438	"Replantation, penis, complete amputation including urethral repair"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
54438	"Replantation, penis, complete amputation including urethral repair"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		144
54450	Repositioning of foreskin including scar tissue removal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
54450	Repositioning of foreskin including scar tissue removal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
54500	Needle biopsy of testis (testicle)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		21
54505	Incisional biopsy of testis (testicle)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
54505	Incisional biopsy of testis (testicle)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54505	Incisional biopsy of testis (testicle)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
54512	Excision of testis (testicle) lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54512	Excision of testis (testicle) lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54512	Excision of testis (testicle) lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54520	Removal of testis (testicle)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54520	Removal of testis (testicle)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54520	Removal of testis (testicle)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
54522	Partial removal of testis (testicle)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54522	Partial removal of testis (testicle)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54522	Partial removal of testis (testicle)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54530	Removal of one testis (testicle) for tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54530	Removal of one testis (testicle) for tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54530	Removal of one testis (testicle) for tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54535	Removal of one testis (testicle) for tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54535	Removal of one testis (testicle) for tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54535	Removal of one testis (testicle) for tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54550	Suture of spermatic veins to stop abnormal fluid collection using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54550	Suture of spermatic veins to stop abnormal fluid collection using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54550	Suture of spermatic veins to stop abnormal fluid collection using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54560	Exploration for location of testicle in abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54560	Exploration for location of testicle in abdomen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54560	Exploration for location of testicle in abdomen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54600	Repair of twisted testicle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54600	Repair of twisted testicle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54600	Repair of twisted testicle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54620	Anchoring of opposite testicle to other testicle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
54620	Anchoring of opposite testicle to other testicle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54620	Anchoring of opposite testicle to other testicle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
54640	"Orchiopexy, inguinal or scrotal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
54640	"Orchiopexy, inguinal or scrotal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
54640	"Orchiopexy, inguinal or scrotal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
54640	"Orchiopexy, inguinal or scrotal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
54640	"Orchiopexy, inguinal or scrotal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
54640	"Orchiopexy, inguinal or scrotal approach"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
54640	"Orchiopexy, inguinal or scrotal approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	36
54650	Repair of congenital malpositioned testicle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54650	Repair of congenital malpositioned testicle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54650	Repair of congenital malpositioned testicle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54660	Insertion of testicular prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54660	Insertion of testicular prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54660	Insertion of testicular prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54670	Suture or repair of testicular injury	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54670	Suture or repair of testicular injury	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54670	Suture or repair of testicular injury	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
54680	Transplantation of one or both testicles to thigh	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54680	Transplantation of one or both testicles to thigh	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54680	Transplantation of one or both testicles to thigh	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54690	Removal of one or both testicles using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54690	Removal of one or both testicles using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54690	Removal of one or both testicles using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54692	Removal of congenital malpositioned testicle using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54692	Removal of congenital malpositioned testicle using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54692	Removal of congenital malpositioned testicle using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54700	"Incision and drainage of sperm reservoir, testis, and/or scrotal area"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
54700	"Incision and drainage of sperm reservoir, testis, and/or scrotal area"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
54700	"Incision and drainage of sperm reservoir, testis, and/or scrotal area"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
54800	Needle biopsy of sperm reservoir	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		21
54830	Removal of sperm duct growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54830	Removal of sperm duct growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54830	Removal of sperm duct growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54840	Removal of fluid accumulation in sperm reservoir	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54840	Removal of fluid accumulation in sperm reservoir	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54840	Removal of fluid accumulation in sperm reservoir	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
54860	Removal of one sperm reservoir	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54860	Removal of one sperm reservoir	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54860	Removal of one sperm reservoir	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54861	Removal of both sperm reservoirs	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54861	Removal of both sperm reservoirs	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54861	Removal of both sperm reservoirs	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
54865	Exploration of sperm reservoir	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54865	Exploration of sperm reservoir	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54865	Exploration of sperm reservoir	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
54900	Connection of one sperm reservoir to sperm duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54900	Connection of one sperm reservoir to sperm duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54900	Connection of one sperm reservoir to sperm duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
54901	Connection of both sperm reservoirs to sperm ducts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
54901	Connection of both sperm reservoirs to sperm ducts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
54901	Connection of both sperm reservoirs to sperm ducts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
55000	Aspiration of fluid collection in testicle and sperm reservoir	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	30
55000	Aspiration of fluid collection in testicle and sperm reservoir	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	0
55040	Removal of fluid accumulation in one testicle and sperm reservoir	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55040	Removal of fluid accumulation in one testicle and sperm reservoir	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55040	Removal of fluid accumulation in one testicle and sperm reservoir	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
55041	Removal of fluid accumulation in both testicles and sperm reservoirs	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55041	Removal of fluid accumulation in both testicles and sperm reservoirs	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55041	Removal of fluid accumulation in both testicles and sperm reservoirs	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
55060	Repair of fluid accumulation in testicle and sperm reservoir	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55060	Repair of fluid accumulation in testicle and sperm reservoir	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55060	Repair of fluid accumulation in testicle and sperm reservoir	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
55100	Incision and drainage of abscess in scrotal sac of testicle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
55100	Incision and drainage of abscess in scrotal sac of testicle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	12
55100	Incision and drainage of abscess in scrotal sac of testicle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
55110	Exploration of the scrotal sac of testicle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55110	Exploration of the scrotal sac of testicle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55110	Exploration of the scrotal sac of testicle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
55120	Removal of foreign body in scrotal sac of testicle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55120	Removal of foreign body in scrotal sac of testicle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55120	Removal of foreign body in scrotal sac of testicle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
55150	Removal of diseased or injured scrotal skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55150	Removal of diseased or injured scrotal skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55150	Removal of diseased or injured scrotal skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
55175	Repair of the scrotum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55175	Repair of the scrotum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55175	Repair of the scrotum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
55180	Complicated repair of the scrotum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55180	Complicated repair of the scrotum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55180	Complicated repair of the scrotum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
55200	Incision of the sperm duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
55200	Incision of the sperm duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
55200	Incision of the sperm duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
55250	Removal of sperm duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	30	60
55250	Removal of sperm duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	6
55250	Removal of sperm duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
55300	Incision of sperm ducts for X-ray imaging procedure	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		27
55400	Incision or repair of sperm duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55400	Incision or repair of sperm duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55400	Incision or repair of sperm duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
55500	Removal of fluid accumulation in one spermatic cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55500	Removal of fluid accumulation in one spermatic cord	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55500	Removal of fluid accumulation in one spermatic cord	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
55520	Removal of spermatic cord growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55520	Removal of spermatic cord growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55520	Removal of spermatic cord growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
55530	Removal of spermatic cord venous dilation or tying of spermatic veins	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55530	Removal of spermatic cord venous dilation or tying of spermatic veins	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55530	Removal of spermatic cord venous dilation or tying of spermatic veins	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
55535	Removal of spermatic cord venous dilation or suturing spermatic veins	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55535	Removal of spermatic cord venous dilation or suturing spermatic veins	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55535	Removal of spermatic cord venous dilation or suturing spermatic veins	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
55540	Removal of spermatic cord venous dilation or suturing spermatic veins with hernia repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55540	Removal of spermatic cord venous dilation or suturing spermatic veins with hernia repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55540	Removal of spermatic cord venous dilation or suturing spermatic veins with hernia repair	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
55550	Tying of spermatic veins using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55550	Tying of spermatic veins using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55550	Tying of spermatic veins using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
55600	Incision or puncture of fluid-producing glands for sperm movement (semen)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55600	Incision or puncture of fluid-producing glands for sperm movement (semen)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55600	Incision or puncture of fluid-producing glands for sperm movement (semen)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
55605	Complicated incision of fluid-producing glands for sperm movement (semen)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55605	Complicated incision of fluid-producing glands for sperm movement (semen)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55605	Complicated incision of fluid-producing glands for sperm movement (semen)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
55650	Removal of fluid-producing glands for sperm movement (semen)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55650	Removal of fluid-producing glands for sperm movement (semen)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55650	Removal of fluid-producing glands for sperm movement (semen)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
55680	Removal of congenital remnant of fluid-producing glands for sperm movement (semen)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55680	Removal of congenital remnant of fluid-producing glands for sperm movement (semen)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55680	Removal of congenital remnant of fluid-producing glands for sperm movement (semen)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
55700	Biopsy of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
55700	Biopsy of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
55700	Biopsy of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
55700	Biopsy of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
55700	Biopsy of prostate gland	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
55700	Biopsy of prostate gland	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
55700	Biopsy of prostate gland	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
55700	Biopsy of prostate gland	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
55700	Biopsy of prostate gland	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
55700	Biopsy of prostate gland	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
55700	Biopsy of prostate gland	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	10	
55700	Biopsy of prostate gland	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
55700	Biopsy of prostate gland	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
55700	Biopsy of prostate gland	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	6	
55700	Biopsy of prostate gland	Service  post	L037D	RN/LPN/MTA	0.455	Monitor pt. (no multitasking)	5	
55705	Incisional biopsy of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
55705	Incisional biopsy of prostate gland	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55705	Incisional biopsy of prostate gland	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
55706	Needle stereotactic and image-guided biopsy of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
55706	Needle stereotactic and image-guided biopsy of prostate gland	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55706	Needle stereotactic and image-guided biopsy of prostate gland	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
55720	Incision and drainage of prostate gland abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55720	Incision and drainage of prostate gland abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55720	Incision and drainage of prostate gland abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
55725	Complicated incision and drainage of prostate gland abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55725	Complicated incision and drainage of prostate gland abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55725	Complicated incision and drainage of prostate gland abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
55801	Partial removal of prostate gland through incision between scrotum and anus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55801	Partial removal of prostate gland through incision between scrotum and anus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55801	Partial removal of prostate gland through incision between scrotum and anus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
55810	"Removal of prostate gland, glands for sperm movement (semen), and sperm duct"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55810	"Removal of prostate gland, glands for sperm movement (semen), and sperm duct"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55810	"Removal of prostate gland, glands for sperm movement (semen), and sperm duct"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
55812	Removal of prostate gland with lymph node biopsy through incision between scrotum and anus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55812	Removal of prostate gland with lymph node biopsy through incision between scrotum and anus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55812	Removal of prostate gland with lymph node biopsy through incision between scrotum and anus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
55815	Removal of prostate gland through incision between scrotum and anus and removal of surrounding lymph nodes on both sides of the pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55815	Removal of prostate gland through incision between scrotum and anus and removal of surrounding lymph nodes on both sides of the pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55815	Removal of prostate gland through incision between scrotum and anus and removal of surrounding lymph nodes on both sides of the pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
55821	Partial removal of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
55821	Partial removal of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
55821	Partial removal of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
55821	Partial removal of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
55821	Partial removal of prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
55821	Partial removal of prostate gland	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
55821	Partial removal of prostate gland	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
55831	Partial removal of the prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
55831	Partial removal of the prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
55831	Partial removal of the prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
55831	Partial removal of the prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
55831	Partial removal of the prostate gland	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
55831	Partial removal of the prostate gland	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
55831	Partial removal of the prostate gland	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
55840	"Prostatectomy, retropubic radical, with or without nerve sparing;"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
55840	"Prostatectomy, retropubic radical, with or without nerve sparing;"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
55840	"Prostatectomy, retropubic radical, with or without nerve sparing;"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
55840	"Prostatectomy, retropubic radical, with or without nerve sparing;"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
55840	"Prostatectomy, retropubic radical, with or without nerve sparing;"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
55840	"Prostatectomy, retropubic radical, with or without nerve sparing;"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
55840	"Prostatectomy, retropubic radical, with or without nerve sparing;"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
55840	"Prostatectomy, retropubic radical, with or without nerve sparing;"	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
55842	"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
55842	"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
55842	"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
55842	"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
55842	"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
55842	"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
55842	"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
55842	"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)"	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
55845	"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
55845	"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
55845	"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
55845	"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
55845	"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
55845	"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
55845	"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
55845	"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes"	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
55860	Surgical exposure of prostate gland for radiation therapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55860	Surgical exposure of prostate gland for radiation therapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55860	Surgical exposure of prostate gland for radiation therapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
55862	Exposure of prostate gland for radiation therapy with lymph node biopsy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55862	Exposure of prostate gland for radiation therapy with lymph node biopsy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55862	Exposure of prostate gland for radiation therapy with lymph node biopsy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
55865	Exposure of prostate gland for radiation therapy with removal of surrounding lymph nodes on both sides of the pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55865	Exposure of prostate gland for radiation therapy with removal of surrounding lymph nodes on both sides of the pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
55865	Exposure of prostate gland for radiation therapy with removal of surrounding lymph nodes on both sides of the pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
55866	"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
55866	"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
55866	"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
55866	"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
55866	"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
55866	"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
55866	"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
55870	Insertion of device to enhance semen discharge	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
55870	Insertion of device to enhance semen discharge	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	0
55873	Destruction of prostate gland using ultrasound guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
55873	Destruction of prostate gland using ultrasound guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	75	0
55873	Destruction of prostate gland using ultrasound guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	170	6
55873	Destruction of prostate gland using ultrasound guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	108	108
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	5
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
55874	"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
55875	Insertion of needles or catheters into prostate for radiation therapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
55875	Insertion of needles or catheters into prostate for radiation therapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
55875	Insertion of needles or catheters into prostate for radiation therapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
55876	Insertion of radiation therapy devices in prostate gland for radiation therapy guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
55876	Insertion of radiation therapy devices in prostate gland for radiation therapy guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	0
55876	Insertion of radiation therapy devices in prostate gland for radiation therapy guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
55880	"Ablation of malignant prostate tissue, transrectal, with high intensity–focused ultrasound (HIFU), including ultrasound guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
55880	"Ablation of malignant prostate tissue, transrectal, with high intensity–focused ultrasound (HIFU), including ultrasound guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
55880	"Ablation of malignant prostate tissue, transrectal, with high intensity–focused ultrasound (HIFU), including ultrasound guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
55880	"Ablation of malignant prostate tissue, transrectal, with high intensity–focused ultrasound (HIFU), including ultrasound guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
55880	"Ablation of malignant prostate tissue, transrectal, with high intensity–focused ultrasound (HIFU), including ultrasound guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
55880	"Ablation of malignant prostate tissue, transrectal, with high intensity–focused ultrasound (HIFU), including ultrasound guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
55880	"Ablation of malignant prostate tissue, transrectal, with high intensity–focused ultrasound (HIFU), including ultrasound guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	125
558XX		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
558XX		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
558XX		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
558XX		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
558XX		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
558XX		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
558XX		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
55920	Insertion of needles or catheters into pelvic organs and/or genitals for radiation therapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
55920	Insertion of needles or catheters into pelvic organs and/or genitals for radiation therapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
56405	Incision and drainage of female genitals abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
56405	Incision and drainage of female genitals abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	22	6
56405	Incision and drainage of female genitals abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
56420	Incision and drainage of female genital gland abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	0
56420	Incision and drainage of female genital gland abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	6
56420	Incision and drainage of female genital gland abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
56440	Creation of drainage tract for female genital gland or cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
56440	Creation of drainage tract for female genital gland or cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
56440	Creation of drainage tract for female genital gland or cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
56441	Removal of external female genital scar tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
56441	Removal of external female genital scar tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	25	6
56441	Removal of external female genital scar tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
56442	Incision of membrane at uterine opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
56501	Destruction of external female genital growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
56501	Destruction of external female genital growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	6
56501	Destruction of external female genital growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
56515	Destruction of extensive growths of external female genitals	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
56515	Destruction of extensive growths of external female genitals	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	6
56515	Destruction of extensive growths of external female genitals	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
56605	Biopsy of external female genitals	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	32	0
56605	Biopsy of external female genitals	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
56606	Biopsy of external female genitals	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	5	0
56620	Partial removal of external female genitals	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
56620	Partial removal of external female genitals	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
56620	Partial removal of external female genitals	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
56625	Removal of external female genitals	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
56625	Removal of external female genitals	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56625	Removal of external female genitals	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
56630	Partial removal of external female genitals	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
56630	Partial removal of external female genitals	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56630	Partial removal of external female genitals	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
56631	Partial removal of external female genitals and surrounding lymph nodes on one of the groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
56631	Partial removal of external female genitals and surrounding lymph nodes on one of the groin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56631	Partial removal of external female genitals and surrounding lymph nodes on one of the groin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
56632	Partial removal of external female genitals and surrounding lymph nodes on both sides of groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
56632	Partial removal of external female genitals and surrounding lymph nodes on both sides of groin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56632	Partial removal of external female genitals and surrounding lymph nodes on both sides of groin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		180
56633	Removal of entire external female genitals	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
56633	Removal of entire external female genitals	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56633	Removal of entire external female genitals	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
56634	Removal of entire external female genitals and surrounding lymph nodes on one of the groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
56634	Removal of entire external female genitals and surrounding lymph nodes on one of the groin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56634	Removal of entire external female genitals and surrounding lymph nodes on one of the groin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
56637	Removal of entire external female genitals and surrounding lymph nodes on both sides of groin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
56637	Removal of entire external female genitals and surrounding lymph nodes on both sides of groin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56637	Removal of entire external female genitals and surrounding lymph nodes on both sides of groin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
56640	Removal of entire external female genitals and lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
56640	Removal of entire external female genitals and lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56640	Removal of entire external female genitals and lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
56700	"Partial removal of membrane at uterine opening, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
56700	"Partial removal of membrane at uterine opening, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
56700	"Partial removal of membrane at uterine opening, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
56740	Removal of female genital gland or cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
56740	Removal of female genital gland or cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
56740	Removal of female genital gland or cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
56800	Plastic repair of uterine opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
56800	Plastic repair of uterine opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56800	Plastic repair of uterine opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
56805	Reduction of size of the external female sexual organ (clitoris)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
56805	Reduction of size of the external female sexual organ (clitoris)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56805	Reduction of size of the external female sexual organ (clitoris)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
56810	Nonobstetrical repair of skin from anus to genitals	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
56810	Nonobstetrical repair of skin from anus to genitals	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
56810	Nonobstetrical repair of skin from anus to genitals	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
56820	Examination of external female genitals using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	11
56820	Examination of external female genitals using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	0
56821	Examination and biopsy of external female genitals using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	11
56821	Examination and biopsy of external female genitals using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
57000	Incision and exploration of vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
57000	Incision and exploration of vaginal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
57000	Incision and exploration of vaginal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
57010	Incision and drainage of pelvic abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57010	Incision and drainage of pelvic abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57010	Incision and drainage of pelvic abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57020	Aspiration of abdominal cavity fluid through the vaginal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	21	0
57020	Aspiration of abdominal cavity fluid through the vaginal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
57022	Incision and drainage of vaginal blood accumulation following delivery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57022	Incision and drainage of vaginal blood accumulation following delivery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
57023	Incision and drainage of vaginal blood accumulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
57023	Incision and drainage of vaginal blood accumulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57023	Incision and drainage of vaginal blood accumulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
57061	Destruction of vaginal growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
57061	Destruction of vaginal growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	29	6
57061	Destruction of vaginal growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
57065	Destruction of multiple vaginal growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
57065	Destruction of multiple vaginal growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
57065	Destruction of multiple vaginal growths	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
57100	Biopsy of vaginal mucous membrane	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	0
57100	Biopsy of vaginal mucous membrane	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
57105	Biopsy of extensive area of vaginal mucous membrane	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
57105	Biopsy of extensive area of vaginal mucous membrane	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
57105	Biopsy of extensive area of vaginal mucous membrane	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
57106	Partial removal of vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57106	Partial removal of vaginal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57106	Partial removal of vaginal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
57107	Partial removal of vaginal wall and surrounding tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57107	Partial removal of vaginal wall and surrounding tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57107	Partial removal of vaginal wall and surrounding tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
57109	Partial removal of vaginal wall and surrounding tissue with removal of lymph nodes on both sides of pelvis and aortic lymph node biopsy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57109	Partial removal of vaginal wall and surrounding tissue with removal of lymph nodes on both sides of pelvis and aortic lymph node biopsy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57109	Partial removal of vaginal wall and surrounding tissue with removal of lymph nodes on both sides of pelvis and aortic lymph node biopsy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
57110	Removal of vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57110	Removal of vaginal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57110	Removal of vaginal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57111	Removal of vaginal and surrounding tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57111	Removal of vaginal and surrounding tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57111	Removal of vaginal and surrounding tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
57120	Suture closure of the vagina and vaginal opening	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57120	Suture closure of the vagina and vaginal opening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57120	Suture closure of the vagina and vaginal opening	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57130	Removal of abnormal tissue dividing the vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
57130	Removal of abnormal tissue dividing the vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	6
57130	Removal of abnormal tissue dividing the vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
57135	Excision of vaginal cyst or tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
57135	Excision of vaginal cyst or tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	6
57135	Excision of vaginal cyst or tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
57150	Irrigation of vagina and/or application of drug to treat infection	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
57150	Irrigation of vagina and/or application of drug to treat infection	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
57150	Irrigation of vagina and/or application of drug to treat infection	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
57150	Irrigation of vagina and/or application of drug to treat infection	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
57155	Insertion of radiation therapy devices in uterus for radiation therapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	18
57155	Insertion of radiation therapy devices in uterus for radiation therapy	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
57155	Insertion of radiation therapy devices in uterus for radiation therapy	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	60	0
57155	Insertion of radiation therapy devices in uterus for radiation therapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	0
57155	Insertion of radiation therapy devices in uterus for radiation therapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
57156	Insertion of radiation therapy devices in vagina for radiation therapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	18
57156	Insertion of radiation therapy devices in vagina for radiation therapy	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	30	0
57156	Insertion of radiation therapy devices in vagina for radiation therapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	0
57156	Insertion of radiation therapy devices in vagina for radiation therapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
57160	Fitting and insertion of vaginal support device	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
57160	Fitting and insertion of vaginal support device	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
57160	Fitting and insertion of vaginal support device	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
57160	Fitting and insertion of vaginal support device	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
57160	Fitting and insertion of vaginal support device	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
57170	Fitting and insertion of pregnancy prevention device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
57180	Insertion of drug agent or packing to control vaginal bleeding	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	12
57180	Insertion of drug agent or packing to control vaginal bleeding	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
57200	Suture of non-obstetrical vaginal injury	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57200	Suture of non-obstetrical vaginal injury	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57200	Suture of non-obstetrical vaginal injury	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
57210	Suture of non-obstetrical injury of the vagina and/or skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57210	Suture of non-obstetrical injury of the vagina and/or skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57210	Suture of non-obstetrical injury of the vagina and/or skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
57220	Plastic repair through the vagina of muscles at urinary opening (sphincter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57220	Plastic repair through the vagina of muscles at urinary opening (sphincter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57220	Plastic repair through the vagina of muscles at urinary opening (sphincter)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
57230	Plastic repair of prolapsed urinary canal (urethra) into vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57230	Plastic repair of prolapsed urinary canal (urethra) into vaginal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
57230	Plastic repair of prolapsed urinary canal (urethra) into vaginal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
57240	"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
57240	"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
57240	"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
57240	"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
57240	"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
57240	"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
57240	"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
57250	Repair of herniated rectum into vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
57250	Repair of herniated rectum into vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
57250	Repair of herniated rectum into vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
57250	Repair of herniated rectum into vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
57250	Repair of herniated rectum into vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
57250	Repair of herniated rectum into vaginal wall	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
57250	Repair of herniated rectum into vaginal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
57260	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed;  "	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
57260	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed;  "	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
57260	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed;  "	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
57260	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed;  "	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
57260	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed;  "	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
57260	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed;  "	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
57260	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed;  "	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
57265	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
57265	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
57265	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
57265	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
57265	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
57265	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
57265	"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
57268	Repair of protrusion of intestine into rectum or vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57268	Repair of protrusion of intestine into rectum or vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57268	Repair of protrusion of intestine into rectum or vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
57270	Repair of protrusion of intestine into rectum or vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57270	Repair of protrusion of intestine into rectum or vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57270	Repair of protrusion of intestine into rectum or vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57280	Attachment of vagina to rear pelvic bone (sacrum)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57280	Attachment of vagina to rear pelvic bone (sacrum)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57280	Attachment of vagina to rear pelvic bone (sacrum)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57282	Vaginal repair of pelvic ligaments	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
57282	Vaginal repair of pelvic ligaments	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
57282	Vaginal repair of pelvic ligaments	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
57282	Vaginal repair of pelvic ligaments	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
57282	Vaginal repair of pelvic ligaments	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
57282	Vaginal repair of pelvic ligaments	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
57282	Vaginal repair of pelvic ligaments	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
57283	Anatomic repositioning of vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
57283	Anatomic repositioning of vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
57283	Anatomic repositioning of vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
57283	Anatomic repositioning of vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
57283	Anatomic repositioning of vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
57283	Anatomic repositioning of vagina	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
57283	Anatomic repositioning of vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
57284	"Repair through abdomen of vaginal wall defect, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57284	"Repair through abdomen of vaginal wall defect, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57284	"Repair through abdomen of vaginal wall defect, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
57285	Repair through the vagina of vaginal wall defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57285	Repair through the vagina of vaginal wall defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57285	Repair through the vagina of vaginal wall defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
57287	Removal or revision of sling around bladder canal (urethra) to control leakage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57287	Removal or revision of sling around bladder canal (urethra) to control leakage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
57287	Removal or revision of sling around bladder canal (urethra) to control leakage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
57288	Creation of sling around bladder canal (urethra) to control leakage	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57288	Creation of sling around bladder canal (urethra) to control leakage	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
57288	Creation of sling around bladder canal (urethra) to control leakage	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
57289	Repair of prolapsed urinary canal (urethra) and bladder prolapse into vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57289	Repair of prolapsed urinary canal (urethra) and bladder prolapse into vaginal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57289	Repair of prolapsed urinary canal (urethra) and bladder prolapse into vaginal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
57291	Creation of artificial vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57291	Creation of artificial vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57291	Creation of artificial vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57292	Creation of artificial vagina using tissue graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57292	Creation of artificial vagina using tissue graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57292	Creation of artificial vagina using tissue graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57295	Revision and removal of prosthetic vaginal graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57295	Revision and removal of prosthetic vaginal graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57295	Revision and removal of prosthetic vaginal graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
57296	"Revision and removal of prosthetic vaginal graft, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57296	"Revision and removal of prosthetic vaginal graft, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57296	"Revision and removal of prosthetic vaginal graft, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57300	Closure of abnormal drainage tract from rectum into vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57300	Closure of abnormal drainage tract from rectum into vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57300	Closure of abnormal drainage tract from rectum into vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
57305	Closure of abnormal drainage tract from rectum into vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57305	Closure of abnormal drainage tract from rectum into vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57305	Closure of abnormal drainage tract from rectum into vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
57307	"Closure of abnormal drainage tract from rectum into vagina with creation of large bowel opening, open abdominal procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57307	"Closure of abnormal drainage tract from rectum into vagina with creation of large bowel opening, open abdominal procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57307	"Closure of abnormal drainage tract from rectum into vagina with creation of large bowel opening, open abdominal procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
57308	Closure through skin of abnormal drainage tract from rectum into vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57308	Closure through skin of abnormal drainage tract from rectum into vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57308	Closure through skin of abnormal drainage tract from rectum into vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
57310	Closure of abnormal drainage tract from urinary canal (urethra) into vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57310	Closure of abnormal drainage tract from urinary canal (urethra) into vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57310	Closure of abnormal drainage tract from urinary canal (urethra) into vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57311	Closure of abnormal drainage tract from urinary canal (urethra) into vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57311	Closure of abnormal drainage tract from urinary canal (urethra) into vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57311	Closure of abnormal drainage tract from urinary canal (urethra) into vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57320	Closure of abnormal drainage tract from rectum into vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57320	Closure of abnormal drainage tract from rectum into vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57320	Closure of abnormal drainage tract from rectum into vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57330	Closure of abnormal drainage tract from rectum into vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57330	Closure of abnormal drainage tract from rectum into vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57330	Closure of abnormal drainage tract from rectum into vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57335	Plastic repair of vagina for intersex state	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57335	Plastic repair of vagina for intersex state	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57335	Plastic repair of vagina for intersex state	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
57400	Dilation of vagina under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
57410	Pelvic examination under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
57410	Pelvic examination under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
57415	Removal of impacted vaginal foreign body under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
57415	Removal of impacted vaginal foreign body under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
57415	Removal of impacted vaginal foreign body under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
57420	Examination of the vagina using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	11
57420	Examination of the vagina using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	0
57421	Biopsy of vagina and cervix using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	11
57421	Biopsy of vagina and cervix using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
57423	Vaginal defect repair using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57423	Vaginal defect repair using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57423	Vaginal defect repair using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
57425	Vaginal defect repair using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
57425	Vaginal defect repair using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
57425	Vaginal defect repair using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
57425	Vaginal defect repair using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
57425	Vaginal defect repair using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
57425	Vaginal defect repair using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
57425	Vaginal defect repair using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
57426	Revision or removal of prosthetic vaginal graft using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57426	Revision or removal of prosthetic vaginal graft using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57426	Revision or removal of prosthetic vaginal graft using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
57452	Examination of the vagina and cervix using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
57452	Examination of the vagina and cervix using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
57454	Biopsy and scraping of the cervix using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
57454	Biopsy and scraping of the cervix using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
57455	Biopsy of cervix using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	11
57455	Biopsy of cervix using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
57456	Scraping of the cervix using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	11
57456	Scraping of the cervix using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
57460	Biopsy of cervix using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
57460	Biopsy of cervix using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	74	0
57461	Cone biopsy of the cervix and vagina using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	11
57461	Cone biopsy of the cervix and vagina using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	74	0
57465	"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
57500	Biopsy of cervix or excision of local growths	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
57500	Biopsy of cervix or excision of local growths	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	0
57505	Scraping of tissue of cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
57505	Scraping of tissue of cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	21	6
57505	Scraping of tissue of cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
57510	Electro or thermal destruction of cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
57510	Electro or thermal destruction of cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	29	6
57511	Freezing destruction of cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
57511	Freezing destruction of cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	6
57511	Freezing destruction of cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
57513	Laser destruction of cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
57513	Laser destruction of cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	31	6
57513	Laser destruction of cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
57520	Removal or destruction of cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
57520	Removal or destruction of cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	6
57520	Removal or destruction of cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	41	41
57522	Removal or destruction of cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
57522	Removal or destruction of cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	6
57522	Removal or destruction of cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
57530	Removal of cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57530	Removal of cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57530	Removal of cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
57531	Removal of cervix with removal of lymph nodes on both sides of pelvis and aortic lymph node biopsy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57531	Removal of cervix with removal of lymph nodes on both sides of pelvis and aortic lymph node biopsy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57531	Removal of cervix with removal of lymph nodes on both sides of pelvis and aortic lymph node biopsy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
57540	Removal of remaining cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57540	Removal of remaining cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57540	Removal of remaining cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57545	Removal of remaining cervix with plastic repair of pelvic floor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57545	Removal of remaining cervix with plastic repair of pelvic floor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57545	Removal of remaining cervix with plastic repair of pelvic floor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57550	Removal of remaining cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57550	Removal of remaining cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57550	Removal of remaining cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57555	Removal of remaining cervix with repair of supporting vaginal tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57555	Removal of remaining cervix with repair of supporting vaginal tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57555	Removal of remaining cervix with repair of supporting vaginal tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57556	Removal of remaining cervix with repair of herniated bowel into vaginal wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57556	Removal of remaining cervix with repair of herniated bowel into vaginal wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57556	Removal of remaining cervix with repair of herniated bowel into vaginal wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
57558	Dilation and scraping of cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	16
57558	Dilation and scraping of cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	25	6
57558	Dilation and scraping of cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
57700	Placement of suture of cervix (nonobstetrical)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57700	Placement of suture of cervix (nonobstetrical)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57700	Placement of suture of cervix (nonobstetrical)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
57720	Plastic repair of cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
57720	Plastic repair of cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
57720	Plastic repair of cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
57800	Dilation of tissue at uterine opening (cervix)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	16
57800	Dilation of tissue at uterine opening (cervix)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	22	0
57800	Dilation of tissue at uterine opening (cervix)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
58100	Biopsy of uterine lining	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
58100	Biopsy of uterine lining	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
58100	Biopsy of uterine lining	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
58100	Biopsy of uterine lining	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
58100	Biopsy of uterine lining	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
58100	Biopsy of uterine lining	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
58100	Biopsy of uterine lining	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	2	0
58100	Biopsy of uterine lining	Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	0	0
58110	Examination of cervix using an endoscope with biopsy of uterine lining	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	12	0
58120	D&C for diagnosis and/or therapy (non-obstetrical)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	16
58120	D&C for diagnosis and/or therapy (non-obstetrical)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	6
58120	D&C for diagnosis and/or therapy (non-obstetrical)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
58140	Abdominal removal of fibroid tumors (250 grams or less) of uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58140	Abdominal removal of fibroid tumors (250 grams or less) of uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58140	Abdominal removal of fibroid tumors (250 grams or less) of uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58145	Vaginal removal of fibroid tumors (250 grams or less) of uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58145	Vaginal removal of fibroid tumors (250 grams or less) of uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58145	Vaginal removal of fibroid tumors (250 grams or less) of uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58146	Abdominal removal of fibroid tumors (greater than 250 grams) of uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58146	Abdominal removal of fibroid tumors (greater than 250 grams) of uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58146	Abdominal removal of fibroid tumors (greater than 250 grams) of uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58150	Abdominal removal of uterus and cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58150	Abdominal removal of uterus and cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58150	Abdominal removal of uterus and cervix	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58152	Abdominal removal of uterus and cervix with repair of vaginal defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58152	Abdominal removal of uterus and cervix with repair of vaginal defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58152	Abdominal removal of uterus and cervix with repair of vaginal defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
58180	Abdominal removal of uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58180	Abdominal removal of uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58180	Abdominal removal of uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58200	Abdominal removal of uterus and partial removal of vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58200	Abdominal removal of uterus and partial removal of vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58200	Abdominal removal of uterus and partial removal of vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58210	"Abdominal removal of uterus, cervix, and lymph nodes on both sides of pelvis and aortic lymph node biopsy"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58210	"Abdominal removal of uterus, cervix, and lymph nodes on both sides of pelvis and aortic lymph node biopsy"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58210	"Abdominal removal of uterus, cervix, and lymph nodes on both sides of pelvis and aortic lymph node biopsy"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
58240	"Removal of malignant uterus, cervix, lymph nodes, bladder, with transplantation of urinary ducts (ureters), and bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58240	"Removal of malignant uterus, cervix, lymph nodes, bladder, with transplantation of urinary ducts (ureters), and bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58240	"Removal of malignant uterus, cervix, lymph nodes, bladder, with transplantation of urinary ducts (ureters), and bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		224
58260	Vaginal removal of uterus (250 grams or less)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58260	Vaginal removal of uterus (250 grams or less)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58260	Vaginal removal of uterus (250 grams or less)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
58262	"Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58262	"Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58262	"Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
58263	"Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries with repair of herniated bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58263	"Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries with repair of herniated bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58263	"Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries with repair of herniated bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
58267	Vaginal removal of uterus (250 grams or less) with repair for stress incontinence	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58267	Vaginal removal of uterus (250 grams or less) with repair for stress incontinence	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58267	Vaginal removal of uterus (250 grams or less) with repair for stress incontinence	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
58270	Vaginal removal of uterus (250 grams or less) with repair of herniated bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58270	Vaginal removal of uterus (250 grams or less) with repair of herniated bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58270	Vaginal removal of uterus (250 grams or less) with repair of herniated bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58275	Vaginal removal of uterus and vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58275	Vaginal removal of uterus and vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58275	Vaginal removal of uterus and vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
58280	Vaginal removal of uterus and vagina with repair of herniated bowel into rectum or vagina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58280	Vaginal removal of uterus and vagina with repair of herniated bowel into rectum or vagina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58280	Vaginal removal of uterus and vagina with repair of herniated bowel into rectum or vagina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
58285	"Vaginal removal of uterus, vagina, and pelvic lymph nodes"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58285	"Vaginal removal of uterus, vagina, and pelvic lymph nodes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58285	"Vaginal removal of uterus, vagina, and pelvic lymph nodes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
58290	Vaginal removal of uterus (greater than 250 grams)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58290	Vaginal removal of uterus (greater than 250 grams)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58290	Vaginal removal of uterus (greater than 250 grams)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58291	"Vaginal removal of uterus (greater than 250 grams), tubes, and/or ovaries"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58291	"Vaginal removal of uterus (greater than 250 grams), tubes, and/or ovaries"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58291	"Vaginal removal of uterus (greater than 250 grams), tubes, and/or ovaries"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58292	"Vaginal removal of uterus (greater than 250 grams), tubes, and/or ovaries with repair of herniated bowel"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58292	"Vaginal removal of uterus (greater than 250 grams), tubes, and/or ovaries with repair of herniated bowel"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58292	"Vaginal removal of uterus (greater than 250 grams), tubes, and/or ovaries with repair of herniated bowel"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58294	Vaginal removal of uterus (greater than 250 grams) with repair of herniated bowel	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58294	Vaginal removal of uterus (greater than 250 grams) with repair of herniated bowel	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58294	Vaginal removal of uterus (greater than 250 grams) with repair of herniated bowel	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58300	Placement of intra-uterine device (IUD) for pregnancy prevention	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	0
58300	Placement of intra-uterine device (IUD) for pregnancy prevention	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
58301	Removal of intra-uterine device (IUD) for pregnancy prevention	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	0
58301	Removal of intra-uterine device (IUD) for pregnancy prevention	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	24	0
58321	Injection of semen into cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	0
58321	Injection of semen into cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
58322	Injection of semen into uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	0
58322	Injection of semen into uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
58323	Sperm washing for artificial insemination	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	3	0
58340	Introduction of saline or X-ray contrast material for X-ray imaging of the uterus and tubes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
58340	Introduction of saline or X-ray contrast material for X-ray imaging of the uterus and tubes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
58345	Insertion of catheter through the cervix into fallopian tube	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
58345	Insertion of catheter through the cervix into fallopian tube	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58345	Insertion of catheter through the cervix into fallopian tube	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
58346	Insertion of capsules into uterus for placement of radiation therapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58346	Insertion of capsules into uterus for placement of radiation therapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58346	Insertion of capsules into uterus for placement of radiation therapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
58350	Injection of saline or X-ray contrast material into tubes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	15
58350	Injection of saline or X-ray contrast material into tubes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	29	6
58350	Injection of saline or X-ray contrast material into tubes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
58353	Destruction of lining of uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	27
58353	Destruction of lining of uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	6
58353	Destruction of lining of uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
58356	Destruction of lining of uterus using ultrasound guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	0
58356	Destruction of lining of uterus using ultrasound guidance	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	45	0
58356	Destruction of lining of uterus using ultrasound guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	78	0
58356	Destruction of lining of uterus using ultrasound guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	0
58400	Anatomic repositioning of uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58400	Anatomic repositioning of uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58400	Anatomic repositioning of uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
58410	Anatomic repositioning of uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58410	Anatomic repositioning of uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58410	Anatomic repositioning of uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58520	Repair of ruptured uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58520	Repair of ruptured uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58520	Repair of ruptured uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58540	Repair of abnormally developed uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58540	Repair of abnormally developed uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58540	Repair of abnormally developed uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58541	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58541	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
58541	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
58541	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
58541	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
58541	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
58541	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
58542	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58542	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
58542	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
58542	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
58542	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
58542	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
58542	"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
58543	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58543	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
58543	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
58543	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
58543	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
58543	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
58543	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
58544	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58544	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
58544	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
58544	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
58544	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
58544	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
58544	"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
58545	Removal of uterine fibroid tumors (250 grams or less) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58545	Removal of uterine fibroid tumors (250 grams or less) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58545	Removal of uterine fibroid tumors (250 grams or less) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58546	Removal of uterine fibroid tumors (greater than 250 grams) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58546	Removal of uterine fibroid tumors (greater than 250 grams) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58546	Removal of uterine fibroid tumors (greater than 250 grams) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58548	"Removal of uterus, cervix, and lymph nodes on both sides of pelvis and aortic lymph node biopsy using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58548	"Removal of uterus, cervix, and lymph nodes on both sides of pelvis and aortic lymph node biopsy using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58548	"Removal of uterus, cervix, and lymph nodes on both sides of pelvis and aortic lymph node biopsy using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
58550	Vaginal removal of uterus (250 grams or less) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58550	Vaginal removal of uterus (250 grams or less) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58550	Vaginal removal of uterus (250 grams or less) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
58552	"Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries using an endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58552	"Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries using an endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58552	"Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries using an endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
58553	Vaginal removal of uterus (greater than 250 grams) using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58553	Vaginal removal of uterus (greater than 250 grams) using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58553	Vaginal removal of uterus (greater than 250 grams) using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58554	"Vaginal removal of uterus (greater than 250 grams), tubes, and/or ovaries with assistance of endoscope"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58554	"Vaginal removal of uterus (greater than 250 grams), tubes, and/or ovaries with assistance of endoscope"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58554	"Vaginal removal of uterus (greater than 250 grams), tubes, and/or ovaries with assistance of endoscope"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
58555	Diagnostic examination of uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
58555	Diagnostic examination of uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
58555	Diagnostic examination of uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
58555	Diagnostic examination of uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
58555	Diagnostic examination of uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
58555	Diagnostic examination of uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
58555	Diagnostic examination of uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
58555	Diagnostic examination of uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
58555	Diagnostic examination of uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
58555	Diagnostic examination of uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
58555	Diagnostic examination of uterus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
58555	Diagnostic examination of uterus using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
58555	Diagnostic examination of uterus using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
58555	Diagnostic examination of uterus using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	10	
58555	Diagnostic examination of uterus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	10	
58558	Biopsy and/or removal of polyp of the uterus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
58559	Release of uterine adhesions using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58559	Release of uterine adhesions using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
58559	Release of uterine adhesions using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
58559	Release of uterine adhesions using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
58559	Release of uterine adhesions using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
58559	Release of uterine adhesions using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
58560	Release of uterine adhesions and abnormal partition using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58560	Release of uterine adhesions and abnormal partition using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
58560	Release of uterine adhesions and abnormal partition using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
58560	Release of uterine adhesions and abnormal partition using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
58560	Release of uterine adhesions and abnormal partition using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
58560	Release of uterine adhesions and abnormal partition using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
58561	Removal of uterine muscle tumor using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58561	Removal of uterine muscle tumor using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
58561	Removal of uterine muscle tumor using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
58561	Removal of uterine muscle tumor using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
58561	Removal of uterine muscle tumor using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
58561	Removal of uterine muscle tumor using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions		3
58562	Removal of foreign body in uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
58562	Removal of foreign body in uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
58562	Removal of foreign body in uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
58562	Removal of foreign body in uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
58562	Removal of foreign body in uterus using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
58562	Removal of foreign body in uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
58562	Removal of foreign body in uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
58562	Removal of foreign body in uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
58562	Removal of foreign body in uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
58562	Removal of foreign body in uterus using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	
58562	Removal of foreign body in uterus using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	25	
58562	Removal of foreign body in uterus using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
58562	Removal of foreign body in uterus using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
58562	Removal of foreign body in uterus using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	10	
58562	Removal of foreign body in uterus using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
58563	Examination of uterus with destruction of uterine lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	5
58563	Examination of uterus with destruction of uterine lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
58563	Examination of uterus with destruction of uterine lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
58563	Examination of uterus with destruction of uterine lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
58563	Examination of uterus with destruction of uterine lining using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
58563	Examination of uterus with destruction of uterine lining using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
58563	Examination of uterus with destruction of uterine lining using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
58563	Examination of uterus with destruction of uterine lining using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
58563	Examination of uterus with destruction of uterine lining using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
58563	Examination of uterus with destruction of uterine lining using an endoscope	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
58563	Examination of uterus with destruction of uterine lining using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	0
58563	Examination of uterus with destruction of uterine lining using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
58563	Examination of uterus with destruction of uterine lining using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
58563	Examination of uterus with destruction of uterine lining using an endoscope	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	10	0
58563	Examination of uterus with destruction of uterine lining using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
58565	Insertion of implants to block both fallopian tubes using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
58565	Insertion of implants to block both fallopian tubes using an endoscope	Service  intra	L042A	RN/LPN	0.525	Service total costs	33	0
58565	Insertion of implants to block both fallopian tubes using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	85	6
58565	Insertion of implants to block both fallopian tubes using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
58570	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58570	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
58570	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
58570	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
58570	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
58570	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
58570	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
58571	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58571	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
58571	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
58571	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
58571	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
58571	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
58571	"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
58572	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58572	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
58572	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
58572	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
58572	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
58572	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
58572	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
58573	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58573	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
58573	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
58573	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
58573	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
58573	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		6
58573	"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
58575	"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58575	"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
58575	"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
58575	"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
58575	"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
58575	"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
58575	"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
58575	"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes		53
58600	Tying or incision fallopian tubes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58600	Tying or incision fallopian tubes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58600	Tying or incision fallopian tubes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
58605	Tying or incision of fallopian tubes during same hospitalization	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58605	Tying or incision of fallopian tubes during same hospitalization	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58605	Tying or incision of fallopian tubes during same hospitalization	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
58615	Vaginal or pubic tying of uterine tubes by device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
58615	Vaginal or pubic tying of uterine tubes by device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58615	Vaginal or pubic tying of uterine tubes by device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
58660	Removal of scar tissue of ovaries or uterine tubes using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58660	Removal of scar tissue of ovaries or uterine tubes using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58660	Removal of scar tissue of ovaries or uterine tubes using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
58661	Removal of ovaries and/or tubes using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
58661	Removal of ovaries and/or tubes using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58661	Removal of ovaries and/or tubes using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
58662	Destruction or removal of ovary or pelvic growths using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58662	Destruction or removal of ovary or pelvic growths using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58662	Destruction or removal of ovary or pelvic growths using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		45
58670	Destruction of ovaries using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58670	Destruction of ovaries using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58670	Destruction of ovaries using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
58671	Blocking of uterine tubes by device using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58671	Blocking of uterine tubes by device using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58671	Blocking of uterine tubes by device using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
58672	Repair of uterine tube tissue near the ovary using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58672	Repair of uterine tube tissue near the ovary using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58672	Repair of uterine tube tissue near the ovary using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
58673	Repair of uterine tube using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58673	Repair of uterine tube using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58673	Repair of uterine tube using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
58674	"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
58674	"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
58674	"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
58674	"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
58674	"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
58674	"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency"	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt same day  (0.5 x 99238) (enter 6 min)		6
58674	"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		72
58700	Removal of the uterine tubes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58700	Removal of the uterine tubes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58700	Removal of the uterine tubes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		80
58720	Removal of uterine tubes and ovaries	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58720	Removal of uterine tubes and ovaries	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58720	Removal of uterine tubes and ovaries	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
58740	Removal of scar tissue of ovaries or uterine tubes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58740	Removal of scar tissue of ovaries or uterine tubes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58740	Removal of scar tissue of ovaries or uterine tubes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		80
58750	Release of blocked uterine tube	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58750	Release of blocked uterine tube	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58750	Release of blocked uterine tube	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
58752	Partial removal of blocked uterine tube	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58752	Partial removal of blocked uterine tube	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58752	Partial removal of blocked uterine tube	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
58760	Repair of blocked ovarian end of uterine tube	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58760	Repair of blocked ovarian end of uterine tube	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58760	Repair of blocked ovarian end of uterine tube	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
58770	Opening of blocked uterine tube	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58770	Opening of blocked uterine tube	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
58770	Opening of blocked uterine tube	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
58800	Vaginal drainage of ovarian cysts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
58800	Vaginal drainage of ovarian cysts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	6
58800	Vaginal drainage of ovarian cysts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	41	41
58805	Abdominal drainage of ovarian cysts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58805	Abdominal drainage of ovarian cysts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58805	Abdominal drainage of ovarian cysts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
58820	"Vaginal drainage of ovarian abscess, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58820	"Vaginal drainage of ovarian abscess, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58820	"Vaginal drainage of ovarian abscess, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
58822	Abdominal drainage of ovarian abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58822	Abdominal drainage of ovarian abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58822	Abdominal drainage of ovarian abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58825	Relocation of ovaries behind uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58825	Relocation of ovaries behind uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58825	Relocation of ovaries behind uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
58900	Vaginal or abdominal biopsy of ovaries	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58900	Vaginal or abdominal biopsy of ovaries	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58900	Vaginal or abdominal biopsy of ovaries	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
58920	Vaginal or abdominal tissue wedge removal of ovaries	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58920	Vaginal or abdominal tissue wedge removal of ovaries	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58920	Vaginal or abdominal tissue wedge removal of ovaries	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
58925	Removal of ovaries	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58925	Removal of ovaries	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58925	Removal of ovaries	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58940	Removal of ovaries	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58940	Removal of ovaries	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58940	Removal of ovaries	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58943	Removal of ovaries	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58943	Removal of ovaries	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58943	Removal of ovaries	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
58950	Removal of abdominal lining and both ovaries and fallopian tubes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58950	Removal of abdominal lining and both ovaries and fallopian tubes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58950	Removal of abdominal lining and both ovaries and fallopian tubes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
58951	"Removal of abdominal lining, uterus, both ovaries and fallopian tubes, and pelvic and aortic lymph nodes"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58951	"Removal of abdominal lining, uterus, both ovaries and fallopian tubes, and pelvic and aortic lymph nodes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58951	"Removal of abdominal lining, uterus, both ovaries and fallopian tubes, and pelvic and aortic lymph nodes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		80
58952	Removal of abdominal lining and both ovaries and fallopian tubes with tumor reduction	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58952	Removal of abdominal lining and both ovaries and fallopian tubes with tumor reduction	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58952	Removal of abdominal lining and both ovaries and fallopian tubes with tumor reduction	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		107
58953	"Removal of abdominal lining, uterus, both ovaries and fallopian tubes with tumor reduction"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58953	"Removal of abdominal lining, uterus, both ovaries and fallopian tubes with tumor reduction"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58953	"Removal of abdominal lining, uterus, both ovaries and fallopian tubes with tumor reduction"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
58954	"Removal of abdominal lining, uterus, both ovaries and fallopian tubes, and pelvic and aortic lymph nodes with tumor reduction"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58954	"Removal of abdominal lining, uterus, both ovaries and fallopian tubes, and pelvic and aortic lymph nodes with tumor reduction"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58954	"Removal of abdominal lining, uterus, both ovaries and fallopian tubes, and pelvic and aortic lymph nodes with tumor reduction"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
58956	"Removal of abdominal lining, uterus, and both ovaries and fallopian tubes"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58956	"Removal of abdominal lining, uterus, and both ovaries and fallopian tubes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58956	"Removal of abdominal lining, uterus, and both ovaries and fallopian tubes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
58957	"Removal of tubes, ovaries, uterus, and lymph nodes for uterine malignancy"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58957	"Removal of tubes, ovaries, uterus, and lymph nodes for uterine malignancy"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58957	"Removal of tubes, ovaries, uterus, and lymph nodes for uterine malignancy"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
58958	"Removal of tubes, ovaries, uterus, and lymph nodes for uterine malignancy"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58958	"Removal of tubes, ovaries, uterus, and lymph nodes for uterine malignancy"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58958	"Removal of tubes, ovaries, uterus, and lymph nodes for uterine malignancy"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
58960	Examination of abdominal cavity with removal or biopsy of abdominal lining or lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
58960	Examination of abdominal cavity with removal or biopsy of abdominal lining or lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
58960	Examination of abdominal cavity with removal or biopsy of abdominal lining or lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		80
58970	Abdominal or endoscopic aspiration of eggs from ovaries	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
58970	Abdominal or endoscopic aspiration of eggs from ovaries	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	0
58970	Abdominal or endoscopic aspiration of eggs from ovaries	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
58976	Abdominal or endoscopic insertion of eggs with sperm into tubes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
58976	Abdominal or endoscopic insertion of eggs with sperm into tubes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
58976	Abdominal or endoscopic insertion of eggs with sperm into tubes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
59000	Abdominal aspiration of fluid surrounding fetus for diagnosis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
59000	Abdominal aspiration of fluid surrounding fetus for diagnosis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	61	0
59000	Abdominal aspiration of fluid surrounding fetus for diagnosis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
59001	Abdominal aspiration to reduce amount of fluid surrounding fetus using ultrasound guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		20
59001	Abdominal aspiration to reduce amount of fluid surrounding fetus using ultrasound guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
59012	Aspiration of blood from fetal umbilical cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
59012	Aspiration of blood from fetal umbilical cord	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
59015	Removal of tissue from placenta for diagnosis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	15
59015	Removal of tissue from placenta for diagnosis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	0
59015	Removal of tissue from placenta for diagnosis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
59020	Fetal contraction stress test	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	
59020	Fetal contraction stress test	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	32	
59025	Fetal non-stress test	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	
59025	Fetal non-stress test	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	19	
59070	Abdominal infusion of normal saline into fetal amniotic sac using ultrasound guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
59070	Abdominal infusion of normal saline into fetal amniotic sac using ultrasound guidance	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	30	0
59070	Abdominal infusion of normal saline into fetal amniotic sac using ultrasound guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
59070	Abdominal infusion of normal saline into fetal amniotic sac using ultrasound guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
59072	Fetal umbilical cord occlusion using ultrasound guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
59072	Fetal umbilical cord occlusion using ultrasound guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
59074	Aspiration of fetal fluid using ultrasound guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
59074	Aspiration of fetal fluid using ultrasound guidance	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	30	0
59074	Aspiration of fetal fluid using ultrasound guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
59074	Aspiration of fetal fluid using ultrasound guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
59076	Insertion of drainage catheter into fetal chest using ultrasound guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
59076	Insertion of drainage catheter into fetal chest using ultrasound guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
59100	Incision in uterus via abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59100	Incision in uterus via abdomen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
59100	Incision in uterus via abdomen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		80
59120	Removal of ovarian or tubal pregnancy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59120	Removal of ovarian or tubal pregnancy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
59120	Removal of ovarian or tubal pregnancy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		80
59121	Removal of ovarian or tubal pregnancy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59121	Removal of ovarian or tubal pregnancy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
59121	Removal of ovarian or tubal pregnancy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
59130	Removal of pregnancy contents implanted in abdominal cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59130	Removal of pregnancy contents implanted in abdominal cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
59130	Removal of pregnancy contents implanted in abdominal cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
59136	Removal of tubal pregnancy and repair of uterine wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59136	Removal of tubal pregnancy and repair of uterine wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59136	Removal of tubal pregnancy and repair of uterine wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
59140	Cervical removal impregnated ovum outside the uterus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59140	Cervical removal impregnated ovum outside the uterus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
59140	Cervical removal impregnated ovum outside the uterus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
59150	Removal of ovarian or tubal pregnancy using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59150	Removal of ovarian or tubal pregnancy using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
59150	Removal of ovarian or tubal pregnancy using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
59151	Removal of ovarian or tubal pregnancy including removal of the ovary and/or tube using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59151	Removal of ovarian or tubal pregnancy including removal of the ovary and/or tube using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
59151	Removal of ovarian or tubal pregnancy including removal of the ovary and/or tube using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		56
59160	Scraping of lining of uterus post-delivery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
59160	Scraping of lining of uterus post-delivery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
59200	Insertion dilator device into cervix	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	7	0
59200	Insertion dilator device into cervix	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	21	0
59300	Episiotomy or vaginal repair	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	13	30
59300	Episiotomy or vaginal repair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	0
59320	Vaginal suture of cervix during pregnancy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
59325	Abdominal suture of cervix during pregnancy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
59400	Obstetrical pre- and postpartum care and vaginal delivery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		480
59400	Obstetrical pre- and postpartum care and vaginal delivery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59400	Obstetrical pre- and postpartum care and vaginal delivery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		53
59409	Vaginal delivery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59410	Vaginal delivery with post-delivery care	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59410	Vaginal delivery with post-delivery care	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
59412	Turning of fetus from breech to presenting position	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		16
59425	Predelivery care 4-6 visits	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	198	0
59426	Predelivery care 7 or more visits	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	378	0
59430	Post-delivery care	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	87	0
59510	Cesarian delivery with pre- and post-delivery care	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		480
59510	Cesarian delivery with pre- and post-delivery care	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59510	Cesarian delivery with pre- and post-delivery care	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
59514	Cesarean delivery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59515	Cesarean delivery with post-delivery care	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59515	Cesarean delivery with post-delivery care	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
59610	Vaginal delivery after prior cesarean delivery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		497
59610	Vaginal delivery after prior cesarean delivery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59610	Vaginal delivery after prior cesarean delivery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
59614	Vaginal delivery after prior cesarean delivery with post-delivery care	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59614	Vaginal delivery after prior cesarean delivery with post-delivery care	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
59618	Routine obstetric care following attempted vaginal delivery after previous cesarean delivery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		470
59618	Routine obstetric care following attempted vaginal delivery after previous cesarean delivery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59618	Routine obstetric care following attempted vaginal delivery after previous cesarean delivery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
59622	Cesarean delivery after vaginal delivery attempt due to prior cesarean delivery with post-delivery care	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59622	Cesarean delivery after vaginal delivery attempt due to prior cesarean delivery with post-delivery care	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
59812	Treatment of incomplete abortion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	45
59812	Treatment of incomplete abortion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	6
59812	Treatment of incomplete abortion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
59820	Treatment of first trimester missed abortion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
59820	Treatment of first trimester missed abortion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	6
59820	Treatment of first trimester missed abortion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	106	106
59821	Treatment of second trimester missed abortion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
59821	Treatment of second trimester missed abortion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	6
59821	Treatment of second trimester missed abortion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	80	80
59830	Treatment of septic abortion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59830	Treatment of septic abortion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
59830	Treatment of septic abortion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
59840	Induced abortion by dilation and uterine scraping	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
59840	Induced abortion by dilation and uterine scraping	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	34	6
59840	Induced abortion by dilation and uterine scraping	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
59841	Induced abortion by dilation and removal of pregnancy contents	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
59841	Induced abortion by dilation and removal of pregnancy contents	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	6
59841	Induced abortion by dilation and removal of pregnancy contents	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	53	53
59850	Induced abortion by amniotic fluid injections with delivery of fetus and placenta	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59850	Induced abortion by amniotic fluid injections with delivery of fetus and placenta	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59850	Induced abortion by amniotic fluid injections with delivery of fetus and placenta	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
59851	Induced abortion by amniotic fluid injections with delivery of fetus and placenta	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59851	Induced abortion by amniotic fluid injections with delivery of fetus and placenta	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59851	Induced abortion by amniotic fluid injections with delivery of fetus and placenta	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
59852	Induced abortion by amniotic fluid injections	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59852	Induced abortion by amniotic fluid injections	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59852	Induced abortion by amniotic fluid injections	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
59855	Induced abortion by insertion of vaginal suppositories	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59855	Induced abortion by insertion of vaginal suppositories	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59855	Induced abortion by insertion of vaginal suppositories	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
59856	Induced abortion by insertion of vaginal suppositories	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59856	Induced abortion by insertion of vaginal suppositories	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59856	Induced abortion by insertion of vaginal suppositories	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
59857	Induced abortion by insertion of vaginal suppositories	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59857	Induced abortion by insertion of vaginal suppositories	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59857	Induced abortion by insertion of vaginal suppositories	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
59866	Elimination 1 or more fetuses of a multifetal pregnancy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
59866	Elimination 1 or more fetuses of a multifetal pregnancy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
59870	Aspiration of abnormal pregnancy contents with scraping of uterine wall	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
59870	Aspiration of abnormal pregnancy contents with scraping of uterine wall	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
59870	Aspiration of abnormal pregnancy contents with scraping of uterine wall	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		134
59871	Removal of suture of cervix under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
59871	Removal of suture of cervix under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
60000	Incision and drainage of infected thyroid duct cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	60
60000	Incision and drainage of infected thyroid duct cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	55	6
60000	Incision and drainage of infected thyroid duct cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
60100	"Needle biopsy of thyroid, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	0
60100	"Needle biopsy of thyroid, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	0
60200	Incision of thyroid cyst or growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60200	Incision of thyroid cyst or growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60200	Incision of thyroid cyst or growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
60210	Partial removal of thyroid lobe on one side of the neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60210	Partial removal of thyroid lobe on one side of the neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60210	Partial removal of thyroid lobe on one side of the neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
60212	Partial removal of thyroid lobe on one side of the neck plus the same operation on the opposite side of the neck including the tissue in between	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60212	Partial removal of thyroid lobe on one side of the neck plus the same operation on the opposite side of the neck including the tissue in between	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60212	Partial removal of thyroid lobe on one side of the neck plus the same operation on the opposite side of the neck including the tissue in between	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
60220	Total removal of thyroid lobe on one side of the neck	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60220	Total removal of thyroid lobe on one side of the neck	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
60220	Total removal of thyroid lobe on one side of the neck	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
60225	Total removal of thyroid lobe on one side of the neck plus partial removal of thyroid lobe on the opposite side of the neck including the tissue in between	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60225	Total removal of thyroid lobe on one side of the neck plus partial removal of thyroid lobe on the opposite side of the neck including the tissue in between	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60225	Total removal of thyroid lobe on one side of the neck plus partial removal of thyroid lobe on the opposite side of the neck including the tissue in between	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
60240	Removal of thyroid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60240	Removal of thyroid	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
60240	Removal of thyroid	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
60252	Removal of thyroid and surrounding lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60252	Removal of thyroid and surrounding lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60252	Removal of thyroid and surrounding lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
60254	Removal of thyroid and surrounding lymph nodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60254	Removal of thyroid and surrounding lymph nodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60254	Removal of thyroid and surrounding lymph nodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
60260	Removal of remaining thyroid tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60260	Removal of remaining thyroid tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60260	Removal of remaining thyroid tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
60270	Removal of thyroid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60270	Removal of thyroid	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60270	Removal of thyroid	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
60271	Removal of thyroid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60271	Removal of thyroid	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60271	Removal of thyroid	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
60280	Removal of thyroid cyst or drainage of thyroid gland duct	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60280	Removal of thyroid cyst or drainage of thyroid gland duct	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
60280	Removal of thyroid cyst or drainage of thyroid gland duct	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
60281	Removal of cyst or thyroid gland drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60281	Removal of cyst or thyroid gland drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
60281	Removal of cyst or thyroid gland drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
60300	Aspiration and/or injection of thyroid cyst	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	30	0
60500	Removal or exploration of parathyroid glands	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60500	Removal or exploration of parathyroid glands	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
60500	Removal or exploration of parathyroid glands	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
60502	Removal or re-exploration of parathyroid glands	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60502	Removal or re-exploration of parathyroid glands	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60502	Removal or re-exploration of parathyroid glands	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
60505	Excision or exploration of parathyroid glands and breast bone tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60505	Excision or exploration of parathyroid glands and breast bone tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60505	Excision or exploration of parathyroid glands and breast bone tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
60520	Removal of thymus gland through neck incision	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60520	Removal of thymus gland through neck incision	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60520	Removal of thymus gland through neck incision	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		79
60521	"Removal of thymus gland, sternal or chest approach"	Pre-service	L051A	RN	0.635	Preservice total costs		60
60521	"Removal of thymus gland, sternal or chest approach"	Service  intra	L051A	RN	0.635	Service total costs		12
60521	"Removal of thymus gland, sternal or chest approach"	Post-service	L051A	RN	0.635	Post service total costs		68
60522	"Removal of thymus gland surrounding lymph nodes, sternal or chest approach"	Pre-service	L051A	RN	0.635	Preservice total costs		60
60522	"Removal of thymus gland surrounding lymph nodes, sternal or chest approach"	Service  intra	L051A	RN	0.635	Service total costs		12
60522	"Removal of thymus gland surrounding lymph nodes, sternal or chest approach"	Post-service	L051A	RN	0.635	Post service total costs		90
60540	Abdominal exploration or removal of adrenal gland	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60540	Abdominal exploration or removal of adrenal gland	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60540	Abdominal exploration or removal of adrenal gland	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
60545	Abdominal exploration or removal of adrenal gland with removal of abdominal growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60545	Abdominal exploration or removal of adrenal gland with removal of abdominal growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60545	Abdominal exploration or removal of adrenal gland with removal of abdominal growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
60600	Removal of carotid artery tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60600	Removal of carotid artery tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60600	Removal of carotid artery tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
60605	Removal of carotid artery and tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60605	Removal of carotid artery and tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60605	Removal of carotid artery and tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
60650	Abdominal exploration or removal of adrenal gland using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
60650	Abdominal exploration or removal of adrenal gland using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
60650	Abdominal exploration or removal of adrenal gland using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61000	Aspiration of spinal fluid from infant skull soft spot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
61001	Aspiration of spinal fluid from infant skull soft spot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
61020	"Aspiration of spinal fluid for diagnosis from skull soft spot, burr hole, or catheter in brain"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
61026	"Aspiration of spinal fluid and injection into skull soft spot, burr hole, or catheter in ventricle of brain"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
61050	Aspiration of fluid by spinal puncture in upper spine	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
61055	Spinal puncture in upper spine with injection of substance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
61070	Aspiration or injection of cerebrospinal fluid shunt tubing or reservoir	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
61105	Aspiration of fluid from brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61105	Aspiration of fluid from brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61105	Aspiration of fluid from brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
61108	Aspiration and/or drainage of blood accumulation in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61108	Aspiration and/or drainage of blood accumulation in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61108	Aspiration and/or drainage of blood accumulation in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61120	Injection into ventricle of brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61120	Injection into ventricle of brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61120	Injection into ventricle of brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
61140	Drainage or biopsy of brain or lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61140	Drainage or biopsy of brain or lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61140	Drainage or biopsy of brain or lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61150	Drainage of brain abscess or cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61150	Drainage of brain abscess or cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61150	Drainage of brain abscess or cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61151	Drainage or aspiration of brain abscess or cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61151	Drainage or aspiration of brain abscess or cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61151	Drainage or aspiration of brain abscess or cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
61154	Aspiration of blood accumulation in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61154	Aspiration of blood accumulation in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61154	Aspiration of blood accumulation in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61156	Aspiration of blood accumulation or cyst in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61156	Aspiration of blood accumulation or cyst in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61156	Aspiration of blood accumulation or cyst in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
61215	Insertion of device beneath the skin for continuous infusion in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61215	Insertion of device beneath the skin for continuous infusion in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61215	Insertion of device beneath the skin for continuous infusion in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
61250	Burr hole exploration of the brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61250	Burr hole exploration of the brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61250	Burr hole exploration of the brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
61253	Burr hole exploration of the brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61253	Burr hole exploration of the brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61253	Burr hole exploration of the brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
61304	Exploration of the brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61304	Exploration of the brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61304	Exploration of the brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61305	Exploration of the brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61305	Exploration of the brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61305	Exploration of the brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61312	Aspiration of blood accumulation in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61312	Aspiration of blood accumulation in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61312	Aspiration of blood accumulation in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61313	Aspiration of blood accumulation in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61313	Aspiration of blood accumulation in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61313	Aspiration of blood accumulation in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61314	Aspiration of blood accumulation in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61314	Aspiration of blood accumulation in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61314	Aspiration of blood accumulation in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61315	Aspiration of blood accumulation in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61315	Aspiration of blood accumulation in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61315	Aspiration of blood accumulation in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61320	Drainage of brain abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61320	Drainage of brain abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61320	Drainage of brain abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61321	Drainage of brain abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61321	Drainage of brain abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61321	Drainage of brain abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61322	Incision or excision of skull to reduce brain pressure	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61322	Incision or excision of skull to reduce brain pressure	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61322	Incision or excision of skull to reduce brain pressure	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
61323	Incision or excision of skull to reduce brain pressure and excision of lobe of brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61323	Incision or excision of skull to reduce brain pressure and excision of lobe of brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61323	Incision or excision of skull to reduce brain pressure and excision of lobe of brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61330	Incision of eye bone to reduce pressure	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61330	Incision of eye bone to reduce pressure	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61330	Incision of eye bone to reduce pressure	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61333	Exploration and removal of eye bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61333	Exploration and removal of eye bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61333	Exploration and removal of eye bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61340	Incision of skull to reduce brain pressure	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61340	Incision of skull to reduce brain pressure	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61340	Incision of skull to reduce brain pressure	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61343	Excision of skull base and upper spine to release spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61343	Excision of skull base and upper spine to release spinal cord	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61343	Excision of skull base and upper spine to release spinal cord	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61345	Excision of base of skull to reduce pressure at base of brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61345	Excision of base of skull to reduce pressure at base of brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61345	Excision of base of skull to reduce pressure at base of brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61450	Excision of skull to reduce facial nerve pressure	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61450	Excision of skull to reduce facial nerve pressure	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61450	Excision of skull to reduce facial nerve pressure	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61458	Excision of skull base for exploration or release of cranial nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61458	Excision of skull base for exploration or release of cranial nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61458	Excision of skull base for exploration or release of cranial nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61460	Excision of skull base to sever cranial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61460	Excision of skull base to sever cranial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61460	Excision of skull base to sever cranial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61500	Removal of brain tumor or other skull bone lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61500	Removal of brain tumor or other skull bone lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61500	Removal of brain tumor or other skull bone lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61501	Removal of infected skull bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61501	Removal of infected skull bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61501	Removal of infected skull bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61510	Removal of brain tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61510	Removal of brain tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61510	Removal of brain tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
61512	Removal of brain tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61512	Removal of brain tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61512	Removal of brain tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61514	Removal of brain abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61514	Removal of brain abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61514	Removal of brain abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61516	Removal or drainage of brain cyst	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61516	Removal or drainage of brain cyst	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61516	Removal or drainage of brain cyst	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61518	Removal of brain tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61518	Removal of brain tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61518	Removal of brain tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
61519	Removal of brain tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61519	Removal of brain tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61519	Removal of brain tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61520	Removal of eighth cranial nerve brain tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61520	Removal of eighth cranial nerve brain tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61520	Removal of eighth cranial nerve brain tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
61521	Removal of skull base tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61521	Removal of skull base tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61521	Removal of skull base tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61522	Removal of brain abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61522	Removal of brain abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61522	Removal of brain abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61524	Removal of brain cyst or creation of drainage tract	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61524	Removal of brain cyst or creation of drainage tract	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61524	Removal of brain cyst or creation of drainage tract	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61526	Removal of eighth cranial nerve brain tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61526	Removal of eighth cranial nerve brain tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61526	Removal of eighth cranial nerve brain tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
61530	Removal of eighth cranial nerve brain tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61530	Removal of eighth cranial nerve brain tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61530	Removal of eighth cranial nerve brain tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61531	Implantation of brain strip electrodes for seizure monitoring	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61531	Implantation of brain strip electrodes for seizure monitoring	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61531	Implantation of brain strip electrodes for seizure monitoring	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
61533	Implantation of brain electrode for seizure monitoring	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61533	Implantation of brain electrode for seizure monitoring	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61533	Implantation of brain electrode for seizure monitoring	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61534	Excision of brain tissue to halt seizure activity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61534	Excision of brain tissue to halt seizure activity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61534	Excision of brain tissue to halt seizure activity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61535	Removal of electrode from brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61535	Removal of electrode from brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61535	Removal of electrode from brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61536	Excision of brain tissue to halt seizure activity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61536	Excision of brain tissue to halt seizure activity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61536	Excision of brain tissue to halt seizure activity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61537	Excision of lobe of brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61537	Excision of lobe of brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61537	Excision of lobe of brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61538	Excision of lobe of brain with measurement of seizure activity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61538	Excision of lobe of brain with measurement of seizure activity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61538	Excision of lobe of brain with measurement of seizure activity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61539	Excision of lobe of brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61539	Excision of lobe of brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61539	Excision of lobe of brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61540	Excision of lobe of brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61540	Excision of lobe of brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61540	Excision of lobe of brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
61541	Incision of skull for incision of brain tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61541	Incision of skull for incision of brain tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61541	Incision of skull for incision of brain tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61543	Incision of skull for partial excision of brain tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61543	Incision of skull for partial excision of brain tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61543	Incision of skull for partial excision of brain tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61544	Incision of skull for excision or clotting of cerebrospinal fluid site	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61544	Incision of skull for excision or clotting of cerebrospinal fluid site	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61544	Incision of skull for excision or clotting of cerebrospinal fluid site	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61545	Incision of skull for excision of pituitary gland tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61545	Incision of skull for excision of pituitary gland tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61545	Incision of skull for excision of pituitary gland tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
61546	Incision of forehead bone for excision of pituitary gland tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61546	Incision of forehead bone for excision of pituitary gland tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61546	Incision of forehead bone for excision of pituitary gland tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61548	Excision of pituitary gland tumor	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61548	Excision of pituitary gland tumor	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61548	Excision of pituitary gland tumor	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61550	Repair of single skull suture defect present at birth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61550	Repair of single skull suture defect present at birth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61550	Repair of single skull suture defect present at birth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61552	Repair of multiple skull suture defects present at birth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61552	Repair of multiple skull suture defects present at birth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61552	Repair of multiple skull suture defects present at birth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61556	Incision of prematurely closed skull suture with skull bone flap	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61556	Incision of prematurely closed skull suture with skull bone flap	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61556	Incision of prematurely closed skull suture with skull bone flap	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		79
61557	Incision of prematurely closed skull suture with bone flap from front portion of skull	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61557	Incision of prematurely closed skull suture with bone flap from front portion of skull	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61557	Incision of prematurely closed skull suture with bone flap from front portion of skull	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61558	Removal of skull to restore shape due to multiple prematurely closed sutures	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61558	Removal of skull to restore shape due to multiple prematurely closed sutures	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61558	Removal of skull to restore shape due to multiple prematurely closed sutures	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61559	Removal of skull and bone grafts to restore shape due to multiple prematurely closed sutures	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61559	Removal of skull and bone grafts to restore shape due to multiple prematurely closed sutures	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61559	Removal of skull and bone grafts to restore shape due to multiple prematurely closed sutures	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
61563	Removal of skull bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61563	Removal of skull bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61563	Removal of skull bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		79
61564	Removal of skull bone growth with release of optic nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61564	Removal of skull bone growth with release of optic nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61564	Removal of skull bone growth with release of optic nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61566	Removal of brain tissue to relieve seizure activity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61566	Removal of brain tissue to relieve seizure activity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61566	Removal of brain tissue to relieve seizure activity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
61567	Incision of brain tissue with seizure monitoring	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61567	Incision of brain tissue with seizure monitoring	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61567	Incision of brain tissue with seizure monitoring	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
61570	Removal of foreign body from brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61570	Removal of foreign body from brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61570	Removal of foreign body from brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61571	Treatment of penetrating brain wound	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61571	Treatment of penetrating brain wound	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61571	Treatment of penetrating brain wound	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61575	Biopsy of brain stem or upper spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61575	Biopsy of brain stem or upper spinal cord	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61575	Biopsy of brain stem or upper spinal cord	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61576	Biopsy of brain stem or upper spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61576	Biopsy of brain stem or upper spinal cord	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61576	Biopsy of brain stem or upper spinal cord	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		237
61580	Removal of nasal sinuses to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61580	Removal of nasal sinuses to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61580	Removal of nasal sinuses to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		142
61581	Removal of nasal sinuses to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61581	Removal of nasal sinuses to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61581	Removal of nasal sinuses to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		195
61582	Removal of facial bone to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61582	Removal of facial bone to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61582	Removal of facial bone to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		162
61583	Removal of facial bone to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61583	Removal of facial bone to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61583	Removal of facial bone to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		79
61584	Removal of facial bone to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61584	Removal of facial bone to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61584	Removal of facial bone to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		79
61585	Removal of facial bone to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61585	Removal of facial bone to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61585	Removal of facial bone to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61586	Removal of facial bone to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61586	Removal of facial bone to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61586	Removal of facial bone to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
61590	Removal of jaw bone to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61590	Removal of jaw bone to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61590	Removal of jaw bone to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		142
61591	Removal of skull bone behind ear to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61591	Removal of skull bone behind ear to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61591	Removal of skull bone behind ear to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		131
61592	Removal of cheek bone and skull to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61592	Removal of cheek bone and skull to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61592	Removal of cheek bone and skull to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
61595	Removal of skull bone behind ear to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61595	Removal of skull bone behind ear to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61595	Removal of skull bone behind ear to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		142
61596	Removal of skull bone behind ear to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61596	Removal of skull bone behind ear to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61596	Removal of skull bone behind ear to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
61597	Removal of skull base to approach brain lesion	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61597	Removal of skull base to approach brain lesion	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61597	Removal of skull base to approach brain lesion	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
61598	Removal of skull to approach lesion or defect at skull base with tying of sinus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61598	Removal of skull to approach lesion or defect at skull base with tying of sinus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61598	Removal of skull to approach lesion or defect at skull base with tying of sinus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
61600	Removal of lesion at skull base	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61600	Removal of lesion at skull base	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61600	Removal of lesion at skull base	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		142
61601	Removal of lesion at skull base	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61601	Removal of lesion at skull base	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61601	Removal of lesion at skull base	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
61605	Removal of lesion at skull base	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61605	Removal of lesion at skull base	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61605	Removal of lesion at skull base	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		142
61606	Removal of lesion at skull base	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61606	Removal of lesion at skull base	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61606	Removal of lesion at skull base	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61607	Removal of lesion at skull base	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61607	Removal of lesion at skull base	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61607	Removal of lesion at skull base	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61608	Removal of lesion at skull base	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61608	Removal of lesion at skull base	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61608	Removal of lesion at skull base	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
61613	Destruction of abnormal blood vessel at skull base	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61613	Destruction of abnormal blood vessel at skull base	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61613	Destruction of abnormal blood vessel at skull base	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
61615	Excision of abnormal blood vessel at skull base or upper spine bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61615	Excision of abnormal blood vessel at skull base or upper spine bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61615	Excision of abnormal blood vessel at skull base or upper spine bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		115
61616	Excision of abnormal blood vessel at skull base or upper spine bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61616	Excision of abnormal blood vessel at skull base or upper spine bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61616	Excision of abnormal blood vessel at skull base or upper spine bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		115
61618	Repair of brain covering by tissue or synthetic graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61618	Repair of brain covering by tissue or synthetic graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61618	Repair of brain covering by tissue or synthetic graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61619	Repair of brain covering by vascular or combined vascular muscle graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61619	Repair of brain covering by vascular or combined vascular muscle graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61619	Repair of brain covering by vascular or combined vascular muscle graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
61623	Balloon occlusion of head or neck artery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		15
61630	"Balloon dilation of blood vessel in head, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61630	"Balloon dilation of blood vessel in head, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61635	Insertion of stents in blood vessel of head	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61635	Insertion of stents in blood vessel of head	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61680	Repair of abnormal artery-vein connection in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61680	Repair of abnormal artery-vein connection in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61680	Repair of abnormal artery-vein connection in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61682	Repair of abnormal artery-vein connection in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61682	Repair of abnormal artery-vein connection in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61682	Repair of abnormal artery-vein connection in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61684	Repair of abnormal artery-vein connection in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61684	Repair of abnormal artery-vein connection in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61684	Repair of abnormal artery-vein connection in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61686	Repair of abnormal artery-vein connection in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61686	Repair of abnormal artery-vein connection in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61686	Repair of abnormal artery-vein connection in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
61690	Repair of abnormal artery-vein connection in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61690	Repair of abnormal artery-vein connection in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61690	Repair of abnormal artery-vein connection in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
61692	Repair of abnormal artery-vein connection in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61692	Repair of abnormal artery-vein connection in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61692	Repair of abnormal artery-vein connection in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		106
61697	Repair of bulging of blood vessel (aneurysm) in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61697	Repair of bulging of blood vessel (aneurysm) in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61697	Repair of bulging of blood vessel (aneurysm) in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
61698	Repair of bulging of blood vessel (aneurysm) in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61698	Repair of bulging of blood vessel (aneurysm) in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61698	Repair of bulging of blood vessel (aneurysm) in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
61700	Repair of bulging of blood vessel (aneurysm) in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61700	Repair of bulging of blood vessel (aneurysm) in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61700	Repair of bulging of blood vessel (aneurysm) in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
61702	Repair of bulging of blood vessel (aneurysm) in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61702	Repair of bulging of blood vessel (aneurysm) in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61702	Repair of bulging of blood vessel (aneurysm) in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		125
61703	Repair of bulging of blood vessel (aneurysm) in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61703	Repair of bulging of blood vessel (aneurysm) in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61703	Repair of bulging of blood vessel (aneurysm) in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61705	Repair of bulging of blood vessel (aneurysm) in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61705	Repair of bulging of blood vessel (aneurysm) in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61705	Repair of bulging of blood vessel (aneurysm) in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61708	Repair of bulging of blood vessel (aneurysm) in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61708	Repair of bulging of blood vessel (aneurysm) in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61708	Repair of bulging of blood vessel (aneurysm) in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61710	Repair of bulging of blood vessel (aneurysm) in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61710	Repair of bulging of blood vessel (aneurysm) in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61710	Repair of bulging of blood vessel (aneurysm) in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61711	Connection of arteries in head	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
61711	Connection of arteries in head	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61711	Connection of arteries in head	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61720	Creation of brain lesion by stereotactic method	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61720	Creation of brain lesion by stereotactic method	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61720	Creation of brain lesion by stereotactic method	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61735	Creation of brain lesion by stereotactic method	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61735	Creation of brain lesion by stereotactic method	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61735	Creation of brain lesion by stereotactic method	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
61736	"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
61736	"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
61736	"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
61736	"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
61736	"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
61737	"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesion(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
61737	"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesion(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
61737	"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesion(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
61737	"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesion(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
61737	"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesion(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
61750	"Stereotactic biopsy, aspiration, or excision of brain lesion"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61750	"Stereotactic biopsy, aspiration, or excision of brain lesion"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61750	"Stereotactic biopsy, aspiration, or excision of brain lesion"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61751	"Stereotactic biopsy, aspiration, or excision of brain lesion using CT and/or MRI guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61751	"Stereotactic biopsy, aspiration, or excision of brain lesion using CT and/or MRI guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61751	"Stereotactic biopsy, aspiration, or excision of brain lesion using CT and/or MRI guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61760	Stereotactic implantation of brain electrodes for seizure monitoring	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61760	Stereotactic implantation of brain electrodes for seizure monitoring	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61760	Stereotactic implantation of brain electrodes for seizure monitoring	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		77
61770	Stereotactic insertion of catheters or probes for radiation source	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61770	Stereotactic insertion of catheters or probes for radiation source	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61770	Stereotactic insertion of catheters or probes for radiation source	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61790	"Stereotactic creation of lesion of cranial nerve, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61790	"Stereotactic creation of lesion of cranial nerve, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61790	"Stereotactic creation of lesion of cranial nerve, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61791	"Stereotactic creation of brainstem lesion, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61791	"Stereotactic creation of brainstem lesion, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61791	"Stereotactic creation of brainstem lesion, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61796	Stereotactic treatment of brain growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61796	Stereotactic treatment of brain growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61796	Stereotactic treatment of brain growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61798	Stereotactic treatment of brain growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61798	Stereotactic treatment of brain growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61798	Stereotactic treatment of brain growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61850	Implantation of neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61850	Implantation of neurostimulator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61850	Implantation of neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
61860	Implantation of neurostimulator electrodes in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61860	Implantation of neurostimulator electrodes in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61860	Implantation of neurostimulator electrodes in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61863	Implantation of neurostimulator electrodes in brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61863	Implantation of neurostimulator electrodes in brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61863	Implantation of neurostimulator electrodes in brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61867	Implantation of brain neurostimulator electrodes microelectrode recording	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61867	Implantation of brain neurostimulator electrodes microelectrode recording	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61867	Implantation of brain neurostimulator electrodes microelectrode recording	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
61880	Revision or removal of brain neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61880	Revision or removal of brain neurostimulator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61880	Revision or removal of brain neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
61885	Insertion or replacement of brain neurostimulator generator or receiver	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61885	Insertion or replacement of brain neurostimulator generator or receiver	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61885	Insertion or replacement of brain neurostimulator generator or receiver	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
61886	Insertion or replacement of brain neurostimulator generator or receiver	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
61886	Insertion or replacement of brain neurostimulator generator or receiver	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
61886	Insertion or replacement of brain neurostimulator generator or receiver	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
61888	Revision or removal of brain neurostimulator generator or receiver	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		28
61888	Revision or removal of brain neurostimulator generator or receiver	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
61888	Revision or removal of brain neurostimulator generator or receiver	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
62000	Elevation of depressed skull fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62000	Elevation of depressed skull fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62000	Elevation of depressed skull fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62005	Elevation of depressed skull fractures	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62005	Elevation of depressed skull fractures	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62005	Elevation of depressed skull fractures	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62010	Elevation of depressed skull fracture	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62010	Elevation of depressed skull fracture	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62010	Elevation of depressed skull fracture	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
62100	Repair of membrane covering the brain	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62100	Repair of membrane covering the brain	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62100	Repair of membrane covering the brain	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
62115	Reduction of an enlarged skull	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62115	Reduction of an enlarged skull	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62115	Reduction of an enlarged skull	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
62117	Reduction and reshaping of an enlarged skull	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62117	Reduction and reshaping of an enlarged skull	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62117	Reduction and reshaping of an enlarged skull	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
62120	Repair and reshaping of herniated brain through skull	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
62120	Repair and reshaping of herniated brain through skull	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62120	Repair and reshaping of herniated brain through skull	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		154
62121	Repair of herniation of brain at skull base	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
62121	Repair of herniation of brain at skull base	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62121	Repair of herniation of brain at skull base	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		82
62140	Reshaping of (up to 5 centimeter diameter) skull bone defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62140	Reshaping of (up to 5 centimeter diameter) skull bone defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62140	Reshaping of (up to 5 centimeter diameter) skull bone defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62141	Reshaping of (larger than 5 centimeter in diameter) skull bone defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62141	Reshaping of (larger than 5 centimeter in diameter) skull bone defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62141	Reshaping of (larger than 5 centimeter in diameter) skull bone defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62142	Removal of bone flap or prosthesis from skull	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62142	Removal of bone flap or prosthesis from skull	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62142	Removal of bone flap or prosthesis from skull	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62143	Replacement of bone flap or prosthesis in skull	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62143	Replacement of bone flap or prosthesis in skull	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62143	Replacement of bone flap or prosthesis in skull	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62145	Reshaping of skull bone defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62145	Reshaping of skull bone defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62145	Reshaping of skull bone defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62146	Reconstruction and (up to 5 centimeter in diameter) graft of skull bone defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62146	Reconstruction and (up to 5 centimeter in diameter) graft of skull bone defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62146	Reconstruction and (up to 5 centimeter in diameter) graft of skull bone defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62147	Reconstruction and (larger than 5 centimeter in diameter) graft of skull bone defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62147	Reconstruction and (larger than 5 centimeter in diameter) graft of skull bone defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62147	Reconstruction and (larger than 5 centimeter in diameter) graft of skull bone defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62161	Release of brain scar tissue or cyst drainage using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62161	Release of brain scar tissue or cyst drainage using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62161	Release of brain scar tissue or cyst drainage using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
62162	Drainage of brain cyst using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
62162	Drainage of brain cyst using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62162	Drainage of brain cyst using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
62164	Removal of brain tumor using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
62164	Removal of brain tumor using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62164	Removal of brain tumor using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		131
62165	Removal of pituitary gland tumor using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
62165	Removal of pituitary gland tumor using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62165	Removal of pituitary gland tumor using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		104
62180	Creation of drainage tract for spinal fluid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62180	Creation of drainage tract for spinal fluid	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62180	Creation of drainage tract for spinal fluid	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
62190	Creation of brain fluid drainage shunt	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62190	Creation of brain fluid drainage shunt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62190	Creation of brain fluid drainage shunt	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62192	Creation of brain fluid drainage shunt	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62192	Creation of brain fluid drainage shunt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62192	Creation of brain fluid drainage shunt	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62194	Replacement or irrigation of brain catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		23
62194	Replacement or irrigation of brain catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62194	Replacement or irrigation of brain catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62200	Creation of brain fluid drainage shunt	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62200	Creation of brain fluid drainage shunt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62200	Creation of brain fluid drainage shunt	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62201	Stereotactic creation of spinal fluid drainage tract in the brain using an endoscope	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62201	Stereotactic creation of spinal fluid drainage tract in the brain using an endoscope	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62201	Stereotactic creation of spinal fluid drainage tract in the brain using an endoscope	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
62220	Creation of brain fluid drainage shunt	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62220	Creation of brain fluid drainage shunt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62220	Creation of brain fluid drainage shunt	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62223	Creation of brain fluid drainage shunt	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62223	Creation of brain fluid drainage shunt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62223	Creation of brain fluid drainage shunt	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
62225	Replacement or irrigation of brain fluid drainage shunt catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62225	Replacement or irrigation of brain fluid drainage shunt catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62225	Replacement or irrigation of brain fluid drainage shunt catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
62230	Replacement or revision of brain fluid drainage shunt valve or catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62230	Replacement or revision of brain fluid drainage shunt valve or catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62230	Replacement or revision of brain fluid drainage shunt valve or catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
62252	Reprogramming of programmable brain and spinal fluid shunt	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	22	
62252	Reprogramming of programmable brain and spinal fluid shunt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	
62252	Reprogramming of programmable brain and spinal fluid shunt	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	5	
62256	Removal of brain and spinal fluid shunt system	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62256	Removal of brain and spinal fluid shunt system	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62256	Removal of brain and spinal fluid shunt system	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
62258	Removal and replacement of brain and spinal fluid shunt system	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62258	Removal and replacement of brain and spinal fluid shunt system	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62258	Removal and replacement of brain and spinal fluid shunt system	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62263	"Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions over 2 or more days"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
62263	"Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions over 2 or more days"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	100	6
62263	"Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions over 2 or more days"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	99	99
62264	"Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions in 1 day"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	24	31
62264	"Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions in 1 day"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	6
62264	"Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions in 1 day"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
62267	"Diagnostic aspiration of spinal disc or tissue, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	20
62267	"Diagnostic aspiration of spinal disc or tissue, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	0
62267	"Diagnostic aspiration of spinal disc or tissue, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
62268	"Aspiration of spinal cord cyst or fluid-filled cavity, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
62268	"Aspiration of spinal cord cyst or fluid-filled cavity, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
62269	"Needle biopsy of spinal cord, accessed beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
62269	"Needle biopsy of spinal cord, accessed beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
62270	"Spinal puncture, lumbar, diagnostic;"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	2	0
62270	"Spinal puncture, lumbar, diagnostic;"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
62270	"Spinal puncture, lumbar, diagnostic;"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	0
62270	"Spinal puncture, lumbar, diagnostic;"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
62270	"Spinal puncture, lumbar, diagnostic;"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
62270	"Spinal puncture, lumbar, diagnostic;"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
62270	"Spinal puncture, lumbar, diagnostic;"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	4	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	2	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
62272	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter);"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
62273	Injection of blood or blood clot into spinal canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	21
62273	Injection of blood or blood clot into spinal canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	52	0
62273	Injection of blood or blood clot into spinal canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
62280	Injection of substance into spinal canal to destroy nerve tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	25
62280	Injection of substance into spinal canal to destroy nerve tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	6
62280	Injection of substance into spinal canal to destroy nerve tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
62281	Injection of spinal canal to destroy nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	25
62281	Injection of spinal canal to destroy nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	58	6
62281	Injection of spinal canal to destroy nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
62282	Injection of spinal canal to destroy nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	25
62282	Injection of spinal canal to destroy nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	6
62282	Injection of spinal canal to destroy nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	5
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains"	15	
62284	"Injection procedure for myelography and/or computed tomography, lumbar"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62287	"Aspiration of lower spine disc, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62287	"Aspiration of lower spine disc, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62287	"Aspiration of lower spine disc, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
62290	Injection of dye for X-ray imaging of spine disc	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	25
62290	Injection of dye for X-ray imaging of spine disc	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	0
62290	Injection of dye for X-ray imaging of spine disc	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
62291	Injection of dye for X-ray imaging of spine disc	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	25
62291	Injection of dye for X-ray imaging of spine disc	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	0
62291	Injection of dye for X-ray imaging of spine disc	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
62292	Injection of chemical enzyme into herniated spinal disc	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62292	Injection of chemical enzyme into herniated spinal disc	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62292	Injection of chemical enzyme into herniated spinal disc	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62294	Injection of drug into an artery to occlude arteriovenous malformation of spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62294	Injection of drug into an artery to occlude arteriovenous malformation of spinal cord	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62294	Injection of drug into an artery to occlude arteriovenous malformation of spinal cord	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
62302	Myelography via lumbar injection; cervical	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	0	
62302	Myelography via lumbar injection; cervical	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	0	
62302	Myelography via lumbar injection; cervical	Pre-service	L037D	RN/LPN/MTA	0.455	Availability of prior images confirmed	2	
62302	Myelography via lumbar injection; cervical	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
62302	Myelography via lumbar injection; cervical	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
62302	Myelography via lumbar injection; cervical	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
62302	Myelography via lumbar injection; cervical	Pre-service	L037D	RN/LPN/MTA	0.455	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
62302	Myelography via lumbar injection; cervical	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	5
62302	Myelography via lumbar injection; cervical	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62302	Myelography via lumbar injection; cervical	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
62302	Myelography via lumbar injection; cervical	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62302	Myelography via lumbar injection; cervical	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
62302	Myelography via lumbar injection; cervical	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62302	Myelography via lumbar injection; cervical	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	26	
62302	Myelography via lumbar injection; cervical	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62302	Myelography via lumbar injection; cervical	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62302	Myelography via lumbar injection; cervical	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
62302	Myelography via lumbar injection; cervical	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
62302	Myelography via lumbar injection; cervical	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
62302	Myelography via lumbar injection; cervical	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62303	Myelography via lumbar injection; thoracic	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	0	
62303	Myelography via lumbar injection; thoracic	Pre-service	L037D	RN/LPN/MTA	0.455	Availability of prior images confirmed	2	
62303	Myelography via lumbar injection; thoracic	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
62303	Myelography via lumbar injection; thoracic	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
62303	Myelography via lumbar injection; thoracic	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
62303	Myelography via lumbar injection; thoracic	Pre-service	L037D	RN/LPN/MTA	0.455	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
62303	Myelography via lumbar injection; thoracic	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	5
62303	Myelography via lumbar injection; thoracic	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62303	Myelography via lumbar injection; thoracic	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
62303	Myelography via lumbar injection; thoracic	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62303	Myelography via lumbar injection; thoracic	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
62303	Myelography via lumbar injection; thoracic	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62303	Myelography via lumbar injection; thoracic	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	25	
62303	Myelography via lumbar injection; thoracic	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62303	Myelography via lumbar injection; thoracic	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62303	Myelography via lumbar injection; thoracic	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
62303	Myelography via lumbar injection; thoracic	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains"	15	
62303	Myelography via lumbar injection; thoracic	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
62303	Myelography via lumbar injection; thoracic	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
62303	Myelography via lumbar injection; thoracic	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62304	Myelography via lumbar injection; lumbosacral	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	0	
62304	Myelography via lumbar injection; lumbosacral	Pre-service	L037D	RN/LPN/MTA	0.455	Availability of prior images confirmed	2	
62304	Myelography via lumbar injection; lumbosacral	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
62304	Myelography via lumbar injection; lumbosacral	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
62304	Myelography via lumbar injection; lumbosacral	Pre-service	L037C	Orthoptist	0.565	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
62304	Myelography via lumbar injection; lumbosacral	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
62304	Myelography via lumbar injection; lumbosacral	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	5
62304	Myelography via lumbar injection; lumbosacral	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62304	Myelography via lumbar injection; lumbosacral	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
62304	Myelography via lumbar injection; lumbosacral	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62304	Myelography via lumbar injection; lumbosacral	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
62304	Myelography via lumbar injection; lumbosacral	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62304	Myelography via lumbar injection; lumbosacral	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	12	
62304	Myelography via lumbar injection; lumbosacral	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	13	
62304	Myelography via lumbar injection; lumbosacral	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62304	Myelography via lumbar injection; lumbosacral	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62304	Myelography via lumbar injection; lumbosacral	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
62304	Myelography via lumbar injection; lumbosacral	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
62304	Myelography via lumbar injection; lumbosacral	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
62304	Myelography via lumbar injection; lumbosacral	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
62304	Myelography via lumbar injection; lumbosacral	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62305	Myelography via lumbar injection; 2 or more regions	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	0	
62305	Myelography via lumbar injection; 2 or more regions	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
62305	Myelography via lumbar injection; 2 or more regions	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
62305	Myelography via lumbar injection; 2 or more regions	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
62305	Myelography via lumbar injection; 2 or more regions	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
62305	Myelography via lumbar injection; 2 or more regions	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
62305	Myelography via lumbar injection; 2 or more regions	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	5
62305	Myelography via lumbar injection; 2 or more regions	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62305	Myelography via lumbar injection; 2 or more regions	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
62305	Myelography via lumbar injection; 2 or more regions	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62305	Myelography via lumbar injection; 2 or more regions	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
62305	Myelography via lumbar injection; 2 or more regions	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62305	Myelography via lumbar injection; 2 or more regions	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	
62305	Myelography via lumbar injection; 2 or more regions	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62305	Myelography via lumbar injection; 2 or more regions	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62305	Myelography via lumbar injection; 2 or more regions	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
62305	Myelography via lumbar injection; 2 or more regions	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains"	15	
62305	Myelography via lumbar injection; 2 or more regions	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
62305	Myelography via lumbar injection; 2 or more regions	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
62305	Myelography via lumbar injection; 2 or more regions	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	10	
62320	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62321	Njx interlaminar crv/thrc	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
62321	Njx interlaminar crv/thrc	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
62321	Njx interlaminar crv/thrc	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
62321	Njx interlaminar crv/thrc	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
62321	Njx interlaminar crv/thrc	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
62321	Njx interlaminar crv/thrc	Pre-service	L041B	Radiologic Technologist	0.52	Pull and display previous images	2	
62321	Njx interlaminar crv/thrc	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62321	Njx interlaminar crv/thrc	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
62321	Njx interlaminar crv/thrc	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62321	Njx interlaminar crv/thrc	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
62321	Njx interlaminar crv/thrc	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
62321	Njx interlaminar crv/thrc	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62321	Njx interlaminar crv/thrc	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
62321	Njx interlaminar crv/thrc	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
62321	Njx interlaminar crv/thrc	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure/Acquire images	15	
62321	Njx interlaminar crv/thrc	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62321	Njx interlaminar crv/thrc	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62321	Njx interlaminar crv/thrc	Service  post	L041B	Radiologic Technologist	0.52	Exam document scanned into PACS.	1	
62321	Njx interlaminar crv/thrc	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	10	
62321	Njx interlaminar crv/thrc	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
62321	Njx interlaminar crv/thrc	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
62321	Njx interlaminar crv/thrc	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	11	
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	10	
62322	"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62323	Njx interlaminar lmbr/sac	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
62323	Njx interlaminar lmbr/sac	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
62323	Njx interlaminar lmbr/sac	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
62323	Njx interlaminar lmbr/sac	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
62323	Njx interlaminar lmbr/sac	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
62323	Njx interlaminar lmbr/sac	Pre-service	L041B	Radiologic Technologist	0.52	Pull and display previous images	2	
62323	Njx interlaminar lmbr/sac	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62323	Njx interlaminar lmbr/sac	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
62323	Njx interlaminar lmbr/sac	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62323	Njx interlaminar lmbr/sac	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
62323	Njx interlaminar lmbr/sac	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
62323	Njx interlaminar lmbr/sac	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62323	Njx interlaminar lmbr/sac	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
62323	Njx interlaminar lmbr/sac	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
62323	Njx interlaminar lmbr/sac	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure/Acquire images	15	
62323	Njx interlaminar lmbr/sac	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62323	Njx interlaminar lmbr/sac	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62323	Njx interlaminar lmbr/sac	Service  post	L041B	Radiologic Technologist	0.52	Exam document scanned into PACS.	1	
62323	Njx interlaminar lmbr/sac	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	10	
62323	Njx interlaminar lmbr/sac	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
62323	Njx interlaminar lmbr/sac	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
62323	Njx interlaminar lmbr/sac	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	10	
62324	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62325	Njx interlaminar crv/thrc	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
62325	Njx interlaminar crv/thrc	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
62325	Njx interlaminar crv/thrc	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
62325	Njx interlaminar crv/thrc	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
62325	Njx interlaminar crv/thrc	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
62325	Njx interlaminar crv/thrc	Pre-service	L041B	Radiologic Technologist	0.52	Pull and display previous images	2	
62325	Njx interlaminar crv/thrc	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62325	Njx interlaminar crv/thrc	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
62325	Njx interlaminar crv/thrc	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62325	Njx interlaminar crv/thrc	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
62325	Njx interlaminar crv/thrc	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
62325	Njx interlaminar crv/thrc	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62325	Njx interlaminar crv/thrc	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
62325	Njx interlaminar crv/thrc	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
62325	Njx interlaminar crv/thrc	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure/Acquire images	15	
62325	Njx interlaminar crv/thrc	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62325	Njx interlaminar crv/thrc	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62325	Njx interlaminar crv/thrc	Service  post	L041B	Radiologic Technologist	0.52	Exam document scanned into PACS.	1	
62325	Njx interlaminar crv/thrc	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	10	
62325	Njx interlaminar crv/thrc	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
62325	Njx interlaminar crv/thrc	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
62325	Njx interlaminar crv/thrc	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	10	
62326	"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62327	Njx interlaminar lmbr/sac	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		3
62327	Njx interlaminar lmbr/sac	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		3
62327	Njx interlaminar lmbr/sac	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
62327	Njx interlaminar lmbr/sac	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
62327	Njx interlaminar lmbr/sac	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		3
62327	Njx interlaminar lmbr/sac	Pre-service	L041B	Radiologic Technologist	0.52	Pull and display previous images	2	
62327	Njx interlaminar lmbr/sac	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
62327	Njx interlaminar lmbr/sac	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
62327	Njx interlaminar lmbr/sac	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
62327	Njx interlaminar lmbr/sac	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
62327	Njx interlaminar lmbr/sac	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
62327	Njx interlaminar lmbr/sac	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
62327	Njx interlaminar lmbr/sac	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
62327	Njx interlaminar lmbr/sac	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
62327	Njx interlaminar lmbr/sac	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure/Acquire images	15	
62327	Njx interlaminar lmbr/sac	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
62327	Njx interlaminar lmbr/sac	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
62327	Njx interlaminar lmbr/sac	Service  post	L041B	Radiologic Technologist	0.52	Exam document scanned into PACS.	1	
62327	Njx interlaminar lmbr/sac	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	10	
62327	Njx interlaminar lmbr/sac	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
62327	Njx interlaminar lmbr/sac	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
62327	Njx interlaminar lmbr/sac	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	2	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Pre-service	L041B	Radiologic Technologist	0.52	Perform regulatory mandated quality assurance activity (pre-service)	3	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	3	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	18	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	13.5	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	4.5	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	4	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
62328	"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	2	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	3	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Pre-service	L041B	Radiologic Technologist	0.52	Perform regulatory mandated quality assurance activity (pre-service)	3	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	3	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	15	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	5	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
62329	"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
62350	"Implantation, revision, or repositioning of spinal canal medication catheter"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62350	"Implantation, revision, or repositioning of spinal canal medication catheter"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62350	"Implantation, revision, or repositioning of spinal canal medication catheter"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
62351	"Implantation, revision, or repositioning of catheter in spinal canal for medication administration"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62351	"Implantation, revision, or repositioning of catheter in spinal canal for medication administration"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
62351	"Implantation, revision, or repositioning of catheter in spinal canal for medication administration"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
62355	Removal of implanted catheter in spinal canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62355	Removal of implanted catheter in spinal canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62355	Removal of implanted catheter in spinal canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
62360	Implantation or replacement of spinal canal drug infusion device beneath skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62360	Implantation or replacement of spinal canal drug infusion device beneath skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62360	Implantation or replacement of spinal canal drug infusion device beneath skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
62361	Implantation or replacement of spinal canal drug infusion pump	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62361	Implantation or replacement of spinal canal drug infusion pump	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62361	Implantation or replacement of spinal canal drug infusion pump	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
62362	Implantation or replacement of programmable spinal canal drug infusion pump	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62362	Implantation or replacement of programmable spinal canal drug infusion pump	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62362	Implantation or replacement of programmable spinal canal drug infusion pump	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
62365	"Removal of spinal canal drug infusion pump or device, accessed beneath the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
62365	"Removal of spinal canal drug infusion pump or device, accessed beneath the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
62365	"Removal of spinal canal drug infusion pump or device, accessed beneath the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
62367	Electronic analysis of spinal canal drug infusion pump	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
62367	Electronic analysis of spinal canal drug infusion pump	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
62368	Electronic analysis and reprogramming of spinal canal drug infusion pump	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
62368	Electronic analysis and reprogramming of spinal canal drug infusion pump	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
62369	Electronic analysis reprogramming and refill of spinal canal drug infusion pump	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
62369	Electronic analysis reprogramming and refill of spinal canal drug infusion pump	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
62369	Electronic analysis reprogramming and refill of spinal canal drug infusion pump	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
62369	Electronic analysis reprogramming and refill of spinal canal drug infusion pump	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
62369	Electronic analysis reprogramming and refill of spinal canal drug infusion pump	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
62369	Electronic analysis reprogramming and refill of spinal canal drug infusion pump	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
62369	Electronic analysis reprogramming and refill of spinal canal drug infusion pump	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
62369	Electronic analysis reprogramming and refill of spinal canal drug infusion pump	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
62369	Electronic analysis reprogramming and refill of spinal canal drug infusion pump	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
62369	Electronic analysis reprogramming and refill of spinal canal drug infusion pump	Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	3	0
62370	Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
62370	Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
62370	Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
62370	Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
62370	Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
63001	Partial removal of bone and/or release of upper spinal cord or spinal nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63001	Partial removal of bone and/or release of upper spinal cord or spinal nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63001	Partial removal of bone and/or release of upper spinal cord or spinal nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
63003	Partial removal of bone and/or release of middle spinal cord or spinal nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63003	Partial removal of bone and/or release of middle spinal cord or spinal nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63003	Partial removal of bone and/or release of middle spinal cord or spinal nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
63005	Partial removal of bone and/or release of lower spinal cord or spinal nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63005	Partial removal of bone and/or release of lower spinal cord or spinal nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63005	Partial removal of bone and/or release of lower spinal cord or spinal nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63011	Partial removal of bone and/or release of sacral spinal cord or spinal nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63011	Partial removal of bone and/or release of sacral spinal cord or spinal nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63011	Partial removal of bone and/or release of sacral spinal cord or spinal nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63012	Partial removal of bone and/or release of lower spinal cord or spinal nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63012	Partial removal of bone and/or release of lower spinal cord or spinal nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63012	Partial removal of bone and/or release of lower spinal cord or spinal nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63015	Partial removal of bone with release of upper spinal cord or spinal nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63015	Partial removal of bone with release of upper spinal cord or spinal nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63015	Partial removal of bone with release of upper spinal cord or spinal nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63016	Partial removal of bone and/or release of middle spinal cord or spinal nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63016	Partial removal of bone and/or release of middle spinal cord or spinal nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63016	Partial removal of bone and/or release of middle spinal cord or spinal nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63017	Partial removal of bone and/or release of lower spinal cord or spinal nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63017	Partial removal of bone and/or release of lower spinal cord or spinal nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63017	Partial removal of bone and/or release of lower spinal cord or spinal nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63020	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in upper spine	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
63020	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in upper spine	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
63020	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in upper spine	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
63020	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in upper spine	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
63020	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in upper spine	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
63020	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in upper spine	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
63020	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in upper spine	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	125
63030	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
63030	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
63030	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
63030	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
63030	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
63030	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
63030	Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	125
63035	Partial removal of bone with release of spinal cord or spinal nerves in upper or lower spine	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
63040	Re-exploration of spine repair with release of upper spinal cord or nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63040	Re-exploration of spine repair with release of upper spinal cord or nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63040	Re-exploration of spine repair with release of upper spinal cord or nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63042	Re-exploration of spine repair with release of lower spinal cord or nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63042	Re-exploration of spine repair with release of lower spinal cord or nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63042	Re-exploration of spine repair with release of lower spinal cord or nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63045	"Laminectomy, facetectomy and foraminotomy ; cervical"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
63045	"Laminectomy, facetectomy and foraminotomy ; cervical"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
63045	"Laminectomy, facetectomy and foraminotomy ; cervical"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
63045	"Laminectomy, facetectomy and foraminotomy ; cervical"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
63045	"Laminectomy, facetectomy and foraminotomy ; cervical"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
63045	"Laminectomy, facetectomy and foraminotomy ; cervical"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
63045	"Laminectomy, facetectomy and foraminotomy ; cervical"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
63046	"Laminectomy, facetectomy and foraminotomy ; thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
63046	"Laminectomy, facetectomy and foraminotomy ; thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
63046	"Laminectomy, facetectomy and foraminotomy ; thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
63046	"Laminectomy, facetectomy and foraminotomy ; thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
63046	"Laminectomy, facetectomy and foraminotomy ; thoracic"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
63046	"Laminectomy, facetectomy and foraminotomy ; thoracic"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management 99238 --12 minutes		12
63046	"Laminectomy, facetectomy and foraminotomy ; thoracic"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
63047	Partial removal of middle spine bone with release of spinal cord and/or nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63047	Partial removal of middle spine bone with release of spinal cord and/or nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63047	Partial removal of middle spine bone with release of spinal cord and/or nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63050	Reconstruction of bone around spinal canal with release of spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63050	Reconstruction of bone around spinal canal with release of spinal cord	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63050	Reconstruction of bone around spinal canal with release of spinal cord	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
63051	Reconstruction of bone around spinal canal with release of spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63051	Reconstruction of bone around spinal canal with release of spinal cord	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63051	Reconstruction of bone around spinal canal with release of spinal cord	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
63052		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
63053		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
63055	Release of middle spinal cord and/or nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63055	Release of middle spinal cord and/or nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63055	Release of middle spinal cord and/or nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63056	Release of lower spinal cord and/or nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63056	Release of lower spinal cord and/or nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63056	Release of lower spinal cord and/or nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63064	"Release of middle spinal cord or nerves, costovertebral approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63064	"Release of middle spinal cord or nerves, costovertebral approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63064	"Release of middle spinal cord or nerves, costovertebral approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63075	Removal of upper spine disc and release of spinal cord and/or nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63075	Removal of upper spine disc and release of spinal cord and/or nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63075	Removal of upper spine disc and release of spinal cord and/or nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
63077	Removal of middle spine disc and release of spinal cord and/or nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63077	Removal of middle spine disc and release of spinal cord and/or nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63077	Removal of middle spine disc and release of spinal cord and/or nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63081	"Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63081	"Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63081	"Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63085	"Removal of middle spine bone with release of spinal cord and/or nerves, transthoracic approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63085	"Removal of middle spine bone with release of spinal cord and/or nerves, transthoracic approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63085	"Removal of middle spine bone with release of spinal cord and/or nerves, transthoracic approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63087	"Removal of middle or lower spine bone with release of spinal cord or nerves, combined thoracolumbar approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63087	"Removal of middle or lower spine bone with release of spinal cord or nerves, combined thoracolumbar approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63087	"Removal of middle or lower spine bone with release of spinal cord or nerves, combined thoracolumbar approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63090	"Removal of middle, lower, or sacral spine bone with release of spinal cord or nerves, transperitoneal or retroperitoneal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63090	"Removal of middle, lower, or sacral spine bone with release of spinal cord or nerves, transperitoneal or retroperitoneal approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63090	"Removal of middle, lower, or sacral spine bone with release of spinal cord or nerves, transperitoneal or retroperitoneal approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63101	"Removal of middle spine bone with release of spinal cord and/or nerves, lateral extracavitary approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63101	"Removal of middle spine bone with release of spinal cord and/or nerves, lateral extracavitary approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63101	"Removal of middle spine bone with release of spinal cord and/or nerves, lateral extracavitary approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
63102	"Removal of lower spine bone with release of spinal cord and/or nerves, lateral extracavitary approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63102	"Removal of lower spine bone with release of spinal cord and/or nerves, lateral extracavitary approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63102	"Removal of lower spine bone with release of spinal cord and/or nerves, lateral extracavitary approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
63170	Removal of the spine bone around spinal canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63170	Removal of the spine bone around spinal canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63170	Removal of the spine bone around spinal canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63172	Drainage of spinal cord cyst or fluid-filled cavity into spinal canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63172	Drainage of spinal cord cyst or fluid-filled cavity into spinal canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63172	Drainage of spinal cord cyst or fluid-filled cavity into spinal canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
63173	Drainage of spinal cord cyst or fluid-filled cavity into lung or abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63173	Drainage of spinal cord cyst or fluid-filled cavity into lung or abdomen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63173	Drainage of spinal cord cyst or fluid-filled cavity into lung or abdomen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63185	Removal of spine bone with severing of nerve roots	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63185	Removal of spine bone with severing of nerve roots	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
63185	Removal of spine bone with severing of nerve roots	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63190	Removal of spine bone with severing of nerve roots	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63190	Removal of spine bone with severing of nerve roots	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63190	Removal of spine bone with severing of nerve roots	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63191	Removal of spine bone with severing of spinal accessory nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63191	Removal of spine bone with severing of spinal accessory nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
63191	Removal of spine bone with severing of spinal accessory nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63197	Removal of spine bone with incision of middle spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63197	Removal of spine bone with incision of middle spinal cord	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63197	Removal of spine bone with incision of middle spinal cord	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63200	Removal of lower spine bone with release of frayed spinal cord	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63200	Removal of lower spine bone with release of frayed spinal cord	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63200	Removal of lower spine bone with release of frayed spinal cord	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63250	Removal of upper spine bone and arteriovenous malformation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63250	Removal of upper spine bone and arteriovenous malformation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63250	Removal of upper spine bone and arteriovenous malformation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63251	Removal of upper spine bone and arteriovenous malformation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63251	Removal of upper spine bone and arteriovenous malformation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63251	Removal of upper spine bone and arteriovenous malformation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63252	Removal of upper spine bone and arteriovenous malformation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63252	Removal of upper spine bone and arteriovenous malformation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63252	Removal of upper spine bone and arteriovenous malformation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63265	Removal of upper spine bone and growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63265	Removal of upper spine bone and growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63265	Removal of upper spine bone and growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63266	Removal of middle spine bone and growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63266	Removal of middle spine bone and growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63266	Removal of middle spine bone and growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63267	Removal of lower spine bone and growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63267	Removal of lower spine bone and growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63267	Removal of lower spine bone and growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63268	Removal of sacral spine bone and growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63268	Removal of sacral spine bone and growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63268	Removal of sacral spine bone and growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63270	Removal of upper spine bone and growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63270	Removal of upper spine bone and growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63270	Removal of upper spine bone and growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63271	Removal of middle spine bone and growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63271	Removal of middle spine bone and growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63271	Removal of middle spine bone and growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63272	Removal of lower spine bone and growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63272	Removal of lower spine bone and growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63272	Removal of lower spine bone and growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63273	Removal of sacral spine bone and growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63273	Removal of sacral spine bone and growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63273	Removal of sacral spine bone and growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63275	Removal or biopsy of upper spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63275	Removal or biopsy of upper spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63275	Removal or biopsy of upper spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63276	Removal or biopsy of middle spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63276	Removal or biopsy of middle spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63276	Removal or biopsy of middle spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63277	Removal or biopsy of lower spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63277	Removal or biopsy of lower spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63277	Removal or biopsy of lower spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63278	Removal or biopsy of sacral spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63278	Removal or biopsy of sacral spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63278	Removal or biopsy of sacral spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63280	Removal or biopsy of upper spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63280	Removal or biopsy of upper spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63280	Removal or biopsy of upper spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63281	Removal or biopsy of middle spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63281	Removal or biopsy of middle spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63281	Removal or biopsy of middle spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63282	Removal or biopsy of lower spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63282	Removal or biopsy of lower spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63282	Removal or biopsy of lower spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63283	Removal or biopsy of sacral spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63283	Removal or biopsy of sacral spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63283	Removal or biopsy of sacral spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63285	Removal or biopsy of upper spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63285	Removal or biopsy of upper spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63285	Removal or biopsy of upper spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63286	Removal or biopsy of middle spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63286	Removal or biopsy of middle spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63286	Removal or biopsy of middle spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63287	Removal or biopsy of lower spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63287	Removal or biopsy of lower spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63287	Removal or biopsy of lower spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63290	Removal or biopsy of spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63290	Removal or biopsy of spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63290	Removal or biopsy of spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63300	Removal of upper spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63300	Removal of upper spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63300	Removal of upper spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63301	"Removal of middle spine bone growth, transthoracic approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63301	"Removal of middle spine bone growth, transthoracic approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63301	"Removal of middle spine bone growth, transthoracic approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63302	"Removal of middle spine bone growth, thoracolumbar approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63302	"Removal of middle spine bone growth, thoracolumbar approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63302	"Removal of middle spine bone growth, thoracolumbar approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63303	"Removal of lower or sacral spine bone growth, transperitoneal or retroperitoneal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63303	"Removal of lower or sacral spine bone growth, transperitoneal or retroperitoneal approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63303	"Removal of lower or sacral spine bone growth, transperitoneal or retroperitoneal approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63304	Removal of upper spine bone growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63304	Removal of upper spine bone growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63304	Removal of upper spine bone growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63305	"Removal of middle spine bone growth, transthoracic approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63305	"Removal of middle spine bone growth, transthoracic approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63305	"Removal of middle spine bone growth, transthoracic approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63306	"Removal of middle spine bone growth, thoracolumbar approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
63306	"Removal of middle spine bone growth, thoracolumbar approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63306	"Removal of middle spine bone growth, thoracolumbar approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63307	"Removal of lower or sacral spine bone growth, transperitoneal or retroperitoneal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63307	"Removal of lower or sacral spine bone growth, transperitoneal or retroperitoneal approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63307	"Removal of lower or sacral spine bone growth, transperitoneal or retroperitoneal approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63600	"Creation of stereotactic spinal cord lesion, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63600	"Creation of stereotactic spinal cord lesion, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
63600	"Creation of stereotactic spinal cord lesion, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
63610	Stereotactic stimulation of spinal cord through the skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
63610	Stereotactic stimulation of spinal cord through the skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
63620	Stereotactic treatment of spine growth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63620	Stereotactic treatment of spine growth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
63620	Stereotactic treatment of spine growth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
63650	"Implantation of spinal neurostimulator electrodes, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	30
63650	"Implantation of spinal neurostimulator electrodes, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	60	0
63650	"Implantation of spinal neurostimulator electrodes, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	95	6
63650	"Implantation of spinal neurostimulator electrodes, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
63655	Implantation of spinal neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63655	Implantation of spinal neurostimulator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
63655	Implantation of spinal neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
63661	"Removal or revision of spinal neurostimulator electrodes, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	30
63661	"Removal or revision of spinal neurostimulator electrodes, accessed through the skin"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	38.5	0
63661	"Removal or revision of spinal neurostimulator electrodes, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	85	6
63661	"Removal or revision of spinal neurostimulator electrodes, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	39	36
63662	Removal of spinal neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63662	Removal of spinal neurostimulator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63662	Removal of spinal neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
63663	Revision and replacement of spinal neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	30
63663	Revision and replacement of spinal neurostimulator electrodes	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	56	0
63663	Revision and replacement of spinal neurostimulator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	125	6
63663	Revision and replacement of spinal neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
63664	Revision and replacement of spinal neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63664	Revision and replacement of spinal neurostimulator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63664	Revision and replacement of spinal neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
63685	Insertion of spinal neurostimulator pulse generator or receiver	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63685	Insertion of spinal neurostimulator pulse generator or receiver	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
63685	Insertion of spinal neurostimulator pulse generator or receiver	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
63688	Removal or revision of neurostimulator pulse generator or receiver	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63688	Removal or revision of neurostimulator pulse generator or receiver	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
63688	Removal or revision of neurostimulator pulse generator or receiver	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		36
63700	Repair of (less than 5 centimeter diameter) spinal cord defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63700	Repair of (less than 5 centimeter diameter) spinal cord defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63700	Repair of (less than 5 centimeter diameter) spinal cord defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63702	Repair of (larger than 5 centimeter) spinal cord defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63702	Repair of (larger than 5 centimeter) spinal cord defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63702	Repair of (larger than 5 centimeter) spinal cord defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
63704	Repair of (less than 5 centimeter) spinal cord defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63704	Repair of (less than 5 centimeter) spinal cord defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63704	Repair of (less than 5 centimeter) spinal cord defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
63706	Repair of (larger than 5 centimeter) spinal cord defect	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63706	Repair of (larger than 5 centimeter) spinal cord defect	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63706	Repair of (larger than 5 centimeter) spinal cord defect	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
63707	Repair of spinal fluid leak	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63707	Repair of spinal fluid leak	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63707	Repair of spinal fluid leak	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63709	Repair of spinal fluid leak	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63709	Repair of spinal fluid leak	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63709	Repair of spinal fluid leak	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63710	Placement of spinal cord graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63710	Placement of spinal cord graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63710	Placement of spinal cord graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63740	Creation of spinal fluid shunt	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63740	Creation of spinal fluid shunt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63740	Creation of spinal fluid shunt	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
63741	"Creation of spinal fluid shunt, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63741	"Creation of spinal fluid shunt, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63741	"Creation of spinal fluid shunt, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
63744	"Replacement, irrigation, or revision of lower spinal canal shunt"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63744	"Replacement, irrigation, or revision of lower spinal canal shunt"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63744	"Replacement, irrigation, or revision of lower spinal canal shunt"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
63746	Removal of lower spinal canal shunt	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
63746	Removal of lower spinal canal shunt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
63746	Removal of lower spinal canal shunt	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	6	0
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64400	"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64405	"Injection of anesthetic agent, greater occipital nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64405	"Injection of anesthetic agent, greater occipital nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64405	"Injection of anesthetic agent, greater occipital nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
64405	"Injection of anesthetic agent, greater occipital nerve"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
64405	"Injection of anesthetic agent, greater occipital nerve"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64405	"Injection of anesthetic agent, greater occipital nerve"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	3	0
64405	"Injection of anesthetic agent, greater occipital nerve"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	8	0
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64408	"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64415		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64415		Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	0
64415		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64415		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64415		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64415		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64415		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64415		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64415		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64415		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
64415		Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64415		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64415		Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
64415		Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD/DO	2	0
64415		Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64415		Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
64415		Service  post	L037D	RN/LPN/MTA	0.455	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
64415		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64416		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
64417		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64417		Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	0
64417		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64417		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64417		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64417		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64417		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64417		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64417		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64417		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
64417		Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64417		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64417		Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
64417		Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD/DO	2	0
64417		Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64417		Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
64417		Service  post	L037D	RN/LPN/MTA	0.455	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
64417		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64418	"Injection of anesthetic agent, collar bone nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64418	"Injection of anesthetic agent, collar bone nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
64418	"Injection of anesthetic agent, collar bone nerve"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
64418	"Injection of anesthetic agent, collar bone nerve"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
64418	"Injection of anesthetic agent, collar bone nerve"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:1 (not related to moderate sedation)"	3	
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64420	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64421	"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	11	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64425	"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	3	0
64430	"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	3
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	5
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	3	0
64435	"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64445		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64445		Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	0
64445		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64445		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64445		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64445		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64445		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64445		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64445		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64445		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
64445		Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64445		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64445		Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
64445		Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD/DO	2	0
64445		Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64445		Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
64445		Service  post	L037D	RN/LPN/MTA	0.455	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
64445		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64446		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
64447		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64447		Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	0
64447		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64447		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64447		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64447		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64447		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64447		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64447		Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64447		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	8	0
64447		Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64447		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64447		Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
64447		Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD/DO	2	0
64447		Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64447		Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
64447		Service  post	L037D	RN/LPN/MTA	0.455	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
64447		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64448		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
64449	"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
64449	"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64449	"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64449	"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement)"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	0	3
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	0	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64450	"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	2
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Confirm order, protocol exam"	1	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
64451	"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	2
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Confirm order, protocol exam"	1	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	18	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	18	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
64454	"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64455	Injections of anesthetic and/or steroid drug into nerve of foot	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64455	Injections of anesthetic and/or steroid drug into nerve of foot	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
64455	Injections of anesthetic and/or steroid drug into nerve of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
64455	Injections of anesthetic and/or steroid drug into nerve of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64455	Injections of anesthetic and/or steroid drug into nerve of foot	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64455	Injections of anesthetic and/or steroid drug into nerve of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	3	0
64455	Injections of anesthetic and/or steroid drug into nerve of foot	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64461	"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
64461	"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
64461	"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
64461	"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64461	"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (for services under review: 67% of physician time)	10	
64461	"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
64461	"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
64461	"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	
64462	"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s), (includes imaging guidance, when performed) (List separately in addition to code for primary procedure)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (for services under review: 67% of physician time)	10	
64463	"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
64463	"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
64463	"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
64463	"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64463	"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (for services under review: 67% of physician time)	13	
64463	"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
64463	"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
64463	"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	
64479	Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	0
64479	Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	21
64479	Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	17	0
64479	Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	0
64479	Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64480	Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	15	0
64480	Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
64483	Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	0
64483	Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	21
64483	Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	17	0
64483	Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	0
64483	Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64484	Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	10	0
64484	Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	12	0
64486	Transversus abdominis plane (tap) block unilateral	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
64486	Transversus abdominis plane (tap) block unilateral	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
64486	Transversus abdominis plane (tap) block unilateral	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
64486	Transversus abdominis plane (tap) block unilateral	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64486	Transversus abdominis plane (tap) block unilateral	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	7	
64486	Transversus abdominis plane (tap) block unilateral	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
64486	Transversus abdominis plane (tap) block unilateral	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
64486	Transversus abdominis plane (tap) block unilateral	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	
64486	Transversus abdominis plane (tap) block unilateral	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
64487	Transversus abdominis plane (tap) block unilateral; by continuous infusion(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
64487	Transversus abdominis plane (tap) block unilateral; by continuous infusion(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
64487	Transversus abdominis plane (tap) block unilateral; by continuous infusion(s)	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
64487	Transversus abdominis plane (tap) block unilateral; by continuous infusion(s)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64487	Transversus abdominis plane (tap) block unilateral; by continuous infusion(s)	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	10	
64487	Transversus abdominis plane (tap) block unilateral; by continuous infusion(s)	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
64487	Transversus abdominis plane (tap) block unilateral; by continuous infusion(s)	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
64487	Transversus abdominis plane (tap) block unilateral; by continuous infusion(s)	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	
64487	Transversus abdominis plane (tap) block unilateral; by continuous infusion(s)	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
64488	Transversus abdominis plane (tap) block bilateral	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
64488	Transversus abdominis plane (tap) block bilateral	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
64488	Transversus abdominis plane (tap) block bilateral	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
64488	Transversus abdominis plane (tap) block bilateral	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64488	Transversus abdominis plane (tap) block bilateral	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	10	
64488	Transversus abdominis plane (tap) block bilateral	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
64488	Transversus abdominis plane (tap) block bilateral	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
64488	Transversus abdominis plane (tap) block bilateral	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	
64488	Transversus abdominis plane (tap) block bilateral	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
64489	Transversus abdominis plane (tap) block bilateral by continuous infusions	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
64489	Transversus abdominis plane (tap) block bilateral by continuous infusions	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
64489	Transversus abdominis plane (tap) block bilateral by continuous infusions	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
64489	Transversus abdominis plane (tap) block bilateral by continuous infusions	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64489	Transversus abdominis plane (tap) block bilateral by continuous infusions	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure (67%)	13	
64489	Transversus abdominis plane (tap) block bilateral by continuous infusions	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
64489	Transversus abdominis plane (tap) block bilateral by continuous infusions	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
64489	Transversus abdominis plane (tap) block bilateral by continuous infusions	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	
64489	Transversus abdominis plane (tap) block bilateral by continuous infusions	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
64490	Injections of upper or middle spine facet joint using imaging guidance	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	0
64490	Injections of upper or middle spine facet joint using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	21
64490	Injections of upper or middle spine facet joint using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	17	0
64490	Injections of upper or middle spine facet joint using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
64490	Injections of upper or middle spine facet joint using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64491	Injections of upper or middle spine facet joint using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	15	0
64491	Injections of upper or middle spine facet joint using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
64492	Injections of upper or middle spine facet joint using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	15	0
64492	Injections of upper or middle spine facet joint using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
64492	Injections of upper or middle spine facet joint using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	2	2
64493	Injections of lower or sacral spine facet joint using imaging guidance	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	0
64493	Injections of lower or sacral spine facet joint using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	21
64493	Injections of lower or sacral spine facet joint using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	17	0
64493	Injections of lower or sacral spine facet joint using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	0
64493	Injections of lower or sacral spine facet joint using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64494	Injections of lower or sacral spine facet joint using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	15	0
64494	Injections of lower or sacral spine facet joint using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
64495	Injections of lower or sacral spine facet joint using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	15	0
64495	Injections of lower or sacral spine facet joint using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
64495	Injections of lower or sacral spine facet joint using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	2	2
64505	"Injection of anesthetic agent, trigeminal nerve bundle"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	25
64505	"Injection of anesthetic agent, trigeminal nerve bundle"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
64505	"Injection of anesthetic agent, trigeminal nerve bundle"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64510	"Injection of anesthetic agent, sympathetic nerve bundle"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	21
64510	"Injection of anesthetic agent, sympathetic nerve bundle"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	0
64510	"Injection of anesthetic agent, sympathetic nerve bundle"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64517	"Injection of anesthetic agent, sacral nerve bundle"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
64517	"Injection of anesthetic agent, sacral nerve bundle"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	63	0
64517	"Injection of anesthetic agent, sacral nerve bundle"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64520	"Injection of anesthetic agent, middle or lower spine sympathetic nerves"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	21
64520	"Injection of anesthetic agent, middle or lower spine sympathetic nerves"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
64520	"Injection of anesthetic agent, middle or lower spine sympathetic nerves"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64530	"Injection of anesthetic agent, abdominal sympathetic nerve bundle"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	25
64530	"Injection of anesthetic agent, abdominal sympathetic nerve bundle"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	0
64530	"Injection of anesthetic agent, abdominal sympathetic nerve bundle"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	3
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	75	
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains, multi-tasking 1:4"	7.5	
64553	"Implantation of cranial nerve neurostimulator electrodes, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	36	36
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	3
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	10	
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	60	
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains, multi-tasking 1:4"	7.5	
64555	"Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes	36	36
64561	Percutaneous implantation of neurostimulator electrode array	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
64561	Percutaneous implantation of neurostimulator electrode array	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
64561	Percutaneous implantation of neurostimulator electrode array	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
64561	Percutaneous implantation of neurostimulator electrode array	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64561	Percutaneous implantation of neurostimulator electrode array	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
64561	Percutaneous implantation of neurostimulator electrode array	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
64561	Percutaneous implantation of neurostimulator electrode array	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	45	
64561	Percutaneous implantation of neurostimulator electrode array	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
64561	Percutaneous implantation of neurostimulator electrode array	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
64561	Percutaneous implantation of neurostimulator electrode array	Post-service	L037D	RN/LPN/MTA	0.455	99214    53  minutes	53	53
64561	Percutaneous implantation of neurostimulator electrode array	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
64566	"Implantation of lower leg neurostimulator electrode, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
64566	"Implantation of lower leg neurostimulator electrode, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
64566	"Implantation of lower leg neurostimulator electrode, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
64566	"Implantation of lower leg neurostimulator electrode, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
64566	"Implantation of lower leg neurostimulator electrode, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	1	
64566	"Implantation of lower leg neurostimulator electrode, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
64566	"Implantation of lower leg neurostimulator electrode, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
64566	"Implantation of lower leg neurostimulator electrode, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
64566	"Implantation of lower leg neurostimulator electrode, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
64568	"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64568	"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64568	"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64569	Revision of implanted cranial nerve neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64569	Revision of implanted cranial nerve neurostimulator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64569	Revision of implanted cranial nerve neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64570	Removal of cranial nerve neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64570	Removal of cranial nerve neurostimulator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64570	Removal of cranial nerve neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64575	Incision to implant peripheral nerve neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64575	Incision to implant peripheral nerve neurostimulator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64575	Incision to implant peripheral nerve neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
64580	Incision to implant muscle neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64580	Incision to implant muscle neurostimulator electrodes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64580	Incision to implant muscle neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		41
64581	Incision to insert sacral nerve neurostimulator electrodes	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		25
64581	Incision to insert sacral nerve neurostimulator electrodes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		53
64582	"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
64582	"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
64582	"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
64582	"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
64582	"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
64582	"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
64582	"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
64583	"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
64583	"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
64583	"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
64583	"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
64583	"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
64583	"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
64583	"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
64584	"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
64584	"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
64584	"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
64584	"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
64584	"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
64584	"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
64584	"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	72
64585	Revision or removal of peripheral neurostimulator electrode array	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
64585	Revision or removal of peripheral neurostimulator electrode array	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	6
64585	Revision or removal of peripheral neurostimulator electrode array	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64590	Insertion or replacement of peripheral or gastric neurostimulator generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
64590	Insertion or replacement of peripheral or gastric neurostimulator generator	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	6
64590	Insertion or replacement of peripheral or gastric neurostimulator generator	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64595	Revision or removal of peripheral nerve or gastric neurostimulator generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
64595	Revision or removal of peripheral nerve or gastric neurostimulator generator	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	6
64595	Revision or removal of peripheral nerve or gastric neurostimulator generator	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64600	Destruction of trigeminal (facial) nerve branch	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	16	25
64600	Destruction of trigeminal (facial) nerve branch	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
64600	Destruction of trigeminal (facial) nerve branch	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64605	Destruction of trigeminal (facial) nerve branch	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
64605	Destruction of trigeminal (facial) nerve branch	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	6
64605	Destruction of trigeminal (facial) nerve branch	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64610	Destruction of trigeminal (facial) nerve branch under X-ray monitoring	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
64610	Destruction of trigeminal (facial) nerve branch under X-ray monitoring	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	6
64610	Destruction of trigeminal (facial) nerve branch under X-ray monitoring	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64611	Injection of chemical for destruction of salivary glands on both sides of the mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	8
64611	Injection of chemical for destruction of salivary glands on both sides of the mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	6
64611	Injection of chemical for destruction of salivary glands on both sides of the mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64612	Injection of chemical for destruction of nerve muscles on one side of face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	9
64612	Injection of chemical for destruction of nerve muscles on one side of face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
64612	Injection of chemical for destruction of nerve muscles on one side of face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	30	30
64615	Injection of chemical for destruction of facial and neck nerve muscles on both sides of face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	9
64615	Injection of chemical for destruction of facial and neck nerve muscles on both sides of face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
64615	Injection of chemical for destruction of facial and neck nerve muscles on both sides of face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64616	Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	9
64616	Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	6
64616	Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64617	Injection of chemical for destruction of nerve muscles on one side of voice box accessed through the skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	5
64617	Injection of chemical for destruction of nerve muscles on one side of voice box accessed through the skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	6
64620	Injection of agent to destroy rib nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
64620	Injection of agent to destroy rib nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
64620	Injection of agent to destroy rib nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	2
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Confirm order, protocol exam"	1	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	25	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	25	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64624	"Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	27	27
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	2
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Confirm order, protocol exam"	1	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
64625	"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	36	36
64628	"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
64628	"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
64628	"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	10
64628	"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
64628	"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
64628	"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
64628	"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	36
64630	Destruction of pudendal (external genital) nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
64630	Destruction of pudendal (external genital) nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	6
64630	Destruction of pudendal (external genital) nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64632	Destruction of nerve of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	19	0
64632	Destruction of nerve of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	2
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	1	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2.5	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD/DO	2	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
64633	Destruction of upper or middle spinal facet joint nerves using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	36	36
64634	Destruction of upper or middle spinal facet joint nerves with imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
64634	Destruction of upper or middle spinal facet joint nerves with imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	2
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	1	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	2.5	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD/DO	2	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	36	36
64636	Destruction of lower or sacral spinal facet joint nerves with imaging guidance	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
64636	Destruction of lower or sacral spinal facet joint nerves with imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
64640	Destruction of peripheral nerve or branch	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
64640	Destruction of peripheral nerve or branch	Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	0	0
64640	Destruction of peripheral nerve or branch	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	3
64640	Destruction of peripheral nerve or branch	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
64640	Destruction of peripheral nerve or branch	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
64640	Destruction of peripheral nerve or branch	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
64640	Destruction of peripheral nerve or branch	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
64640	Destruction of peripheral nerve or branch	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
64640	Destruction of peripheral nerve or branch	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
64640	Destruction of peripheral nerve or branch	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
64640	Destruction of peripheral nerve or branch	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
64640	Destruction of peripheral nerve or branch	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
64640	Destruction of peripheral nerve or branch	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	5	0
64640	Destruction of peripheral nerve or branch	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
64640	Destruction of peripheral nerve or branch	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
64640	Destruction of peripheral nerve or branch	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	27	27
64642	"Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	9
64642	"Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
64642	"Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64643	"Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
64644	"Injection of chemical for destruction of nerve muscles on arm or leg, 5 or more muscles"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	9
64644	"Injection of chemical for destruction of nerve muscles on arm or leg, 5 or more muscles"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
64644	"Injection of chemical for destruction of nerve muscles on arm or leg, 5 or more muscles"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64645	"Injection of chemical for destruction of nerve muscles on arm or leg, 5 or more muscles"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	25	0
64646	"Injection of chemical for destruction of nerve muscles on trunk, 5 or more muscles"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	9
64646	"Injection of chemical for destruction of nerve muscles on trunk, 5 or more muscles"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
64646	"Injection of chemical for destruction of nerve muscles on trunk, 5 or more muscles"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64647	"Injection of chemical for destruction of nerve muscles on trunk, 6 or more muscles"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	9
64647	"Injection of chemical for destruction of nerve muscles on trunk, 6 or more muscles"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	0
64647	"Injection of chemical for destruction of nerve muscles on trunk, 6 or more muscles"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
64650	Injection of chemical for destruction of underarm sweat glands	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	31	0
64650	Injection of chemical for destruction of underarm sweat glands	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
64653	Injection of chemical for destruction of sweat glands	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	31	0
64653	Injection of chemical for destruction of sweat glands	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
64680	Injection of agent to destroy abdominal sympathetic nerve bundle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
64680	Injection of agent to destroy abdominal sympathetic nerve bundle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	56	6
64680	Injection of agent to destroy abdominal sympathetic nerve bundle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
64681	Injection of agent to destroy sacral nerve bundle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	0
64681	Injection of agent to destroy sacral nerve bundle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	68	6
64681	Injection of agent to destroy sacral nerve bundle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
64702	Release of nerve of finger	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64702	Release of nerve of finger	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64702	Release of nerve of finger	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
64704	Release of nerve of hand or foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64704	Release of nerve of hand or foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64704	Release of nerve of hand or foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
64708	"Release of nerve of arm or leg, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64708	"Release of nerve of arm or leg, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64708	"Release of nerve of arm or leg, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
64712	"Release of sciatic nerve, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64712	"Release of sciatic nerve, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64712	"Release of sciatic nerve, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
64713	"Release of major nerve of arm or leg, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64713	"Release of major nerve of arm or leg, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64713	"Release of major nerve of arm or leg, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
64714	"Release of nerve of upper leg, open procedure"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64714	"Release of nerve of upper leg, open procedure"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64714	"Release of nerve of upper leg, open procedure"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
64716	Release and/or relocation of cranial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64716	Release and/or relocation of cranial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64716	Release and/or relocation of cranial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		99
64718	Release and/or relocation of ulnar nerve at elbow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64718	Release and/or relocation of ulnar nerve at elbow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64718	Release and/or relocation of ulnar nerve at elbow	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
64719	Release and/or relocation ulnar nerve at wrist	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64719	Release and/or relocation ulnar nerve at wrist	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64719	Release and/or relocation ulnar nerve at wrist	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
64721	Release and/or relocation of median nerve of hand	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
64721	Release and/or relocation of median nerve of hand	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	6
64721	Release and/or relocation of median nerve of hand	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	99	99
64722	Release of unspecified nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64722	Release of unspecified nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64722	Release of unspecified nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
64726	Release of nerve at sole of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64726	Release of nerve at sole of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64726	Release of nerve at sole of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
64732	Incision or removal of nerve to forehead scalp and upper eyelid	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64732	Incision or removal of nerve to forehead scalp and upper eyelid	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64732	Incision or removal of nerve to forehead scalp and upper eyelid	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
64734	Incision or removal of nerve to lower eyelid upper lip and mouth	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64734	Incision or removal of nerve to lower eyelid upper lip and mouth	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64734	Incision or removal of nerve to lower eyelid upper lip and mouth	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64736	Incision or removal of nerve to chin lower lip and jaw	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64736	Incision or removal of nerve to chin lower lip and jaw	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64736	Incision or removal of nerve to chin lower lip and jaw	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64738	Incision or removal of nerve to teeth and jaw bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64738	Incision or removal of nerve to teeth and jaw bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64738	Incision or removal of nerve to teeth and jaw bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64740	Incision or removal of nerve to tongue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64740	Incision or removal of nerve to tongue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64740	Incision or removal of nerve to tongue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64742	Incision or removal of facial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64742	Incision or removal of facial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64742	Incision or removal of facial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64744	Incision or removal of nerve to scalp and over ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64744	Incision or removal of nerve to scalp and over ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64744	Incision or removal of nerve to scalp and over ear	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
64746	Incision or removal of nerve to abdomen gallbladder and liver	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64746	Incision or removal of nerve to abdomen gallbladder and liver	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64746	Incision or removal of nerve to abdomen gallbladder and liver	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64755	Incision or removal of nerve to stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64755	Incision or removal of nerve to stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64755	Incision or removal of nerve to stomach	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		63
64760	Incision or removal of nerve to abdomen	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64760	Incision or removal of nerve to abdomen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64760	Incision or removal of nerve to abdomen	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64763	Incision or removal of nerve outside of pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64763	Incision or removal of nerve outside of pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64763	Incision or removal of nerve outside of pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64766	Incision or removal of nerve outside of pelvis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64766	Incision or removal of nerve outside of pelvis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64766	Incision or removal of nerve outside of pelvis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64771	Incision or removal of cranial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64771	Incision or removal of cranial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64771	Incision or removal of cranial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64772	Incision or removal of spinal nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64772	Incision or removal of spinal nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64772	Incision or removal of spinal nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64774	Removal of growth of skin nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64774	Removal of growth of skin nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64774	Removal of growth of skin nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64776	Removal of growth of finger or toe nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64776	Removal of growth of finger or toe nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64776	Removal of growth of finger or toe nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
64782	Removal of growth of hand or foot nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64782	Removal of growth of hand or foot nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64782	Removal of growth of hand or foot nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64784	Removal of growth of peripheral nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64784	Removal of growth of peripheral nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64784	Removal of growth of peripheral nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64786	Removal of growth of sciatic nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64786	Removal of growth of sciatic nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64786	Removal of growth of sciatic nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64788	Removal of growth of skin nerve or nerve lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64788	Removal of growth of skin nerve or nerve lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64788	Removal of growth of skin nerve or nerve lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64790	Removal of growth of peripheral nerve or nerve lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64790	Removal of growth of peripheral nerve or nerve lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64790	Removal of growth of peripheral nerve or nerve lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64792	Removal of growth of peripheral nerve or nerve lining	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64792	Removal of growth of peripheral nerve or nerve lining	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64792	Removal of growth of peripheral nerve or nerve lining	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
64795	Biopsy of nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
64795	Biopsy of nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
64802	Removal of upper spine sympathetic nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64802	Removal of upper spine sympathetic nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64802	Removal of upper spine sympathetic nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64804	Removal of upper and middle spine sympathetic nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64804	Removal of upper and middle spine sympathetic nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64804	Removal of upper and middle spine sympathetic nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64809	Removal of middle and lower spine sympathetic nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64809	Removal of middle and lower spine sympathetic nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64809	Removal of middle and lower spine sympathetic nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64818	Removal of lower spine sympathetic nerves	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64818	Removal of lower spine sympathetic nerves	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64818	Removal of lower spine sympathetic nerves	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64820	Removal of finger or toe sympathetic nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64820	Removal of finger or toe sympathetic nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64820	Removal of finger or toe sympathetic nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
64821	Removal of sympathetic radial (lower arm) artery nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64821	Removal of sympathetic radial (lower arm) artery nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64821	Removal of sympathetic radial (lower arm) artery nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
64822	Removal of sympathetic ulnar (lower arm) artery nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64822	Removal of sympathetic ulnar (lower arm) artery nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64822	Removal of sympathetic ulnar (lower arm) artery nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
64823	Removal of sympathetic palmar (hand) nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64823	Removal of sympathetic palmar (hand) nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64823	Removal of sympathetic palmar (hand) nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		117
64831	Suture of hand or foot digital nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64831	Suture of hand or foot digital nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64831	Suture of hand or foot digital nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		126
64834	Suture of hand or foot common sensory nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64834	Suture of hand or foot common sensory nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64834	Suture of hand or foot common sensory nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64835	Suture of median motor thenar nerve (hand)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64835	Suture of median motor thenar nerve (hand)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64835	Suture of median motor thenar nerve (hand)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64836	Suture of ulnar nerve (forearm or hand)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64836	Suture of ulnar nerve (forearm or hand)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64836	Suture of ulnar nerve (forearm or hand)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64840	Suture of foreleg nerve to sole of foot	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64840	Suture of foreleg nerve to sole of foot	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64840	Suture of foreleg nerve to sole of foot	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
64856	"Suture of peripheral nerve, arm or leg, with relocation to new site"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64856	"Suture of peripheral nerve, arm or leg, with relocation to new site"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64856	"Suture of peripheral nerve, arm or leg, with relocation to new site"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64857	"Suture of peripheral nerve, arm or leg"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64857	"Suture of peripheral nerve, arm or leg"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64857	"Suture of peripheral nerve, arm or leg"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64858	Suture of sciatic nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64858	Suture of sciatic nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64858	Suture of sciatic nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64861	Suture of nerve bundle to arm	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64861	Suture of nerve bundle to arm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64861	Suture of nerve bundle to arm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
64862	Suture of lower spine nerve bundle	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64862	Suture of lower spine nerve bundle	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64862	Suture of lower spine nerve bundle	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
64864	Suture of facial nerve outside skull	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64864	Suture of facial nerve outside skull	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64864	Suture of facial nerve outside skull	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		72
64865	Suture of facial nerve at temple	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64865	Suture of facial nerve at temple	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64865	Suture of facial nerve at temple	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		100
64866	Connection of nerves to restore function to the face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64866	Connection of nerves to restore function to the face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64866	Connection of nerves to restore function to the face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		100
64868	Connection of nerves to restore function to the face	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64868	Connection of nerves to restore function to the face	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64868	Connection of nerves to restore function to the face	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		82
64885	Placement of (up to 4 centimeter length) head or neck nerve graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64885	Placement of (up to 4 centimeter length) head or neck nerve graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64885	Placement of (up to 4 centimeter length) head or neck nerve graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
64886	Placement of (more than 4 centimeter length) head or neck nerve graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64886	Placement of (more than 4 centimeter length) head or neck nerve graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64886	Placement of (more than 4 centimeter length) head or neck nerve graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
64890	Placement of (up to 4 centimeter length) hand or foot nerve graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64890	Placement of (up to 4 centimeter length) hand or foot nerve graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64890	Placement of (up to 4 centimeter length) hand or foot nerve graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64891	Placement of (more than 4 centimeter length) hand or foot nerve graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64891	Placement of (more than 4 centimeter length) hand or foot nerve graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64891	Placement of (more than 4 centimeter length) hand or foot nerve graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64892	Placement of (up to 4 centimeter length) arm or leg nerve graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64892	Placement of (up to 4 centimeter length) arm or leg nerve graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64892	Placement of (up to 4 centimeter length) arm or leg nerve graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64893	Placement of (more than 4 centimeter length) arm or leg nerve graft	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64893	Placement of (more than 4 centimeter length) arm or leg nerve graft	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64893	Placement of (more than 4 centimeter length) arm or leg nerve graft	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64895	Placement of multiple (up to 4 centimeter length) hand or foot nerve grafts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64895	Placement of multiple (up to 4 centimeter length) hand or foot nerve grafts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64895	Placement of multiple (up to 4 centimeter length) hand or foot nerve grafts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64896	Placement of multiple (more than 4 centimeter length) hand or foot nerve grafts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64896	Placement of multiple (more than 4 centimeter length) hand or foot nerve grafts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64896	Placement of multiple (more than 4 centimeter length) hand or foot nerve grafts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
64897	Placement of multiple (up to 4 centimeter length) arm or leg nerve grafts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64897	Placement of multiple (up to 4 centimeter length) arm or leg nerve grafts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64897	Placement of multiple (up to 4 centimeter length) arm or leg nerve grafts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64898	Placement of multiple (more than 4 centimeter length) arm or leg nerve grafts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64898	Placement of multiple (more than 4 centimeter length) arm or leg nerve grafts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
64898	Placement of multiple (more than 4 centimeter length) arm or leg nerve grafts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
64905	"Transfer of nerve to injured nerve, first stage"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64905	"Transfer of nerve to injured nerve, first stage"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64905	"Transfer of nerve to injured nerve, first stage"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64907	"Transfer of nerve to injured nerve, second stage"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
64907	"Transfer of nerve to injured nerve, second stage"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
64907	"Transfer of nerve to injured nerve, second stage"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
64910	Repair of nerve with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
64910	Repair of nerve with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
64910	Repair of nerve with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
64910	Repair of nerve with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
64910	Repair of nerve with graft	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
64910	Repair of nerve with graft	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
64910	Repair of nerve with graft	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
64910	Repair of nerve with graft	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
64911	Repair of nerve using vein graft	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
64911	Repair of nerve using vein graft	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
64911	Repair of nerve using vein graft	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
64911	Repair of nerve using vein graft	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
64911	Repair of nerve using vein graft	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
64911	Repair of nerve using vein graft	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
64911	Repair of nerve using vein graft	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
64911	Repair of nerve using vein graft	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
64912	"Nerve repair; with nerve allograft, each nerve, first strand (cable)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
64912	"Nerve repair; with nerve allograft, each nerve, first strand (cable)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		20
64912	"Nerve repair; with nerve allograft, each nerve, first strand (cable)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		7
64912	"Nerve repair; with nerve allograft, each nerve, first strand (cable)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		20
64912	"Nerve repair; with nerve allograft, each nerve, first strand (cable)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		8
64912	"Nerve repair; with nerve allograft, each nerve, first strand (cable)"	Service  post	L037D	RN/LPN/MTA	0.455	Dischrg mgmt (0.5 x 99238) (enter 6 min)		6
64912	"Nerve repair; with nerve allograft, each nerve, first strand (cable)"	Post-service	L037D	RN/LPN/MTA	0.455	99212    27  minutes		27
64912	"Nerve repair; with nerve allograft, each nerve, first strand (cable)"	Post-service	L037D	RN/LPN/MTA	0.455	99213    36  minutes		108
65091	Removal of eye contents	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65091	Removal of eye contents	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65091	Removal of eye contents	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		90
65093	Removal of eye contents with insertion of implant	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65093	Removal of eye contents with insertion of implant	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65093	Removal of eye contents with insertion of implant	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		95
65101	Removal of eyeball	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65101	Removal of eyeball	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65101	Removal of eyeball	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
65103	Removal of eyeball with implant	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65103	Removal of eyeball with implant	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65103	Removal of eyeball with implant	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
65105	Removal of eyeball with implant attached to muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65105	Removal of eyeball with implant attached to muscles	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65105	Removal of eyeball with implant attached to muscles	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
65110	Removal of eye contents	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65110	Removal of eye contents	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65110	Removal of eye contents	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		198
65112	Removal of eye contents and orbital bone	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65112	Removal of eye contents and orbital bone	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65112	Removal of eye contents and orbital bone	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		234
65114	Removal of eye contents with muscle or flap graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65114	Removal of eye contents with muscle or flap graft	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65114	Removal of eye contents with muscle or flap graft	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		234
65125	Modification to reshape ocular implant	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
65125	Modification to reshape ocular implant	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	61	6
65125	Modification to reshape ocular implant	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	81	81
65130	Insertion of permanent ocular prosthesis into orbit	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65130	Insertion of permanent ocular prosthesis into orbit	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65130	Insertion of permanent ocular prosthesis into orbit	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
65135	Insertion of permanent ocular prosthesis into orbit	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65135	Insertion of permanent ocular prosthesis into orbit	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65135	Insertion of permanent ocular prosthesis into orbit	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
65140	Insertion of permanent ocular prosthesis into orbit with muscle attachment	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65140	Insertion of permanent ocular prosthesis into orbit with muscle attachment	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65140	Insertion of permanent ocular prosthesis into orbit with muscle attachment	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
65150	Reinsertion of ocular implant	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65150	Reinsertion of ocular implant	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65150	Reinsertion of ocular implant	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		95
65155	Reinsertion of ocular implant	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65155	Reinsertion of ocular implant	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65155	Reinsertion of ocular implant	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
65175	Removal of ocular implant	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65175	Removal of ocular implant	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65175	Removal of ocular implant	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		126
65205	"Removal of foreign body in external eye, conjunctiva"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	3
65205	"Removal of foreign body in external eye, conjunctiva"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	3
65205	"Removal of foreign body in external eye, conjunctiva"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	1	0
65205	"Removal of foreign body in external eye, conjunctiva"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	1	0
65210	"Removal of foreign body in external eye, conjunctiva or sclera"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	3
65210	"Removal of foreign body in external eye, conjunctiva or sclera"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	3
65210	"Removal of foreign body in external eye, conjunctiva or sclera"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
65210	"Removal of foreign body in external eye, conjunctiva or sclera"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
65220	"Removal of foreign body, external eye, cornea"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	5	10
65220	"Removal of foreign body, external eye, cornea"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	23	0
65220	"Removal of foreign body, external eye, cornea"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	3	0
65222	"Removal of foreign body, external eye, cornea with slit lamp examination"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	5	10
65222	"Removal of foreign body, external eye, cornea with slit lamp examination"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	23	0
65222	"Removal of foreign body, external eye, cornea with slit lamp examination"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	3	0
65235	Removal of foreign body from inside the eye or lens	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65235	Removal of foreign body from inside the eye or lens	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65235	Removal of foreign body from inside the eye or lens	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
65260	Removal of foreign body from inside eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65260	Removal of foreign body from inside eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65260	Removal of foreign body from inside eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
65265	Removal of foreign body from inside eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65265	Removal of foreign body from inside eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65265	Removal of foreign body from inside eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		198
65270	Repair of lacerated conjunctiva	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	15	0
65270	Repair of lacerated conjunctiva	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	44	6
65270	Repair of lacerated conjunctiva	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
65272	Repair of lacerated conjunctiva using flap or graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	0
65272	Repair of lacerated conjunctiva using flap or graft	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	47	6
65272	Repair of lacerated conjunctiva using flap or graft	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
65273	"Repair of lacerated conjunctiva using flap or graft, requiring hospitalization"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65273	"Repair of lacerated conjunctiva using flap or graft, requiring hospitalization"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		90
65275	Repair of lacerated cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	25	0
65275	Repair of lacerated cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	70	6
65275	Repair of lacerated cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
65280	Repair of perforating laceration of cornea and/or sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65280	Repair of perforating laceration of cornea and/or sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
65285	Repair of perforating laceration of cornea and/or sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65285	Repair of perforating laceration of cornea and/or sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		243
65286	Repair of lacerated cornea and/or sclera	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	25	0
65286	Repair of lacerated cornea and/or sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	58	6
65286	Repair of lacerated cornea and/or sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	126	126
65290	Repair of injured eye muscle or tendon	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65290	Repair of injured eye muscle or tendon	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		126
65400	Removal of growth of cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
65400	Removal of growth of cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	72	6
65400	Removal of growth of cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	162	162
65410	Biopsy of cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
65410	Biopsy of cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	36	0
65420	Removal or relocation of corneal conjunctiva	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
65420	Removal or relocation of corneal conjunctiva	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	58	6
65420	Removal or relocation of corneal conjunctiva	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
65426	Removal or relocation of corneal conjunctiva	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
65426	Removal or relocation of corneal conjunctiva	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	75	6
65426	Removal or relocation of corneal conjunctiva	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
65430	Scraping of cornea for diagnosis	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
65430	Scraping of cornea for diagnosis	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	20	0
65435	Removal of outer layer of cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
65435	Removal of outer layer of cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	19	0
65436	Removal of outer layer of cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	50
65436	Removal of outer layer of cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	34	6
65436	Removal of outer layer of cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	72	72
65450	Destruction of lesion of cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
65450	Destruction of lesion of cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	28	6
65450	Destruction of lesion of cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
65600	Multiple punctures of cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	55
65600	Multiple punctures of cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	36	6
65600	Multiple punctures of cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
65710	Transplantation of tissue from one cornea to other cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65710	Transplantation of tissue from one cornea to other cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65710	Transplantation of tissue from one cornea to other cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		250
65730	Transplantation of tissue from one cornea to other cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65730	Transplantation of tissue from one cornea to other cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65730	Transplantation of tissue from one cornea to other cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		250
65750	Transplantation of tissue from one cornea to other cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65750	Transplantation of tissue from one cornea to other cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65750	Transplantation of tissue from one cornea to other cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		216
65755	Transplantation of tissue from one cornea to other cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65755	Transplantation of tissue from one cornea to other cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65755	Transplantation of tissue from one cornea to other cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		216
65756	Transplant of outer layer of corneal tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
65756	Transplant of outer layer of corneal tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
65756	Transplant of outer layer of corneal tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		189
65770	Placement of tube with optical power to cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65770	Placement of tube with optical power to cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65770	Placement of tube with optical power to cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		234
65772	Incisions to cornea to correct astigmatism	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
65772	Incisions to cornea to correct astigmatism	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	44	6
65772	Incisions to cornea to correct astigmatism	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
65775	Excision of corneal tissue to correct astigmatism	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65775	Excision of corneal tissue to correct astigmatism	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65775	Excision of corneal tissue to correct astigmatism	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		126
65778	Insertion of amniotic membrane to eye surface	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
65778	Insertion of amniotic membrane to eye surface	Service  pre	L038A	COMT/COT/RN/CST	0.45	Obtain vital signs	5	
65778	Insertion of amniotic membrane to eye surface	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
65778	Insertion of amniotic membrane to eye surface	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
65778	Insertion of amniotic membrane to eye surface	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	3	
65778	Insertion of amniotic membrane to eye surface	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	5	
65778	Insertion of amniotic membrane to eye surface	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
65779	Insertion of amniotic membrane to eye surface with sutures	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		5
65779	Insertion of amniotic membrane to eye surface with sutures	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
65779	Insertion of amniotic membrane to eye surface with sutures	Service  pre	L038A	COMT/COT/RN/CST	0.45	Obtain vital signs	5	
65779	Insertion of amniotic membrane to eye surface with sutures	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
65779	Insertion of amniotic membrane to eye surface with sutures	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
65779	Insertion of amniotic membrane to eye surface with sutures	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	3	
65779	Insertion of amniotic membrane to eye surface with sutures	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	30	
65779	Insertion of amniotic membrane to eye surface with sutures	Service  post	L038A	COMT/COT/RN/CST	0.45	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
65779	Insertion of amniotic membrane to eye surface with sutures	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
65779	Insertion of amniotic membrane to eye surface with sutures	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean surgical instrument package	10	
65779	Insertion of amniotic membrane to eye surface with sutures	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		0
65779	Insertion of amniotic membrane to eye surface with sutures	Service  post	L038A	COMT/COT/RN/CST	0.45	"Monitor pt following service/check tubes, monitors, drains"	1	
65780	Transplantation of fetal sac tissue to cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
65780	Transplantation of fetal sac tissue to cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
65780	Transplantation of fetal sac tissue to cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
65780	Transplantation of fetal sac tissue to cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
65780	Transplantation of fetal sac tissue to cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
65780	Transplantation of fetal sac tissue to cornea	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
65780	Transplantation of fetal sac tissue to cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes		135
65780	Transplantation of fetal sac tissue to cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		72
65781	Transplantation of stem cells to cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65781	Transplantation of stem cells to cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65781	Transplantation of stem cells to cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		270
65782	Transplantation of stem cells from one cornea to other cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65782	Transplantation of stem cells from one cornea to other cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65782	Transplantation of stem cells from one cornea to other cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		243
65785	Implantation of intrastromal corneal ring segments	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	5	5
65785	Implantation of intrastromal corneal ring segments	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
65785	Implantation of intrastromal corneal ring segments	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions	10	7
65785	Implantation of intrastromal corneal ring segments	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	10	20
65785	Implantation of intrastromal corneal ring segments	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
65785	Implantation of intrastromal corneal ring segments	Service  pre	L038A	COMT/COT/RN/CST	0.45	Greet patient and provide gowning	3	
65785	Implantation of intrastromal corneal ring segments	Service  pre	L038A	COMT/COT/RN/CST	0.45	Obtain vital signs	5	
65785	Implantation of intrastromal corneal ring segments	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
65785	Implantation of intrastromal corneal ring segments	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	7	
65785	Implantation of intrastromal corneal ring segments	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	30	
65785	Implantation of intrastromal corneal ring segments	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
65785	Implantation of intrastromal corneal ring segments	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean surgical instrument package	15	
65785	Implantation of intrastromal corneal ring segments	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		0
65785	Implantation of intrastromal corneal ring segments	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes	81	81
65785	Implantation of intrastromal corneal ring segments	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes	36	36
65800	Aspiration of eye fluid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	34	0
65800	Aspiration of eye fluid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	3	0
65810	Aspiration of eye fluid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		57
65810	Aspiration of eye fluid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65810	Aspiration of eye fluid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		108
65815	Aspiration of blood from eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
65815	Aspiration of blood from eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	63	6
65815	Aspiration of blood from eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
65820	Incision to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65820	Incision to improve eye fluid flow	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65820	Incision to improve eye fluid flow	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		153
65850	Insertion of eye fluid drainage tube	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65850	Insertion of eye fluid drainage tube	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65850	Insertion of eye fluid drainage tube	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		135
65855	Trabeculoplasty by laser surgery	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		3
65855	Trabeculoplasty by laser surgery	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		3
65855	Trabeculoplasty by laser surgery	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions	0	3
65855	Trabeculoplasty by laser surgery	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	3
65855	Trabeculoplasty by laser surgery	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		3
65855	Trabeculoplasty by laser surgery	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
65855	Trabeculoplasty by laser surgery	Service  pre	L038A	COMT/COT/RN/CST	0.45	Obtain vital signs	5	
65855	Trabeculoplasty by laser surgery	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
65855	Trabeculoplasty by laser surgery	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
65855	Trabeculoplasty by laser surgery	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	3	
65855	Trabeculoplasty by laser surgery	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	10	
65855	Trabeculoplasty by laser surgery	Service  post	L038A	COMT/COT/RN/CST	0.45	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
65855	Trabeculoplasty by laser surgery	Service  post	L038A	COMT/COT/RN/CST	0.45	Check IOP	3	
65855	Trabeculoplasty by laser surgery	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
65855	Trabeculoplasty by laser surgery	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes	27	27
65860	Laser removal of scar tissue in eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
65860	Laser removal of scar tissue in eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	56	6
65860	Laser removal of scar tissue in eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
65865	Removal of scar tissue in eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65865	Removal of scar tissue in eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65865	Removal of scar tissue in eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		95
65870	Removal of scar tissue in eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65870	Removal of scar tissue in eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65870	Removal of scar tissue in eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		126
65875	Removal of scar tissue in eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65875	Removal of scar tissue in eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65875	Removal of scar tissue in eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
65880	Removal of corneal scar tissue	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65880	Removal of corneal scar tissue	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65880	Removal of corneal scar tissue	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
65900	Removal of outer lining of cornea	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65900	Removal of outer lining of cornea	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65900	Removal of outer lining of cornea	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
65920	Removal of implanted lens in eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65920	Removal of implanted lens in eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65920	Removal of implanted lens in eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
65930	Removal of blood clot from eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
65930	Removal of blood clot from eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
65930	Removal of blood clot from eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		108
66020	Injection of air or liquid into eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	13	18
66020	Injection of air or liquid into eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	35	6
66020	Injection of air or liquid into eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
66030	Injection of medication into eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	13	18
66030	Injection of medication into eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	35	6
66030	Injection of medication into eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
66130	Removal of growth of sclera	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
66130	Removal of growth of sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	57	6
66130	Removal of growth of sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	81	81
66150	Creation of eye fluid drainage tract with removal of iris	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66150	Creation of eye fluid drainage tract with removal of iris	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66150	Creation of eye fluid drainage tract with removal of iris	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		252
66155	Creation of eye fluid drainage tract with removal of iris	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66155	Creation of eye fluid drainage tract with removal of iris	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66155	Creation of eye fluid drainage tract with removal of iris	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		252
66160	Creation of eye fluid drainage tract with removal of sclera and iris	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66160	Creation of eye fluid drainage tract with removal of sclera and iris	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66160	Creation of eye fluid drainage tract with removal of sclera and iris	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		252
66170	Creation of eye fluid drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
66170	Creation of eye fluid drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
66170	Creation of eye fluid drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
66170	Creation of eye fluid drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
66170	Creation of eye fluid drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
66170	Creation of eye fluid drainage tract	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
66170	Creation of eye fluid drainage tract	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes		108
66170	Creation of eye fluid drainage tract	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
66172	Creation of eye fluid drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
66172	Creation of eye fluid drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
66172	Creation of eye fluid drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
66172	Creation of eye fluid drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
66172	Creation of eye fluid drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
66172	Creation of eye fluid drainage tract	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
66172	Creation of eye fluid drainage tract	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes		162
66172	Creation of eye fluid drainage tract	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
66174	Dilation to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
66174	Dilation to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
66174	Dilation to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
66174	Dilation to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
66174	Dilation to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
66174	Dilation to improve eye fluid flow	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
66174	Dilation to improve eye fluid flow	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	171
66175	Dilation with insertion of device or stent to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
66175	Dilation with insertion of device or stent to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
66175	Dilation with insertion of device or stent to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
66175	Dilation with insertion of device or stent to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
66175	Dilation with insertion of device or stent to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
66175	Dilation with insertion of device or stent to improve eye fluid flow	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
66175	Dilation with insertion of device or stent to improve eye fluid flow	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	171
66179	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
66179	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
66179	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
66179	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
66179	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
66179	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft"	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
66179	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft"	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes		81
66179	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft"	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
66180	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
66180	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
66180	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
66180	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
66180	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
66180	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft"	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
66180	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft"	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes		81
66180	"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft"	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
66183	"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66183	"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66183	"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		261
66184	Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
66184	Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
66184	Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
66184	Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
66184	Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
66184	Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
66184	Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes		81
66184	Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		144
66185	Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
66185	Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
66185	Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
66185	Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
66185	Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
66185	Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
66185	Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes		81
66185	Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		144
66225	Removal of protrusion sclera or cornea with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66225	Removal of protrusion sclera or cornea with graft	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66225	Removal of protrusion sclera or cornea with graft	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
66250	Revision or repair of operative wound of eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
66250	Revision or repair of operative wound of eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	71	6
66250	Revision or repair of operative wound of eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	126	126
66500	Incision of iris to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66500	Incision of iris to improve eye fluid flow	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66500	Incision of iris to improve eye fluid flow	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		68
66505	Incision and drainage of eye fluid accumulation in iris	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66505	Incision and drainage of eye fluid accumulation in iris	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66505	Incision and drainage of eye fluid accumulation in iris	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		81
66600	Removal of iris and growth	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66600	Removal of iris and growth	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66600	Removal of iris and growth	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
66605	Removal of iris and eyelid border to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66605	Removal of iris and eyelid border to improve eye fluid flow	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66605	Removal of iris and eyelid border to improve eye fluid flow	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
66625	Removal of iris to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66625	Removal of iris to improve eye fluid flow	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66625	Removal of iris to improve eye fluid flow	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		95
66630	Removal of iris to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66630	Removal of iris to improve eye fluid flow	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66630	Removal of iris to improve eye fluid flow	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		126
66635	Removal of iris and eyelid border to improve eye fluid flow	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66635	Removal of iris and eyelid border to improve eye fluid flow	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66635	Removal of iris and eyelid border to improve eye fluid flow	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		126
66680	Repair of iris and lens tissue	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66680	Repair of iris and lens tissue	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66680	Repair of iris and lens tissue	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		108
66682	Repair of iris and lens tissue	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66682	Repair of iris and lens tissue	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66682	Repair of iris and lens tissue	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		126
66700	Destruction of lens tissue	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
66700	Destruction of lens tissue	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	78	6
66700	Destruction of lens tissue	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	63	63
66710	Destruction of lens tissue using laser	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
66710	Destruction of lens tissue using laser	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	52	6
66710	Destruction of lens tissue using laser	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	63	63
66711	"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
66711	"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
66711	"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
66711	"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
66711	"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
66711	"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens"	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
66711	"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	171
66720	Destruction of tissue encircling lens	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
66720	Destruction of tissue encircling lens	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	70	6
66720	Destruction of tissue encircling lens	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	122	122
66740	Destruction of tissue of eyelid border	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
66740	Destruction of tissue of eyelid border	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	63	6
66740	Destruction of tissue of eyelid border	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	63	63
66761	"Creation of eye fluid drainage tracts in iris using laser, per session"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	8	13
66761	"Creation of eye fluid drainage tracts in iris using laser, per session"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	36	0
66761	"Creation of eye fluid drainage tracts in iris using laser, per session"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	63	63
66762	"Creation of openings in iris for eye fluid drainage using laser, 1 or more sessions"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
66762	"Creation of openings in iris for eye fluid drainage using laser, 1 or more sessions"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	54	6
66762	"Creation of openings in iris for eye fluid drainage using laser, 1 or more sessions"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
66770	Destruction of growth of iris using laser	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
66770	Destruction of growth of iris using laser	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	49	6
66770	Destruction of growth of iris using laser	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
66820	Removal of recurring cataract in lens capsule	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66820	Removal of recurring cataract in lens capsule	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66820	Removal of recurring cataract in lens capsule	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		68
66821	Removal of recurring cataract in lens capsule using laser	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
66821	Removal of recurring cataract in lens capsule using laser	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	37	6
66821	Removal of recurring cataract in lens capsule using laser	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	72	72
66825	Repositioning of lens prosthesis	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66825	Repositioning of lens prosthesis	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66825	Repositioning of lens prosthesis	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		153
66830	Removal of recurring cataract in lens capsule	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66830	Removal of recurring cataract in lens capsule	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66830	Removal of recurring cataract in lens capsule	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
66840	Aspiration removal of lens material	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66840	Aspiration removal of lens material	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66840	Aspiration removal of lens material	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
66850	"Fragmenting, aspiration, and removal of lens material"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66850	"Fragmenting, aspiration, and removal of lens material"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66850	"Fragmenting, aspiration, and removal of lens material"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
66852	Removal of lens material	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66852	Removal of lens material	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66852	Removal of lens material	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
66920	Removal of lens material and capsule	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66920	Removal of lens material and capsule	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66920	Removal of lens material and capsule	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
66930	Removal of lens material and capsule for dislocated lens	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66930	Removal of lens material and capsule for dislocated lens	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66930	Removal of lens material and capsule for dislocated lens	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
66940	Removal of lens material and portion of lens capsule	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66940	Removal of lens material and portion of lens capsule	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66940	Removal of lens material and portion of lens capsule	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
66982		Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
66982		Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
66982		Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
66982		Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
66982		Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
66982		Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
66982		Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	135
66984	"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
66984	"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
66984	"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
66984	"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
66984	"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
66984	"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation"	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
66984	"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	99
66985	Insertion of lens prosthesis	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66985	Insertion of lens prosthesis	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66985	Insertion of lens prosthesis	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
66986	Exchange of lens prosthesis	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
66986	Exchange of lens prosthesis	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
66986	Exchange of lens prosthesis	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
66989		Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
66989		Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
66989		Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
66989		Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
66989		Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
66989		Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
66989		Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	135
66991		Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
66991		Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
66991		Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
66991		Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
66991		Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
66991		Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
66991		Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	135
67005	Partial removal of eye fluid between the lens and retina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
67005	Partial removal of eye fluid between the lens and retina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
67005	Partial removal of eye fluid between the lens and retina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
67010	Partial removal of eye fluid between the lens and retina	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
67010	Partial removal of eye fluid between the lens and retina	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
67010	Partial removal of eye fluid between the lens and retina	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
67015	Aspiration or release of eye fluid between the lens and retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67015	Aspiration or release of eye fluid between the lens and retina	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67015	Aspiration or release of eye fluid between the lens and retina	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		122
67025	Injection of synthetic eye fluid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67025	Injection of synthetic eye fluid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	51	6
67025	Injection of synthetic eye fluid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	144	144
67027	Implantation of eye drug delivery system	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67027	Implantation of eye drug delivery system	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67027	Implantation of eye drug delivery system	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		153
67028	Injection of drug into eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	3	3
67028	Injection of drug into eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	5	5
67028	Injection of drug into eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	3	3
67028	Injection of drug into eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	3	3
67028	Injection of drug into eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Confirm order, protocol exam"	1	0
67028	Injection of drug into eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
67028	Injection of drug into eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
67028	Injection of drug into eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
67028	Injection of drug into eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	Sedate/apply anesthesia	2	0
67028	Injection of drug into eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	4	0
67028	Injection of drug into eye	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
67030	Cutting of strands of eye fluid (vitreous) between the lens and retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67030	Cutting of strands of eye fluid (vitreous) between the lens and retina	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67030	Cutting of strands of eye fluid (vitreous) between the lens and retina	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
67031	Laser release of scar tissue between the lens and retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
67031	Laser release of scar tissue between the lens and retina	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	27	6
67031	Laser release of scar tissue between the lens and retina	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
67036	Removal of inner eye fluid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
67036	Removal of inner eye fluid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67036	Removal of inner eye fluid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67036	Removal of inner eye fluid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
67036	Removal of inner eye fluid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67036	Removal of inner eye fluid	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
67036	Removal of inner eye fluid	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
67039	Laser treatment of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
67039	Laser treatment of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67039	Laser treatment of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67039	Laser treatment of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
67039	Laser treatment of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67039	Laser treatment of retina	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
67039	Laser treatment of retina	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
67040	Laser treatment of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
67040	Laser treatment of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67040	Laser treatment of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67040	Laser treatment of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
67040	Laser treatment of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67040	Laser treatment of retina	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
67040	Laser treatment of retina	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
67041	Vit for macular pucker	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
67041	Vit for macular pucker	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67041	Vit for macular pucker	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67041	Vit for macular pucker	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
67041	Vit for macular pucker	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67041	Vit for macular pucker	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
67041	Vit for macular pucker	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
67042	Vit for macular hole	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
67042	Vit for macular hole	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67042	Vit for macular hole	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67042	Vit for macular hole	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
67042	Vit for macular hole	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67042	Vit for macular hole	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
67042	Vit for macular hole	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
67043	Vit for membrane dissect	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
67043	Vit for membrane dissect	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67043	Vit for membrane dissect	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67043	Vit for membrane dissect	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
67043	Vit for membrane dissect	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67043	Vit for membrane dissect	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
67043	Vit for membrane dissect	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services	0	10
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions	0	3
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	7
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		5
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	3	
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Sedate/Apply anesthesia	2	
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	40	
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Service  post	L038A	COMT/COT/RN/CST	0.45	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean surgical instrument package	10	
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
67101	"Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed"	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes	72	72
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services	0	10
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions	0	3
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	7
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		5
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	3	
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Sedate/Apply anesthesia	2	
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	30	
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
67105	"Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed"	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes	72	72
67107	"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
67107	"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67107	"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67107	"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
67107	"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67107	"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid"	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
67107	"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid"	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
67108	"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
67108	"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67108	"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67108	"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
67108	"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67108	"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique"	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
67108	"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique"	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		180
67110	Repair of detached retina by injection of air or gas	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	5	5
67110	Repair of detached retina by injection of air or gas	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67110	Repair of detached retina by injection of air or gas	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67110	Repair of detached retina by injection of air or gas	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	10	20
67110	Repair of detached retina by injection of air or gas	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67110	Repair of detached retina by injection of air or gas	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
67110	Repair of detached retina by injection of air or gas	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
67110	Repair of detached retina by injection of air or gas	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	30	
67110	Repair of detached retina by injection of air or gas	Service  post	L038A	COMT/COT/RN/CST	0.45	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
67110	Repair of detached retina by injection of air or gas	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
67110	Repair of detached retina by injection of air or gas	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean surgical instrument package	10	
67110	Repair of detached retina by injection of air or gas	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes	216	216
67113	"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
67113	"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67113	"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67113	"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
67113	"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67113	"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens"	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
67113	"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens"	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		216
67115	Release of retinal encircling material	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67115	Release of retinal encircling material	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67115	Release of retinal encircling material	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		126
67120	Removal of implant material from outside the eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67120	Removal of implant material from outside the eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	65	6
67120	Removal of implant material from outside the eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	126	126
67121	Removal of implant material from inside the eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67121	Removal of implant material from inside the eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67121	Removal of implant material from inside the eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	3	3
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	5	5
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	7	7
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Sedate/apply anesthesia	2	0
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Service  post	L038A	COMT/COT/RN/CST	0.45	"Check dressings, catheters, wounds"	1	0
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean surgical instrument package	10	0
67141	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	72	72
67145	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	3	3
67145	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	5	5
67145	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	7	7
67145	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
67145	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
67145	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Sedate/apply anesthesia	2	0
67145	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	16	0
67145	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
67145	"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	72	72
67208	"Destruction of retinal growth by heat or freezing, 1 or more sessions"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67208	"Destruction of retinal growth by heat or freezing, 1 or more sessions"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	45	6
67208	"Destruction of retinal growth by heat or freezing, 1 or more sessions"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
67210	"Laser destruction of retinal growth, 1 or more sessions"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67210	"Laser destruction of retinal growth, 1 or more sessions"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	24	6
67210	"Laser destruction of retinal growth, 1 or more sessions"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
67218	"Destruction of retinal growth with implantation of radiation source, 1 or more sessions"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67218	"Destruction of retinal growth with implantation of radiation source, 1 or more sessions"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		12
67218	"Destruction of retinal growth with implantation of radiation source, 1 or more sessions"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		117
67220	"Destruction of vascular growth between retina and sclera, 1 or more sessions"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67220	"Destruction of vascular growth between retina and sclera, 1 or more sessions"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	31.5	6
67220	"Destruction of vascular growth between retina and sclera, 1 or more sessions"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
67221	Destruction of vascular growth between retina and sclera	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	8	13
67221	Destruction of vascular growth between retina and sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	36	0
67221	Destruction of vascular growth between retina and sclera	Service  intra	L051A	RN	0.635	Service total costs	7	0
67221	Destruction of vascular growth between retina and sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	6	0
67225	"Destruction of vascular growth between retina and sclera, at single session"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	3	0
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	5	5
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services	3	10
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions	3	3
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	7	7
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	5
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Obtain vital signs	5	
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	3	
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	3	
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	30	
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
67227	"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy"	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes	36	36
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	5	5
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services	3	10
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions	3	3
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	7	7
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	5
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Obtain vital signs	5	
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	3	
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	3	
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	25	
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		0
67228	"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation"	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes	36	36
67229	"Laser destruction or freezing of extensive leaking retinal blood vessels, preterm infant, 1 or more sessions"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		30
67229	"Laser destruction or freezing of extensive leaking retinal blood vessels, preterm infant, 1 or more sessions"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		12
67229	"Laser destruction or freezing of extensive leaking retinal blood vessels, preterm infant, 1 or more sessions"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		216
67250	Repair of defect in sclera	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67250	Repair of defect in sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67250	Repair of defect in sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		108
67255	Scleral reinforcement (separate procedure); with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
67255	Scleral reinforcement (separate procedure); with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		20
67255	Scleral reinforcement (separate procedure); with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		7
67255	Scleral reinforcement (separate procedure); with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		20
67255	Scleral reinforcement (separate procedure); with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		8
67255	Scleral reinforcement (separate procedure); with graft	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management 99238 --12 minutes		6
67255	Scleral reinforcement (separate procedure); with graft	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes		81
67255	Scleral reinforcement (separate procedure); with graft	Post-service	L038A	COMT/COT/RN/CST	0.45	99213    36  minutes		108
67311	Realignment of the eye with repair of one horizontal eye muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
67311	Realignment of the eye with repair of one horizontal eye muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
67311	Realignment of the eye with repair of one horizontal eye muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
67311	Realignment of the eye with repair of one horizontal eye muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
67311	Realignment of the eye with repair of one horizontal eye muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
67311	Realignment of the eye with repair of one horizontal eye muscle	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
67311	Realignment of the eye with repair of one horizontal eye muscle	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	90
67312	Realignment of the eye with repair of two horizontal eye muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
67312	Realignment of the eye with repair of two horizontal eye muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
67312	Realignment of the eye with repair of two horizontal eye muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
67312	Realignment of the eye with repair of two horizontal eye muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
67312	Realignment of the eye with repair of two horizontal eye muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
67312	Realignment of the eye with repair of two horizontal eye muscles	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
67312	Realignment of the eye with repair of two horizontal eye muscles	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	90
67314	Realignment of the eye with repair of one vertical muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
67314	Realignment of the eye with repair of one vertical muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
67314	Realignment of the eye with repair of one vertical muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
67314	Realignment of the eye with repair of one vertical muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
67314	Realignment of the eye with repair of one vertical muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
67314	Realignment of the eye with repair of one vertical muscle	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
67314	Realignment of the eye with repair of one vertical muscle	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	90
67316	Realignment of the eye with repair of two or more vertical muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
67316	Realignment of the eye with repair of two or more vertical muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
67316	Realignment of the eye with repair of two or more vertical muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
67316	Realignment of the eye with repair of two or more vertical muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
67316	Realignment of the eye with repair of two or more vertical muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
67316	Realignment of the eye with repair of two or more vertical muscles	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
67316	Realignment of the eye with repair of two or more vertical muscles	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	90
67318	Realignment of the eye with repair of muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	7
67318	Realignment of the eye with repair of muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	5
67318	Realignment of the eye with repair of muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	20
67318	Realignment of the eye with repair of muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	0	20
67318	Realignment of the eye with repair of muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	8
67318	Realignment of the eye with repair of muscle	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management	0	6
67318	Realignment of the eye with repair of muscle	Post-service	L038A	COMT/COT/RN/CST	0.45	Post-operative visits (total time)	0	99
67343	Release of extensive eye scar tissue	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67343	Release of extensive eye scar tissue	Pre-service	L037C	Orthoptist	0.565	Preservice total costs		11
67343	Release of extensive eye scar tissue	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67343	Release of extensive eye scar tissue	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		126
67343	Release of extensive eye scar tissue	Post-service	L037C	Orthoptist	0.565	Post service total costs		11
67345	Injection of chemical for destruction of eye muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	13	18
67345	Injection of chemical for destruction of eye muscle	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	25	6
67345	Injection of chemical for destruction of eye muscle	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67346	Biopsy of eye muscle	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		30
67346	Biopsy of eye muscle	Pre-service	L037C	Orthoptist	0.565	Preservice total costs		11
67400	"Exploration of cavity behind eye, frontal or transconjunctival approach"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67400	"Exploration of cavity behind eye, frontal or transconjunctival approach"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67400	"Exploration of cavity behind eye, frontal or transconjunctival approach"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
67405	Incision and drainage of cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67405	Incision and drainage of cavity behind eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67405	Incision and drainage of cavity behind eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
67412	Removal of growth in cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67412	Removal of growth in cavity behind eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67412	Removal of growth in cavity behind eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		90
67413	Removal of foreign body in cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67413	Removal of foreign body in cavity behind eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67413	Removal of foreign body in cavity behind eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		135
67414	Removal of bone from cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67414	Removal of bone from cavity behind eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67414	Removal of bone from cavity behind eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		116
67420	Removal of bone and growth in cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67420	Removal of bone and growth in cavity behind eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67420	Removal of bone and growth in cavity behind eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
67430	Removal of bone and foreign body in cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67430	Removal of bone and foreign body in cavity behind eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67430	Removal of bone and foreign body in cavity behind eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		216
67440	Removal of bone with drainage from cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67440	Removal of bone with drainage from cavity behind eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67440	Removal of bone with drainage from cavity behind eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		198
67445	Removal of bone from cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67445	Removal of bone from cavity behind eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67445	Removal of bone from cavity behind eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		116
67450	"Exploration of cavity behind eye with bone flap, lateral approach"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67450	"Exploration of cavity behind eye with bone flap, lateral approach"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67450	"Exploration of cavity behind eye with bone flap, lateral approach"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		216
67500	Injection of medication into cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	3
67500	Injection of medication into cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	3
67500	Injection of medication into cavity behind eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
67500	Injection of medication into cavity behind eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
67500	Injection of medication into cavity behind eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide education/obtain consent	2	0
67500	Injection of medication into cavity behind eye	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
67505	Injection of alcohol into cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	3
67505	Injection of alcohol into cavity behind eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	3
67505	Injection of alcohol into cavity behind eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
67505	Injection of alcohol into cavity behind eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
67505	Injection of alcohol into cavity behind eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide education/obtain consent	2	0
67505	Injection of alcohol into cavity behind eye	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
67515	Injection of medication or substance into membrane covering eyeball	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	3
67515	Injection of medication or substance into membrane covering eyeball	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	3
67515	Injection of medication or substance into membrane covering eyeball	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
67515	Injection of medication or substance into membrane covering eyeball	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
67550	Insertion of implant outside eye muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67550	Insertion of implant outside eye muscles	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67550	Insertion of implant outside eye muscles	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
67560	Removal or revision of implant outside eye muscles	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67560	Removal or revision of implant outside eye muscles	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67560	Removal or revision of implant outside eye muscles	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
67570	Release of optic nerve	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67570	Release of optic nerve	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67570	Release of optic nerve	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		143
67700	Incision and drainage of eyelid abscess	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	13	18
67700	Incision and drainage of eyelid abscess	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	39	6
67700	Incision and drainage of eyelid abscess	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67710	Removal of sutures between upper and lower eyelids	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	13	18
67710	Removal of sutures between upper and lower eyelids	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	33	6
67710	Removal of sutures between upper and lower eyelids	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67715	Incision of corner of eye at eyelids	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	13	18
67715	Incision of corner of eye at eyelids	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	33	6
67715	Incision of corner of eye at eyelids	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67800	Removal of eyelid growth	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	5	10
67800	Removal of eyelid growth	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	38	6
67800	Removal of eyelid growth	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	14	14
67801	Removal of multiple growths of same eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	5	10
67801	Removal of multiple growths of same eyelid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	44	6
67801	Removal of multiple growths of same eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	14	14
67805	Removal of multiple growths of different eyelids	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	5	10
67805	Removal of multiple growths of different eyelids	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	56	6
67805	Removal of multiple growths of different eyelids	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67808	Removal of eyelid growth under general anesthesia and/or requiring hospitalization	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		50
67808	Removal of eyelid growth under general anesthesia and/or requiring hospitalization	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		90
67810	Biopsy of eyelid	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	32	0
67810	Biopsy of eyelid	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
67820	Removal of eyelashes by forceps	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		3
67820	Removal of eyelashes by forceps	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		0
67820	Removal of eyelashes by forceps	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		0
67820	Removal of eyelashes by forceps	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		3
67820	Removal of eyelashes by forceps	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		3
67825	Removal of eyelashes	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	11	25
67825	Removal of eyelashes	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	6	6
67825	Removal of eyelashes	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67830	Incisional removal of eyelashes	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	13	18
67830	Incisional removal of eyelashes	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	44	6
67830	Incisional removal of eyelashes	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67835	Incisional removal of eyelashes with graft	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67835	Incisional removal of eyelashes with graft	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67835	Incisional removal of eyelashes with graft	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		81
67840	Removal of eyelid growth	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	13	18
67840	Removal of eyelid growth	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	40	6
67840	Removal of eyelid growth	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67850	Destruction of (up to 1 centimeter) growth of eyelid margin	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	13	18
67850	Destruction of (up to 1 centimeter) growth of eyelid margin	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	37	6
67850	Destruction of (up to 1 centimeter) growth of eyelid margin	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67875	Temporary closure of eyelids by suture	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
67875	Temporary closure of eyelids by suture	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	34	0
67880	Creation of permanent eyelid margin scarring	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	50
67880	Creation of permanent eyelid margin scarring	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	41	0
67880	Creation of permanent eyelid margin scarring	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
67882	Creation of permanent eyelid margin scarring with relocation of eyelid tissue	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67882	Creation of permanent eyelid margin scarring with relocation of eyelid tissue	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	51	0
67882	Creation of permanent eyelid margin scarring with relocation of eyelid tissue	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
67900	Repair of brow paralysis	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	50
67900	Repair of brow paralysis	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	96	0
67900	Repair of brow paralysis	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	99	99
67901	Repair of upper eyelid muscle to correct drooping or paralysis	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67901	Repair of upper eyelid muscle to correct drooping or paralysis	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	96	6
67901	Repair of upper eyelid muscle to correct drooping or paralysis	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
67902	Repair of upper eyelid muscle to correct drooping or paralysis	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67902	Repair of upper eyelid muscle to correct drooping or paralysis	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
67902	Repair of upper eyelid muscle to correct drooping or paralysis	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		117
67903	Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67903	Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	68	0
67903	Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	81	81
67904	Repair of tendon of upper eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67904	Repair of tendon of upper eyelid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	71	0
67904	Repair of tendon of upper eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	117	117
67906	Suspension of upper eyelid muscle to correct drooping or paralysis	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67906	Suspension of upper eyelid muscle to correct drooping or paralysis	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		81
67908	"Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67908	"Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	51	0
67908	"Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	95	95
67909	Procedure to reduce overcorrection of drooping or paralyzed upper eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67909	Procedure to reduce overcorrection of drooping or paralyzed upper eyelid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	51	0
67909	Procedure to reduce overcorrection of drooping or paralyzed upper eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	95	95
67911	Correction of widely-opened upper eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67911	Correction of widely-opened upper eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		108
67912	Restoration of eyelid blinking function	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67912	Restoration of eyelid blinking function	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	67	6
67912	Restoration of eyelid blinking function	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	99	99
67914	Suture repair of a turning-outward defect of upper or lower eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67914	Suture repair of a turning-outward defect of upper or lower eyelid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	43	6
67914	Suture repair of a turning-outward defect of upper or lower eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
67915	Repair of a turning-outward defect of upper or lower eyelid using heat	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67915	Repair of a turning-outward defect of upper or lower eyelid using heat	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	23	6
67915	Repair of a turning-outward defect of upper or lower eyelid using heat	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	54	54
67916	Repair of turning-outward eyelid defect	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67916	Repair of turning-outward eyelid defect	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	48	6
67916	Repair of turning-outward eyelid defect	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
67917	Extensive repair of turning-outward eyelid defect	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67917	Extensive repair of turning-outward eyelid defect	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	56	6
67917	Extensive repair of turning-outward eyelid defect	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
67921	Suture repair of turning-inward eyelid defect	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67921	Suture repair of turning-inward eyelid defect	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	38	6
67921	Suture repair of turning-inward eyelid defect	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
67922	Corrective repair of turning-inward eyelid defect using heat	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67922	Corrective repair of turning-inward eyelid defect using heat	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	33	6
67922	Corrective repair of turning-inward eyelid defect using heat	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	54	54
67923	Repair of turning-inward eyelid defect	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67923	Repair of turning-inward eyelid defect	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	48	6
67923	Repair of turning-inward eyelid defect	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
67924	Repair of turning-inward eyelid defect	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67924	Repair of turning-inward eyelid defect	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	63	6
67924	Repair of turning-inward eyelid defect	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
67930	Suture of recent wound of the eyelid involving lid margin	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	0
67930	Suture of recent wound of the eyelid involving lid margin	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	61	6
67930	Suture of recent wound of the eyelid involving lid margin	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67935	Repair of wound of eyelid margin	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	0
67935	Repair of wound of eyelid margin	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	80	0
67935	Repair of wound of eyelid margin	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	81	81
67938	Removal of embedded foreign body in eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
67938	Removal of embedded foreign body in eyelid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	32	6
67938	Removal of embedded foreign body in eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
67950	Enlargement of eyelid margin	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67950	Enlargement of eyelid margin	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	66	0
67950	Enlargement of eyelid margin	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	95	95
67961	Removal of up to one-fourth of the eyelid involving lid margin	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67961	Removal of up to one-fourth of the eyelid involving lid margin	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	82	0
67961	Removal of up to one-fourth of the eyelid involving lid margin	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	95	95
67966	Removal of over one-fourth of the eyelid involving lid margin	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
67966	Removal of over one-fourth of the eyelid involving lid margin	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	86	0
67966	Removal of over one-fourth of the eyelid involving lid margin	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	95	117
67971	Reconstruction of up to two-thirds of the eyelid by transfer of opposite eyelid tissue	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67971	Reconstruction of up to two-thirds of the eyelid by transfer of opposite eyelid tissue	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		122
67973	Reconstruction of lower eyelid by transfer of eyelid tissue from opposite eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67973	Reconstruction of lower eyelid by transfer of eyelid tissue from opposite eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		149
67974	Reconstruction of upper eyelid by transfer of eyelid tissue from opposite eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67974	Reconstruction of upper eyelid by transfer of eyelid tissue from opposite eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		149
67975	Reconstruction of an eyelid by transfer of eyelid tissue from opposite eyelid	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
67975	Reconstruction of an eyelid by transfer of eyelid tissue from opposite eyelid	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		122
68020	Incision and drainage of eye cyst	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	8	8
68020	Incision and drainage of eye cyst	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	17	6
68020	Incision and drainage of eye cyst	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68040	Removal of scarring of lining of eyelid due to infection	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	5	5
68040	Removal of scarring of lining of eyelid due to infection	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	17	0
68100	Biopsy of sclera	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	15	30
68100	Biopsy of sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	31	0
68110	Removal of (up to 1 centimeter) growth of sclera	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
68110	Removal of (up to 1 centimeter) growth of sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	39	6
68110	Removal of (up to 1 centimeter) growth of sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68115	Removal of (over 1 centimeter) growth of sclera	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
68115	Removal of (over 1 centimeter) growth of sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	53	6
68115	Removal of (over 1 centimeter) growth of sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68130	Removal of growth of sclera	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
68130	Removal of growth of sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	57	6
68130	Removal of growth of sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	95	95
68135	Destruction of growth of sclera	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	15	27
68135	Destruction of growth of sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	21	6
68135	Destruction of growth of sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68200	Injection into conjunctiva	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	5	10
68200	Injection into conjunctiva	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	9	0
68320	Repair of conjunctiva	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
68320	Repair of conjunctiva	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	93	6
68320	Repair of conjunctiva	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	144	144
68325	Repair of conjunctiva	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68325	Repair of conjunctiva	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68325	Repair of conjunctiva	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
68326	Reconstruction of conjunctiva	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68326	Reconstruction of conjunctiva	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68326	Reconstruction of conjunctiva	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
68328	Reconstruction of conjunctiva	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68328	Reconstruction of conjunctiva	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68328	Reconstruction of conjunctiva	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
68330	Release of scar tissue from conjunctiva	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
68330	Release of scar tissue from conjunctiva	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	66	6
68330	Release of scar tissue from conjunctiva	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	108	108
68335	Release of scar tissue from eyelids	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68335	Release of scar tissue from eyelids	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68335	Release of scar tissue from eyelids	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
68340	Release of scar tissue from eyelids	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
68340	Release of scar tissue from eyelids	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	50	6
68340	Release of scar tissue from eyelids	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
68360	Relocation of conjunctival flap	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	35	60
68360	Relocation of conjunctival flap	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	54	6
68360	Relocation of conjunctival flap	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	90	90
68362	Relocation of conjunctival flap	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68362	Relocation of conjunctival flap	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68362	Relocation of conjunctival flap	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
68371	Harvest of donor conjunctiva	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		30
68371	Harvest of donor conjunctiva	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68371	Harvest of donor conjunctiva	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		108
68400	Drainage of tear-producing gland	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	11	15
68400	Drainage of tear-producing gland	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	55	6
68400	Drainage of tear-producing gland	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68420	Snip incision of tear duct opening	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	11	15
68420	Snip incision of tear duct opening	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	55	6
68420	Snip incision of tear duct opening	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68440	Snip incision of tear-drainage opening at inner corner of the eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
68440	Snip incision of tear-drainage opening at inner corner of the eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	16	6
68440	Snip incision of tear-drainage opening at inner corner of the eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68500	Removal of tear-producing gland	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68500	Removal of tear-producing gland	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68500	Removal of tear-producing gland	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		198
68505	Partial removal of tear-producing gland	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68505	Partial removal of tear-producing gland	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68505	Partial removal of tear-producing gland	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		198
68510	Biopsy of tear-producing gland	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
68510	Biopsy of tear-producing gland	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	62	3
68520	Removal of tear sac of the eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68520	Removal of tear sac of the eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68520	Removal of tear sac of the eye	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
68530	Removal of foreign body or stone from tear passages	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
68530	Removal of foreign body or stone from tear passages	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	73	6
68530	Removal of foreign body or stone from tear passages	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68540	Removal of growth of tear-producing gland	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68540	Removal of growth of tear-producing gland	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68540	Removal of growth of tear-producing gland	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		180
68550	Removal of growth in tear-producing gland	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68550	Removal of growth in tear-producing gland	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68550	Removal of growth in tear-producing gland	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		216
68700	Plastic repair of tear ducts	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		50
68700	Plastic repair of tear ducts	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
68705	Release of tissue at tear duct opening	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
68705	Release of tissue at tear duct opening	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	21	6
68705	Release of tissue at tear duct opening	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68720	Creation of drainage tract from tear sac to the nasal cavity	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68720	Creation of drainage tract from tear sac to the nasal cavity	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68720	Creation of drainage tract from tear sac to the nasal cavity	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		135
68745	Creation of a tear drainage tract to the nasal cavity	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68745	Creation of a tear drainage tract to the nasal cavity	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68745	Creation of a tear drainage tract to the nasal cavity	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
68750	Creation of a tear drainage tract to the nasal cavity with insertion of tube or stent	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		60
68750	Creation of a tear drainage tract to the nasal cavity with insertion of tube or stent	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs		6
68750	Creation of a tear drainage tract to the nasal cavity with insertion of tube or stent	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		162
68760	Repair duct opening	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
68760	Repair duct opening	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	11	6
68760	Repair duct opening	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68761	Closure of tear duct opening using plug	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
68761	Closure of tear duct opening using plug	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	11	6
68761	Closure of tear duct opening using plug	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68770	Closure of abnormal tear-drainage tract	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs		50
68770	Closure of abnormal tear-drainage tract	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs		144
68801	Dilation of tear-drainage opening	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	3	5
68801	Dilation of tear-drainage opening	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		10
68801	Dilation of tear-drainage opening	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		3
68801	Dilation of tear-drainage opening	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	7	7
68801	Dilation of tear-drainage opening	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		5
68801	Dilation of tear-drainage opening	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	5	
68801	Dilation of tear-drainage opening	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean surgical instrument package	10	
68801	Dilation of tear-drainage opening	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		0
68801	Dilation of tear-drainage opening	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes	27	27
68810	Insertion of probe into the tear duct	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	3	5
68810	Insertion of probe into the tear duct	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		10
68810	Insertion of probe into the tear duct	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		3
68810	Insertion of probe into the tear duct	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	7	7
68810	Insertion of probe into the tear duct	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		5
68810	Insertion of probe into the tear duct	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	10	
68810	Insertion of probe into the tear duct	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean surgical instrument package	10	
68810	Insertion of probe into the tear duct	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		0
68810	Insertion of probe into the tear duct	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes	27	27
68811	Insertion of probe into the tear duct under anesthesia	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms		5
68811	Insertion of probe into the tear duct under anesthesia	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		10
68811	Insertion of probe into the tear duct under anesthesia	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions		3
68811	Insertion of probe into the tear duct under anesthesia	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent		7
68811	Insertion of probe into the tear duct under anesthesia	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		5
68811	Insertion of probe into the tear duct under anesthesia	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
68811	Insertion of probe into the tear duct under anesthesia	Post-service	L038A	COMT/COT/RN/CST	0.45	99211     16 minutes		16
68815	Probing of nasal-tear duct with insertion of tube or stent	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	5	5
68815	Probing of nasal-tear duct with insertion of tube or stent	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		10
68815	Probing of nasal-tear duct with insertion of tube or stent	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions	3	3
68815	Probing of nasal-tear duct with insertion of tube or stent	Pre-service	L038A	COMT/COT/RN/CST	0.45	Obtain vital signs	3	
68815	Probing of nasal-tear duct with insertion of tube or stent	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	7	7
68815	Probing of nasal-tear duct with insertion of tube or stent	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		5
68815	Probing of nasal-tear duct with insertion of tube or stent	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
68815	Probing of nasal-tear duct with insertion of tube or stent	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
68815	Probing of nasal-tear duct with insertion of tube or stent	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	20	
68815	Probing of nasal-tear duct with insertion of tube or stent	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
68815	Probing of nasal-tear duct with insertion of tube or stent	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean surgical instrument package	10	
68815	Probing of nasal-tear duct with insertion of tube or stent	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
68815	Probing of nasal-tear duct with insertion of tube or stent	Post-service	L038A	COMT/COT/RN/CST	0.45	99212    27  minutes	54	54
68816	Probing of nasal-tear duct with balloon catheter dilation	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	5	5
68816	Probing of nasal-tear duct with balloon catheter dilation	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services		10
68816	Probing of nasal-tear duct with balloon catheter dilation	Pre-service	L038A	COMT/COT/RN/CST	0.45	Follow-up phone calls and prescriptions	3	3
68816	Probing of nasal-tear duct with balloon catheter dilation	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	7	7
68816	Probing of nasal-tear duct with balloon catheter dilation	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility		5
68816	Probing of nasal-tear duct with balloon catheter dilation	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
68816	Probing of nasal-tear duct with balloon catheter dilation	Service  pre	L038A	COMT/COT/RN/CST	0.45	Obtain vital signs	5	
68816	Probing of nasal-tear duct with balloon catheter dilation	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
68816	Probing of nasal-tear duct with balloon catheter dilation	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician in performing procedure	20	
68816	Probing of nasal-tear duct with balloon catheter dilation	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
68816	Probing of nasal-tear duct with balloon catheter dilation	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean surgical instrument package	10	
68816	Probing of nasal-tear duct with balloon catheter dilation	Service  post	L038A	COMT/COT/RN/CST	0.45	Discharge day management  same day 99238 --6 minutes		6
68816	Probing of nasal-tear duct with balloon catheter dilation	Post-service	L038A	COMT/COT/RN/CST	0.45	99211     16 minutes	16	16
68840	Probing of nasal-tear duct	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
68840	Probing of nasal-tear duct	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	16	6
68840	Probing of nasal-tear duct	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	27	27
68841	"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	3	3
68841	"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	3	3
68841	"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	1
68841	"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
68841	"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
68841	"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each"	Service  post	L038A	COMT/COT/RN/CST	0.45	"Review home care instructions, coordinate visits/prescriptions"	1	0
68850	Injection of contrast for X-ray imaging of tear sac	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	18	30
68850	Injection of contrast for X-ray imaging of tear sac	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	11	0
69000	Incision and drainage of external ear abscess or blood accumulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
69000	Incision and drainage of external ear abscess or blood accumulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	6
69000	Incision and drainage of external ear abscess or blood accumulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
69005	Incision and drainage of external ear abscess or blood accumulation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
69005	Incision and drainage of external ear abscess or blood accumulation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	6
69005	Incision and drainage of external ear abscess or blood accumulation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
69020	Incision and drainage of ear canal abscess	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
69020	Incision and drainage of ear canal abscess	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	6
69020	Incision and drainage of ear canal abscess	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
69100	Biopsy of ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	19	0
69105	Biopsy of ear canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	30
69105	Biopsy of ear canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
69105	Biopsy of ear canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
69110	Removal of portion of external ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
69110	Removal of portion of external ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	82	6
69110	Removal of portion of external ear	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	54
69120	Removal of entire ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69120	Removal of entire ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69120	Removal of entire ear	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		54
69140	Removal of bony growths of ear canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69140	Removal of bony growths of ear canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69140	Removal of bony growths of ear canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		165
69145	Removal of soft tissue growth of ear canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	60
69145	Removal of soft tissue growth of ear canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	74	6
69145	Removal of soft tissue growth of ear canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	41	41
69150	Removal of growth of ear canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69150	Removal of growth of ear canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69150	Removal of growth of ear canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
69155	Removal of growth of ear canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69155	Removal of growth of ear canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69155	Removal of growth of ear canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		205
69200	Removal foreign body from external auditory canal; without general anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
69200	Removal foreign body from external auditory canal; without general anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
69200	Removal foreign body from external auditory canal; without general anesthesia	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
69200	Removal foreign body from external auditory canal; without general anesthesia	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
69200	Removal foreign body from external auditory canal; without general anesthesia	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	0
69200	Removal foreign body from external auditory canal; without general anesthesia	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	0
69200	Removal foreign body from external auditory canal; without general anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	0
69200	Removal foreign body from external auditory canal; without general anesthesia	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
69200	Removal foreign body from external auditory canal; without general anesthesia	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		0
69200	Removal foreign body from external auditory canal; without general anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
69200	Removal foreign body from external auditory canal; without general anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Clean Surgical Instrument Package	10	0
69200	Removal foreign body from external auditory canal; without general anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	"Monitor pt. following service/check tubes, monitors, drains (not related to moderate sedation)"	3	0
69205	Removal of foreign body from ear canal under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
69205	Removal of foreign body from ear canal under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
69205	Removal of foreign body from ear canal under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		8
69209	"Removal impacted cerumen using irrigation/lavage, unilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
69209	"Removal impacted cerumen using irrigation/lavage, unilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
69209	"Removal impacted cerumen using irrigation/lavage, unilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
69209	"Removal impacted cerumen using irrigation/lavage, unilateral"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure	7	
69209	"Removal impacted cerumen using irrigation/lavage, unilateral"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
69210	"Removal of impact ear wax, one ear"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	23	0
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	0
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	0
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Service  post	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	3	0
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		0
69220	"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains"	3	0
69222	Removal of skin debris and drainage of mastoid cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
69222	Removal of skin debris and drainage of mastoid cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	6
69222	Removal of skin debris and drainage of mastoid cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
69300	Repair of protruding ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	28	60
69300	Repair of protruding ear	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
69300	Repair of protruding ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	108	6
69300	Repair of protruding ear	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	122	122
69310	Reconstruction of ear canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69310	Reconstruction of ear canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69310	Reconstruction of ear canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		188
69320	Creation of an ear canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69320	Creation of an ear canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69320	Creation of an ear canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		235
69420	"Incision, aspiration, and/or inflation of eardrum"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
69420	"Incision, aspiration, and/or inflation of eardrum"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	6
69420	"Incision, aspiration, and/or inflation of eardrum"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
69421	"Incision, aspiration, and inflation of eardrum under anesthesia"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
69421	"Incision, aspiration, and inflation of eardrum under anesthesia"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
69421	"Incision, aspiration, and inflation of eardrum under anesthesia"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
69424	Removal of implanted eardrum tube under anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
69424	Removal of implanted eardrum tube under anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	33	0
69424	Removal of implanted eardrum tube under anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
69433	Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
69433	Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	1
69433	Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	36	36
69436	Incision of eardrum with insertion of eardrum tube under general anesthesia	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
69436	Incision of eardrum with insertion of eardrum tube under general anesthesia	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
69436	Incision of eardrum with insertion of eardrum tube under general anesthesia	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		27
69440	Middle ear exploration	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69440	Middle ear exploration	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69440	Middle ear exploration	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		111
69450	Incision of ear canal with release of scar tissue	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69450	Incision of ear canal with release of scar tissue	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69450	Incision of ear canal with release of scar tissue	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		93
69501	Incision of mastoid bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69501	Incision of mastoid bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69501	Incision of mastoid bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
69502	Removal of mastoid bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69502	Removal of mastoid bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69502	Removal of mastoid bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
69505	Removal of mastoid bone including removal of growth of middle ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69505	Removal of mastoid bone including removal of growth of middle ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69505	Removal of mastoid bone including removal of growth of middle ear	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		188
69511	Removal of mastoid bone including removal of growth and bone of middle ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69511	Removal of mastoid bone including removal of growth and bone of middle ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69511	Removal of mastoid bone including removal of growth and bone of middle ear	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		188
69530	Removal of portion of temporal bone including removal of mastoid bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69530	Removal of portion of temporal bone including removal of mastoid bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69530	Removal of portion of temporal bone including removal of mastoid bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		212
69535	Removal of temporal bone of ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69535	Removal of temporal bone of ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69535	Removal of temporal bone of ear	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		235
69540	Removal of polyp of external ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
69540	Removal of polyp of external ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	6
69540	Removal of polyp of external ear	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
69550	Removal of growth of external ear through ear canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69550	Removal of growth of external ear through ear canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69550	Removal of growth of external ear through ear canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		165
69552	Removal of growth of external ear through mastoid bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69552	Removal of growth of external ear through mastoid bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69552	Removal of growth of external ear through mastoid bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		188
69554	Removal of growth of external ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69554	Removal of growth of external ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69554	Removal of growth of external ear	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		258
69601	Revision of previous mastoid surgery with removal of remaining mastoid bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69601	Revision of previous mastoid surgery with removal of remaining mastoid bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69601	Revision of previous mastoid surgery with removal of remaining mastoid bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		122
69602	Revision of previous mastoid surgery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69602	Revision of previous mastoid surgery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69602	Revision of previous mastoid surgery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		148
69603	Revision of previous mastoid surgery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69603	Revision of previous mastoid surgery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69603	Revision of previous mastoid surgery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		188
69604	Revision of previous mastoid surgery and ear drum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69604	Revision of previous mastoid surgery and ear drum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69604	Revision of previous mastoid surgery and ear drum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		148
69610	Repair of eardrum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	30
69610	Repair of eardrum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	71	6
69610	Repair of eardrum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	27
69620	Repair of defect or perforation of eardrum	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	30	60
69620	Repair of defect or perforation of eardrum	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	123	6
69620	Repair of defect or perforation of eardrum	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	91	91
69631	Repair of eardrum and ear canal with opening to ear bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69631	Repair of eardrum and ear canal with opening to ear bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69631	Repair of eardrum and ear canal with opening to ear bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		148
69632	"Repair of eardrum, ear canal, and bones"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69632	"Repair of eardrum, ear canal, and bones"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69632	"Repair of eardrum, ear canal, and bones"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		167
69633	"Repair of eardrum, ear canal, and bones with insertion of prosthesis"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69633	"Repair of eardrum, ear canal, and bones with insertion of prosthesis"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69633	"Repair of eardrum, ear canal, and bones with insertion of prosthesis"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		167
69635	Repair of eardrum and ear canal with incision of mastoid bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69635	Repair of eardrum and ear canal with incision of mastoid bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69635	Repair of eardrum and ear canal with incision of mastoid bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		188
69636	"Repair of eardrum, ear canal, and bones with incision of mastoid bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69636	"Repair of eardrum, ear canal, and bones with incision of mastoid bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69636	"Repair of eardrum, ear canal, and bones with incision of mastoid bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		212
69637	"Repair of eardrum, ear canal, and bones with insertion of prosthesis"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69637	"Repair of eardrum, ear canal, and bones with insertion of prosthesis"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69637	"Repair of eardrum, ear canal, and bones with insertion of prosthesis"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		212
69641	Repair of eardrum and ear canal with removal of mastoid bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69641	Repair of eardrum and ear canal with removal of mastoid bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69641	Repair of eardrum and ear canal with removal of mastoid bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		148
69642	"Repair of eardrum, ear canal and bones with removal of mastoid bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69642	"Repair of eardrum, ear canal and bones with removal of mastoid bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69642	"Repair of eardrum, ear canal and bones with removal of mastoid bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		185
69643	Repair of eardrum and ear canal with removal of mastoid bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69643	Repair of eardrum and ear canal with removal of mastoid bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69643	Repair of eardrum and ear canal with removal of mastoid bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		167
69644	"Repair of eardrum, ear canal and bones with removal of mastoid bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69644	"Repair of eardrum, ear canal and bones with removal of mastoid bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69644	"Repair of eardrum, ear canal and bones with removal of mastoid bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		212
69645	Repair of eardrum and ear canal with removal of mastoid bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69645	Repair of eardrum and ear canal with removal of mastoid bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69645	Repair of eardrum and ear canal with removal of mastoid bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		212
69646	"Repair of eardrum, ear canal and bones with removal of mastoid bone"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69646	"Repair of eardrum, ear canal and bones with removal of mastoid bone"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69646	"Repair of eardrum, ear canal and bones with removal of mastoid bone"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		212
69650	Release of ear bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69650	Release of ear bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69650	Release of ear bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		111
69660	Incision or removal of ear bone with insertion of prosthesis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69660	Incision or removal of ear bone with insertion of prosthesis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69660	Incision or removal of ear bone with insertion of prosthesis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		111
69661	Incision or removal with drilling of ear bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69661	Incision or removal with drilling of ear bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69661	Incision or removal with drilling of ear bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		148
69662	Revision of previous ear bone surgery	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69662	Revision of previous ear bone surgery	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69662	Revision of previous ear bone surgery	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		130
69666	Repair of membrane opening of middle to inner ear	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69666	Repair of membrane opening of middle to inner ear	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69666	Repair of membrane opening of middle to inner ear	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		111
69667	Repair of opening into cochlea	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69667	Repair of opening into cochlea	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69667	Repair of opening into cochlea	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		111
69670	Creation of flap to close mastoid cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69670	Creation of flap to close mastoid cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69670	Creation of flap to close mastoid cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		130
69676	Removal of eardrum nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69676	Removal of eardrum nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69676	Removal of eardrum nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		130
69700	Closure of drainage tract in mastoid cavity	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69700	Closure of drainage tract in mastoid cavity	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69700	Closure of drainage tract in mastoid cavity	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		81
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	5
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	20	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
69705	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	3
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	5
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	5	5
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	3
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (nonfacility setting only)	5	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	30	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  post	L037D	RN/LPN/MTA	0.455	Clean scope	20	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	15	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
69706	"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
69711	Removal or repair of temporal bone conduction hearing device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69711	Removal or repair of temporal bone conduction hearing device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69711	Removal or repair of temporal bone conduction hearing device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
69714	"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
69714	"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
69714	"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
69714	"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
69714	"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
69714	"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	0	20
69714	"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor"	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
69714	"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor"	Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
69716		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
69716		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
69716		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
69716		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
69716		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
69716		Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	0	20
69716		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
69716		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
69717		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
69717		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
69717		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
69717		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
69717		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
69717		Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	0	20
69717		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
69717		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
69719		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
69719		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
69719		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
69719		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
69719		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
69719		Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	0	20
69719		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
69719		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
69720	Release of facial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69720	Release of facial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69720	Release of facial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		167
69725	Release of facial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69725	Release of facial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69725	Release of facial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		184
69726		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
69726		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
69726		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
69726		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
69726		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
69726		Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	0	20
69726		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
69726		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
69727		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
69727		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
69727		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
69727		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
69727		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
69727		Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	0	20
69727		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
69727		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
69740	Repair of facial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69740	Repair of facial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69740	Repair of facial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		111
69745	Repair of facial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69745	Repair of facial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69745	Repair of facial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		130
69801	"Incision of fluid canals of inner ear with infusion of drugs, transcanal approach"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	22
69801	"Incision of fluid canals of inner ear with infusion of drugs, transcanal approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	66	0
69801	"Incision of fluid canals of inner ear with infusion of drugs, transcanal approach"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
69805	Inner ear operation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69805	Inner ear operation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69805	Inner ear operation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		116
69806	Inner ear operation with insertion of shunt	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69806	Inner ear operation with insertion of shunt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69806	Inner ear operation with insertion of shunt	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
69905	Removal of inner ear canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69905	Removal of inner ear canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69905	Removal of inner ear canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		130
69910	Removal of inner ear canal and removal of mastoid bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69910	Removal of inner ear canal and removal of mastoid bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69910	Removal of inner ear canal and removal of mastoid bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		95
69915	Severing of ear canal nerve through mastoid and skull bones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69915	Severing of ear canal nerve through mastoid and skull bones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69915	Severing of ear canal nerve through mastoid and skull bones	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		108
69930	Implantation of cochlear device	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
69930	Implantation of cochlear device	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		6
69930	Implantation of cochlear device	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		89
69950	Severing of ear canal nerve through skull bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69950	Severing of ear canal nerve through skull bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69950	Severing of ear canal nerve through skull bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		133
69955	Release of facial nerve	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69955	Release of facial nerve	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69955	Release of facial nerve	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		184
69960	Release ear canal	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69960	Release ear canal	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69960	Release ear canal	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		144
69970	Removal of growth of temporal bone	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		75
69970	Removal of growth of temporal bone	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
69970	Removal of growth of temporal bone	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		184
69XX0		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
69XX0		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
69XX0		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
69XX0		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
69XX0		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
69XX0		Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	0	20
69XX0		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
69XX0		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
69XX1		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
69XX1		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
69XX1		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
69XX1		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
69XX1		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
69XX1		Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	0	20
69XX1		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
69XX1		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
69XX2		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	0	7
69XX2		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	5
69XX2		Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services (including test results)	0	20
69XX2		Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	20
69XX2		Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	8
69XX2		Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	0	20
69XX2		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	6
69XX2		Post-service	L037D	RN/LPN/MTA	0.455	Post-operative visits (total time)	0	63
70015	Radiological supervision and interpretation X-ray of brain and spinal cord with contrast	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	47	
70030	"X-ray of mandible, less than 4 views"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
70030	"X-ray of mandible, less than 4 views"	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	1	0
70030	"X-ray of mandible, less than 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
70030	"X-ray of mandible, less than 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
70030	"X-ray of mandible, less than 4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
70030	"X-ray of mandible, less than 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
70030	"X-ray of mandible, less than 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
70030	"X-ray of mandible, less than 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70030	"X-ray of mandible, less than 4 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
70100	"X-ray of mandible, less than 4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	19	
70110	"X-ray of mandible, minimum of 4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	22	
70120	"X-ray of mastoid, less than 3 views per side"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	20	
70130	"X-ray of mastoid, minimum of 3 views per side"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	32	
70134	X-ray of internal ear canal	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	24	
70140	"X-ray of bones of face, less than 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	16	
70150	"X-ray of bones of face, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	24	
70160	"X-ray of bones of nose, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	20	
70190	X-ray of skull	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	20	
70200	"X-ray of eye bones, minimum of 4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	24	
70210	"X-ray of paranasal sinus, less than 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
70210	"X-ray of paranasal sinus, less than 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
70210	"X-ray of paranasal sinus, less than 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
70210	"X-ray of paranasal sinus, less than 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
70210	"X-ray of paranasal sinus, less than 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
70210	"X-ray of paranasal sinus, less than 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70210	"X-ray of paranasal sinus, less than 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
70220	"X-ray of paranasal sinus, complete, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
70220	"X-ray of paranasal sinus, complete, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
70220	"X-ray of paranasal sinus, complete, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	9	0
70220	"X-ray of paranasal sinus, complete, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
70220	"X-ray of paranasal sinus, complete, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
70220	"X-ray of paranasal sinus, complete, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70220	"X-ray of paranasal sinus, complete, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
70240	X-ray of bone at base of skull	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	16	
70250	"X-ray of skull, less than 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
70250	"X-ray of skull, less than 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
70250	"X-ray of skull, less than 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
70250	"X-ray of skull, less than 4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	9	0
70250	"X-ray of skull, less than 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
70250	"X-ray of skull, less than 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
70250	"X-ray of skull, less than 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70250	"X-ray of skull, less than 4 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
70260	"X-ray of skull, complete, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
70260	"X-ray of skull, complete, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
70260	"X-ray of skull, complete, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
70260	"X-ray of skull, complete, minimum of 4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	12	0
70260	"X-ray of skull, complete, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
70260	"X-ray of skull, complete, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
70260	"X-ray of skull, complete, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70260	"X-ray of skull, complete, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
70300	"X-ray of teeth, single view"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	10	
70310	"X-ray of teeth, less than full mouth"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	20	
70320	"X-ray of teeth, full mouth"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	28	
70328	X-ray of jaw joint on one side of the face	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	18	
70330	X-ray of jaw joints on both sides of the face	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	28	
70332	Radiological supervision and interpretation X-ray of jaw joint	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	20	
70336	MRI scan of jaw joints	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
70336	MRI scan of jaw joints	Service  intra	L047A	MRI Technologist	0.615	Service total costs	58	
70350	Imaging of jaws and skull for orthodontic purposes	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	11	
70355	X-ray imaging of teeth	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	11	
70360	X-ray of soft tissue of neck	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
70360	X-ray of soft tissue of neck	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
70360	X-ray of soft tissue of neck	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
70360	X-ray of soft tissue of neck	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
70360	X-ray of soft tissue of neck	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
70360	X-ray of soft tissue of neck	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70360	X-ray of soft tissue of neck	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
70370	X-ray of voice box or throat	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	26	
70371	Imaging of voice box with speech evaluation	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	20	
70380	X-ray of salivary gland	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	20	
70390	Radiological supervision and interpretation X-ray of salivary structure	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	34	
70450	CT scan head or brain	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
70450	CT scan head or brain	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
70450	CT scan head or brain	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
70450	CT scan head or brain	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
70450	CT scan head or brain	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	2	0
70450	CT scan head or brain	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
70450	CT scan head or brain	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	2	0
70450	CT scan head or brain	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	10	0
70450	CT scan head or brain	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
70450	CT scan head or brain	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
70450	CT scan head or brain	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70450	CT scan head or brain	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
70460	CT scan head or brain with contrast	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
70460	CT scan head or brain with contrast	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
70460	CT scan head or brain with contrast	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
70460	CT scan head or brain with contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
70460	CT scan head or brain with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
70460	CT scan head or brain with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
70460	CT scan head or brain with contrast	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
70460	CT scan head or brain with contrast	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	12	0
70460	CT scan head or brain with contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
70460	CT scan head or brain with contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
70460	CT scan head or brain with contrast	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70460	CT scan head or brain with contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
70470	CT scan head or brain before and after contrast	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
70470	CT scan head or brain before and after contrast	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
70470	CT scan head or brain before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
70470	CT scan head or brain before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
70470	CT scan head or brain before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
70470	CT scan head or brain before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
70470	CT scan head or brain before and after contrast	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
70470	CT scan head or brain before and after contrast	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	18	0
70470	CT scan head or brain before and after contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
70470	CT scan head or brain before and after contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
70470	CT scan head or brain before and after contrast	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70470	CT scan head or brain before and after contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
70480	CT scan of cranial cavity	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
70480	CT scan of cranial cavity	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
70480	CT scan of cranial cavity	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
70480	CT scan of cranial cavity	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
70480	CT scan of cranial cavity	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	2	0
70480	CT scan of cranial cavity	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
70480	CT scan of cranial cavity	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	2	0
70480	CT scan of cranial cavity	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	20	0
70480	CT scan of cranial cavity	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
70480	CT scan of cranial cavity	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
70480	CT scan of cranial cavity	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70480	CT scan of cranial cavity	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
70481	CT scan of cranial cavity with contrast	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
70481	CT scan of cranial cavity with contrast	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
70481	CT scan of cranial cavity with contrast	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
70481	CT scan of cranial cavity with contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
70481	CT scan of cranial cavity with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
70481	CT scan of cranial cavity with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
70481	CT scan of cranial cavity with contrast	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
70481	CT scan of cranial cavity with contrast	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	22	0
70481	CT scan of cranial cavity with contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
70481	CT scan of cranial cavity with contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
70481	CT scan of cranial cavity with contrast	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70481	CT scan of cranial cavity with contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
70482	CT scan of cranial cavity before and after contrast	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
70482	CT scan of cranial cavity before and after contrast	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
70482	CT scan of cranial cavity before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
70482	CT scan of cranial cavity before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
70482	CT scan of cranial cavity before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
70482	CT scan of cranial cavity before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
70482	CT scan of cranial cavity before and after contrast	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
70482	CT scan of cranial cavity before and after contrast	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	31	0
70482	CT scan of cranial cavity before and after contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
70482	CT scan of cranial cavity before and after contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
70482	CT scan of cranial cavity before and after contrast	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
70482	CT scan of cranial cavity before and after contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
70486	"Computed tomography, maxillofacial area; without contrast material"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
70486	"Computed tomography, maxillofacial area; without contrast material"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70486	"Computed tomography, maxillofacial area; without contrast material"	Service  pre	L046A	CT Technologist	0.61	Greet patient and provide gowning	3	
70486	"Computed tomography, maxillofacial area; without contrast material"	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	2	
70486	"Computed tomography, maxillofacial area; without contrast material"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	3	
70486	"Computed tomography, maxillofacial area; without contrast material"	Service  pre	L046A	CT Technologist	0.61	SVC Provide pre-service education/obtain consent	2	
70486	"Computed tomography, maxillofacial area; without contrast material"	Service  intra	L046A	CT Technologist	0.61	Acquire images	15	
70486	"Computed tomography, maxillofacial area; without contrast material"	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by physician staff	3	
70486	"Computed tomography, maxillofacial area; without contrast material"	Service  post	L046A	CT Technologist	0.61	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70486	"Computed tomography, maxillofacial area; without contrast material"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD	2	
70486	"Computed tomography, maxillofacial area; without contrast material"	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	Greet patient and provide gowning	3	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	4	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	2	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	SVC Provide pre-service education/obtain consent	3	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Service  intra	L046A	CT Technologist	0.61	Acquire images	17	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by physician staff	3	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Service  post	L046A	CT Technologist	0.61	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD	2	
70487	"Computed tomography, maxillofacial area; with contrast material(s)"	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Service  pre	L046A	CT Technologist	0.61	Greet patient and provide gowning	3	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	4	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	2	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Service  pre	L046A	CT Technologist	0.61	SVC Provide pre-service education/obtain consent	3	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Service  intra	L046A	CT Technologist	0.61	Acquire images	26	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by physician staff	3	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Service  post	L046A	CT Technologist	0.61	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD	2	
70488	"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
70490	CT scan of neck	Pre-service	L046A	CT Technologist	0.61	Availability of prior images confirmed	2	
70490	CT scan of neck	Pre-service	L046A	CT Technologist	0.61	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70490	CT scan of neck	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70490	CT scan of neck	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	2	
70490	CT scan of neck	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	2	
70490	CT scan of neck	Service  pre	L046A	CT Technologist	0.61	Provide pre-service education/obtain consent	2	
70490	CT scan of neck	Service  intra	L046A	CT Technologist	0.61	Acquire images	15	
70490	CT scan of neck	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by physician staff	3	
70490	CT scan of neck	Service  post	L046A	CT Technologist	0.61	Exam document scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70490	CT scan of neck	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD	2	
70490	CT scan of neck	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
70491	CT scan of neck with contrast	Pre-service	L046A	CT Technologist	0.61	Availability of prior images confirmed	2	
70491	CT scan of neck with contrast	Pre-service	L046A	CT Technologist	0.61	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70491	CT scan of neck with contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70491	CT scan of neck with contrast	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	5	
70491	CT scan of neck with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	4	
70491	CT scan of neck with contrast	Service  pre	L046A	CT Technologist	0.61	Provide pre-service education/obtain consent	3	
70491	CT scan of neck with contrast	Service  intra	L046A	CT Technologist	0.61	Acquire images	17	
70491	CT scan of neck with contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by physician staff	3	
70491	CT scan of neck with contrast	Service  post	L046A	CT Technologist	0.61	Exam document scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70491	CT scan of neck with contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD	2	
70491	CT scan of neck with contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
70492	CT scan of neck before and after contrast	Pre-service	L046A	CT Technologist	0.61	Availability of prior images confirmed	2	
70492	CT scan of neck before and after contrast	Pre-service	L046A	CT Technologist	0.61	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70492	CT scan of neck before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70492	CT scan of neck before and after contrast	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	5	
70492	CT scan of neck before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	4	
70492	CT scan of neck before and after contrast	Service  pre	L046A	CT Technologist	0.61	Provide pre-service education/obtain consent	3	
70492	CT scan of neck before and after contrast	Service  intra	L046A	CT Technologist	0.61	Acquire images	26	
70492	CT scan of neck before and after contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by physician staff	3	
70492	CT scan of neck before and after contrast	Service  post	L046A	CT Technologist	0.61	Exam document scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70492	CT scan of neck before and after contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD	2	
70492	CT scan of neck before and after contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Pre-service	L046A	CT Technologist	0.61	Availability of prior images confirmed	2	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	0	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Pre-service	L046A	CT Technologist	0.61	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	5	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	2	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  pre	L046A	CT Technologist	0.61	SVC Provide pre-service education/obtain consent	2	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  intra	L046A	CT Technologist	0.61	Acquire images	28	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  intra	L046A	CT Technologist	0.61	Computer post processing	33	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  post	L046A	CT Technologist	0.61	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD	2	
70496	"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Pre-service	L046A	CT Technologist	0.61	Availability of prior images confirmed	2	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	0	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Pre-service	L046A	CT Technologist	0.61	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	5	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	2	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  pre	L046A	CT Technologist	0.61	SVC Provide pre-service education/obtain consent	2	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  intra	L046A	CT Technologist	0.61	Acquire images	28	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  intra	L046A	CT Technologist	0.61	Computer post processing	33	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  post	L046A	CT Technologist	0.61	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD	2	
70498	"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
70540	"MRI scan bones of the eye, face, and/or neck"	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
70540	"MRI scan bones of the eye, face, and/or neck"	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70540	"MRI scan bones of the eye, face, and/or neck"	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70540	"MRI scan bones of the eye, face, and/or neck"	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	3	
70540	"MRI scan bones of the eye, face, and/or neck"	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	5	
70540	"MRI scan bones of the eye, face, and/or neck"	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
70540	"MRI scan bones of the eye, face, and/or neck"	Service  intra	L047A	MRI Technologist	0.615	Acquire images	30	
70540	"MRI scan bones of the eye, face, and/or neck"	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
70540	"MRI scan bones of the eye, face, and/or neck"	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70540	"MRI scan bones of the eye, face, and/or neck"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
70540	"MRI scan bones of the eye, face, and/or neck"	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	4	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	7	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	9	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Service  intra	L047A	MRI Technologist	0.615	Acquire images	30	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
70542	"MRI scan bones of the eye, face, and/or neck with contrast"	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	4	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	7	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	9	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Service  intra	L047A	MRI Technologist	0.615	Acquire images	45	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
70543	"MRI scan bones of the eye, face, and/or neck before and after contrast"	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	4	
70544	MRA scan of head blood vessels	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
70544	MRA scan of head blood vessels	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70544	MRA scan of head blood vessels	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70544	MRA scan of head blood vessels	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	3	
70544	MRA scan of head blood vessels	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	3	
70544	MRA scan of head blood vessels	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	5	
70544	MRA scan of head blood vessels	Service  intra	L047A	MRI Technologist	0.615	Acquire images	26	
70544	MRA scan of head blood vessels	Service  intra	L047A	MRI Technologist	0.615	Computer post processing	20	
70544	MRA scan of head blood vessels	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
70544	MRA scan of head blood vessels	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70544	MRA scan of head blood vessels	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
70544	MRA scan of head blood vessels	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
70545	MRA scan of head blood vessels with contrast	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
70545	MRA scan of head blood vessels with contrast	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70545	MRA scan of head blood vessels with contrast	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70545	MRA scan of head blood vessels with contrast	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
70545	MRA scan of head blood vessels with contrast	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
70545	MRA scan of head blood vessels with contrast	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	5	
70545	MRA scan of head blood vessels with contrast	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
70545	MRA scan of head blood vessels with contrast	Service  intra	L047A	MRI Technologist	0.615	Acquire images	20	
70545	MRA scan of head blood vessels with contrast	Service  intra	L047A	MRI Technologist	0.615	Computer post processing	20	
70545	MRA scan of head blood vessels with contrast	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
70545	MRA scan of head blood vessels with contrast	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70545	MRA scan of head blood vessels with contrast	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
70545	MRA scan of head blood vessels with contrast	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
70546	MRA scan of head blood vessels before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
70546	MRA scan of head blood vessels before and after contrast	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70546	MRA scan of head blood vessels before and after contrast	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70546	MRA scan of head blood vessels before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
70546	MRA scan of head blood vessels before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
70546	MRA scan of head blood vessels before and after contrast	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	5	
70546	MRA scan of head blood vessels before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
70546	MRA scan of head blood vessels before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Acquire images	41	
70546	MRA scan of head blood vessels before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Computer post processing	40	
70546	MRA scan of head blood vessels before and after contrast	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
70546	MRA scan of head blood vessels before and after contrast	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70546	MRA scan of head blood vessels before and after contrast	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
70546	MRA scan of head blood vessels before and after contrast	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
70547	MRA scan of neck blood vessels	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
70547	MRA scan of neck blood vessels	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70547	MRA scan of neck blood vessels	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70547	MRA scan of neck blood vessels	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	3	
70547	MRA scan of neck blood vessels	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	3	
70547	MRA scan of neck blood vessels	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	5	
70547	MRA scan of neck blood vessels	Service  intra	L047A	MRI Technologist	0.615	Acquire images	26	
70547	MRA scan of neck blood vessels	Service  intra	L047A	MRI Technologist	0.615	Computer post processing	20	
70547	MRA scan of neck blood vessels	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
70547	MRA scan of neck blood vessels	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70547	MRA scan of neck blood vessels	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
70547	MRA scan of neck blood vessels	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
70548	MRA scan of neck blood vessels with contrast	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
70548	MRA scan of neck blood vessels with contrast	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70548	MRA scan of neck blood vessels with contrast	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70548	MRA scan of neck blood vessels with contrast	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
70548	MRA scan of neck blood vessels with contrast	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
70548	MRA scan of neck blood vessels with contrast	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	5	
70548	MRA scan of neck blood vessels with contrast	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
70548	MRA scan of neck blood vessels with contrast	Service  intra	L047A	MRI Technologist	0.615	Acquire images	20	
70548	MRA scan of neck blood vessels with contrast	Service  intra	L047A	MRI Technologist	0.615	Computer post processing	20	
70548	MRA scan of neck blood vessels with contrast	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
70548	MRA scan of neck blood vessels with contrast	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70548	MRA scan of neck blood vessels with contrast	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
70548	MRA scan of neck blood vessels with contrast	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
70549	MRA scan of neck blood vessels before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
70549	MRA scan of neck blood vessels before and after contrast	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
70549	MRA scan of neck blood vessels before and after contrast	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
70549	MRA scan of neck blood vessels before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
70549	MRA scan of neck blood vessels before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
70549	MRA scan of neck blood vessels before and after contrast	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	5	
70549	MRA scan of neck blood vessels before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
70549	MRA scan of neck blood vessels before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Acquire images	41	
70549	MRA scan of neck blood vessels before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Computer post processing	40	
70549	MRA scan of neck blood vessels before and after contrast	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
70549	MRA scan of neck blood vessels before and after contrast	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
70549	MRA scan of neck blood vessels before and after contrast	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
70549	MRA scan of neck blood vessels before and after contrast	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
70551	MRI scan brain	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	3	
70551	MRI scan brain	Service  intra	L047A	MRI Technologist	0.615	Service total costs	56	
70552	MRI scan of brain with contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	5	
70552	MRI scan of brain with contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	73	
70553	MRI scan of brain before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	5	
70553	MRI scan of brain before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	83	
70554	Functional MRI scan of brain	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	3	
70554	Functional MRI scan of brain	Service  intra	L047A	MRI Technologist	0.615	Service total costs	109	
71045	"Radiologic examination, chest; single view"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
71045	"Radiologic examination, chest; single view"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
71045	"Radiologic examination, chest; single view"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position patient/ monitor patient/ set up IV	2	
71045	"Radiologic examination, chest; single view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
71045	"Radiologic examination, chest; single view"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	2	
71045	"Radiologic examination, chest; single view"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	1	
71045	"Radiologic examination, chest; single view"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
71045	"Radiologic examination, chest; single view"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
71046	"Radiologic examination, chest; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
71046	"Radiologic examination, chest; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position patient/ monitor patient/ set up IV	2	
71046	"Radiologic examination, chest; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
71046	"Radiologic examination, chest; 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	4	
71046	"Radiologic examination, chest; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
71046	"Radiologic examination, chest; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
71046	"Radiologic examination, chest; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
71046	"Radiologic examination, chest; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
71047	"Radiologic examination, chest; 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
71047	"Radiologic examination, chest; 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position patient/ monitor patient/ set up IV	2	
71047	"Radiologic examination, chest; 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
71047	"Radiologic examination, chest; 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	9	
71047	"Radiologic examination, chest; 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
71047	"Radiologic examination, chest; 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
71047	"Radiologic examination, chest; 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
71047	"Radiologic examination, chest; 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
71048	"Radiologic examination, chest; 4 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
71048	"Radiologic examination, chest; 4 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
71048	"Radiologic examination, chest; 4 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
71048	"Radiologic examination, chest; 4 or more views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	10	
71048	"Radiologic examination, chest; 4 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
71048	"Radiologic examination, chest; 4 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
71048	"Radiologic examination, chest; 4 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
71048	"Radiologic examination, chest; 4 or more views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
71100	"Radiologic examination, ribs, unilateral; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
71100	"Radiologic examination, ribs, unilateral; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
71100	"Radiologic examination, ribs, unilateral; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
71100	"Radiologic examination, ribs, unilateral; 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	6	
71100	"Radiologic examination, ribs, unilateral; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
71100	"Radiologic examination, ribs, unilateral; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
71100	"Radiologic examination, ribs, unilateral; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
71100	"Radiologic examination, ribs, unilateral; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
71101	"X-ray of ribs on one side of body including the chest, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
71101	"X-ray of ribs on one side of body including the chest, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
71101	"X-ray of ribs on one side of body including the chest, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
71101	"X-ray of ribs on one side of body including the chest, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	8	
71101	"X-ray of ribs on one side of body including the chest, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
71101	"X-ray of ribs on one side of body including the chest, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
71101	"X-ray of ribs on one side of body including the chest, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
71101	"X-ray of ribs on one side of body including the chest, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
71110	"X-ray of both sides of the ribs, 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
71110	"X-ray of both sides of the ribs, 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
71110	"X-ray of both sides of the ribs, 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
71110	"X-ray of both sides of the ribs, 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	9	
71110	"X-ray of both sides of the ribs, 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
71110	"X-ray of both sides of the ribs, 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
71110	"X-ray of both sides of the ribs, 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
71110	"X-ray of both sides of the ribs, 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
71111	"X-ray of both sides of the ribs including the chest, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
71111	"X-ray of both sides of the ribs including the chest, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
71111	"X-ray of both sides of the ribs including the chest, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
71111	"X-ray of both sides of the ribs including the chest, minimum of 4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	14	
71111	"X-ray of both sides of the ribs including the chest, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
71111	"X-ray of both sides of the ribs including the chest, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
71111	"X-ray of both sides of the ribs including the chest, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
71111	"X-ray of both sides of the ribs including the chest, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
71120	"X-ray of breast bone, minimum of 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	16	
71130	"X-ray of junction of breast and collar bones, minimum of 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	20	
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	2	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	2	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	15	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
71250	"Computed tomography, thorax, diagnostic; without contrast material"	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	17	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
71260	"Computed tomography, thorax, diagnostic; with contrast material(s)"	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	26	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
71270	"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	2	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	2	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	15	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
71271	"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	4	0
71275	"Computed tomographic angiography, chest"	Pre-service	L046A	CT Technologist	0.61	Availability of prior images confirmed	2	
71275	"Computed tomographic angiography, chest"	Pre-service	L046A	CT Technologist	0.61	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
71275	"Computed tomographic angiography, chest"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
71275	"Computed tomographic angiography, chest"	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	5	
71275	"Computed tomographic angiography, chest"	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	2	
71275	"Computed tomographic angiography, chest"	Service  pre	L046A	CT Technologist	0.61	SVC Provide pre-service education/obtain consent	2	
71275	"Computed tomographic angiography, chest"	Service  intra	L046A	CT Technologist	0.61	Acquire images	28	
71275	"Computed tomographic angiography, chest"	Service  intra	L046A	CT Technologist	0.61	Computer post processing	33	
71275	"Computed tomographic angiography, chest"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
71275	"Computed tomographic angiography, chest"	Service  post	L046A	CT Technologist	0.61	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
71275	"Computed tomographic angiography, chest"	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD	2	
71275	"Computed tomographic angiography, chest"	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
71550	MRI scan of chest	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
71550	MRI scan of chest	Service  intra	L047A	MRI Technologist	0.615	Service total costs	78	
71551	MRI scan of chest with contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
71551	MRI scan of chest with contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	82	
71552	MRI scan of chest before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
71552	MRI scan of chest before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	104	
71555	MRI scan of blood vessels of chest	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
71555	MRI scan of blood vessels of chest	Service  intra	L047A	MRI Technologist	0.615	Service total costs	95	
72020	"X-ray of spine, 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72020	"X-ray of spine, 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	1	0
72020	"X-ray of spine, 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	1	0
72020	"X-ray of spine, 1 view"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	3	0
72020	"X-ray of spine, 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72020	"X-ray of spine, 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72020	"X-ray of spine, 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72020	"X-ray of spine, 1 view"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72040	"X-ray of spine of neck, 2 or 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72040	"X-ray of spine of neck, 2 or 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72040	"X-ray of spine of neck, 2 or 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	9	0
72040	"X-ray of spine of neck, 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72040	"X-ray of spine of neck, 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72040	"X-ray of spine of neck, 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72040	"X-ray of spine of neck, 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72050	"X-ray of upper spine, 4 or 5 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72050	"X-ray of upper spine, 4 or 5 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72050	"X-ray of upper spine, 4 or 5 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72050	"X-ray of upper spine, 4 or 5 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	15	0
72050	"X-ray of upper spine, 4 or 5 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72050	"X-ray of upper spine, 4 or 5 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72050	"X-ray of upper spine, 4 or 5 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72050	"X-ray of upper spine, 4 or 5 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72052	"X-ray of upper spine, 6 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72052	"X-ray of upper spine, 6 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72052	"X-ray of upper spine, 6 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72052	"X-ray of upper spine, 6 or more views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	21	0
72052	"X-ray of upper spine, 6 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72052	"X-ray of upper spine, 6 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72052	"X-ray of upper spine, 6 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72052	"X-ray of upper spine, 6 or more views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72070	"Radiologic examination, spine; thoracic, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72070	"Radiologic examination, spine; thoracic, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72070	"Radiologic examination, spine; thoracic, 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
72070	"Radiologic examination, spine; thoracic, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72070	"Radiologic examination, spine; thoracic, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72070	"Radiologic examination, spine; thoracic, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72070	"Radiologic examination, spine; thoracic, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72072	"X-ray of middle spine, 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72072	"X-ray of middle spine, 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72072	"X-ray of middle spine, 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72072	"X-ray of middle spine, 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	9	0
72072	"X-ray of middle spine, 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72072	"X-ray of middle spine, 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72072	"X-ray of middle spine, 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72072	"X-ray of middle spine, 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72074	"X-ray of middle spine, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72074	"X-ray of middle spine, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72074	"X-ray of middle spine, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72074	"X-ray of middle spine, minimum of 4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	12	0
72074	"X-ray of middle spine, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72074	"X-ray of middle spine, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72074	"X-ray of middle spine, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72074	"X-ray of middle spine, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72080	"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72080	"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72080	"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
72080	"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72080	"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72080	"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72080	"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72081	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
72081	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72081	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
72081	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
72081	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
72081	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	6	
72081	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
72081	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72081	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
72081	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
72082	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
72082	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72082	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
72082	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
72082	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
72082	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	21	
72082	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
72082	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72082	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
72082	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
72083	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
72083	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72083	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
72083	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
72083	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
72083	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	29	
72083	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
72083	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72083	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
72083	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
72084	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
72084	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72084	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
72084	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
72084	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
72084	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	38	
72084	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
72084	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72084	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
72084	"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
72100	"X-ray of lower and sacral spine, 2 or 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72100	"X-ray of lower and sacral spine, 2 or 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72100	"X-ray of lower and sacral spine, 2 or 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	9	0
72100	"X-ray of lower and sacral spine, 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72100	"X-ray of lower and sacral spine, 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72100	"X-ray of lower and sacral spine, 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72100	"X-ray of lower and sacral spine, 2 or 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72110	"X-ray of lower and sacral spine, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72110	"X-ray of lower and sacral spine, minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72110	"X-ray of lower and sacral spine, minimum of 4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	15	0
72110	"X-ray of lower and sacral spine, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72110	"X-ray of lower and sacral spine, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72110	"X-ray of lower and sacral spine, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72110	"X-ray of lower and sacral spine, minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72114	X-ray lower and sacral spine including bending views minimum 6 views	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72114	X-ray lower and sacral spine including bending views minimum 6 views	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72114	X-ray lower and sacral spine including bending views minimum 6 views	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	21	0
72114	X-ray lower and sacral spine including bending views minimum 6 views	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72114	X-ray lower and sacral spine including bending views minimum 6 views	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72114	X-ray lower and sacral spine including bending views minimum 6 views	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72114	X-ray lower and sacral spine including bending views minimum 6 views	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72120	X-ray lower and sacral spine including bending views 2 or 3 views	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72120	X-ray lower and sacral spine including bending views 2 or 3 views	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72120	X-ray lower and sacral spine including bending views 2 or 3 views	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	9	0
72120	X-ray lower and sacral spine including bending views 2 or 3 views	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72120	X-ray lower and sacral spine including bending views 2 or 3 views	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72120	X-ray lower and sacral spine including bending views 2 or 3 views	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72120	X-ray lower and sacral spine including bending views 2 or 3 views	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72125	CT scan of upper spine	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
72125	CT scan of upper spine	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
72125	CT scan of upper spine	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
72125	CT scan of upper spine	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72125	CT scan of upper spine	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	2	0
72125	CT scan of upper spine	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72125	CT scan of upper spine	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	2	0
72125	CT scan of upper spine	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	15	0
72125	CT scan of upper spine	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
72125	CT scan of upper spine	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
72125	CT scan of upper spine	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72125	CT scan of upper spine	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
72126	CT scan of upper spine with contrast	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
72126	CT scan of upper spine with contrast	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
72126	CT scan of upper spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
72126	CT scan of upper spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72126	CT scan of upper spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
72126	CT scan of upper spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
72126	CT scan of upper spine with contrast	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
72126	CT scan of upper spine with contrast	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	17	0
72126	CT scan of upper spine with contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
72126	CT scan of upper spine with contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
72126	CT scan of upper spine with contrast	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72126	CT scan of upper spine with contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
72127	CT scan of upper spine before and after contrast	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
72127	CT scan of upper spine before and after contrast	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
72127	CT scan of upper spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
72127	CT scan of upper spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72127	CT scan of upper spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
72127	CT scan of upper spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
72127	CT scan of upper spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
72127	CT scan of upper spine before and after contrast	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	26	0
72127	CT scan of upper spine before and after contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
72127	CT scan of upper spine before and after contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
72127	CT scan of upper spine before and after contrast	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72127	CT scan of upper spine before and after contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
72128	CT scan of middle spine	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
72128	CT scan of middle spine	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
72128	CT scan of middle spine	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
72128	CT scan of middle spine	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72128	CT scan of middle spine	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	2	0
72128	CT scan of middle spine	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72128	CT scan of middle spine	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	2	0
72128	CT scan of middle spine	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	15	0
72128	CT scan of middle spine	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
72128	CT scan of middle spine	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
72128	CT scan of middle spine	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72128	CT scan of middle spine	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
72129	CT scan of middle spine with contrast	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
72129	CT scan of middle spine with contrast	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
72129	CT scan of middle spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
72129	CT scan of middle spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72129	CT scan of middle spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
72129	CT scan of middle spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
72129	CT scan of middle spine with contrast	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
72129	CT scan of middle spine with contrast	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	17	0
72129	CT scan of middle spine with contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
72129	CT scan of middle spine with contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
72129	CT scan of middle spine with contrast	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72129	CT scan of middle spine with contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
72130	CT scan of middle spine before and after contrast	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
72130	CT scan of middle spine before and after contrast	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
72130	CT scan of middle spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
72130	CT scan of middle spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72130	CT scan of middle spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
72130	CT scan of middle spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
72130	CT scan of middle spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
72130	CT scan of middle spine before and after contrast	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	26	0
72130	CT scan of middle spine before and after contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
72130	CT scan of middle spine before and after contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
72130	CT scan of middle spine before and after contrast	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72130	CT scan of middle spine before and after contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
72131	CT scan of lower spine	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
72131	CT scan of lower spine	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
72131	CT scan of lower spine	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
72131	CT scan of lower spine	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72131	CT scan of lower spine	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	2	0
72131	CT scan of lower spine	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72131	CT scan of lower spine	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	2	0
72131	CT scan of lower spine	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	15	0
72131	CT scan of lower spine	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
72131	CT scan of lower spine	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
72131	CT scan of lower spine	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72131	CT scan of lower spine	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
72132	CT scan of lower spine with contrast	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
72132	CT scan of lower spine with contrast	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
72132	CT scan of lower spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
72132	CT scan of lower spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72132	CT scan of lower spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
72132	CT scan of lower spine with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
72132	CT scan of lower spine with contrast	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
72132	CT scan of lower spine with contrast	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	17	0
72132	CT scan of lower spine with contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
72132	CT scan of lower spine with contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
72132	CT scan of lower spine with contrast	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72132	CT scan of lower spine with contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
72133	CT scan of lower spine before and after contrast	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
72133	CT scan of lower spine before and after contrast	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
72133	CT scan of lower spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
72133	CT scan of lower spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72133	CT scan of lower spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
72133	CT scan of lower spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
72133	CT scan of lower spine before and after contrast	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
72133	CT scan of lower spine before and after contrast	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	26	0
72133	CT scan of lower spine before and after contrast	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
72133	CT scan of lower spine before and after contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
72133	CT scan of lower spine before and after contrast	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72133	CT scan of lower spine before and after contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
72141	MRI scan of upper spinal canal	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	3	
72141	MRI scan of upper spinal canal	Service  intra	L047A	MRI Technologist	0.615	Service total costs	49	
72142	MRI scan of upper spinal canal with contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	5	
72142	MRI scan of upper spinal canal with contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	66	
72146	MRI scan of middle spinal canal	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	3	
72146	MRI scan of middle spinal canal	Service  intra	L047A	MRI Technologist	0.615	Service total costs	49	
72147	MRI scan of middle spinal canal with contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	5	
72147	MRI scan of middle spinal canal with contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	66	
72148	MRI scan of lower spinal canal	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	3	
72148	MRI scan of lower spinal canal	Service  intra	L047A	MRI Technologist	0.615	Service total costs	49	
72149	MRI scan of lower spinal canal with contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	5	
72149	MRI scan of lower spinal canal with contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	66	
72156	MRI scan of upper spinal canal before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	5	
72156	MRI scan of upper spinal canal before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	74	
72157	MRI scan of middle spinal canal before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	5	
72157	MRI scan of middle spinal canal before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	74	
72158	MRI scan of lower spinal canal before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	5	
72158	MRI scan of lower spinal canal before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	74	
72159	MRA scan of spinal canal blood vessels	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
72159	MRA scan of spinal canal blood vessels	Service  intra	L047A	MRI Technologist	0.615	Service total costs	95	
72170	"X-ray of pelvis, 1 or 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72170	"X-ray of pelvis, 1 or 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72170	"X-ray of pelvis, 1 or 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	3	0
72170	"X-ray of pelvis, 1 or 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72170	"X-ray of pelvis, 1 or 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72170	"X-ray of pelvis, 1 or 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72170	"X-ray of pelvis, 1 or 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72190	"Radiologic examination, pelvis; complete, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72190	"Radiologic examination, pelvis; complete, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72190	"Radiologic examination, pelvis; complete, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	9	0
72190	"Radiologic examination, pelvis; complete, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72190	"Radiologic examination, pelvis; complete, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72190	"Radiologic examination, pelvis; complete, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72190	"Radiologic examination, pelvis; complete, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72191	Ct angiograph pelv w/o&w/dye	Pre-service	L046A	CT Technologist	0.61	Availability of prior images confirmed	2	
72191	Ct angiograph pelv w/o&w/dye	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
72191	Ct angiograph pelv w/o&w/dye	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	5	
72191	Ct angiograph pelv w/o&w/dye	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	2	
72191	Ct angiograph pelv w/o&w/dye	Service  pre	L046A	CT Technologist	0.61	SVC Provide pre-service education/obtain consent	2	
72191	Ct angiograph pelv w/o&w/dye	Service  intra	L046A	CT Technologist	0.61	Acquire images	28	
72191	Ct angiograph pelv w/o&w/dye	Service  intra	L046A	CT Technologist	0.61	Assist physician in performing procedure	33	
72191	Ct angiograph pelv w/o&w/dye	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
72191	Ct angiograph pelv w/o&w/dye	Service  post	L046A	CT Technologist	0.61	Post processing: Technical QC	2	
72191	Ct angiograph pelv w/o&w/dye	Service  post	L046A	CT Technologist	0.61	Review documents w/ physician	2	
72191	Ct angiograph pelv w/o&w/dye	Service  post	L046A	CT Technologist	0.61	Scanning other documents into PACs	1	
72192	CT scan pelvis	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	4	
72192	CT scan pelvis	Service  intra	L046A	CT Technologist	0.61	Service total costs	32	
72193	CT scan pelvis with contrast	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	4	
72193	CT scan pelvis with contrast	Service  intra	L046A	CT Technologist	0.61	Service total costs	43	
72194	"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections"	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	4	
72194	"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections"	Service  intra	L046A	CT Technologist	0.61	Service total costs	52	
72195	MRI scan of pelvis	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
72195	MRI scan of pelvis	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72195	MRI scan of pelvis	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
72195	MRI scan of pelvis	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	3	
72195	MRI scan of pelvis	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	5	
72195	MRI scan of pelvis	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	5	
72195	MRI scan of pelvis	Service  intra	L047A	MRI Technologist	0.615	Acquire images	30	
72195	MRI scan of pelvis	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
72195	MRI scan of pelvis	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72195	MRI scan of pelvis	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
72195	MRI scan of pelvis	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
72196	MRI scan of pelvis with contrast	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
72196	MRI scan of pelvis with contrast	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72196	MRI scan of pelvis with contrast	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
72196	MRI scan of pelvis with contrast	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
72196	MRI scan of pelvis with contrast	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
72196	MRI scan of pelvis with contrast	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	7	
72196	MRI scan of pelvis with contrast	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
72196	MRI scan of pelvis with contrast	Service  intra	L047A	MRI Technologist	0.615	Acquire images	30	
72196	MRI scan of pelvis with contrast	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
72196	MRI scan of pelvis with contrast	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72196	MRI scan of pelvis with contrast	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
72196	MRI scan of pelvis with contrast	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
72197	MRI scan of pelvis before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
72197	MRI scan of pelvis before and after contrast	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72197	MRI scan of pelvis before and after contrast	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
72197	MRI scan of pelvis before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
72197	MRI scan of pelvis before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
72197	MRI scan of pelvis before and after contrast	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	7	
72197	MRI scan of pelvis before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
72197	MRI scan of pelvis before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Acquire images	45	
72197	MRI scan of pelvis before and after contrast	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
72197	MRI scan of pelvis before and after contrast	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72197	MRI scan of pelvis before and after contrast	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
72197	MRI scan of pelvis before and after contrast	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
72198	MRA scan of pelvic blood vessels	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
72198	MRA scan of pelvic blood vessels	Service  intra	L047A	MRI Technologist	0.615	Service total costs	95	
72200	"X-ray of sacroiliac joints, less than 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72200	"X-ray of sacroiliac joints, less than 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72200	"X-ray of sacroiliac joints, less than 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72200	"X-ray of sacroiliac joints, less than 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
72200	"X-ray of sacroiliac joints, less than 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72200	"X-ray of sacroiliac joints, less than 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72200	"X-ray of sacroiliac joints, less than 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72200	"X-ray of sacroiliac joints, less than 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72202	"X-ray of sacroiliac joints, 3 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72202	"X-ray of sacroiliac joints, 3 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72202	"X-ray of sacroiliac joints, 3 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72202	"X-ray of sacroiliac joints, 3 or more views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	9	0
72202	"X-ray of sacroiliac joints, 3 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72202	"X-ray of sacroiliac joints, 3 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72202	"X-ray of sacroiliac joints, 3 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72202	"X-ray of sacroiliac joints, 3 or more views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72220	"X-ray of pelvis, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
72220	"X-ray of pelvis, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
72220	"X-ray of pelvis, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
72220	"X-ray of pelvis, minimum of 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
72220	"X-ray of pelvis, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
72220	"X-ray of pelvis, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
72220	"X-ray of pelvis, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
72220	"X-ray of pelvis, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
72240	"Myelography, cervical, radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
72240	"Myelography, cervical, radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72240	"Myelography, cervical, radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	1	
72240	"Myelography, cervical, radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	16	
72240	"Myelography, cervical, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
72240	"Myelography, cervical, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72240	"Myelography, cervical, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
72240	"Myelography, cervical, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
72255	"Myelography, thoracic, radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
72255	"Myelography, thoracic, radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72255	"Myelography, thoracic, radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	1	
72255	"Myelography, thoracic, radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	15	
72255	"Myelography, thoracic, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
72255	"Myelography, thoracic, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72255	"Myelography, thoracic, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
72255	"Myelography, thoracic, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
72265	"Myelography, lumbosacral, radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
72265	"Myelography, lumbosacral, radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72265	"Myelography, lumbosacral, radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	1	
72265	"Myelography, lumbosacral, radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	15	
72265	"Myelography, lumbosacral, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
72265	"Myelography, lumbosacral, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72265	"Myelography, lumbosacral, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
72265	"Myelography, lumbosacral, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
72270	"Myelography, 2 or more regions radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
72270	"Myelography, 2 or more regions radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
72270	"Myelography, 2 or more regions radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	1	
72270	"Myelography, 2 or more regions radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	20	
72270	"Myelography, 2 or more regions radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
72270	"Myelography, 2 or more regions radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
72270	"Myelography, 2 or more regions radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
72285	"Radiological supervision and interpretation X-ray of disc of vertebra, upper or middle spine"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	26	
72295	"Radiological supervision and interpretation X-ray of disc of vertebra, lower spine"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	26	
73000	X-ray of collar bone	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
73000	X-ray of collar bone	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
73000	X-ray of collar bone	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73000	X-ray of collar bone	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	4	0
73000	X-ray of collar bone	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
73000	X-ray of collar bone	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73000	X-ray of collar bone	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73000	X-ray of collar bone	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73010	X-ray of shoulder blade	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73010	X-ray of shoulder blade	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	4	0
73010	X-ray of shoulder blade	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73010	X-ray of shoulder blade	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73010	X-ray of shoulder blade	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73020	"X-ray of shoulder, 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	1	0
73020	"X-ray of shoulder, 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	1	0
73020	"X-ray of shoulder, 1 view"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	2	0
73020	"X-ray of shoulder, 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
73020	"X-ray of shoulder, 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73020	"X-ray of shoulder, 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73020	"X-ray of shoulder, 1 view"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73030	"X-ray of shoulder, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
73030	"X-ray of shoulder, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73030	"X-ray of shoulder, minimum of 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
73030	"X-ray of shoulder, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
73030	"X-ray of shoulder, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73030	"X-ray of shoulder, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73030	"X-ray of shoulder, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73040	Radiological supervision and interpretation X-ray of shoulder joint	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	32	
73050	X-ray of both collar bones	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73050	X-ray of both collar bones	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
73050	X-ray of both collar bones	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73050	X-ray of both collar bones	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73050	X-ray of both collar bones	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73060	"Radiologic examination; humerus, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
73060	"Radiologic examination; humerus, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73060	"Radiologic examination; humerus, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73060	"Radiologic examination; humerus, minimum of 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	4	
73060	"Radiologic examination; humerus, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73060	"Radiologic examination; humerus, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73060	"Radiologic examination; humerus, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73060	"Radiologic examination; humerus, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73070	"X-ray of elbow, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
73070	"X-ray of elbow, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73070	"X-ray of elbow, 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	4	0
73070	"X-ray of elbow, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
73070	"X-ray of elbow, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73070	"X-ray of elbow, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73070	"X-ray of elbow, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73080	"X-ray of elbow, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
73080	"X-ray of elbow, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73080	"X-ray of elbow, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
73080	"X-ray of elbow, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
73080	"X-ray of elbow, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73080	"X-ray of elbow, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73080	"X-ray of elbow, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73085	Radiological supervision and interpretation X-ray of elbow	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	26	
73090	"X-ray of forearm, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
73090	"X-ray of forearm, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
73090	"X-ray of forearm, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73090	"X-ray of forearm, 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	4	0
73090	"X-ray of forearm, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
73090	"X-ray of forearm, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73090	"X-ray of forearm, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73090	"X-ray of forearm, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73092	X-ray of arm in infant minimum of 2 views	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	16	
73100	"X-ray of wrist, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73100	"X-ray of wrist, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73100	"X-ray of wrist, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73100	"X-ray of wrist, 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	4	
73100	"X-ray of wrist, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73100	"X-ray of wrist, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73100	"X-ray of wrist, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73100	"X-ray of wrist, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73110	"X-ray of wrist, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73110	"X-ray of wrist, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73110	"X-ray of wrist, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73110	"X-ray of wrist, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	8	
73110	"X-ray of wrist, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73110	"X-ray of wrist, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73110	"X-ray of wrist, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73110	"X-ray of wrist, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73115	Radiological supervision and interpretation X-ray of wrist joint	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	32	
73120	"X-ray of hand, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73120	"X-ray of hand, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73120	"X-ray of hand, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73120	"X-ray of hand, 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	4	
73120	"X-ray of hand, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73120	"X-ray of hand, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73120	"X-ray of hand, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73120	"X-ray of hand, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73130	"X-ray of hand, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73130	"X-ray of hand, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73130	"X-ray of hand, minimum of 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73130	"X-ray of hand, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	6	
73130	"X-ray of hand, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73130	"X-ray of hand, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73130	"X-ray of hand, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73130	"X-ray of hand, minimum of 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73140	"X-ray of fingers, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73140	"X-ray of fingers, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73140	"X-ray of fingers, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73140	"X-ray of fingers, minimum of 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	6	
73140	"X-ray of fingers, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73140	"X-ray of fingers, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73140	"X-ray of fingers, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73140	"X-ray of fingers, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73200	CT scan of arm	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	6	
73200	CT scan of arm	Service  intra	L046A	CT Technologist	0.61	Service total costs	34	
73201	CT scan of arm with contrast	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	7	
73201	CT scan of arm with contrast	Service  intra	L046A	CT Technologist	0.61	Service total costs	42	
73202	CT scan of arm before and after contrast	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	7	
73202	CT scan of arm before and after contrast	Service  intra	L046A	CT Technologist	0.61	Service total costs	57	
73206	CT scan of arm blood vessels with contrast	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	5	
73206	CT scan of arm blood vessels with contrast	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	103	
73206	CT scan of arm blood vessels with contrast	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	5	
73218	MRI scan of arm	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73218	MRI scan of arm	Service  intra	L047A	MRI Technologist	0.615	Service total costs	68	
73219	MRI scan of arm with contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73219	MRI scan of arm with contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	70	
73220	MRI scan of arm before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73220	MRI scan of arm before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	87	
73221	MRI scan of arm joint	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73221	MRI scan of arm joint	Service  intra	L047A	MRI Technologist	0.615	Service total costs	58	
73222	MRI scan of arm joint with contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73222	MRI scan of arm joint with contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	65	
73223	MRI scan of arm joint before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73223	MRI scan of arm joint before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	80	
73225	MRA scan of arm blood vessels	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73225	MRA scan of arm blood vessels	Service  intra	L047A	MRI Technologist	0.615	Service total costs	95	
73501	"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
73501	"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73501	"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73501	"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	1	
73501	"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	1	
73501	"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	3	
73501	"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73501	"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73501	"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73501	"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73502	"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
73502	"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73502	"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73502	"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73502	"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73502	"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	9	
73502	"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73502	"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73502	"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73502	"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73503	"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
73503	"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73503	"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73503	"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73503	"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73503	"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	15	
73503	"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73503	"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73503	"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73503	"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73521	"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
73521	"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73521	"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73521	"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73521	"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73521	"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	6	
73521	"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73521	"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73521	"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73521	"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73522	"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
73522	"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73522	"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73522	"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73522	"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73522	"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	12	
73522	"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73522	"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73522	"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73522	"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73523	"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
73523	"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73523	"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73523	"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73523	"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73523	"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	18	
73523	"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73523	"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73523	"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73523	"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73525	Radiological supervision and interpretation X-ray of hip joint	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	26	
73551	"Radiologic examination, femur; 1 view"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
73551	"Radiologic examination, femur; 1 view"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73551	"Radiologic examination, femur; 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73551	"Radiologic examination, femur; 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	1	
73551	"Radiologic examination, femur; 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	1	
73551	"Radiologic examination, femur; 1 view"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	3	
73551	"Radiologic examination, femur; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73551	"Radiologic examination, femur; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73551	"Radiologic examination, femur; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73551	"Radiologic examination, femur; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73552	"Radiologic examination, femur; minimum 2 views"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
73552	"Radiologic examination, femur; minimum 2 views"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73552	"Radiologic examination, femur; minimum 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73552	"Radiologic examination, femur; minimum 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73552	"Radiologic examination, femur; minimum 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73552	"Radiologic examination, femur; minimum 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	4	
73552	"Radiologic examination, femur; minimum 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73552	"Radiologic examination, femur; minimum 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73552	"Radiologic examination, femur; minimum 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73552	"Radiologic examination, femur; minimum 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73560	"Radiologic examination, knee; 1 or 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
73560	"Radiologic examination, knee; 1 or 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73560	"Radiologic examination, knee; 1 or 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73560	"Radiologic examination, knee; 1 or 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	4	
73560	"Radiologic examination, knee; 1 or 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73560	"Radiologic examination, knee; 1 or 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73560	"Radiologic examination, knee; 1 or 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73560	"Radiologic examination, knee; 1 or 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73562	"Radiologic examination, knee; 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
73562	"Radiologic examination, knee; 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73562	"Radiologic examination, knee; 3 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73562	"Radiologic examination, knee; 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	6	
73562	"Radiologic examination, knee; 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73562	"Radiologic examination, knee; 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73562	"Radiologic examination, knee; 3 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73562	"Radiologic examination, knee; 3 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73564	"Radiologic examination, knee; complete, 4 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
73564	"Radiologic examination, knee; complete, 4 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73564	"Radiologic examination, knee; complete, 4 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73564	"Radiologic examination, knee; complete, 4 or more views"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	8	
73564	"Radiologic examination, knee; complete, 4 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73564	"Radiologic examination, knee; complete, 4 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73564	"Radiologic examination, knee; complete, 4 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73564	"Radiologic examination, knee; complete, 4 or more views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73565	"Radiologic examination, knee; both knees, standing, anteroposterior"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
73565	"Radiologic examination, knee; both knees, standing, anteroposterior"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73565	"Radiologic examination, knee; both knees, standing, anteroposterior"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73565	"Radiologic examination, knee; both knees, standing, anteroposterior"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	4	
73565	"Radiologic examination, knee; both knees, standing, anteroposterior"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73565	"Radiologic examination, knee; both knees, standing, anteroposterior"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73565	"Radiologic examination, knee; both knees, standing, anteroposterior"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73565	"Radiologic examination, knee; both knees, standing, anteroposterior"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73580	Radiological supervision and interpretation X-ray of knee joint	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
73580	Radiological supervision and interpretation X-ray of knee joint	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	2	0
73580	Radiological supervision and interpretation X-ray of knee joint	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
73580	Radiological supervision and interpretation X-ray of knee joint	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73580	Radiological supervision and interpretation X-ray of knee joint	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	12	0
73580	Radiological supervision and interpretation X-ray of knee joint	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
73580	Radiological supervision and interpretation X-ray of knee joint	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73580	Radiological supervision and interpretation X-ray of knee joint	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73580	Radiological supervision and interpretation X-ray of knee joint	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73590	"Radiologic examination; tibia and fibula, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
73590	"Radiologic examination; tibia and fibula, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73590	"Radiologic examination; tibia and fibula, 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73590	"Radiologic examination; tibia and fibula, 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	4	
73590	"Radiologic examination; tibia and fibula, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73590	"Radiologic examination; tibia and fibula, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73590	"Radiologic examination; tibia and fibula, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73590	"Radiologic examination; tibia and fibula, 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73592	X-ray of leg in infant minimum of 2 views	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	16	
73600	"Radiologic examination, ankle; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
73600	"Radiologic examination, ankle; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
73600	"Radiologic examination, ankle; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
73600	"Radiologic examination, ankle; 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician - acquire images	4	
73600	"Radiologic examination, ankle; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
73600	"Radiologic examination, ankle; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73600	"Radiologic examination, ankle; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
73600	"Radiologic examination, ankle; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
73610	"X-ray of ankle, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	17	
73615	Radiological supervision and interpretation X-ray of ankle joint	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	26	
73620	"X-ray of foot, 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	17	
73630	"X-ray of foot, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	15	
73650	"X-ray of heel, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
73650	"X-ray of heel, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73650	"X-ray of heel, minimum of 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	4	0
73650	"X-ray of heel, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
73650	"X-ray of heel, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73650	"X-ray of heel, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73650	"X-ray of heel, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73660	"X-ray of toes, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
73660	"X-ray of toes, minimum of 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73660	"X-ray of toes, minimum of 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	6	0
73660	"X-ray of toes, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
73660	"X-ray of toes, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
73660	"X-ray of toes, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73660	"X-ray of toes, minimum of 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
73700	CT scan leg	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
73700	CT scan leg	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
73700	CT scan leg	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
73700	CT scan leg	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
73700	CT scan leg	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	2	0
73700	CT scan leg	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
73700	CT scan leg	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	2	0
73700	CT scan leg	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	15	0
73700	CT scan leg	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
73700	CT scan leg	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
73700	CT scan leg	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73700	CT scan leg	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
73701	CT scan leg with contrast injection	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
73701	CT scan leg with contrast injection	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
73701	CT scan leg with contrast injection	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
73701	CT scan leg with contrast injection	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
73701	CT scan leg with contrast injection	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
73701	CT scan leg with contrast injection	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
73701	CT scan leg with contrast injection	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
73701	CT scan leg with contrast injection	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	17	0
73701	CT scan leg with contrast injection	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
73701	CT scan leg with contrast injection	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
73701	CT scan leg with contrast injection	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73701	CT scan leg with contrast injection	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
73702	CT scan of leg before and after contrast injection	Pre-service	L046A	CT Technologist	0.61	Confirm availability of prior images/studies	2	0
73702	CT scan of leg before and after contrast injection	Pre-service	L046A	CT Technologist	0.61	Review patient clinical extant information and questionnaire	1	0
73702	CT scan of leg before and after contrast injection	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
73702	CT scan of leg before and after contrast injection	Service  pre	L046A	CT Technologist	0.61	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
73702	CT scan of leg before and after contrast injection	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	4	0
73702	CT scan of leg before and after contrast injection	Service  pre	L046A	CT Technologist	0.61	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
73702	CT scan of leg before and after contrast injection	Service  pre	L046A	CT Technologist	0.61	Provide education/obtain consent	3	0
73702	CT scan of leg before and after contrast injection	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	26	0
73702	CT scan of leg before and after contrast injection	Service  post	L046A	CT Technologist	0.61	Clean room/equipment by clinical staff	3	0
73702	CT scan of leg before and after contrast injection	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
73702	CT scan of leg before and after contrast injection	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
73702	CT scan of leg before and after contrast injection	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
73706	CT scan of lower leg blood vessels with contrast	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	5	
73706	CT scan of lower leg blood vessels with contrast	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	118	
73706	CT scan of lower leg blood vessels with contrast	Post-service	L041B	Radiologic Technologist	0.52	Post service total costs	5	
73718	MRI scan of leg	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
73718	MRI scan of leg	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73718	MRI scan of leg	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73718	MRI scan of leg	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	3	
73718	MRI scan of leg	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	5	
73718	MRI scan of leg	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	5	
73718	MRI scan of leg	Service  intra	L047A	MRI Technologist	0.615	Acquire images	30	
73718	MRI scan of leg	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
73718	MRI scan of leg	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73718	MRI scan of leg	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
73718	MRI scan of leg	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
73719	MRI scan of leg with contrast	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
73719	MRI scan of leg with contrast	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73719	MRI scan of leg with contrast	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73719	MRI scan of leg with contrast	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
73719	MRI scan of leg with contrast	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
73719	MRI scan of leg with contrast	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	7	
73719	MRI scan of leg with contrast	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
73719	MRI scan of leg with contrast	Service  intra	L047A	MRI Technologist	0.615	Acquire images	30	
73719	MRI scan of leg with contrast	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
73719	MRI scan of leg with contrast	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73719	MRI scan of leg with contrast	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
73719	MRI scan of leg with contrast	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
73720	MRI scan of leg before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
73720	MRI scan of leg before and after contrast	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
73720	MRI scan of leg before and after contrast	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
73720	MRI scan of leg before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
73720	MRI scan of leg before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
73720	MRI scan of leg before and after contrast	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	7	
73720	MRI scan of leg before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
73720	MRI scan of leg before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Acquire images	45	
73720	MRI scan of leg before and after contrast	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
73720	MRI scan of leg before and after contrast	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
73720	MRI scan of leg before and after contrast	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
73720	MRI scan of leg before and after contrast	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
73721	MRI scan of leg joint	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73721	MRI scan of leg joint	Service  intra	L047A	MRI Technologist	0.615	Service total costs	58	
73722	MRI scan of leg joint with contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73722	MRI scan of leg joint with contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	65	
73723	MRI scan of leg joint before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73723	MRI scan of leg joint before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	80	
73725	MRA scan of leg blood vessels	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
73725	MRA scan of leg blood vessels	Service  intra	L047A	MRI Technologist	0.615	Service total costs	95	
74018	"Radiologic examination, abdomen; 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
74018	"Radiologic examination, abdomen; 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position patient/ monitor patient/ set up IV	2	
74018	"Radiologic examination, abdomen; 1 view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
74018	"Radiologic examination, abdomen; 1 view"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	3	
74018	"Radiologic examination, abdomen; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
74018	"Radiologic examination, abdomen; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
74018	"Radiologic examination, abdomen; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
74018	"Radiologic examination, abdomen; 1 view"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
74019	"Radiologic examination, abdomen; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
74019	"Radiologic examination, abdomen; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
74019	"Radiologic examination, abdomen; 2 views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
74019	"Radiologic examination, abdomen; 2 views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	6	
74019	"Radiologic examination, abdomen; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
74019	"Radiologic examination, abdomen; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
74019	"Radiologic examination, abdomen; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
74019	"Radiologic examination, abdomen; 2 views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
74021	"Radiologic examination, abdomen; 3 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
74021	"Radiologic examination, abdomen; 3 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
74021	"Radiologic examination, abdomen; 3 or more views"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
74021	"Radiologic examination, abdomen; 3 or more views"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	9	
74021	"Radiologic examination, abdomen; 3 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
74021	"Radiologic examination, abdomen; 3 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
74021	"Radiologic examination, abdomen; 3 or more views"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
74021	"Radiologic examination, abdomen; 3 or more views"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
74022	Imaging of abdomen and chest	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
74022	Imaging of abdomen and chest	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
74022	Imaging of abdomen and chest	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
74022	Imaging of abdomen and chest	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	12	
74022	Imaging of abdomen and chest	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
74022	Imaging of abdomen and chest	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
74022	Imaging of abdomen and chest	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
74022	Imaging of abdomen and chest	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
74150	CT scan abdomen	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	4	
74150	CT scan abdomen	Service  intra	L046A	CT Technologist	0.61	Service total costs	32	
74160	"Computed tomography, abdomen; with contrast material(s)"	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	4	
74160	"Computed tomography, abdomen; with contrast material(s)"	Service  intra	L046A	CT Technologist	0.61	Service total costs	43	
74170	CT scan abdomen before and after contrast	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	4	
74170	CT scan abdomen before and after contrast	Service  intra	L046A	CT Technologist	0.61	Service total costs	52	
74174	Ct angio abd&pelv w/o&w/dye	Pre-service	L046A	CT Technologist	0.61	Availability of prior images confirmed	2	
74174	Ct angio abd&pelv w/o&w/dye	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
74174	Ct angio abd&pelv w/o&w/dye	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	5	
74174	Ct angio abd&pelv w/o&w/dye	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	2	
74174	Ct angio abd&pelv w/o&w/dye	Service  pre	L046A	CT Technologist	0.61	SVC Provide pre-service education/obtain consent	2	
74174	Ct angio abd&pelv w/o&w/dye	Service  intra	L046A	CT Technologist	0.61	Acquire images	45	
74174	Ct angio abd&pelv w/o&w/dye	Service  intra	L046A	CT Technologist	0.61	Assist physician in performing procedure	33	
74174	Ct angio abd&pelv w/o&w/dye	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
74174	Ct angio abd&pelv w/o&w/dye	Service  post	L046A	CT Technologist	0.61	Post processing: Technical QC	2	
74174	Ct angio abd&pelv w/o&w/dye	Service  post	L046A	CT Technologist	0.61	Review documents w/ physician	2	
74174	Ct angio abd&pelv w/o&w/dye	Service  post	L046A	CT Technologist	0.61	Scanning other documents into PACs	1	
74175	Ct angio abdom w/o & w/dye	Pre-service	L046A	CT Technologist	0.61	Availability of prior images confirmed	2	
74175	Ct angio abdom w/o & w/dye	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
74175	Ct angio abdom w/o & w/dye	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	5	
74175	Ct angio abdom w/o & w/dye	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	2	
74175	Ct angio abdom w/o & w/dye	Service  pre	L046A	CT Technologist	0.61	SVC Provide pre-service education/obtain consent	2	
74175	Ct angio abdom w/o & w/dye	Service  intra	L046A	CT Technologist	0.61	Acquire images	28	
74175	Ct angio abdom w/o & w/dye	Service  intra	L046A	CT Technologist	0.61	Assist physician in performing procedure	33	
74175	Ct angio abdom w/o & w/dye	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
74175	Ct angio abdom w/o & w/dye	Service  post	L046A	CT Technologist	0.61	Post processing: Technical QC	2	
74175	Ct angio abdom w/o & w/dye	Service  post	L046A	CT Technologist	0.61	Review documents w/ physician	2	
74175	Ct angio abdom w/o & w/dye	Service  post	L046A	CT Technologist	0.61	Scanning other documents into PACs	1	
74176	CT scan of abdomen and pelvis	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	6	
74176	CT scan of abdomen and pelvis	Service  intra	L046A	CT Technologist	0.61	Service total costs	39	
74177	"Computed tomography, abdomen and pelvis; with contrast material(s)"	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	6	
74177	"Computed tomography, abdomen and pelvis; with contrast material(s)"	Service  intra	L046A	CT Technologist	0.61	Service total costs	52	
74178	CT scan of abdomen and pelvis before and after contrast	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	6	
74178	CT scan of abdomen and pelvis before and after contrast	Service  intra	L046A	CT Technologist	0.61	Service total costs	64	
74181	MRI scan of abdomen	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
74181	MRI scan of abdomen	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
74181	MRI scan of abdomen	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
74181	MRI scan of abdomen	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	3	
74181	MRI scan of abdomen	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	5	
74181	MRI scan of abdomen	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	5	
74181	MRI scan of abdomen	Service  intra	L047A	MRI Technologist	0.615	Acquire images	20	
74181	MRI scan of abdomen	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
74181	MRI scan of abdomen	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
74181	MRI scan of abdomen	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
74181	MRI scan of abdomen	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
74182	MRI scan of abdomen with contrast	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
74182	MRI scan of abdomen with contrast	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
74182	MRI scan of abdomen with contrast	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
74182	MRI scan of abdomen with contrast	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
74182	MRI scan of abdomen with contrast	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
74182	MRI scan of abdomen with contrast	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	7	
74182	MRI scan of abdomen with contrast	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
74182	MRI scan of abdomen with contrast	Service  intra	L047A	MRI Technologist	0.615	Acquire images	40	
74182	MRI scan of abdomen with contrast	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
74182	MRI scan of abdomen with contrast	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
74182	MRI scan of abdomen with contrast	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
74182	MRI scan of abdomen with contrast	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
74183	MRI scan of abdomen before and after contrast	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
74183	MRI scan of abdomen before and after contrast	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
74183	MRI scan of abdomen before and after contrast	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
74183	MRI scan of abdomen before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	5	
74183	MRI scan of abdomen before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	5	
74183	MRI scan of abdomen before and after contrast	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	7	
74183	MRI scan of abdomen before and after contrast	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
74183	MRI scan of abdomen before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Acquire images	45	
74183	MRI scan of abdomen before and after contrast	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
74183	MRI scan of abdomen before and after contrast	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
74183	MRI scan of abdomen before and after contrast	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
74183	MRI scan of abdomen before and after contrast	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
74185	MRI scan of blood vessels of abdomen	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
74185	MRI scan of blood vessels of abdomen	Service  intra	L047A	MRI Technologist	0.615	Service total costs	95	
74210	"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
74210	"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
74210	"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
74210	"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	13	0
74210	"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74210	"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74210	"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74210	"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74220	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
74220	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
74220	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
74220	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	13	0
74220	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74220	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74220	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74220	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74221	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
74221	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
74221	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
74221	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	15	0
74221	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74221	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74221	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74221	"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74230	"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	4	0
74230	"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
74230	"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	15	0
74230	"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74230	"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74230	"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74230	"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74240	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
74240	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
74240	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	19	0
74240	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74240	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74240	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74240	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74246	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
74246	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
74246	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
74246	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	22	0
74246	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74246	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74246	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74246	"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74248	"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic exam)"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	15	0
74248	"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic exam)"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74248	"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic exam)"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74248	"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic exam)"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74250	"Radiologic examination, small intestine, includes multiple serial images; "	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
74250	"Radiologic examination, small intestine, includes multiple serial images; "	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
74250	"Radiologic examination, small intestine, includes multiple serial images; "	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
74250	"Radiologic examination, small intestine, includes multiple serial images; "	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	19	0
74250	"Radiologic examination, small intestine, includes multiple serial images; "	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74250	"Radiologic examination, small intestine, includes multiple serial images; "	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74250	"Radiologic examination, small intestine, includes multiple serial images; "	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74250	"Radiologic examination, small intestine, includes multiple serial images; "	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74251	"Radiologic examination, small intestine, includes multiple serial images; via enteroclysis tube"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
74251	"Radiologic examination, small intestine, includes multiple serial images; via enteroclysis tube"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
74251	"Radiologic examination, small intestine, includes multiple serial images; via enteroclysis tube"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
74251	"Radiologic examination, small intestine, includes multiple serial images; via enteroclysis tube"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
74251	"Radiologic examination, small intestine, includes multiple serial images; via enteroclysis tube"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	30	0
74251	"Radiologic examination, small intestine, includes multiple serial images; via enteroclysis tube"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74251	"Radiologic examination, small intestine, includes multiple serial images; via enteroclysis tube"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74251	"Radiologic examination, small intestine, includes multiple serial images; via enteroclysis tube"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74251	"Radiologic examination, small intestine, includes multiple serial images; via enteroclysis tube"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74261	Diagnostic CT scan of large bowel	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	91	
74262	Diagnostic CT scan of large bowel with contrast dye	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	101	
74263	Screening CT scan of large bowel	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	91	
74270	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
74270	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
74270	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
74270	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
74270	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	25	0
74270	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74270	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74270	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74270	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74280	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
74280	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
74280	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
74280	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
74280	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	36	0
74280	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74280	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74280	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74280	"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74283	Imaging of colon using enema	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	43	
74290	Imaging of gallbladder with contrast	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	24	
74400	Imaging of urinary tract with injection of contrast into a vein	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	55	
74410	Imaging of urinary tract using infusion technique	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	55	
74415	Imaging of urinary tract using infusion technique with kidney section filming	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	55	
74420	Imaging of urinary tract	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
74420	Imaging of urinary tract	Service  pre	L041B	Radiologic Technologist	0.52	"Confirm order, protocol exam"	0	0
74420	Imaging of urinary tract	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	33	0
74420	Imaging of urinary tract	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74420	Imaging of urinary tract	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74420	Imaging of urinary tract	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74425	"Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
74425	"Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	1	0
74425	"Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	"Confirm order, protocol exam"	1	0
74425	"Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
74425	"Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	30	0
74425	"Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74425	"Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74425	"Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74425	"Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74430	"Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	22	
74440	Radiological supervision and interpretation X-ray of male internal genitals	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	
74440	Radiological supervision and interpretation X-ray of male internal genitals	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	24	
74455	Radiological supervision and interpretation X-ray of urinary bladder and urethra	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	28	
74485	"Dilation of ureter(s) or urethra, radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
74485	"Dilation of ureter(s) or urethra, radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	1	0
74485	"Dilation of ureter(s) or urethra, radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	1	0
74485	"Dilation of ureter(s) or urethra, radiological supervision and interpretation"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	1	0
74485	"Dilation of ureter(s) or urethra, radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
74485	"Dilation of ureter(s) or urethra, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
74485	"Dilation of ureter(s) or urethra, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
74485	"Dilation of ureter(s) or urethra, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
74485	"Dilation of ureter(s) or urethra, radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
74710	Imaging of pelvis	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	16	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Pre-service	L047A	MRI Technologist	0.615	Availability of prior images confirmed	2	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Pre-service	L047A	MRI Technologist	0.615	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Service  pre	L047A	MRI Technologist	0.615	Prepare and position pt/ monitor pt/ set up IV	3	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment, supplies"	5	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Service  pre	L047A	MRI Technologist	0.615	Provide pre-service education/obtain consent	7	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Service  intra	L047A	MRI Technologist	0.615	Acquire images	60	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by physician staff	3	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
74712	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation"	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
74713	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure)"	Service  intra	L047A	MRI Technologist	0.615	Acquire images	30	
74713	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure)"	Service  post	L047A	MRI Technologist	0.615	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
74713	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure)"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD	2	
74713	"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure)"	Service  post	L047A	MRI Technologist	0.615	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
74740	Radiological supervision and interpretation X-ray of uterine tubes and ovaries	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	13	
75557	MRI of heart	Service  intra	L047A	MRI Technologist	0.615	Service total costs	48	
75559	MRI of heart with stress imaging	Service  intra	L047A	MRI Technologist	0.615	Service total costs	67	
75561	MRI of heart before and after contrast	Service  intra	L047A	MRI Technologist	0.615	Service total costs	69	
75563	MRI of heart before and after contrast with stress imaging	Service  intra	L047A	MRI Technologist	0.615	Service total costs	80	
75565	MRI of blood flow of heart	Service  intra	L047A	MRI Technologist	0.615	Service total costs	10	
75571	CT scan of heart with evaluation of blood vessel calcium	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	
75571	CT scan of heart with evaluation of blood vessel calcium	Service  intra	L046A	CT Technologist	0.61	Service total costs	27	
75571	CT scan of heart with evaluation of blood vessel calcium	Service  intra	L051A	RN	0.635	Service total costs	6	
75571	CT scan of heart with evaluation of blood vessel calcium	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	
75572	CT scan of heart structure with contrast	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	
75572	CT scan of heart structure with contrast	Service  intra	L046A	CT Technologist	0.61	Service total costs	47	
75572	CT scan of heart structure with contrast	Service  intra	L051A	RN	0.635	Service total costs	29	
75572	CT scan of heart structure with contrast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	10	
75573	CT scan of congenital heart structure defect with contrast	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	
75573	CT scan of congenital heart structure defect with contrast	Service  intra	L046A	CT Technologist	0.61	Service total costs	54	
75573	CT scan of congenital heart structure defect with contrast	Service  intra	L051A	RN	0.635	Service total costs	34	
75573	CT scan of congenital heart structure defect with contrast	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	
75574	CT scan of heart blood vessels and grafts with contrast dye	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	
75574	CT scan of heart blood vessels and grafts with contrast dye	Service  intra	L046A	CT Technologist	0.61	Service total costs	62	
75574	CT scan of heart blood vessels and grafts with contrast dye	Service  intra	L051A	RN	0.635	Service total costs	36	
75574	CT scan of heart blood vessels and grafts with contrast dye	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	
75600	Radiological supervision and interpretation X-ray of chest aorta	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75600	Radiological supervision and interpretation X-ray of chest aorta	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	53	
75605	Radiological supervision and interpretation X-ray of chest aorta	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75605	Radiological supervision and interpretation X-ray of chest aorta	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	53	
75625	Radiological supervision and interpretation X-ray of abdominal aorta	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
75625	Radiological supervision and interpretation X-ray of abdominal aorta	Pre-service	L041B	Radiologic Technologist	0.52	Perform regulatory mandated quality assurance activity (pre-service)	2	0
75625	Radiological supervision and interpretation X-ray of abdominal aorta	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
75625	Radiological supervision and interpretation X-ray of abdominal aorta	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	30	0
75625	Radiological supervision and interpretation X-ray of abdominal aorta	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
75625	Radiological supervision and interpretation X-ray of abdominal aorta	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
75625	Radiological supervision and interpretation X-ray of abdominal aorta	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
75625	Radiological supervision and interpretation X-ray of abdominal aorta	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	4	0
75630	Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
75630	Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries	Pre-service	L041B	Radiologic Technologist	0.52	Perform regulatory mandated quality assurance activity (pre-service)	2	0
75630	Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
75630	Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	35	0
75630	Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
75630	Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
75630	Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
75630	Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	4	0
75635	CT scan of abdominal aorta and both leg arteries with contrast	Pre-service	L046A	CT Technologist	0.61	Availability of prior images confirmed	2	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Pre-service	L046A	CT Technologist	0.61	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Service  pre	L046A	CT Technologist	0.61	Prepare and position pt/ monitor pt/ set up IV	5	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment, supplies"	4	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Service  pre	L046A	CT Technologist	0.61	Provide pre-service education/obtain consent	3	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Service  intra	L046A	CT Technologist	0.61	Acquire images	55	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Service  intra	L046A	CT Technologist	0.61	Computer 3-D post processing	45	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Service  post	L046A	CT Technologist	0.61	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD	2	
75635	CT scan of abdominal aorta and both leg arteries with contrast	Service  post	L046A	CT Technologist	0.61	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
75705	Radiological supervision and interpretation of imaging of spinal artery	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75705	Radiological supervision and interpretation of imaging of spinal artery	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	86	
75710	Radiological supervision and interpretation of imaging of artery of one arm or leg	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
75710	Radiological supervision and interpretation of imaging of artery of one arm or leg	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
75710	Radiological supervision and interpretation of imaging of artery of one arm or leg	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	0	
75710	Radiological supervision and interpretation of imaging of artery of one arm or leg	Service  intra	L041B	Radiologic Technologist	0.52	Perform Procedure/Acquire images	40	
75710	Radiological supervision and interpretation of imaging of artery of one arm or leg	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
75710	Radiological supervision and interpretation of imaging of artery of one arm or leg	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
75710	Radiological supervision and interpretation of imaging of artery of one arm or leg	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
75710	Radiological supervision and interpretation of imaging of artery of one arm or leg	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
75716	Radiological supervision and interpretation of imaging of arteries of both arms or legs	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
75716	Radiological supervision and interpretation of imaging of arteries of both arms or legs	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
75716	Radiological supervision and interpretation of imaging of arteries of both arms or legs	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	0	
75716	Radiological supervision and interpretation of imaging of arteries of both arms or legs	Service  intra	L041B	Radiologic Technologist	0.52	Perform Procedure/Acquire images	50	
75716	Radiological supervision and interpretation of imaging of arteries of both arms or legs	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
75716	Radiological supervision and interpretation of imaging of arteries of both arms or legs	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
75716	Radiological supervision and interpretation of imaging of arteries of both arms or legs	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
75716	Radiological supervision and interpretation of imaging of arteries of both arms or legs	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
75726	Radiological supervision and interpretation of imaging of abdominal artery	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
75726	Radiological supervision and interpretation of imaging of abdominal artery	Pre-service	L041B	Radiologic Technologist	0.52	Perform regulatory mandated quality assurance activity (pre-service)	2	0
75726	Radiological supervision and interpretation of imaging of abdominal artery	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
75726	Radiological supervision and interpretation of imaging of abdominal artery	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	45	0
75726	Radiological supervision and interpretation of imaging of abdominal artery	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
75726	Radiological supervision and interpretation of imaging of abdominal artery	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
75726	Radiological supervision and interpretation of imaging of abdominal artery	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
75726	Radiological supervision and interpretation of imaging of abdominal artery	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	4	0
75731	Radiological supervision and interpretation of imaging of artery of one adrenal gland	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75731	Radiological supervision and interpretation of imaging of artery of one adrenal gland	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	89	
75733	Radiological supervision and interpretation of imaging of arteries of both adrenal glands	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75733	Radiological supervision and interpretation of imaging of arteries of both adrenal glands	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	132	
75736	Radiological supervision and interpretation of imaging of artery of pelvis	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75736	Radiological supervision and interpretation of imaging of artery of pelvis	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	88	
75741	Radiological supervision and interpretation of imaging of artery of one lung	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75741	Radiological supervision and interpretation of imaging of artery of one lung	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	48	
75743	Radiological supervision and interpretation of imaging of arteries of both lungs	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75743	Radiological supervision and interpretation of imaging of arteries of both lungs	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	52	
75746	"Radiological supervision and interpretation of imaging of lung artery, contrast inserted by catheter or injection into vein"	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75746	"Radiological supervision and interpretation of imaging of lung artery, contrast inserted by catheter or injection into vein"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	69	
75756	Radiological supervision and interpretation of imaging of artery of breast	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75756	Radiological supervision and interpretation of imaging of artery of breast	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	89	
75774	Radiological supervision and interpretation of imaging of artery	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	30	0
75809	Radiological supervision and interpretation of imaging of previous placed shunt	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	
75809	Radiological supervision and interpretation of imaging of previous placed shunt	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	26	
75820	Radiological supervision and interpretation of imaging of vein of one arm or leg	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
75820	Radiological supervision and interpretation of imaging of vein of one arm or leg	Pre-service	L041B	Radiologic Technologist	0.52	Perform regulatory mandated quality assurance activity (pre-service)	2	0
75820	Radiological supervision and interpretation of imaging of vein of one arm or leg	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
75820	Radiological supervision and interpretation of imaging of vein of one arm or leg	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	20	0
75820	Radiological supervision and interpretation of imaging of vein of one arm or leg	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
75820	Radiological supervision and interpretation of imaging of vein of one arm or leg	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
75820	Radiological supervision and interpretation of imaging of vein of one arm or leg	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
75820	Radiological supervision and interpretation of imaging of vein of one arm or leg	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	4	0
75822	Radiological supervision and interpretation of imaging of veins of both arms or legs	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
75822	Radiological supervision and interpretation of imaging of veins of both arms or legs	Pre-service	L041B	Radiologic Technologist	0.52	Perform regulatory mandated quality assurance activity (pre-service)	2	0
75822	Radiological supervision and interpretation of imaging of veins of both arms or legs	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
75822	Radiological supervision and interpretation of imaging of veins of both arms or legs	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	30	0
75822	Radiological supervision and interpretation of imaging of veins of both arms or legs	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
75822	Radiological supervision and interpretation of imaging of veins of both arms or legs	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
75822	Radiological supervision and interpretation of imaging of veins of both arms or legs	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
75822	Radiological supervision and interpretation of imaging of veins of both arms or legs	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	4	0
75825	Radiological supervision and interpretation of imaging of major abdominal vein	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75825	Radiological supervision and interpretation of imaging of major abdominal vein	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	40	
75827	Radiological supervision and interpretation of imaging of major chest vein	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75827	Radiological supervision and interpretation of imaging of major chest vein	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	40	
75831	Radiological supervision and interpretation of imaging of vein of one kidney	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75831	Radiological supervision and interpretation of imaging of vein of one kidney	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75833	Radiological supervision and interpretation of imaging of vein of both kidneys	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75833	Radiological supervision and interpretation of imaging of vein of both kidneys	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	71	
75840	Radiological supervision and interpretation of imaging of vein of one adrenal gland	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75840	Radiological supervision and interpretation of imaging of vein of one adrenal gland	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75842	Radiological supervision and interpretation of imaging of veins of both adrenal glands	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75842	Radiological supervision and interpretation of imaging of veins of both adrenal glands	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	71	
75860	Radiological supervision and interpretation of imaging of vein system in head or neck vein	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75860	Radiological supervision and interpretation of imaging of vein system in head or neck vein	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75870	Radiological supervision and interpretation of imaging of vein system of head	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75870	Radiological supervision and interpretation of imaging of vein system of head	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75872	Radiological supervision and interpretation X-ray of spinal canal vein	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75872	Radiological supervision and interpretation X-ray of spinal canal vein	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75880	Radiological supervision and interpretation X-ray of vein of eye socket	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75880	Radiological supervision and interpretation X-ray of vein of eye socket	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75885	"Radiological supervision and interpretation of imaging of liver vein with assessment of blood flow, injection of contrast (accessed through the skin)"	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75885	"Radiological supervision and interpretation of imaging of liver vein with assessment of blood flow, injection of contrast (accessed through the skin)"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75887	"Radiological supervision and interpretation of imaging of liver vein, injection of contrast (accessed through the skin)"	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75887	"Radiological supervision and interpretation of imaging of liver vein, injection of contrast (accessed through the skin)"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75889	Radiological supervision and interpretation of imaging of liver vein with assessment of blood flow	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75889	Radiological supervision and interpretation of imaging of liver vein with assessment of blood flow	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75891	Radiological supervision and interpretation of imaging of liver vein	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75891	Radiological supervision and interpretation of imaging of liver vein	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75893	Radiological supervision and interpretation of drawing blood via catheter procedure	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	6	
75893	Radiological supervision and interpretation of drawing blood via catheter procedure	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	49	
75901	Radiological supervision and interpretation of removal of obstructive material in catheter procedure	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	68	
75902	Radiological supervision and interpretation of removal of obstructive material from large vein catheter procedure	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	24	
75984	"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
75984	"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	1	0
75984	"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
75984	"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
75984	"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
75984	"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
75984	"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
75984	"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
75984	"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
75989	Radiological supervision and interpretation of placement of catheter with drainage (accessed through the skin) procedure	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	5	
75989	Radiological supervision and interpretation of placement of catheter with drainage (accessed through the skin) procedure	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	16	
76000	"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time"	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
76000	"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
76000	"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
76000	"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
76000	"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
76000	"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
76000	"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76000	"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
76010	"Imaging from nose to rectum, single view, child"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	14	
76080	"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation"	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	3	
76080	"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	22	
76098	Imaging of surgical specimen	Pre-service	L043A	Mammography Technologist	0.53	Complete pre-procedure phone calls and prescription	1	0
76098	Imaging of surgical specimen	Pre-service	L043A	Mammography Technologist	0.53	Confirm availability of prior images/studies	2	0
76098	Imaging of surgical specimen	Pre-service	L043A	Mammography Technologist	0.53	Schedule space and equipment in facility	1	0
76098	Imaging of surgical specimen	Service  pre	L043A	Mammography Technologist	0.53	"Prepare room, equipment and supplies"	2	0
76098	Imaging of surgical specimen	Service  intra	L043A	Mammography Technologist	0.53	Perform procedure/service---NOT directly related to physician work time	3	0
76098	Imaging of surgical specimen	Service  post	L043A	Mammography Technologist	0.53	Clean room/equipment by clinical staff	3	0
76098	Imaging of surgical specimen	Service  post	L043A	Mammography Technologist	0.53	Review examination with interpreting MD/DO	2	0
76098	Imaging of surgical specimen	Service  post	L043A	Mammography Technologist	0.53	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76098	Imaging of surgical specimen	Service  post	L043A	Mammography Technologist	0.53	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
76100	Single plane imaging procedure	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	48	
76120	Imaging of organ	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	27	
76145	"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report"	Service  pre	L152A	Medical Physicist	1.832	"Confirm order, protocol exam"	45	0
76145	"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report"	Service  pre	L152A	Medical Physicist	1.832	"Review requistion, assess for special needs"	18	0
76145	"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report"	Service  intra	L152A	Medical Physicist	1.832	Perform procedure/service---NOT directly related to physician work time	200	0
76145	"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report"	Service  post	L152A	Medical Physicist	1.832	"Document procedure (nonPACS) (e.g. mandated reporting, registry logs, EEG file, etc.)"	20	0
76145	"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report"	Service  post	L152A	Medical Physicist	1.832	Review examination with interpreting MD/DO	20	0
76376	3D radiographic procedure	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	15	0
76376	3D radiographic procedure	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
76376	3D radiographic procedure	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76376	3D radiographic procedure	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
76377	3D radiographic procedure with computerized image postprocessing	Service  pre	L046A	CT Technologist	0.61	"Confirm order, protocol exam"	1	0
76377	3D radiographic procedure with computerized image postprocessing	Service  pre	L046A	CT Technologist	0.61	"Prepare room, equipment and supplies"	1	0
76377	3D radiographic procedure with computerized image postprocessing	Service  intra	L046A	CT Technologist	0.61	Perform procedure/service---NOT directly related to physician work time	33	0
76377	3D radiographic procedure with computerized image postprocessing	Service  post	L046A	CT Technologist	0.61	Review examination with interpreting MD/DO	2	0
76377	3D radiographic procedure with computerized image postprocessing	Service  post	L046A	CT Technologist	0.61	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76377	3D radiographic procedure with computerized image postprocessing	Service  post	L046A	CT Technologist	0.61	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
76380	CT scan limited or follow-up study	Pre-service	L046A	CT Technologist	0.61	Preservice total costs	6	
76380	CT scan limited or follow-up study	Service  intra	L046A	CT Technologist	0.61	Service total costs	25	
76391	"Magnetic resonance (eg, vibration) elastography"	Pre-service	L047A	MRI Technologist	0.615	Confirm availability of prior images/studies	2	0
76391	"Magnetic resonance (eg, vibration) elastography"	Pre-service	L047A	MRI Technologist	0.615	Review patient clinical extant information and questionnaire	2	0
76391	"Magnetic resonance (eg, vibration) elastography"	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
76391	"Magnetic resonance (eg, vibration) elastography"	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment and supplies"	5	0
76391	"Magnetic resonance (eg, vibration) elastography"	Service  pre	L047A	MRI Technologist	0.615	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
76391	"Magnetic resonance (eg, vibration) elastography"	Service  pre	L047A	MRI Technologist	0.615	Provide education/obtain consent	5	0
76391	"Magnetic resonance (eg, vibration) elastography"	Service  intra	L047A	MRI Technologist	0.615	Perform procedure/service---NOT directly related to physician work time	25	0
76391	"Magnetic resonance (eg, vibration) elastography"	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by clinical staff	3	0
76391	"Magnetic resonance (eg, vibration) elastography"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD/DO	2	0
76391	"Magnetic resonance (eg, vibration) elastography"	Service  post	L047A	MRI Technologist	0.615	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76391	"Magnetic resonance (eg, vibration) elastography"	Service  post	L047A	MRI Technologist	0.615	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
76506	Ultrasound of brain	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	3	
76506	Ultrasound of brain	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	35	
76510	Ultrasound of eye tissue and structures	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	1	
76510	Ultrasound of eye tissue and structures	Service  pre	L038A	COMT/COT/RN/CST	0.45	Other Clinical Activity - specify: calibrate ophthalmic ultrasound machine	2	
76510	Ultrasound of eye tissue and structures	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
76510	Ultrasound of eye tissue and structures	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
76510	Ultrasound of eye tissue and structures	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	2	
76510	Ultrasound of eye tissue and structures	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
76510	Ultrasound of eye tissue and structures	Service  post	L038A	COMT/COT/RN/CST	0.45	Other Clinical Activity - specify: Label & file photos/slides w/patient chart	3	
76511	Ultrasound of eye disease or growth	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	1	
76511	Ultrasound of eye disease or growth	Service  pre	L038A	COMT/COT/RN/CST	0.45	Other Clinical Activity - specify: calibrate ophthalmic ultrasound machine	2	
76511	Ultrasound of eye disease or growth	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
76511	Ultrasound of eye disease or growth	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
76511	Ultrasound of eye disease or growth	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	2	
76511	Ultrasound of eye disease or growth	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
76511	Ultrasound of eye disease or growth	Service  post	L038A	COMT/COT/RN/CST	0.45	Other Clinical Activity - specify: Label & file photos/slides w/patient chart	3	
76512	"Ultrasound of eye disease, growth, or structure"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	1	
76512	"Ultrasound of eye disease, growth, or structure"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Other Clinical Activity - specify: calibrate ophthalmic ultrasound machine	2	
76512	"Ultrasound of eye disease, growth, or structure"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
76512	"Ultrasound of eye disease, growth, or structure"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
76512	"Ultrasound of eye disease, growth, or structure"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	2	
76512	"Ultrasound of eye disease, growth, or structure"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
76512	"Ultrasound of eye disease, growth, or structure"	Service  post	L038A	COMT/COT/RN/CST	0.45	Other Clinical Activity - specify: Label & file photos/slides w/patient chart	3	
76513	"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Confirm order, protocol exam"	1	0
76513	"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	0
76513	"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
76513	"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide education/obtain consent	3	0
76513	"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
76513	"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
76513	"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral"	Post-service	L038A	COMT/COT/RN/CST	0.45	Coordinate post-procedure services	1	0
76514	Ultrasound of corneal structure and measurement	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	1	0
76514	Ultrasound of corneal structure and measurement	Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure/service---NOT directly related to physician work time	2	0
76514	Ultrasound of corneal structure and measurement	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	1	0
76516	Ultrasound to determine length from cornea to retina	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	1	
76516	Ultrasound to determine length from cornea to retina	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
76516	Ultrasound to determine length from cornea to retina	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
76516	Ultrasound to determine length from cornea to retina	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	2	
76516	Ultrasound to determine length from cornea to retina	Service  intra	L038A	COMT/COT/RN/CST	0.45	perform test	10	
76516	Ultrasound to determine length from cornea to retina	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
76519	Ultrasound of eye for determination of lens power	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	1	
76519	Ultrasound of eye for determination of lens power	Service  pre	L038A	COMT/COT/RN/CST	0.45	Other Clinical Activity - specify: calibrate ophthalmic ultrasound machine	0	
76519	Ultrasound of eye for determination of lens power	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
76519	Ultrasound of eye for determination of lens power	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
76519	Ultrasound of eye for determination of lens power	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	2	
76519	Ultrasound of eye for determination of lens power	Service  intra	L038A	COMT/COT/RN/CST	0.45	perform test	25	
76519	Ultrasound of eye for determination of lens power	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
76529	Ultrasound of eye foreign body localization	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	5	
76529	Ultrasound of eye foreign body localization	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	21	
76529	Ultrasound of eye foreign body localization	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	3	
76536	Ultrasound of head and neck	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	3	
76536	Ultrasound of head and neck	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	37	
76604	Ultrasound of chest	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Confirm availability of prior images/studies	2	0
76604	Ultrasound of chest	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Review patient clinical extant information and questionnaire	1	0
76604	Ultrasound of chest	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Confirm order, protocol exam"	1	0
76604	Ultrasound of chest	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
76604	Ultrasound of chest	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment and supplies"	2	0
76604	Ultrasound of chest	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
76604	Ultrasound of chest	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Perform procedure/service---NOT directly related to physician work time	10	0
76604	Ultrasound of chest	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by clinical staff	3	0
76604	Ultrasound of chest	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review examination with interpreting MD/DO	2	0
76604	Ultrasound of chest	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76604	Ultrasound of chest	Service  post	L050B	Diagnostic Medical Sonographer	0.635	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Availability of prior images confirmed	2	
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Greet patient and provide gowning	3	
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	3	
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment, supplies"	2	
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	SVC Provide pre-service education/obtain consent	2	
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Acquire images	15	
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by physician staff	3	
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review examination with interpreting MD	2	
76641	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Availability of prior images confirmed	2	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Greet patient and provide gowning	3	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	2	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment, supplies"	2	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	SVC Provide pre-service education/obtain consent	2	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Service  intra	L046A	CT Technologist	0.61	Acquire images	10	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by physician staff	3	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review examination with interpreting MD	2	
76642	"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	
76700	Us exam abdom complete	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Availability of prior images confirmed	2	
76700	Us exam abdom complete	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	
76700	Us exam abdom complete	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
76700	Us exam abdom complete	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	3	
76700	Us exam abdom complete	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment, supplies"	2	
76700	Us exam abdom complete	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Assist physician - acquire images	23	
76700	Us exam abdom complete	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by physician staff	3	
76700	Us exam abdom complete	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Post processing: Technical QC	2	
76700	Us exam abdom complete	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review documents w/ physician	2	
76700	Us exam abdom complete	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scanning other documents into PACs	1	
76705	Echo exam of abdomen	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Availability of prior images confirmed	2	
76705	Echo exam of abdomen	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	
76705	Echo exam of abdomen	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
76705	Echo exam of abdomen	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Prepare and position patient	2	
76705	Echo exam of abdomen	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment, supplies"	2	
76705	Echo exam of abdomen	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Assist physician - acquire images	15	
76705	Echo exam of abdomen	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by physician staff	3	
76705	Echo exam of abdomen	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Post processing: Technical QC	1	
76705	Echo exam of abdomen	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review charts	2	
76705	Echo exam of abdomen	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scanning other documents into PACs	1	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Availability of prior images confirmed	2	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	2	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment, supplies"	2	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Provide pre-service education/obtain consent	2	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Acquire images	15	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by physician staff	3	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review examination with interpreting MD	2	
76706	"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
76770	Us exam abdo back wall comp	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Availability of prior images confirmed	2	
76770	Us exam abdo back wall comp	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	
76770	Us exam abdo back wall comp	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Greet patient and provide gowning	3	
76770	Us exam abdo back wall comp	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	3	
76770	Us exam abdo back wall comp	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment, supplies"	2	
76770	Us exam abdo back wall comp	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Acquire images	20	
76770	Us exam abdo back wall comp	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by physician staff	3	
76770	Us exam abdo back wall comp	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Post processing: Technical QC	2	
76770	Us exam abdo back wall comp	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review documents w/ physician	2	
76770	Us exam abdo back wall comp	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scanning other documents into PACs	1	
76775	Us exam abdo back wall lim	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Availability of prior images confirmed	2	
76775	Us exam abdo back wall lim	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	
76775	Us exam abdo back wall lim	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Greet patient and provide gowning	3	
76775	Us exam abdo back wall lim	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	2	
76775	Us exam abdo back wall lim	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment, supplies"	2	
76775	Us exam abdo back wall lim	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Acquire images	15	
76775	Us exam abdo back wall lim	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by physician staff	3	
76775	Us exam abdo back wall lim	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Post processing: Technical QC	1	
76775	Us exam abdo back wall lim	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review documents w/ physician	2	
76775	Us exam abdo back wall lim	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scanning other documents into PACs	1	
76776	Ultrasound of transplanted kidney	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	3	
76776	Ultrasound of transplanted kidney	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	50	
76800	Ultrasound of spinal canal	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	5	
76800	Ultrasound of spinal canal	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	31	
76801	Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) single or first fetus	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	3	
76801	Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) single or first fetus	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	35	
76802	Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days)	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	10	
76805	Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	3	
76805	Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	44	
76810	Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days)	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	20	
76811	Abdominal ultrasound of pregnant uterus single or first fetus	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	3	
76811	Abdominal ultrasound of pregnant uterus single or first fetus	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	76	
76812	Abdominal ultrasound of pregnant uterus	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	53	
76813	Ultrasound of pregnant uterus (first trimester) single or first fetus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	
76813	Ultrasound of pregnant uterus (first trimester) single or first fetus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	
76814	"Ultrasound of pregnant uterus (first trimester), abdominal or vaginal approach"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
76815	"Ultrasound of pregnant uterus, 1 or more fetus(es)"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	3	
76815	"Ultrasound of pregnant uterus, 1 or more fetus(es)"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	25	
76816	"Ultrasound re-evaluation of pregnant uterus, per fetus"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	3	
76816	"Ultrasound re-evaluation of pregnant uterus, per fetus"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	35	
76817	Vaginal ultrasound of pregnant uterus	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	3	
76817	Vaginal ultrasound of pregnant uterus	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	29	
76818	Ultrasound and monitoring of heart of fetus	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	5	
76818	Ultrasound and monitoring of heart of fetus	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	30	
76818	Ultrasound and monitoring of heart of fetus	Service  intra	L051A	RN	0.635	Service total costs	25	
76818	Ultrasound and monitoring of heart of fetus	Post-service	L050B	Diagnostic Medical Sonographer	0.635	Post service total costs	7	
76819	Ultrasound of fetus	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	5	
76819	Ultrasound of fetus	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	30	
76819	Ultrasound of fetus	Post-service	L050B	Diagnostic Medical Sonographer	0.635	Post service total costs	7	
76820	Ultrasound of fetal umbilical artery flow rate	Service  intra	L050A	Cardiac Sonographer	0.635	Service total costs	10	
76821	Ultrasound of fetal brain artery	Pre-service	L050A	Cardiac Sonographer	0.635	Preservice total costs	5	
76821	Ultrasound of fetal brain artery	Service  intra	L050A	Cardiac Sonographer	0.635	Service total costs	28	
76825	Ultrasound of fetal heart blood flow	Pre-service	L050A	Cardiac Sonographer	0.635	Preservice total costs	5	
76825	Ultrasound of fetal heart blood flow	Service  intra	L050A	Cardiac Sonographer	0.635	Service total costs	72	
76825	Ultrasound of fetal heart blood flow	Post-service	L050A	Cardiac Sonographer	0.635	Post service total costs	6	
76826	Follow-up or repeat ultrasound of fetal heart blood flow	Pre-service	L050A	Cardiac Sonographer	0.635	Preservice total costs	5	
76826	Follow-up or repeat ultrasound of fetal heart blood flow	Service  intra	L050A	Cardiac Sonographer	0.635	Service total costs	44	
76826	Follow-up or repeat ultrasound of fetal heart blood flow	Post-service	L050A	Cardiac Sonographer	0.635	Post service total costs	6	
76827	Ultrasound of fetal heart	Service  intra	L050A	Cardiac Sonographer	0.635	Service total costs	19	
76828	Follow-up or repeat ultrasound of fetal heart	Service  intra	L050A	Cardiac Sonographer	0.635	Service total costs	10	
76830	Ultrasound pelvis through vagina	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	3	
76830	Ultrasound pelvis through vagina	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	39	
76831	Ultrasound of uterus	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	3	
76831	Ultrasound of uterus	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	36	
76856	Us exam pelvic complete	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Availability of prior images confirmed	2	
76856	Us exam pelvic complete	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	
76856	Us exam pelvic complete	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Greet patient and provide gowning	3	
76856	Us exam pelvic complete	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	3	
76856	Us exam pelvic complete	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment, supplies"	2	
76856	Us exam pelvic complete	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Acquire images	20	
76856	Us exam pelvic complete	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by physician staff	3	
76856	Us exam pelvic complete	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Post processing: Technical QC	2	
76856	Us exam pelvic complete	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review documents w/ physician	2	
76856	Us exam pelvic complete	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scanning other documents into PACs	1	
76857	Us exam pelvic limited	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	
76857	Us exam pelvic limited	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	2	
76857	Us exam pelvic limited	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment, supplies"	2	
76857	Us exam pelvic limited	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Acquire images	12	
76857	Us exam pelvic limited	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by physician staff	3	
76857	Us exam pelvic limited	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Post processing: Technical QC	1	
76857	Us exam pelvic limited	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review documents w/ physician	2	
76857	Us exam pelvic limited	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scanning other documents into PACs	1	
76870	Ultrasound of scrotum	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	"Confirm order, protocol exam"	0	0
76870	Ultrasound of scrotum	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
76870	Ultrasound of scrotum	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	"Prepare room, equipment and supplies"	3	0
76870	Ultrasound of scrotum	Service  pre	L051B	RN/Diagnostic Medical Sonographer	0.64	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
76870	Ultrasound of scrotum	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Perform procedure/service---NOT directly related to physician work time	20	0
76870	Ultrasound of scrotum	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Clean room/equipment by clinical staff	3	0
76870	Ultrasound of scrotum	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Other activity: Clean probe	3	0
76870	Ultrasound of scrotum	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Review examination with interpreting MD/DO	2	0
76870	Ultrasound of scrotum	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76870	Ultrasound of scrotum	Service  post	L051B	RN/Diagnostic Medical Sonographer	0.64	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
76872	Ultrasound of rectum	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	3	
76872	Ultrasound of rectum	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	45	
76873	Ultrasound of prostate	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	3	
76873	Ultrasound of prostate	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	42	
76881	Ultrasound of leg or arm	Pre-service	L026A	Medical/Technical Assistant	0.31	Confirm availability of prior images/studies	0	0
76881	Ultrasound of leg or arm	Pre-service	L026A	Medical/Technical Assistant	0.31	Review patient clinical extant information and questionnaire	0	0
76881	Ultrasound of leg or arm	Service  pre	L026A	Medical/Technical Assistant	0.31	"Confirm order, protocol exam"	1	0
76881	Ultrasound of leg or arm	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment and supplies"	2	0
76881	Ultrasound of leg or arm	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
76881	Ultrasound of leg or arm	Service  pre	L026A	Medical/Technical Assistant	0.31	Provide education/obtain consent	0	0
76881	Ultrasound of leg or arm	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by clinical staff	3	0
76882		Pre-service	L026A	Medical/Technical Assistant	0.31	Confirm availability of prior images/studies	2	0
76882		Pre-service	L026A	Medical/Technical Assistant	0.31	Review patient clinical extant information and questionnaire	1	0
76882		Service  pre	L026A	Medical/Technical Assistant	0.31	"Confirm order, protocol exam"	1	0
76882		Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment and supplies"	2	0
76882		Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
76882		Service  pre	L026A	Medical/Technical Assistant	0.31	Provide education/obtain consent	2	0
76882		Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by clinical staff	3	0
76885	"Ultrasound of hips with manipulation, infant"	Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.64	Preservice total costs	3	
76885	"Ultrasound of hips with manipulation, infant"	Service  intra	L051B	RN/Diagnostic Medical Sonographer	0.64	Service total costs	45	
76886	"Ultrasound of hips, infant"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	5	
76886	"Ultrasound of hips, infant"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	30	
76936	Ultrasound guidance for repair of blood vessel	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Preservice total costs	3	
76936	Ultrasound guidance for repair of blood vessel	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	82	
76937	Ultrasound guidance for accessing into blood vessel	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	15	
76942	"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation"	Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	0
76942	"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
76942	"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
76942	"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
76942	"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
76942	"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD/DO	2	0
76942	"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76942	"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation"	Service  post	L037D	RN/LPN/MTA	0.455	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
76946	Ultrasonic guidance imaging supervision and interpretation for amniocentesis	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Service total costs	15	
76948	"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment, supplies"	2	
76948	"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Acquire images	25	
76948	"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by physician staff	3	
76965	Ultrasonic guidance for interstitial radioelement application	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	
76977	Ultrasound of bone density measurement	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	7	
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Confirm availability of prior images/studies	2	0
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Review patient clinical extant information and questionnaire	1	0
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Confirm order, protocol exam"	1	0
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment and supplies"	2	0
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Perform procedure/service---NOT directly related to physician work time	30	0
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by clinical staff	3	0
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review examination with interpreting MD/DO	2	0
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76978	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
76979	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Perform procedure/service---NOT directly related to physician work time	15	0
76979	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review examination with interpreting MD/DO	1	0
76979	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76979	"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	1	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Confirm availability of prior images/studies	2	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Review patient clinical extant information and questionnaire	1	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Confirm order, protocol exam"	1	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment and supplies"	2	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Perform procedure/service---NOT directly related to physician work time	20	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by clinical staff	3	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review examination with interpreting MD/DO	2	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76981	"Ultrasound, elastography; parenchyma (eg, organ)"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
76982	"Ultrasound, elastography; first target lesion"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Confirm availability of prior images/studies	2	0
76982	"Ultrasound, elastography; first target lesion"	Pre-service	L050B	Diagnostic Medical Sonographer	0.635	Review patient clinical extant information and questionnaire	1	0
76982	"Ultrasound, elastography; first target lesion"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Confirm order, protocol exam"	1	0
76982	"Ultrasound, elastography; first target lesion"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
76982	"Ultrasound, elastography; first target lesion"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare room, equipment and supplies"	2	0
76982	"Ultrasound, elastography; first target lesion"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
76982	"Ultrasound, elastography; first target lesion"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Perform procedure/service---NOT directly related to physician work time	15	0
76982	"Ultrasound, elastography; first target lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Clean room/equipment by clinical staff	3	0
76982	"Ultrasound, elastography; first target lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review examination with interpreting MD/DO	2	0
76982	"Ultrasound, elastography; first target lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76982	"Ultrasound, elastography; first target lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
76983	"Ultrasound, elastography; each additional target lesion"	Service  pre	L050B	Diagnostic Medical Sonographer	0.635	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	1	0
76983	"Ultrasound, elastography; each additional target lesion"	Service  intra	L050B	Diagnostic Medical Sonographer	0.635	Perform procedure/service---NOT directly related to physician work time	12	0
76983	"Ultrasound, elastography; each additional target lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Review examination with interpreting MD/DO	1	0
76983	"Ultrasound, elastography; each additional target lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
76983	"Ultrasound, elastography; each additional target lesion"	Service  post	L050B	Diagnostic Medical Sonographer	0.635	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	1	0
76XX0		Pre-service	L026A	Medical/Technical Assistant	0.31	Confirm availability of prior images/studies	2	0
76XX0		Pre-service	L026A	Medical/Technical Assistant	0.31	Review patient clinical extant information and questionnaire	1	0
76XX0		Service  pre	L026A	Medical/Technical Assistant	0.31	"Confirm order, protocol exam"	1	0
76XX0		Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
76XX0		Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	2	0
76XX0		Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment and supplies"	2	0
76XX0		Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
76XX0		Service  pre	L026A	Medical/Technical Assistant	0.31	Provide education/obtain consent	2	0
76XX0		Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by clinical staff	3	0
77001	"Fluoroscopic guidance for insertion, replacement or removal of central venous access device"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
77001	"Fluoroscopic guidance for insertion, replacement or removal of central venous access device"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
77001	"Fluoroscopic guidance for insertion, replacement or removal of central venous access device"	Service  pre	L041B	Radiologic Technologist	0.52	Prepare and position pt/ monitor pt/ set up IV	2	
77001	"Fluoroscopic guidance for insertion, replacement or removal of central venous access device"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	0	
77001	"Fluoroscopic guidance for insertion, replacement or removal of central venous access device"	Service  intra	L041B	Radiologic Technologist	0.52	Acquire images	15	
77001	"Fluoroscopic guidance for insertion, replacement or removal of central venous access device"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
77001	"Fluoroscopic guidance for insertion, replacement or removal of central venous access device"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
77001	"Fluoroscopic guidance for insertion, replacement or removal of central venous access device"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
77001	"Fluoroscopic guidance for insertion, replacement or removal of central venous access device"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
77002	Fluoroscopic guidance for insertion of needle	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
77002	Fluoroscopic guidance for insertion of needle	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	2	0
77002	Fluoroscopic guidance for insertion of needle	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
77002	Fluoroscopic guidance for insertion of needle	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
77002	Fluoroscopic guidance for insertion of needle	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
77002	Fluoroscopic guidance for insertion of needle	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
77002	Fluoroscopic guidance for insertion of needle	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77002	Fluoroscopic guidance for insertion of needle	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
77003	Fluoroscopic guidance for spine or spinal canal injection	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	0
77003	Fluoroscopic guidance for spine or spinal canal injection	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	2	0
77003	Fluoroscopic guidance for spine or spinal canal injection	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
77003	Fluoroscopic guidance for spine or spinal canal injection	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
77003	Fluoroscopic guidance for spine or spinal canal injection	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
77003	Fluoroscopic guidance for spine or spinal canal injection	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
77003	Fluoroscopic guidance for spine or spinal canal injection	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77003	Fluoroscopic guidance for spine or spinal canal injection	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
77011	CT scan guidance for stereotactic localization	Service  intra	L046A	CT Technologist	0.61	Service total costs	26	
77012	Radiological supervision and interpretation of CT guidance for needle insertion	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	3	0
77012	Radiological supervision and interpretation of CT guidance for needle insertion	Service  pre	L041B	Radiologic Technologist	0.52	"Confirm order, protocol exam"	0	0
77012	Radiological supervision and interpretation of CT guidance for needle insertion	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	3	0
77012	Radiological supervision and interpretation of CT guidance for needle insertion	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
77012	Radiological supervision and interpretation of CT guidance for needle insertion	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
77012	Radiological supervision and interpretation of CT guidance for needle insertion	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	18	0
77012	Radiological supervision and interpretation of CT guidance for needle insertion	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
77012	Radiological supervision and interpretation of CT guidance for needle insertion	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
77012	Radiological supervision and interpretation of CT guidance for needle insertion	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77012	Radiological supervision and interpretation of CT guidance for needle insertion	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
77014	CT scan guidance for insertion of radiation therapy fields	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	18	
77021	"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	Pre-service	L047A	MRI Technologist	0.615	Confirm availability of prior images/studies	2	0
77021	"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	Service  pre	L047A	MRI Technologist	0.615	"Confirm order, protocol exam"	0	0
77021	"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment and supplies"	3	0
77021	"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	Service  pre	L047A	MRI Technologist	0.615	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
77021	"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	Service  intra	L047A	MRI Technologist	0.615	Perform procedure/service---NOT directly related to physician work time	50	0
77021	"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by clinical staff	3	0
77021	"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD/DO	2	0
77021	"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	Service  post	L047A	MRI Technologist	0.615	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77021	"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	Service  post	L047A	MRI Technologist	0.615	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Pre-service	L043A	Mammography Technologist	0.53	Confirm availability of prior images/studies	2	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Pre-service	L043A	Mammography Technologist	0.53	Review patient clinical extant information and questionnaire	1	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Service  pre	L047A	MRI Technologist	0.615	"Confirm order, protocol exam"	1	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment and supplies"	5	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Service  pre	L047A	MRI Technologist	0.615	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Service  pre	L047A	MRI Technologist	0.615	Provide education/obtain consent	5	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Service  intra	L047A	MRI Technologist	0.615	Perform procedure/service---NOT directly related to physician work time	25	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by clinical staff	3	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD/DO	2	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Service  post	L047A	MRI Technologist	0.615	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77046	"Magnetic resonance imaging, breast, without contrast material; unilateral"	Service  post	L047A	MRI Technologist	0.615	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Pre-service	L043A	Mammography Technologist	0.53	Confirm availability of prior images/studies	2	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Pre-service	L043A	Mammography Technologist	0.53	Review patient clinical extant information and questionnaire	1	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Service  pre	L047A	MRI Technologist	0.615	"Confirm order, protocol exam"	1	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment and supplies"	5	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Service  pre	L047A	MRI Technologist	0.615	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Service  pre	L047A	MRI Technologist	0.615	Provide education/obtain consent	5	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Service  intra	L047A	MRI Technologist	0.615	Perform procedure/service---NOT directly related to physician work time	25	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by clinical staff	3	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD/DO	2	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Service  post	L047A	MRI Technologist	0.615	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77047	"Magnetic resonance imaging, breast, without contrast material; bilateral"	Service  post	L047A	MRI Technologist	0.615	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Pre-service	L043A	Mammography Technologist	0.53	Confirm availability of prior images/studies	2	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Pre-service	L043A	Mammography Technologist	0.53	Review patient clinical extant information and questionnaire	1	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  pre	L047A	MRI Technologist	0.615	"Confirm order, protocol exam"	1	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	3	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment and supplies"	7	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  pre	L047A	MRI Technologist	0.615	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  pre	L047A	MRI Technologist	0.615	Provide education/obtain consent	7	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  intra	L047A	MRI Technologist	0.615	Perform procedure/service---NOT directly related to physician work time	40	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by clinical staff	3	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD/DO	2	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  post	L047A	MRI Technologist	0.615	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77048	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	Service  post	L047A	MRI Technologist	0.615	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Pre-service	L043A	Mammography Technologist	0.53	Confirm availability of prior images/studies	2	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Pre-service	L043A	Mammography Technologist	0.53	Review patient clinical extant information and questionnaire	1	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  pre	L047A	MRI Technologist	0.615	"Confirm order, protocol exam"	1	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  pre	L047A	MRI Technologist	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  pre	L047A	MRI Technologist	0.615	Obtain vital signs	3	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  pre	L047A	MRI Technologist	0.615	"Prepare room, equipment and supplies"	7	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  pre	L047A	MRI Technologist	0.615	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  pre	L047A	MRI Technologist	0.615	Provide education/obtain consent	7	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  intra	L047A	MRI Technologist	0.615	Perform procedure/service---NOT directly related to physician work time	40	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  post	L047A	MRI Technologist	0.615	Clean room/equipment by clinical staff	3	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  post	L047A	MRI Technologist	0.615	Review examination with interpreting MD/DO	2	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  post	L047A	MRI Technologist	0.615	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77049	"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	Service  post	L047A	MRI Technologist	0.615	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
77053	Radiological supervision and interpretation of imaging of breast duct	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	2	
77053	Radiological supervision and interpretation of imaging of breast duct	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	30	
77054	Radiological supervision and interpretation of imaging of breast ducts	Pre-service	L041B	Radiologic Technologist	0.52	Preservice total costs	2	
77054	Radiological supervision and interpretation of imaging of breast ducts	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	40	
77063	"Screening digital breast tomosynthesis, bilateral"	Service  pre	L043A	Mammography Technologist	0.53	Prepare and position pt/ monitor pt/ set up IV	2	
77063	"Screening digital breast tomosynthesis, bilateral"	Service  pre	L043A	Mammography Technologist	0.53	SVC Provide pre-service education/obtain consent	2	
77063	"Screening digital breast tomosynthesis, bilateral"	Service  intra	L043A	Mammography Technologist	0.53	Acquire images	6	
77063	"Screening digital breast tomosynthesis, bilateral"	Service  post	L043A	Mammography Technologist	0.53	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
77063	"Screening digital breast tomosynthesis, bilateral"	Post-service	L043A	Mammography Technologist	0.53	Federally Mandated MQSA Activities Allocated To Each Mammogram	0	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Pre-service	L043A	Mammography Technologist	0.53	Availability of prior images confirmed	3	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Pre-service	L043A	Mammography Technologist	0.53	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Service  pre	L043A	Mammography Technologist	0.53	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Service  pre	L043A	Mammography Technologist	0.53	Prepare and position pt/ monitor pt/ set up IV	1	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Service  pre	L043A	Mammography Technologist	0.53	"Prepare room, equipment, supplies"	2	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Service  pre	L043A	Mammography Technologist	0.53	Provide pre-service education/obtain consent	2	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Service  intra	L043A	Mammography Technologist	0.53	Acquire images	10	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Service  post	L043A	Mammography Technologist	0.53	Accompany MD for discussion of results	2	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Service  post	L043A	Mammography Technologist	0.53	Clean room/equipment by physician staff	3	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Service  post	L043A	Mammography Technologist	0.53	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Service  post	L043A	Mammography Technologist	0.53	Review examination with interpreting MD	2	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Service  post	L043A	Mammography Technologist	0.53	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
77065	"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	Post-service	L043A	Mammography Technologist	0.53	Federally Mandated MQSA Activities Allocated To Each Mammogram	4	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Pre-service	L043A	Mammography Technologist	0.53	Availability of prior images confirmed	3	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Pre-service	L043A	Mammography Technologist	0.53	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Service  pre	L043A	Mammography Technologist	0.53	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Service  pre	L043A	Mammography Technologist	0.53	Prepare and position pt/ monitor pt/ set up IV	2	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Service  pre	L043A	Mammography Technologist	0.53	"Prepare room, equipment, supplies"	2	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Service  pre	L043A	Mammography Technologist	0.53	Provide pre-service education/obtain consent	2	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Service  intra	L043A	Mammography Technologist	0.53	Acquire images	13	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Service  post	L043A	Mammography Technologist	0.53	Accompany MD for discussion of results	2	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Service  post	L043A	Mammography Technologist	0.53	Clean room/equipment by physician staff	3	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Service  post	L043A	Mammography Technologist	0.53	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Service  post	L043A	Mammography Technologist	0.53	Review examination with interpreting MD	2	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Service  post	L043A	Mammography Technologist	0.53	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
77066	"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	Post-service	L043A	Mammography Technologist	0.53	Federally Mandated MQSA Activities Allocated To Each Mammogram	4	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Pre-service	L043A	Mammography Technologist	0.53	Availability of prior images confirmed	3	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Pre-service	L043A	Mammography Technologist	0.53	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Service  pre	L043A	Mammography Technologist	0.53	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Service  pre	L043A	Mammography Technologist	0.53	Prepare and position pt/ monitor pt/ set up IV	2	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Service  pre	L043A	Mammography Technologist	0.53	"Prepare room, equipment, supplies"	2	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Service  pre	L043A	Mammography Technologist	0.53	Provide pre-service education/obtain consent	2	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Service  intra	L043A	Mammography Technologist	0.53	Acquire images	6	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Service  post	L043A	Mammography Technologist	0.53	Clean room/equipment by physician staff	3	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Service  post	L043A	Mammography Technologist	0.53	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Service  post	L043A	Mammography Technologist	0.53	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	3	
77067	"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	Post-service	L043A	Mammography Technologist	0.53	Federally Mandated MQSA Activities Allocated To Each Mammogram	4	
77071	Imaging of joint with stressing by physician	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	15	0
77072	Imaging for bone age assessment	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	11	
77073	Imaging for bone length assessment	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
77073	Imaging for bone length assessment	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
77073	Imaging for bone length assessment	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
77073	Imaging for bone length assessment	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	8	0
77073	Imaging for bone length assessment	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
77073	Imaging for bone length assessment	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
77073	Imaging for bone length assessment	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77073	Imaging for bone length assessment	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
77074	X-ray of bones	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
77074	X-ray of bones	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
77074	X-ray of bones	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
77074	X-ray of bones	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	20	0
77074	X-ray of bones	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
77074	X-ray of bones	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
77074	X-ray of bones	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77074	X-ray of bones	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
77075	X-ray survey of forearm or wrist bone density	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
77075	X-ray survey of forearm or wrist bone density	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
77075	X-ray survey of forearm or wrist bone density	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
77075	X-ray survey of forearm or wrist bone density	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	40	0
77075	X-ray survey of forearm or wrist bone density	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
77075	X-ray survey of forearm or wrist bone density	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
77075	X-ray survey of forearm or wrist bone density	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77075	X-ray survey of forearm or wrist bone density	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
77076	"X-ray survey of bones, infant"	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
77076	"X-ray survey of bones, infant"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
77076	"X-ray survey of bones, infant"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
77076	"X-ray survey of bones, infant"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	40	0
77076	"X-ray survey of bones, infant"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
77076	"X-ray survey of bones, infant"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
77076	"X-ray survey of bones, infant"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77076	"X-ray survey of bones, infant"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
77077	"Imaging of 2 or more joints, single view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	0
77077	"Imaging of 2 or more joints, single view"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
77077	"Imaging of 2 or more joints, single view"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	8	0
77077	"Imaging of 2 or more joints, single view"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	0
77077	"Imaging of 2 or more joints, single view"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
77077	"Imaging of 2 or more joints, single view"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77077	"Imaging of 2 or more joints, single view"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
77078	CT scan bone mineral density study 1 or more sites	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	29	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Service  pre	L041B	Radiologic Technologist	0.52	Obtain vital signs	5	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Service  pre	L041B	Radiologic Technologist	0.52	SVC Provide pre-service education/obtain consent	2	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	15	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
77080	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
77081	Bone density measurement using dedicated X-ray machine	Pre-service	L041B	Radiologic Technologist	0.52	Confirm availability of prior images/studies	2	
77081	Bone density measurement using dedicated X-ray machine	Pre-service	L041B	Radiologic Technologist	0.52	Review patient clinical extant information and questionnaire	1	
77081	Bone density measurement using dedicated X-ray machine	Service  pre	L041B	Radiologic Technologist	0.52	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
77081	Bone density measurement using dedicated X-ray machine	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment and supplies"	2	
77081	Bone density measurement using dedicated X-ray machine	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	
77081	Bone density measurement using dedicated X-ray machine	Service  pre	L041B	Radiologic Technologist	0.52	Provide education/obtain consent	2	
77081	Bone density measurement using dedicated X-ray machine	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	10	
77081	Bone density measurement using dedicated X-ray machine	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by clinical staff	3	
77081	Bone density measurement using dedicated X-ray machine	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	
77081	Bone density measurement using dedicated X-ray machine	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	
77081	Bone density measurement using dedicated X-ray machine	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	
77084	MRI scan of bone marrow	Pre-service	L047A	MRI Technologist	0.615	Preservice total costs	8	
77084	MRI scan of bone marrow	Service  intra	L047A	MRI Technologist	0.615	Service total costs	68	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Service  pre	L041B	Radiologic Technologist	0.52	Obtain vital signs	5	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Service  pre	L041B	Radiologic Technologist	0.52	SVC Provide pre-service education/obtain consent	2	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	25	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
77085	"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Pre-service	L041B	Radiologic Technologist	0.52	Availability of prior images confirmed	2	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Pre-service	L041B	Radiologic Technologist	0.52	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Service  pre	L041B	Radiologic Technologist	0.52	Greet patient and provide gowning	3	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Service  pre	L041B	Radiologic Technologist	0.52	Obtain vital signs	5	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Service  pre	L041B	Radiologic Technologist	0.52	"Prepare room, equipment, supplies"	2	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Service  pre	L041B	Radiologic Technologist	0.52	SVC Provide pre-service education/obtain consent	2	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Service  intra	L041B	Radiologic Technologist	0.52	Assist physician in performing procedure	10	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Service  post	L041B	Radiologic Technologist	0.52	Clean room/equipment by physician staff	3	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Service  post	L041B	Radiologic Technologist	0.52	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD	2	
77086	Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
77089	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation and report on fracture-risk"	Pre-service	L041B	Radiologic Technologist	0.52	Provide pre-service education/obtain consent	2	0
77089	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation and report on fracture-risk"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	2	0
77089	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation and report on fracture-risk"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
77089	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation and report on fracture-risk"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77089	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation and report on fracture-risk"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
77090	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere"	Pre-service	L041B	Radiologic Technologist	0.52	Complete pre-service diagnostic and referral forms	2	0
77090	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere"	Pre-service	L041B	Radiologic Technologist	0.52	Provide pre-service education/obtain consent	2	0
77091	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only"	Service  intra	L041B	Radiologic Technologist	0.52	Perform procedure/service---NOT directly related to physician work time	2	0
77091	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only"	Service  post	L041B	Radiologic Technologist	0.52	Review examination with interpreting MD/DO	2	0
77091	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only"	Service  post	L041B	Radiologic Technologist	0.52	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
77091	"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only"	Service  post	L041B	Radiologic Technologist	0.52	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
77280	"Management of radiation therapy simulation, simple"	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	34	
77285	"Management of radiation therapy, simulation, intermediate"	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	52	
77290	"Management of radiation therapy, simulation, complex"	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	61	
77293	Respiratory motion management simulation	Service  intra	L152A	Medical Physicist	1.832	Service total costs	23	
77293	Respiratory motion management simulation	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	17	
77295	"Management of radiation therapy, 3D"	Service  intra	L063A	Medical Dosimetrist	0.77	Service total costs	165	
77300	Basic radiation dosimetry calculation	Service  pre	L107A	Medical Dosimetrist/Medical Physicist	1.298	Perform Procedure - Dose Calculations	14	
77301	Management of modulation radiotherapy planning	Pre-service	L152A	Medical Physicist	1.832	Preservice total costs	10	
77301	Management of modulation radiotherapy planning	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	
77301	Management of modulation radiotherapy planning	Service  intra	L107A	Medical Dosimetrist/Medical Physicist	1.298	Service total costs	65	
77301	Management of modulation radiotherapy planning	Service  intra	L152A	Medical Physicist	1.832	Service total costs	255	
77301	Management of modulation radiotherapy planning	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	48	
77301	Management of modulation radiotherapy planning	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	6	
77301	Management of modulation radiotherapy planning	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	2	
77306	Teletherapy isodose plan; simple	Service  pre	L107A	Medical Dosimetrist/Medical Physicist	1.298	Perform Procedure - Dose Calculations	23	
77306	Teletherapy isodose plan; simple	Service  pre	L063A	Medical Dosimetrist	0.77	Perform Procedure - Isodose Planning	14	
77307	Teletherapy isodose plan; complex	Service  pre	L107A	Medical Dosimetrist/Medical Physicist	1.298	Perform Procedure - Dose Calculations	42	
77307	Teletherapy isodose plan; complex	Service  pre	L063A	Medical Dosimetrist	0.77	Perform Procedure - Isodose Planning	26	
77316	Brachytherapy isodose plan; simple	Service  pre	L107A	Medical Dosimetrist/Medical Physicist	1.298	Perform Procedure - Dose Calculations	11	
77316	Brachytherapy isodose plan; simple	Service  pre	L063A	Medical Dosimetrist	0.77	Perform Procedure - Isodose Planning	72	
77316	Brachytherapy isodose plan; simple	Service  pre	L152A	Medical Physicist	1.832	Perform Procedure - Isodose Planning	8	
77317	Brachytherapy isodose plan; intermediate	Service  pre	L107A	Medical Dosimetrist/Medical Physicist	1.298	Perform Procedure - Dose Calculations	11	
77317	Brachytherapy isodose plan; intermediate	Service  pre	L063A	Medical Dosimetrist	0.77	Perform Procedure - Isodose Planning	104	
77317	Brachytherapy isodose plan; intermediate	Service  pre	L152A	Medical Physicist	1.832	Perform Procedure - Isodose Planning	8	
77318	Brachytherapy isodose plan; complex	Service  pre	L107A	Medical Dosimetrist/Medical Physicist	1.298	Perform Procedure - Dose Calculations	23	
77318	Brachytherapy isodose plan; complex	Service  pre	L063A	Medical Dosimetrist	0.77	Perform Procedure - Isodose Planning	134	
77318	Brachytherapy isodose plan; complex	Service  pre	L152A	Medical Physicist	1.832	Perform Procedure - Isodose Planning	8	
77321	Radiation therapy total body port plan	Service  intra	L063A	Medical Dosimetrist	0.77	Service total costs	14	
77321	Radiation therapy total body port plan	Service  intra	L152A	Medical Physicist	1.832	Service total costs	6	
77331	Special radiation therapy planning	Service  intra	L063A	Medical Dosimetrist	0.77	Service total costs	5	
77331	Special radiation therapy planning	Service  intra	L152A	Medical Physicist	1.832	Service total costs	2	
77331	Special radiation therapy planning	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	2	
77332	"Radiation treatment devices, design and construction, simple"	Service  intra	L050C	Radiation Therapist	0.695	Assist physician in performing procedure	11	
77332	"Radiation treatment devices, design and construction, simple"	Service  intra	L050C	Radiation Therapist	0.695	Perform procedure	7	
77333	"Radiation treatment devices, design and construction, intermediate"	Service  intra	L050C	Radiation Therapist	0.695	Assist physician in performing procedure	15	
77333	"Radiation treatment devices, design and construction, intermediate"	Service  intra	L050C	Radiation Therapist	0.695	Perform procedure	7	
77334	"Radiation treatment devices, design and construction, complex"	Service  intra	L050C	Radiation Therapist	0.695	Assist physician in performing procedure	23	
77334	"Radiation treatment devices, design and construction, complex"	Service  intra	L050C	Radiation Therapist	0.695	Perform procedure	7	
77336	Radiation therapy consultation per week	Pre-service	L152A	Medical Physicist	1.832	Preservice total costs	6	
77336	Radiation therapy consultation per week	Service  intra	L152A	Medical Physicist	1.832	Service total costs	30	
77338	Design and construction of device for radiation therapy	Service  intra	L063A	Medical Dosimetrist	0.77	Service total costs	18	
77338	Design and construction of device for radiation therapy	Service  intra	L107A	Medical Dosimetrist/Medical Physicist	1.298	Service total costs	90	
77338	Design and construction of device for radiation therapy	Service  intra	L152A	Medical Physicist	1.832	Service total costs	10	
77370	Radiation therapy consultation	Service  intra	L152A	Medical Physicist	1.832	Service total costs	65	
77372	"Radiation therapy delivery, stereotactic radiosurgery (SRS) for cranial growths, per session"	Pre-service	L152A	Medical Physicist	1.832	Preservice total costs	20	
77372	"Radiation therapy delivery, stereotactic radiosurgery (SRS) for cranial growths, per session"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
77372	"Radiation therapy delivery, stereotactic radiosurgery (SRS) for cranial growths, per session"	Service  intra	L152A	Medical Physicist	1.832	Service total costs	40	
77372	"Radiation therapy delivery, stereotactic radiosurgery (SRS) for cranial growths, per session"	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	51	
77372	"Radiation therapy delivery, stereotactic radiosurgery (SRS) for cranial growths, per session"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	
77372	"Radiation therapy delivery, stereotactic radiosurgery (SRS) for cranial growths, per session"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
77373	Stereotactic body radiation therapy 1 or more lesions using imaging guidance	Service  intra	L152A	Medical Physicist	1.832	Service total costs	78	
77373	Stereotactic body radiation therapy 1 or more lesions using imaging guidance	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	82	
77373	Stereotactic body radiation therapy 1 or more lesions using imaging guidance	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	24	
77401	"Radiation treatment delivery, superficial"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	5	0
77401	"Radiation treatment delivery, superficial"	Service  pre	L037D	RN/LPN/MTA	0.455	"Confirm order, protocol exam"	1	0
77401	"Radiation treatment delivery, superficial"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
77401	"Radiation treatment delivery, superficial"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
77401	"Radiation treatment delivery, superficial"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
77401	"Radiation treatment delivery, superficial"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
77401	"Radiation treatment delivery, superficial"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	2	0
77401	"Radiation treatment delivery, superficial"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
77401	"Radiation treatment delivery, superficial"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
77401	"Radiation treatment delivery, superficial"	Service  post	L037D	RN/LPN/MTA	0.455	"Document procedure (nonPACS) (e.g. mandated reporting, registry logs, EEG file, etc.)"	2	0
77401	"Radiation treatment delivery, superficial"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
77417	Therapeutic radiology port image(s)	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	16	
77423	"Radiation treatment delivery, high energy"	Pre-service	L152A	Medical Physicist	1.832	Preservice total costs	5	
77423	"Radiation treatment delivery, high energy"	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	68	
77423	"Radiation treatment delivery, high energy"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	5	
77427	"Radiation treatment management, 5 treatments"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	20.9	0
77431	"Radiation treatment management, 1 or 2 treatments"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	16	0
77435	"Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	12
77435	"Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
77469	Intraoperative radiation treatment management	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		25
77469	Intraoperative radiation treatment management	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
77470	Special radiation treatment procedure	Service  intra	L050C	Radiation Therapist	0.695	Perform procedure	43	
77600	External hyperthermia treatment depth 4 cm or less	Service  intra	L152A	Medical Physicist	1.832	Service total costs	18	
77600	External hyperthermia treatment depth 4 cm or less	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	77	
77600	External hyperthermia treatment depth 4 cm or less	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	
77600	External hyperthermia treatment depth 4 cm or less	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
77605	External hyperthermia treatment depth greater than 4 cm	Service  intra	L152A	Medical Physicist	1.832	Service total costs	18	
77605	External hyperthermia treatment depth greater than 4 cm	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	77	
77605	External hyperthermia treatment depth greater than 4 cm	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	
77605	External hyperthermia treatment depth greater than 4 cm	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
77610	"Hyperthermia treatment, 5 or fewer probe applications"	Service  intra	L152A	Medical Physicist	1.832	Service total costs	18	
77610	"Hyperthermia treatment, 5 or fewer probe applications"	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	77	
77610	"Hyperthermia treatment, 5 or fewer probe applications"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	
77610	"Hyperthermia treatment, 5 or fewer probe applications"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
77615	"Hyperthermia treatment, 5 or more probe applications"	Service  intra	L152A	Medical Physicist	1.832	Service total costs	83	
77615	"Hyperthermia treatment, 5 or more probe applications"	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	87	
77615	"Hyperthermia treatment, 5 or more probe applications"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	60	
77615	"Hyperthermia treatment, 5 or more probe applications"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
77620	Hyperthermia treatment by organ cavity probes	Service  intra	L152A	Medical Physicist	1.832	Service total costs	18	
77620	Hyperthermia treatment by organ cavity probes	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	79	
77620	Hyperthermia treatment by organ cavity probes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	
77620	Hyperthermia treatment by organ cavity probes	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
77750	"Infusion or instillation of radioelement solution, includes 3-month follow-up care"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	2	
77750	"Infusion or instillation of radioelement solution, includes 3-month follow-up care"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	72	
77750	"Infusion or instillation of radioelement solution, includes 3-month follow-up care"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	58	
77761	"Application of organ cavity radiation source, simple"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	
77761	"Application of organ cavity radiation source, simple"	Service  intra	L152A	Medical Physicist	1.832	Service total costs	45	
77761	"Application of organ cavity radiation source, simple"	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	8	
77761	"Application of organ cavity radiation source, simple"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	
77761	"Application of organ cavity radiation source, simple"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	
77762	"Application of organ cavity radiation source, intermediate"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	
77762	"Application of organ cavity radiation source, intermediate"	Service  intra	L152A	Medical Physicist	1.832	Service total costs	60	
77762	"Application of organ cavity radiation source, intermediate"	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	8	
77762	"Application of organ cavity radiation source, intermediate"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	
77762	"Application of organ cavity radiation source, intermediate"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	27	
77763	"Application of organ cavity radiation source, complex"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	35	
77763	"Application of organ cavity radiation source, complex"	Service  intra	L152A	Medical Physicist	1.832	Service total costs	80	
77763	"Application of organ cavity radiation source, complex"	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	8	
77763	"Application of organ cavity radiation source, complex"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	
77763	"Application of organ cavity radiation source, complex"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	54	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	1	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	1	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.298	Prepare afterloader unit for treatment	3	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	1	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  pre	L050C	Radiation Therapist	0.695	Set Up REMOTE RADIATION MONITORING	2	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L152A	Medical Physicist	1.832	Assist physician: treatment	7	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L050C	Radiation Therapist	0.695	Assist physician: treatment	7	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L152A	Medical Physicist	1.832	Complete treatment documentation	2	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L050C	Radiation Therapist	0.695	Complete treatment documentation	1	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L050C	Radiation Therapist	0.695	Detach equipment from patient/implant removal	1	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L037D	RN/LPN/MTA	0.455	Detach equipment from patient/implant removal	1	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L107A	Medical Dosimetrist/Medical Physicist	1.298	Dose calculation	14	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L152A	Medical Physicist	1.832	"Patient, unit, and room surveys"	5	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L152A	Medical Physicist	1.832	"Prepare patient for treatment (attach cables, additional positioning, verification, etc)"	2	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L152A	Medical Physicist	1.832	"Prepare system for treatment (enter treatment plans, source coordinates, etc)"	5	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  intra	L050C	Radiation Therapist	0.695	"Prepare system for treatment (enter treatment plans, source coordinates, etc)"	2	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  post	L050C	Radiation Therapist	0.695	Clean room/equipment by physician staff	2	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  post	L050C	Radiation Therapist	0.695	Clean scope	2	
77767	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	2	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	1	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	1	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.298	Prepare afterloader unit for treatment	3	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	1	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  pre	L050C	Radiation Therapist	0.695	Set Up REMOTE RADIATION MONITORING	2	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L152A	Medical Physicist	1.832	Assist physician: treatment	15	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L050C	Radiation Therapist	0.695	Assist physician: treatment	15	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L152A	Medical Physicist	1.832	Complete treatment documentation	2	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L050C	Radiation Therapist	0.695	Complete treatment documentation	1	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L050C	Radiation Therapist	0.695	Detach equipment from patient/implant removal	1	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L037D	RN/LPN/MTA	0.455	Detach equipment from patient/implant removal	1	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L107A	Medical Dosimetrist/Medical Physicist	1.298	Dose calculation	14	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L152A	Medical Physicist	1.832	"Patient, unit, and room surveys"	5	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L152A	Medical Physicist	1.832	"Prepare patient for treatment (attach cables, additional positioning, verification, etc)"	5	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L050C	Radiation Therapist	0.695	"Prepare patient for treatment (attach cables, additional positioning, verification, etc)"	2	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L152A	Medical Physicist	1.832	"Prepare system for treatment (enter treatment plans, source coordinates, etc)"	14	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  intra	L050C	Radiation Therapist	0.695	"Prepare system for treatment (enter treatment plans, source coordinates, etc)"	7	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  post	L050C	Radiation Therapist	0.695	Clean room/equipment by physician staff	2	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  post	L050C	Radiation Therapist	0.695	Clean scope	3	
77768	"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.298	Prepare afterloader unit for treatment	3	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  pre	L050C	Radiation Therapist	0.695	Set Up REMOTE RADIATION MONITORING	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L152A	Medical Physicist	1.832	Assist physician: treatment	10	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L050C	Radiation Therapist	0.695	Assist physician: treatment	10	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L152A	Medical Physicist	1.832	Complete treatment documentation	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L050C	Radiation Therapist	0.695	Complete treatment documentation	1	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L050C	Radiation Therapist	0.695	Detach equipment from patient/implant removal	1	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L051A	RN	0.635	Detach equipment from patient/implant removal	1	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L107A	Medical Dosimetrist/Medical Physicist	1.298	Dose calculation	14	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L152A	Medical Physicist	1.832	"Patient, unit, and room surveys"	5	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L152A	Medical Physicist	1.832	"Prepare patient for treatment (attach cables, additional positioning, verification, etc)"	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L152A	Medical Physicist	1.832	"Prepare system for treatment (enter treatment plans, source coordinates, etc)"	9	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  intra	L050C	Radiation Therapist	0.695	"Prepare system for treatment (enter treatment plans, source coordinates, etc)"	4	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  post	L050C	Radiation Therapist	0.695	Clean room/equipment by physician staff	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  post	L050C	Radiation Therapist	0.695	Clean scope	2	
77770	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel"	Service  post	L051A	RN	0.635	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	2	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.298	Prepare afterloader unit for treatment	3	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  pre	L050C	Radiation Therapist	0.695	Set Up REMOTE RADIATION MONITORING	5	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  pre	L050C	Radiation Therapist	0.695	Setup scope (non facility setting only)	5	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L152A	Medical Physicist	1.832	Assist physician: treatment	20	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L050C	Radiation Therapist	0.695	Assist physician: treatment	20	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L051A	RN	0.635	Assist physician: treatment	5	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L152A	Medical Physicist	1.832	Complete treatment documentation	4	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L050C	Radiation Therapist	0.695	Complete treatment documentation	3	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L050C	Radiation Therapist	0.695	Detach equipment from patient/implant removal	3	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L051A	RN	0.635	Detach equipment from patient/implant removal	5	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L107A	Medical Dosimetrist/Medical Physicist	1.298	Dose calculation	14	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L152A	Medical Physicist	1.832	"Patient, unit, and room surveys"	6	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L152A	Medical Physicist	1.832	"Prepare patient for treatment (attach cables, additional positioning, verification, etc)"	7	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L050C	Radiation Therapist	0.695	"Prepare patient for treatment (attach cables, additional positioning, verification, etc)"	4	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L152A	Medical Physicist	1.832	"Prepare system for treatment (enter treatment plans, source coordinates, etc)"	17	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  intra	L050C	Radiation Therapist	0.695	"Prepare system for treatment (enter treatment plans, source coordinates, etc)"	10	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  post	L050C	Radiation Therapist	0.695	Clean room/equipment by physician staff	3	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  post	L050C	Radiation Therapist	0.695	Clean scope	5	
77771	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels"	Service  post	L051A	RN	0.635	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.298	Prepare afterloader unit for treatment	3	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  pre	L050C	Radiation Therapist	0.695	Set Up REMOTE RADIATION MONITORING	5	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L152A	Medical Physicist	1.832	Assist physician: treatment	40	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L050C	Radiation Therapist	0.695	Assist physician: treatment	40	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L051A	RN	0.635	Assist physician: treatment	40	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L152A	Medical Physicist	1.832	Complete treatment documentation	6	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L050C	Radiation Therapist	0.695	Complete treatment documentation	4	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L050C	Radiation Therapist	0.695	Detach equipment from patient/implant removal	4	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L051A	RN	0.635	Detach equipment from patient/implant removal	10	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L107A	Medical Dosimetrist/Medical Physicist	1.298	Dose calculation	14	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L152A	Medical Physicist	1.832	"Patient, unit, and room surveys"	6	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L152A	Medical Physicist	1.832	"Prepare patient for treatment (attach cables, additional positioning, verification, etc)"	15	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L050C	Radiation Therapist	0.695	"Prepare patient for treatment (attach cables, additional positioning, verification, etc)"	8	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L152A	Medical Physicist	1.832	"Prepare system for treatment (enter treatment plans, source coordinates, etc)"	24	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  intra	L050C	Radiation Therapist	0.695	"Prepare system for treatment (enter treatment plans, source coordinates, etc)"	17	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  post	L050C	Radiation Therapist	0.695	Clean room/equipment by physician staff	3	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  post	L050C	Radiation Therapist	0.695	Clean scope	10	
77772	"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels"	Service  post	L051A	RN	0.635	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	10	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Pre-service	L152A	Medical Physicist	1.832	Check invoice/receipt and log radioactive material in accordance with NRC regulations	3	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	10
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Pre-service	L152A	Medical Physicist	1.832	"Order radioactive materials, verify source counts, survey sources, calibrate sources, prepare individual patient log, load cartridges"	20	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	7
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Pre-service	L152A	Medical Physicist	1.832	Secure radioactive material until needed	3	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Service  pre	L050C	Radiation Therapist	0.695	Prepare and position pt/ monitor pt/ set up IV	4	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Service  pre	L050C	Radiation Therapist	0.695	"Prepare room, equipment, supplies"	4	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Service  intra	L152A	Medical Physicist	1.832	Assist physician in performing procedure	90	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	7	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	30	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Service  post	L152A	Medical Physicist	1.832	"Removal, storage, and disposal of unused isotope"	20	
77778	"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	3
77789	Surface application of low dose rate radionuclide source	Service  intra	L152A	Medical Physicist	1.832	Service total costs	6	
77789	Surface application of low dose rate radionuclide source	Service  intra	L051A	RN	0.635	Service total costs	36	
77790	"Supervision, handling, loading of radiation"	Pre-service	L041B	Radiologic Technologist	0.52	Check invoice/receipt and log radioactive material in accordance with NRC regulations	3	
77790	"Supervision, handling, loading of radiation"	Pre-service	L152A	Medical Physicist	1.832	"Order radioactive materials, verify source counts, survey sources, calibrate sources, prepare individual patient log, load cartridges"	5	
77790	"Supervision, handling, loading of radiation"	Pre-service	L041B	Radiologic Technologist	0.52	"Order radioactive materials, verify source counts, survey sources, calibrate sources, prepare individual patient log, load cartridges"	5	
77790	"Supervision, handling, loading of radiation"	Pre-service	L041B	Radiologic Technologist	0.52	Secure radioactive material until needed	3	
78012	Nuclear medicine imaging for thyroid uptake measurements	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78012	Nuclear medicine imaging for thyroid uptake measurements	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	60	
78013	Nuclear medicine imaging of thyroid	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78013	Nuclear medicine imaging of thyroid	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	68	
78014	Nuclear medicine imaging for thyroid uptake measurements	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78014	Nuclear medicine imaging for thyroid uptake measurements	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	85	
78015	Nuclear medicine limited study for thyroid cancer	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78015	Nuclear medicine limited study for thyroid cancer	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	68	
78015	Nuclear medicine limited study for thyroid cancer	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78016	Nuclear medicine additional studies for thyroid cancer	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78016	Nuclear medicine additional studies for thyroid cancer	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	104	
78016	Nuclear medicine additional studies for thyroid cancer	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78018	Nuclear medicine whole body study for thyroid cancer	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78018	Nuclear medicine whole body study for thyroid cancer	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	93	
78018	Nuclear medicine whole body study for thyroid cancer	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78020	Nuclear medicine study for thyroid cancer	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	40	
78020	Nuclear medicine study for thyroid cancer	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	19	
78070	Imaging of parathyroid	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78070	Imaging of parathyroid	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	93	
78071	Imaging of parathyroid with nuclear medicine study	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78071	Imaging of parathyroid with nuclear medicine study	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	103	
78072	Imaging of parathyroid with CT and nuclear medicine study	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78072	Imaging of parathyroid with CT and nuclear medicine study	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	113	
78075	Imaging of blood vessel of gland of kidney	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78075	Imaging of blood vessel of gland of kidney	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	137	
78075	Imaging of blood vessel of gland of kidney	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78102	Imaging of bone marrow limited area	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78102	Imaging of bone marrow limited area	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	55	
78102	Imaging of bone marrow limited area	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78103	Imaging of bone marrow multiple areas	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78103	Imaging of bone marrow multiple areas	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	68	
78103	Imaging of bone marrow multiple areas	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78104	Imaging of bone marrow whole body	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78104	Imaging of bone marrow whole body	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	75	
78104	Imaging of bone marrow whole body	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78110	Nuclear medicine study of plasma	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	28	
78110	Nuclear medicine study of plasma	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	23	
78110	Nuclear medicine study of plasma	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	38	
78111	Nuclear medicine study of plasma	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	28	
78111	Nuclear medicine study of plasma	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	26	
78111	Nuclear medicine study of plasma	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	38	
78120	Nuclear medicine study of red blood cell	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	28	
78120	Nuclear medicine study of red blood cell	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	23	
78120	Nuclear medicine study of red blood cell	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	38	
78121	Nuclear medicine study of red blood cell	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	28	
78121	Nuclear medicine study of red blood cell	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	26	
78121	Nuclear medicine study of red blood cell	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	38	
78122	Nuclear medicine study of blood	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	28	
78122	Nuclear medicine study of blood	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	26	
78122	Nuclear medicine study of blood	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	38	
78130	Nuclear medicine study of red blood cell	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	28	
78130	Nuclear medicine study of red blood cell	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	38	
78130	Nuclear medicine study of red blood cell	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	78	
78140	Nuclear medicine study of red blood cell	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78140	Nuclear medicine study of red blood cell	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	77	
78140	Nuclear medicine study of red blood cell	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78185	Imaging of spleen	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78185	Imaging of spleen	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	67	
78185	Imaging of spleen	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78191	Nuclear medicine study of platelet	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	28	
78191	Nuclear medicine study of platelet	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	38	
78191	Nuclear medicine study of platelet	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	78	
78195	Imaging of lymphatic tissue and lymph node	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78195	Imaging of lymphatic tissue and lymph node	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	99	
78195	Imaging of lymphatic tissue and lymph node	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78201	Imaging of liver	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78201	Imaging of liver	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	62	
78201	Imaging of liver	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78202	Imaging of liver blood flow	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78202	Imaging of liver blood flow	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	68	
78202	Imaging of liver blood flow	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78215	Imaging of liver and spleen	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78215	Imaging of liver and spleen	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	62	
78215	Imaging of liver and spleen	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78216	Imaging of liver and spleen with blood flow	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78216	Imaging of liver and spleen with blood flow	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	75	
78216	Imaging of liver and spleen with blood flow	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78226	Imaging of liver and bile duct system	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78226	Imaging of liver and bile duct system	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	109	
78227	Imaging of liver and bile duct system with use of drugs	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78227	Imaging of liver and bile duct system with use of drugs	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	148	
78230	Imaging of salivary gland	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78230	Imaging of salivary gland	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	55	
78230	Imaging of salivary gland	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78231	Imaging of salivary gland	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78231	Imaging of salivary gland	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	75	
78231	Imaging of salivary gland	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78232	Nuclear medicine study of salivary gland	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78232	Nuclear medicine study of salivary gland	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	75	
78232	Nuclear medicine study of salivary gland	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78258	Imaging of esophagus using radioisotopes	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78258	Imaging of esophagus using radioisotopes	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	69	
78258	Imaging of esophagus using radioisotopes	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78261	Imaging of stomach lining	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78261	Imaging of stomach lining	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	75	
78261	Imaging of stomach lining	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78262	Stomach and esophagus regurgitation study	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78262	Stomach and esophagus regurgitation study	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	75	
78262	Stomach and esophagus regurgitation study	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Availability of prior images confirmed	2	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Prepare radiopharmaceutical(s) delivered by central pharmacy with NRC and DOT required check-in of RP, survey package, wipe test of package and all recordings for required documentation by federal or state regulators.  Verify ordered dosages with received"	13	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	QC Equipment Planar to be used in imaging	4	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Prepare and position pt/ monitor pt/ set up IV	2	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment, supplies"	2	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide pre-service education/obtain consent/mandatory radiation protection education	3	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Acquire images	50	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Monitor patient while eating radioactive meal	8	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	"Obtain RP from Storage, verify patient, recheck dose, record, ressay, prepare meal following guideline"	20	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by physician staff	3	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete diagnostic forms, lab, X-ray requisitions"	2	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Post processing of raw data, including ROI and analysis"	15	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Regulatory compliance - NRC required wipe tests and survey areas used including regulatory documentation	3	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD	2	
78264	"Gastric emptying imaging study (eg, solid, liquid, or both);"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Availability of prior images confirmed	2	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Prepare radiopharmaceutical(s) delivered by central pharmacy with NRC and DOT required check-in of RP, survey package, wipe test of package and all recordings for required documentation by federal or state regulators.  Verify ordered dosages with received"	13	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	QC Equipment Planar to be used in imaging	4	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Prepare and position pt/ monitor pt/ set up IV	2	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment, supplies"	2	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide pre-service education/obtain consent/mandatory radiation protection education	3	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Acquire images	60	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Monitor patient while eating radioactive meal	10	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	"Obtain RP from Storage, verify patient, recheck dose, record, ressay, prepare meal following guideline"	25	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by physician staff	3	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete diagnostic forms, lab, X-ray requisitions"	2	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Post processing of raw data, including ROI and analysis"	19	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Regulatory compliance - State and NRC required surveys of areas used and documentation	3	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD	2	
78265	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit, up to 24 hours"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Availability of prior images confirmed	2	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Prepare radiopharmaceutical(s) delivered by central pharmacy with NRC and DOT required check-in of RP, survey package, wipe test of package and all recordings for required documentation by federal or state regulators.  Verify ordered dosages with received"	13	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	QC Equipment Planar to be used in imaging	4	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Prepare and position pt/ monitor pt/ set up IV	2	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment, supplies"	2	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide pre-service education/obtain consent/mandatory radiation protection education	3	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Acquire images	75	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Monitor patient while eating radioactive meal	10	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	"Obtain RP from Storage, verify patient, recheck dose, record, ressay, prepare meal following guideline"	25	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by physician staff	3	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete diagnostic forms, lab, X-ray requisitions"	2	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Post processing of raw data, including ROI and analysis"	25	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Regulatory compliance - NRC required wipe tests and survey areas used including regulatory documentation	3	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD	2	
78266	"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
78278	Acute digestive tract blood loss imaging	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78278	Acute digestive tract blood loss imaging	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	99	
78278	Acute digestive tract blood loss imaging	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78290	Intestine imaging	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78290	Intestine imaging	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	99	
78290	Intestine imaging	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78291	Peritoneal-venous shunt patency test	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78291	Peritoneal-venous shunt patency test	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	75	
78291	Peritoneal-venous shunt patency test	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78300	Bone and/or joint imaging	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Availability of prior images confirmed	2	
78300	Bone and/or joint imaging	Pre-service	L049A	Nuclear Medicine Technologist	0.713	NRC/State requirements for verification of Planar or SPECT Equipment to be used in imaging	4	
78300	Bone and/or joint imaging	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
78300	Bone and/or joint imaging	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Prepare radiopharmaceutical(s) delivered by central pharmacy with NRC and DOT required check-in of RP, survey package, wipe test of package and all recordings for required documentation by federal or state regulators.  Verify ordered dosages with received"	13	
78300	Bone and/or joint imaging	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
78300	Bone and/or joint imaging	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Prepare and position pt/ monitor pt/ set up IV	3	
78300	Bone and/or joint imaging	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment, supplies"	2	
78300	Bone and/or joint imaging	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide pre-service education/obtain consent	3	
78300	Bone and/or joint imaging	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Acquire images	32	
78300	Bone and/or joint imaging	Service  intra	L049A	Nuclear Medicine Technologist	0.713	"Obtain RP & or Pharm intervention from RP storage/preparation area, recheck dose, record, reassay, and ensure dose would be appropriate (following protocols) based on the written directive (correct test and patient weight)"	5	
78300	Bone and/or joint imaging	Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by physician staff	3	
78300	Bone and/or joint imaging	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete diagnostic forms, lab, X-ray requisitions"	2	
78300	Bone and/or joint imaging	Service  post	L049A	Nuclear Medicine Technologist	0.713	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
78300	Bone and/or joint imaging	Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD	2	
78300	Bone and/or joint imaging	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Review/read X-ray, lab, and pathology reports"	0	
78300	Bone and/or joint imaging	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
78300	Bone and/or joint imaging	Post-service	L049A	Nuclear Medicine Technologist	0.713	Regulatory Compliance -State and NRC required surveys of areas used during imaging and documenation	3	
78305	"Bone and/or joint imaging, multiple areas"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Availability of prior images confirmed	2	
78305	"Bone and/or joint imaging, multiple areas"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	NRC/State requirements for verification of Planar or SPECT Equipment to be used in imaging	4	
78305	"Bone and/or joint imaging, multiple areas"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
78305	"Bone and/or joint imaging, multiple areas"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Prepare radiopharmaceutical(s) delivered by central pharmacy with NRC and DOT required check-in of RP, survey package, wipe test of package and all recordings for required documentation by federal or state regulators.  Verify ordered dosages with received"	13	
78305	"Bone and/or joint imaging, multiple areas"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
78305	"Bone and/or joint imaging, multiple areas"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Prepare and position pt/ monitor pt/ set up IV	3	
78305	"Bone and/or joint imaging, multiple areas"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment, supplies"	2	
78305	"Bone and/or joint imaging, multiple areas"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide pre-service education/obtain consent	3	
78305	"Bone and/or joint imaging, multiple areas"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Acquire images	45	
78305	"Bone and/or joint imaging, multiple areas"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	"Obtain RP & or Pharm intervention from RP storage/preparation area, recheck dose, record, reassay, and ensure dose would be appropriate (following protocols) based on the written directive (correct test and patient weight)"	5	
78305	"Bone and/or joint imaging, multiple areas"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by physician staff	3	
78305	"Bone and/or joint imaging, multiple areas"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete diagnostic forms, lab, X-ray requisitions"	2	
78305	"Bone and/or joint imaging, multiple areas"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
78305	"Bone and/or joint imaging, multiple areas"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD	2	
78305	"Bone and/or joint imaging, multiple areas"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Review/read X-ray, lab, and pathology reports"	0	
78305	"Bone and/or joint imaging, multiple areas"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
78305	"Bone and/or joint imaging, multiple areas"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Regulatory Compliance -State and NRC required surveys of areas used during imaging and documenation	3	
78306	"Bone and/or joint imaging, whole body"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Availability of prior images confirmed	2	
78306	"Bone and/or joint imaging, whole body"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	NRC/State requirements for verification of Planar or SPECT Equipment to be used in imaging	4	
78306	"Bone and/or joint imaging, whole body"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
78306	"Bone and/or joint imaging, whole body"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	"Prepare radiopharmaceutical(s) delivered by central pharmacy with NRC and DOT required check-in of RP, survey package, wipe test of package and all recordings for required documentation by federal or state regulators.  Verify ordered dosages with received"	13	
78306	"Bone and/or joint imaging, whole body"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
78306	"Bone and/or joint imaging, whole body"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Prepare and position pt/ monitor pt/ set up IV	3	
78306	"Bone and/or joint imaging, whole body"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment, supplies"	2	
78306	"Bone and/or joint imaging, whole body"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide pre-service education/obtain consent	3	
78306	"Bone and/or joint imaging, whole body"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Acquire images	52	
78306	"Bone and/or joint imaging, whole body"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	"Obtain RP & or Pharm intervention from RP storage/preparation area, recheck dose, record, reassay, and ensure dose would be appropriate (following protocols) based on the written directive (correct test and patient weight)"	5	
78306	"Bone and/or joint imaging, whole body"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by physician staff	3	
78306	"Bone and/or joint imaging, whole body"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete diagnostic forms, lab, X-ray requisitions"	2	
78306	"Bone and/or joint imaging, whole body"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
78306	"Bone and/or joint imaging, whole body"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD	2	
78306	"Bone and/or joint imaging, whole body"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Review/read X-ray, lab, and pathology reports"	0	
78306	"Bone and/or joint imaging, whole body"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
78306	"Bone and/or joint imaging, whole body"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Regulatory Compliance -State and NRC required surveys of areas used during imaging and documenation	3	
78315	"Bone and/or joint imaging, 3 phase study"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78315	"Bone and/or joint imaging, 3 phase study"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	99	
78315	"Bone and/or joint imaging, 3 phase study"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78350	Bone density (bone mineral content) study	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	21	
78428	Cardiac shunt detection	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78428	Cardiac shunt detection	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	58	
78428	Cardiac shunt detection	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78445	Non-cardiac vascular flow imaging	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78445	Non-cardiac vascular flow imaging	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	58	
78445	Non-cardiac vascular flow imaging	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78451	Nuclear medicine study of vessels of heart using drugs or exercise single study	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78451	Nuclear medicine study of vessels of heart using drugs or exercise single study	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	99	
78451	Nuclear medicine study of vessels of heart using drugs or exercise single study	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	11	
78452	Nuclear medicine study of vessels of heart using drugs or exercise multiple studies	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78452	Nuclear medicine study of vessels of heart using drugs or exercise multiple studies	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	150	
78452	Nuclear medicine study of vessels of heart using drugs or exercise multiple studies	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78453	Nuclear medicine single study of vessels of heart using drugs or exercise	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78453	Nuclear medicine single study of vessels of heart using drugs or exercise	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	90	
78453	Nuclear medicine single study of vessels of heart using drugs or exercise	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	11	
78454	"Nuclear medicine multiple studies of vessels of heart at rest, using drugs, or exercise"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78454	"Nuclear medicine multiple studies of vessels of heart at rest, using drugs, or exercise"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	134	
78454	"Nuclear medicine multiple studies of vessels of heart at rest, using drugs, or exercise"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78456	Diagnostic nuclear imaging of platelet proteins for blood clot assessment in vein	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78456	Diagnostic nuclear imaging of platelet proteins for blood clot assessment in vein	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	99	
78456	Diagnostic nuclear imaging of platelet proteins for blood clot assessment in vein	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78457	"Venography for blood clot in vein, one leg or arm"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78457	"Venography for blood clot in vein, one leg or arm"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	58	
78457	"Venography for blood clot in vein, one leg or arm"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78458	"Venography for blood clot in veins, both legs or arms"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78458	"Venography for blood clot in veins, both legs or arms"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	58	
78458	"Venography for blood clot in veins, both legs or arms"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78466	Nuclear medicine study of heart muscle following heart attack	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78466	Nuclear medicine study of heart muscle following heart attack	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	55	
78466	Nuclear medicine study of heart muscle following heart attack	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78468	Nuclear medicine study of heart muscle following heart attack with evaluation of blood ejection from heart	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78468	Nuclear medicine study of heart muscle following heart attack with evaluation of blood ejection from heart	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	64	
78468	Nuclear medicine study of heart muscle following heart attack with evaluation of blood ejection from heart	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78469	Nuclear medicine study of heart muscle following heart attack	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	26	
78469	Nuclear medicine study of heart muscle following heart attack	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	66	
78469	Nuclear medicine study of heart muscle following heart attack	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	16	
78472	"Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78472	"Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	59	
78472	"Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78473	"Nuclear medicine study of heart function wall motion at rest and stress with evaluation of blood ejection from heart, multiple studies"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78473	"Nuclear medicine study of heart function wall motion at rest and stress with evaluation of blood ejection from heart, multiple studies"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	80	
78473	"Nuclear medicine study of heart function wall motion at rest and stress with evaluation of blood ejection from heart, multiple studies"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78481	"Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78481	"Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	42	
78481	"Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78483	"Nuclear medicine study of heart wall motion at rest and stress with evaluation of blood ejection from heart, multiple studies"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78483	"Nuclear medicine study of heart wall motion at rest and stress with evaluation of blood ejection from heart, multiple studies"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	50	
78483	"Nuclear medicine study of heart wall motion at rest and stress with evaluation of blood ejection from heart, multiple studies"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78494	Nuclear medicine study of heart wall motion at rest with evaluation of blood ejection from heart	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	26	
78494	Nuclear medicine study of heart wall motion at rest with evaluation of blood ejection from heart	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	67	
78494	Nuclear medicine study of heart wall motion at rest with evaluation of blood ejection from heart	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	16	
78496	Nuclear medicine study of heart function at rest or stress with evaluation of blood ejection from heart	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	12	
78496	Nuclear medicine study of heart function at rest or stress with evaluation of blood ejection from heart	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	11	
78579	Nuclear medicine study of lung ventilation	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78579	Nuclear medicine study of lung ventilation	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	63	
78580	Nuclear medicine study of blood circulation in the lungs	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78580	Nuclear medicine study of blood circulation in the lungs	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	73	
78582	Nuclear medicine study of lung ventilation and blood circulation in the lungs	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78582	Nuclear medicine study of lung ventilation and blood circulation in the lungs	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	103	
78597	Nuclear medicine study with measurement of blood circulation in the lungs	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78597	Nuclear medicine study with measurement of blood circulation in the lungs	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	63	
78598	Nuclear medicine study with measurement of blood circulation in the lungs and ventilation	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	20	
78598	Nuclear medicine study with measurement of blood circulation in the lungs and ventilation	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	100	
78600	"Imaging of brain, less than 4 static views"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78600	"Imaging of brain, less than 4 static views"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	62	
78600	"Imaging of brain, less than 4 static views"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78601	"Imaging of brain with blood flow, less than 4 static views"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78601	"Imaging of brain with blood flow, less than 4 static views"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	68	
78601	"Imaging of brain with blood flow, less than 4 static views"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78605	"Imaging of brain with blood flow, minimum of 4 static views"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78605	"Imaging of brain with blood flow, minimum of 4 static views"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	62	
78605	"Imaging of brain with blood flow, minimum of 4 static views"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78606	"Imaging of brain with blood flow, minimum of 4 static views"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78606	"Imaging of brain with blood flow, minimum of 4 static views"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	99	
78606	"Imaging of brain with blood flow, minimum of 4 static views"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78610	"Imaging of brain, blood flow"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78610	"Imaging of brain, blood flow"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	58	
78610	"Imaging of brain, blood flow"	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78630	Imaging of brain and spinal cord fluid flow at base of brain	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78630	Imaging of brain and spinal cord fluid flow at base of brain	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	103	
78630	Imaging of brain and spinal cord fluid flow at base of brain	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78635	Imaging of brain and spinal cord fluid flow in brain compartments (ventricles)	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78635	Imaging of brain and spinal cord fluid flow in brain compartments (ventricles)	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	102	
78635	Imaging of brain and spinal cord fluid flow in brain compartments (ventricles)	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78645	Imaging of brain and spinal cord fluid flow shunt evaluation	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78645	Imaging of brain and spinal cord fluid flow shunt evaluation	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	102	
78645	Imaging of brain and spinal cord fluid flow shunt evaluation	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78650	Imaging of brain and spinal cord fluid leakage detection and localization	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78650	Imaging of brain and spinal cord fluid leakage detection and localization	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	103	
78650	Imaging of brain and spinal cord fluid leakage detection and localization	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78660	Nuclear medicine study of tear drainage structure of eye	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78660	Nuclear medicine study of tear drainage structure of eye	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	55	
78660	Nuclear medicine study of tear drainage structure of eye	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78700	Imaging of kidney	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78700	Imaging of kidney	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	55	
78700	Imaging of kidney	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78701	Nuclear medicine study of kidney with assessment of blood flow	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78701	Nuclear medicine study of kidney with assessment of blood flow	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	68	
78701	Nuclear medicine study of kidney with assessment of blood flow	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78707	Nuclear medicine study of kidney with assessment of blood flow and function	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78707	Nuclear medicine study of kidney with assessment of blood flow and function	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	68	
78707	Nuclear medicine study of kidney with assessment of blood flow and function	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78708	Nuclear medicine study of kidney with assessment of blood flow and function	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78708	Nuclear medicine study of kidney with assessment of blood flow and function	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	93	
78708	Nuclear medicine study of kidney with assessment of blood flow and function	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78709	Nuclear medicine study of kidney with assessment of blood flow and function	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78709	Nuclear medicine study of kidney with assessment of blood flow and function	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	104	
78709	Nuclear medicine study of kidney with assessment of blood flow and function	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	14	
78725	Nuclear medicine kidney function study	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	28	
78725	Nuclear medicine kidney function study	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	29	
78725	Nuclear medicine kidney function study	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	38	
78730	Nuclear medicine study of remaining urine in bladder	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	20	
78740	Nuclear medicine backwash of urine into kidney	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78740	Nuclear medicine backwash of urine into kidney	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	68	
78740	Nuclear medicine backwash of urine into kidney	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78761	Nuclear medicine study of testicles and blood vessel flow	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	23	
78761	Nuclear medicine study of testicles and blood vessel flow	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	63	
78761	Nuclear medicine study of testicles and blood vessel flow	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	13	
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Confirm availability of prior images/studies	2	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (pre-service)	17	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Review patient clinical extant information and questionnaire	2	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment and supplies"	2	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide education/obtain consent	3	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Perform procedure/service---NOT directly related to physician work time	43	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by clinical staff	3	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (service period)	3	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD/DO	2	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
78800	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day of imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
78801		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Confirm availability of prior images/studies	2	0
78801		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (pre-service)	17	0
78801		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Review patient clinical extant information and questionnaire	2	0
78801		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	6	0
78801		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment and supplies"	4	0
78801		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
78801		Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide education/obtain consent	3	0
78801		Service  intra	L049A	Nuclear Medicine Technologist	0.713	Perform procedure/service---NOT directly related to physician work time	45	0
78801		Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by clinical staff	6	0
78801		Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
78801		Service  post	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (service period)	3	0
78801		Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD/DO	2	0
78801		Service  post	L049A	Nuclear Medicine Technologist	0.713	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
78801		Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Confirm availability of prior images/studies	2	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (pre-service)	17	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Review patient clinical extant information and questionnaire	2	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	6	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment and supplies"	4	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide education/obtain consent	3	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Perform procedure/service---NOT directly related to physician work time	55	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by clinical staff	6	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (service period)	3	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD/DO	2	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
78802	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
78803		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Confirm availability of prior images/studies	2	0
78803		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (pre-service)	20	0
78803		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Review patient clinical extant information and questionnaire	2	0
78803		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
78803		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment and supplies"	2	0
78803		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
78803		Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide education/obtain consent	3	0
78803		Service  intra	L049A	Nuclear Medicine Technologist	0.713	Perform procedure/service---NOT directly related to physician work time	79	0
78803		Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by clinical staff	3	0
78803		Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
78803		Service  post	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (service period)	3	0
78803		Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD/DO	2	0
78803		Service  post	L049A	Nuclear Medicine Technologist	0.713	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
78803		Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Confirm availability of prior images/studies	2	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (pre-service)	21	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Review patient clinical extant information and questionnaire	2	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	6	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment and supplies"	4	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide education/obtain consent	3	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Perform procedure/service---NOT directly related to physician work time	150	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by clinical staff	6	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (service period)	6	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD/DO	4	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
78804	"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	6	0
78808	Injection of radioactive contrast material into a vein for non-imaging gamma probe	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	6	
78808	Injection of radioactive contrast material into a vein for non-imaging gamma probe	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	37	
78808	Injection of radioactive contrast material into a vein for non-imaging gamma probe	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	3	
78830		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Confirm availability of prior images/studies	2	0
78830		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (pre-service)	20	0
78830		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Review patient clinical extant information and questionnaire	2	0
78830		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
78830		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment and supplies"	2	0
78830		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
78830		Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide education/obtain consent	3	0
78830		Service  intra	L049A	Nuclear Medicine Technologist	0.713	Perform procedure/service---NOT directly related to physician work time	89	0
78830		Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by clinical staff	3	0
78830		Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
78830		Service  post	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (service period)	3	0
78830		Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD/DO	2	0
78830		Service  post	L049A	Nuclear Medicine Technologist	0.713	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
78830		Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	4	0
78831		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Confirm availability of prior images/studies	2	0
78831		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (pre-service)	20	0
78831		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Review patient clinical extant information and questionnaire	2	0
78831		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
78831		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment and supplies"	4	0
78831		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	7	0
78831		Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide education/obtain consent	3	0
78831		Service  intra	L049A	Nuclear Medicine Technologist	0.713	Perform procedure/service---NOT directly related to physician work time	158	0
78831		Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by clinical staff	6	0
78831		Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
78831		Service  post	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (service period)	6	0
78831		Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD/DO	4	0
78831		Service  post	L049A	Nuclear Medicine Technologist	0.713	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
78831		Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	6	0
78832		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Confirm availability of prior images/studies	2	0
78832		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (pre-service)	27	0
78832		Pre-service	L049A	Nuclear Medicine Technologist	0.713	Review patient clinical extant information and questionnaire	2	0
78832		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Greet patient, provide gowning, ensure appropriate medical records are available"	9	0
78832		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare room, equipment and supplies"	6	0
78832		Service  pre	L049A	Nuclear Medicine Technologist	0.713	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	7	0
78832		Service  pre	L049A	Nuclear Medicine Technologist	0.713	Provide education/obtain consent	3	0
78832		Service  intra	L049A	Nuclear Medicine Technologist	0.713	Perform procedure/service---NOT directly related to physician work time	178	0
78832		Service  post	L049A	Nuclear Medicine Technologist	0.713	Clean room/equipment by clinical staff	9	0
78832		Service  post	L049A	Nuclear Medicine Technologist	0.713	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
78832		Service  post	L049A	Nuclear Medicine Technologist	0.713	Perform regulatory mandated quality assurance activity (service period)	6	0
78832		Service  post	L049A	Nuclear Medicine Technologist	0.713	Review examination with interpreting MD/DO	4	0
78832		Service  post	L049A	Nuclear Medicine Technologist	0.713	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
78832		Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	8	0
78835	Radiopharmaceutical quantification measurement(s) single area	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Perform procedure/service---NOT directly related to physician work time	20	0
78835	Radiopharmaceutical quantification measurement(s) single area	Service  post	L049A	Nuclear Medicine Technologist	0.713	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
78835	Radiopharmaceutical quantification measurement(s) single area	Service  post	L049A	Nuclear Medicine Technologist	0.713	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
79005	Oral administration of radioactive material therapy agent	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	19	
79005	Oral administration of radioactive material therapy agent	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	31	
79005	Oral administration of radioactive material therapy agent	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	3	
79101	Radioactive material therapy into vein	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	19	
79101	Radioactive material therapy into vein	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	27	
79101	Radioactive material therapy into vein	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	3	
79200	Radioactive material therapy into body space or cavity	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	19	
79200	Radioactive material therapy into body space or cavity	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	41	
79200	Radioactive material therapy into body space or cavity	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	3	
79403	Radioactive material therapy into vein	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	36	
79403	Radioactive material therapy into vein	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	55	
79403	Radioactive material therapy into vein	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	4	
79440	Radioactive material therapy into bone joint	Pre-service	L049A	Nuclear Medicine Technologist	0.713	Preservice total costs	19	
79440	Radioactive material therapy into bone joint	Service  intra	L049A	Nuclear Medicine Technologist	0.713	Service total costs	26	
79440	Radioactive material therapy into bone joint	Post-service	L049A	Nuclear Medicine Technologist	0.713	Post service total costs	3	
80503		Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Accession and enter information	1	0
80503		Service  pre	L035A	Lab Tech/Histotechnologist	0.473	"File specimen, supplies, and other materials"	3	0
80503		Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Manage pre-evaluation activities	5	0
80504		Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Accession and enter information	1	0
80504		Service  pre	L035A	Lab Tech/Histotechnologist	0.473	"File specimen, supplies, and other materials"	3	0
80504		Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Manage pre-evaluation activities	5	0
80505		Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Accession and enter information	1	0
80505		Service  pre	L035A	Lab Tech/Histotechnologist	0.473	"File specimen, supplies, and other materials"	3	0
80505		Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Manage pre-evaluation activities	5	0
85097	"Bone marrow, smear interpretation"	Service  pre	L030A	Lab Tech/MTA	0.38	Accession and enter information	0	0
85097	"Bone marrow, smear interpretation"	Service  pre	L030A	Lab Tech/MTA	0.38	Cleaning	1	0
85097	"Bone marrow, smear interpretation"	Service  pre	L030A	Lab Tech/MTA	0.38	"File specimen, supplies, and other materials"	0	0
85097	"Bone marrow, smear interpretation"	Service  pre	L030A	Lab Tech/MTA	0.38	Prepare and analyze specimen	25	0
85097	"Bone marrow, smear interpretation"	Service  pre	L030A	Lab Tech/MTA	0.38	Prepare slides	7	0
85097	"Bone marrow, smear interpretation"	Service  pre	L030A	Lab Tech/MTA	0.38	Prepare supplies	5	0
85097	"Bone marrow, smear interpretation"	Service  pre	L030A	Lab Tech/MTA	0.38	Record results	1	0
86077	Blood bank physician services for cross match and/or evaluation and written report	Service  intra	L035A	Lab Tech/Histotechnologist	0.473	Service total costs	8	0
86078	Blood bank physician services for investigation of transfusion reaction with written report	Service  intra	L035A	Lab Tech/Histotechnologist	0.473	Service total costs	8	0
86079	Blood bank physician services with written report	Service  intra	L035A	Lab Tech/Histotechnologist	0.473	Service total costs	8	0
86486	Skin test for infectious organism	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	
86490	Skin test for coccidioidomycosis (fungal infection)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	
86510	Skin test histoplasmosis (parasite infection)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	
86580	Skin test for tuberculosis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Accession specimen in laboratory information system including the following:Unwrap and/or remove specimen/ bottle and requisition slip from plastic bag.  Check demographics to ensure they are correct and to ensure proper billing….	4	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Pre-service	L045A	Cytotechnologist	0.605	"Confirm patient ID, organize work, verify and review history"	1	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Describe and document gross specimen in laboratory information system	2	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Pre-service	L045A	Cytotechnologist	0.605	"Enter screening diagnosis in laboratory information system, complete workload recording logs, manage any relevant utilization review/quality assurance activities and regulatory compliance documentation."	0.5	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Order, restock, and distribute specimen containers with requisition forms."	0	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Pre-service	L045A	Cytotechnologist	0.605	Perform screening function: The cytotechnologist meticulously reviews all cells on slide(s) for any abnormalities prior to sending out cases to pathologists	32	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare automated stainer with solutions and load microscopic slides. Set and confirm stainer program. Prepare automated coverslipper, remove slides from stainer and place on coverslipper or manually coverslip."	4	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare specimen air dried and alcohol fixed slides (includes preparing wet smears, millipore filter preparation, cytospin preparation, stain quality evaluation, specimen tracking logs, labeling)"	5	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	0.5	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Stain air dried slides with modified Wright stain and coverslip.  Review slides for malignancy/high cellularity (cross contamination)	2	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Assemble and deliver slides with paperwork to pathologists	0.5	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Service  post	L035A	Lab Tech/Histotechnologist	0.473	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Service  post	L035A	Lab Tech/Histotechnologist	0.473	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88104	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	Post-service	L033A	Lab Technician	0.44	Recycle xylene from stainer	0	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Accession specimen in laboratory information system including the following:Unwrap and/or remove specimen/ bottle and requisition slip from plastic bag.  Check demographics to ensure they are correct and to ensure proper billing….	4	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Pre-service	L045A	Cytotechnologist	0.605	"Confirm patient ID, organize work, verify and review history"	1	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Describe and document gross specimen in laboratory information system	2	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Pre-service	L045A	Cytotechnologist	0.605	"Enter screening diagnosis in laboratory information system, complete workload recording logs, manage any relevant utilization review/quality assurance activities and regulatory compliance documentation."	0.5	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Order, restock, and distribute specimen containers with requisition forms."	0	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Pre-service	L045A	Cytotechnologist	0.605	Perform screening function: The cytotechnologist meticulously reviews all cells on slide(s) for any abnormalities prior to sending out cases to pathologists	16	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare automated stainer with solutions and load microscopic slides. Set and confirm stainer program. Prepare automated coverslipper, remove slides from stainer and place on coverslipper or manually coverslip."	4	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare specimen air dried and alcohol fixed slides (includes preparing wet smears, millipore filter preparation, cytospin preparation, stain quality evaluation, specimen tracking logs, labeling)"	15	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	0.5	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Stain air dried slides with modified Wright stain and coverslip.  Review slides for malignancy/high cellularity (cross contamination)	2	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Assemble and deliver slides with paperwork to pathologists	0.5	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88106	"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	Post-service	L033A	Lab Technician	0.44	Recycle xylene from stainer	0	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Accession specimen in laboratory information system including the following:Unwrap and/or remove specimen/ bottle and requisition slip from plastic bag.  Check demographics to ensure they are correct and to ensure proper billing….	4	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Pre-service	L045A	Cytotechnologist	0.605	"Confirm patient ID, organize work, verify and review history"	1	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Describe and document gross specimen in laboratory information system	2	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Pre-service	L045A	Cytotechnologist	0.605	"Enter screening diagnosis in laboratory information system, complete workload recording logs, manage any relevant utilization review/quality assurance activities and regulatory compliance documentation."	0.5	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Order, restock, and distribute specimen containers with requisition forms."	0	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Pre-service	L045A	Cytotechnologist	0.605	Perform screening function: The cytotechnologist meticulously reviews all cells on slide(s) for any abnormalities prior to sending out cases to pathologists	16	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare automated stainer with solutions and load microscopic slides. Set and confirm stainer program. Prepare automated coverslipper, remove slides from stainer and place on coverslipper or manually coverslip."	4	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare specimen air dried and alcohol fixed slides (includes preparing wet smears, millipore filter preparation, cytospin preparation, stain quality evaluation, specimen tracking logs, labeling)"	7	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	0.5	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Assemble and deliver slides with paperwork to pathologists	0.5	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88108	"Cytopathology, concentration technique, smears and interpretation (eg, saccomanno technique)"	Post-service	L033A	Lab Technician	0.44	Recycle xylene from stainer	0	
88112	Cell examination of specimen	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Accession specimen in laboratory information system including the following:Unwrap and/or remove specimen/ bottle and requisition slip from plastic bag.  Check demographics to ensure they are correct and to ensure proper billing….	4	
88112	Cell examination of specimen	Pre-service	L045A	Cytotechnologist	0.605	"Confirm patient ID, organize work, verify and review history"	1	
88112	Cell examination of specimen	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Describe and document gross specimen in laboratory information system	2	
88112	Cell examination of specimen	Pre-service	L045A	Cytotechnologist	0.605	"Enter screening diagnosis in laboratory information system, complete workload recording logs, manage any relevant utilization review/quality assurance activities and regulatory compliance documentation."	0.5	
88112	Cell examination of specimen	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Order, restock, and distribute specimen containers with requisition forms."	0	
88112	Cell examination of specimen	Pre-service	L045A	Cytotechnologist	0.605	Perform screening function: The cytotechnologist meticulously reviews all cells on slide(s) for any abnormalities prior to sending out cases to pathologists	8	
88112	Cell examination of specimen	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare automated stainer with solutions and load microscopic slides. Set and confirm stainer program. Prepare automated coverslipper, remove slides from stainer and place on coverslipper or manually coverslip."	4	
88112	Cell examination of specimen	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare specimen air dried and alcohol fixed slides (includes preparing wet smears, millipore filter preparation, cytospin preparation, stain quality evaluation, specimen tracking logs, labeling)"	12	
88112	Cell examination of specimen	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	0.5	
88112	Cell examination of specimen	Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Assemble and deliver slides with paperwork to pathologists	0.5	
88112	Cell examination of specimen	Post-service	L035A	Lab Tech/Histotechnologist	0.473	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88112	Cell examination of specimen	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88112	Cell examination of specimen	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88112	Cell examination of specimen	Post-service	L033A	Lab Technician	0.44	Recycle xylene from stainer	0	
88120	Cell examination of urine	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	32.33	
88120	Cell examination of urine	Pre-service	L026A	Medical/Technical Assistant	0.31	Preservice total costs	11.49	
88120	Cell examination of urine	Service  intra	L045A	Cytotechnologist	0.605	Service total costs	49	
88120	Cell examination of urine	Post-service	L033A	Lab Technician	0.44	Post service total costs	9.33	
88121	Cell examination of urine	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	20.7	
88121	Cell examination of urine	Pre-service	L026A	Medical/Technical Assistant	0.31	Preservice total costs	9.51	
88121	Cell examination of urine	Service  intra	L045A	Cytotechnologist	0.605	Service total costs	17.83	
88121	Cell examination of urine	Post-service	L033A	Lab Technician	0.44	Post service total costs	4.7	
88125	Forensic (investigation) examination of specimen	Service  intra	L035A	Lab Tech/Histotechnologist	0.473	Service total costs	17	
88141	Pap test (Pap smear)	Service  pre	L045A	Cytotechnologist	0.605	Examine and screen	10	
88141	Pap test (Pap smear)	Service  pre	L033A	Lab Technician	0.44	Examine and screen	1	
88141	Pap test (Pap smear)	Service  intra	L033A	Lab Technician	0.44	"File specimen, supplies, and other materials"	0	
88141	Pap test (Pap smear)	Service  intra	L045A	Cytotechnologist	0.605	Perform procedure/service---NOT directly related to physician work time	1	
88141	Pap test (Pap smear)	Service  intra	L033A	Lab Technician	0.44	Perform procedure/service---NOT directly related to physician work time	8	
88141	Pap test (Pap smear)	Service  post	L045A	Cytotechnologist	0.605	Perform regulatory mandated quality assurance activity (service period)	5	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Accession specimen in laboratory information system including the following:Unwrap and/or remove specimen/ bottle and requisition slip from plastic bag.  Check demographics to ensure they are correct and to ensure proper billing….	4	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Pre-service	L045A	Cytotechnologist	0.605	"Confirm patient ID, organize work, verify and review history"	1	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Describe and document gross specimen in laboratory information system	2	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Order, restock, and distribute specimen containers with requisition forms."	0	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Pre-service	L045A	Cytotechnologist	0.605	Perform screening function: The cytotechnologist meticulously reviews all cells on slide(s) for any abnormalities prior to sending out cases to pathologists	32	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare automated stainer with solutions and load microscopic slides. Set and confirm stainer program. Prepare automated coverslipper, remove slides from stainer and place on coverslipper or manually coverslip."	4	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	0.5	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Stain air dried slides with modified Wright stain and coverslip.  Review slides for malignancy/high cellularity (cross contamination)	2	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Assemble and deliver slides with paperwork to pathologists	0.5	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Service  pre	L045A	Cytotechnologist	0.605	Enter screening diagnosis in laboratory information system.	0.5	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Service  post	L035A	Lab Tech/Histotechnologist	0.473	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Service  post	L035A	Lab Tech/Histotechnologist	0.473	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88160	"Cytopathology, smears, any other source; screening and interpretation"	Post-service	L033A	Lab Technician	0.44	Recycle xylene from stainer	0	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Accession specimen in laboratory information system including the following:Unwrap and/or remove specimen/ bottle and requisition slip from plastic bag.  Check demographics to ensure they are correct and to ensure proper billing….	4	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Pre-service	L045A	Cytotechnologist	0.605	"Confirm patient ID, organize work, verify and review history"	1	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Describe and document gross specimen in laboratory information system	2	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Pre-service	L045A	Cytotechnologist	0.605	"Enter screening diagnosis in laboratory information system, complete workload recording logs, manage any relevant utilization review/quality assurance activities and regulatory compliance documentation."	0.5	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Order, restock, and distribute specimen containers with requisition forms."	0	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Pre-service	L045A	Cytotechnologist	0.605	Perform screening function: The cytotechnologist meticulously reviews all cells on slide(s) for any abnormalities prior to sending out cases to pathologists	32	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare automated stainer with solutions and load microscopic slides. Set and confirm stainer program. Prepare automated coverslipper, remove slides from stainer and place on coverslipper or manually coverslip."	4	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare specimen air dried and alcohol fixed slides (includes preparing wet smears, millipore filter preparation, cytospin preparation, stain quality evaluation, specimen tracking logs, labeling)"	6	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	0.5	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Stain air dried slides with modified Wright stain and coverslip.  Review slides for malignancy/high cellularity (cross contamination)	2	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Assemble and deliver slides with paperwork to pathologists	0.5	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88161	"Cytopathology, smears, any other source; preparation, screening and interpretation"	Post-service	L033A	Lab Technician	0.44	Recycle xylene from stainer	0	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Accession specimen in laboratory information system including the following:Unwrap and/or remove specimen/ bottle and requisition slip from plastic bag.  Check demographics to ensure they are correct and to ensure proper billing….	4	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Pre-service	L045A	Cytotechnologist	0.605	"Confirm patient ID, organize work, verify and review history"	1	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Describe and document gross specimen in laboratory information system	2	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Pre-service	L045A	Cytotechnologist	0.605	"Enter screening diagnosis in laboratory information system, complete workload recording logs, manage any relevant utilization review/quality assurance activities and regulatory compliance documentation."	0.5	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Order, restock, and distribute specimen containers with requisition forms."	0	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Pre-service	L045A	Cytotechnologist	0.605	Perform screening function: The cytotechnologist meticulously reviews all cells on slide(s) for any abnormalities prior to sending out cases to pathologists	56	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare automated stainer with solutions and load microscopic slides. Set and confirm stainer program. Prepare automated coverslipper, remove slides from stainer and place on coverslipper or manually coverslip."	4	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	0.5	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Stain air dried slides with modified Wright stain and coverslip.  Review slides for malignancy/high cellularity (cross contamination)	2	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Service  pre	L035A	Lab Tech/Histotechnologist	0.473	Assemble and deliver slides with paperwork to pathologists	0.5	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Post-service	L035A	Lab Tech/Histotechnologist	0.473	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88162	"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	Post-service	L033A	Lab Technician	0.44	Recycle xylene from stainer	0	
88172	Evaluation of fine needle aspirate	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	Preservice total costs	1	
88172	Evaluation of fine needle aspirate	Service  intra	L035A	Lab Tech/Histotechnologist	0.473	Service total costs	19	
88172	Evaluation of fine needle aspirate	Post-service	L035A	Lab Tech/Histotechnologist	0.473	Post service total costs	3	
88173	Evaluation of fine needle aspirate with interpretation and report	Service  intra	L045A	Cytotechnologist	0.605	Service total costs	54	
88173	Evaluation of fine needle aspirate with interpretation and report	Service  intra	L035A	Lab Tech/Histotechnologist	0.473	Service total costs	42	
88177	Pap test	Service  intra	L035A	Lab Tech/Histotechnologist	0.473	Service total costs	11	
88182	"Flow cytometry, cell cycle or dna analysis"	Pre-service	L033A	Lab Technician	0.44	Accession specimen/prepare for examination	4	
88182	"Flow cytometry, cell cycle or dna analysis"	Service  pre	L045A	Cytotechnologist	0.605	Data acquisition and modeling	18	
88182	"Flow cytometry, cell cycle or dna analysis"	Service  pre	L045A	Cytotechnologist	0.605	"Instrument start-up, quality control functions, calibration, centrifugation,  maintaining specimen tracking, logs and labeling"	13	
88182	"Flow cytometry, cell cycle or dna analysis"	Service  pre	L045A	Cytotechnologist	0.605	"Load specimen into flow cytometer, run specimen, monitor, analyze, resulting output and functions , and unload flow cytometer"	7	
88182	"Flow cytometry, cell cycle or dna analysis"	Service  pre	L037B	Histotechnologist	0.505	Prepare specimen through block resectioning of thick 50 micron sections	12	
88182	"Flow cytometry, cell cycle or dna analysis"	Service  pre	L045A	Cytotechnologist	0.605	"Print out histograms, assemble materials with paperwork to pathologists Review histograms and gating with pathologist."	2	
88182	"Flow cytometry, cell cycle or dna analysis"	Service  pre	L045A	Cytotechnologist	0.605	"Process paraffinized thick tissue sections: deparaffinize sections, disaggregate tissue with enzymatic digestion, isolate nuclei, stain DNA."	60	
88182	"Flow cytometry, cell cycle or dna analysis"	Post-service	L045A	Cytotechnologist	0.605	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88182	"Flow cytometry, cell cycle or dna analysis"	Post-service	L033A	Lab Technician	0.44	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88182	"Flow cytometry, cell cycle or dna analysis"	Post-service	L045A	Cytotechnologist	0.605	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88182	"Flow cytometry, cell cycle or dna analysis"	Post-service	L033A	Lab Technician	0.44	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88182	"Flow cytometry, cell cycle or dna analysis"	Post-service	L045A	Cytotechnologist	0.605	"Enter data into laboratory information system, multiparameter analyses and field data entry, complete quality assurance documentation"	0	
88182	"Flow cytometry, cell cycle or dna analysis"	Post-service	L033A	Lab Technician	0.44	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88184	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	Pre-service	L033A	Lab Technician	0.44	Accession specimen and prepare for examination	4	
88184	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	Service  pre	L045A	Cytotechnologist	0.605	"Instrument start-up, quality control functions, calibration, centrifugation,  maintaining specimen tracking, logs and labeling"	15	
88184	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	Service  pre	L045A	Cytotechnologist	0.605	"Load specimen into flow cytometer, run specimen, monitor data acquisition, and data modeling, and unload flow cytometer"	10	
88184	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	Service  pre	L045A	Cytotechnologist	0.605	"Prepare cytospin or smear, stain, cover slip, examine under microscope for quality."	8	
88184	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	Service  pre	L045A	Cytotechnologist	0.605	"Prepare specimen, including cell enrichment free of debris, cell separation, add reagents, for manual/automated processing."	15	
88184	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	Service  pre	L045A	Cytotechnologist	0.605	"Print out histograms, assemble materials with paperwork to pathologists"	2	
88184	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	Post-service	L033A	Lab Technician	0.44	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88184	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	Post-service	L033A	Lab Technician	0.44	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88184	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	Post-service	L033A	Lab Technician	0.44	"Enter data into laboratory information system, multiparameter analyses and field data entry, complete quality assurance documentation"	0	
88184	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	Post-service	L033A	Lab Technician	0.44	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88185	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (list separately in addition to code for first marker)"	Service  pre	L045A	Cytotechnologist	0.605	"Load specimen into flow cytometer, run specimen, monitor data acquisition, and data modeling, and unload flow cytometer"	3	
88185	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (list separately in addition to code for first marker)"	Service  pre	L045A	Cytotechnologist	0.605	"Prepare specimen, including cell enrichment free of debris, cell separation, add reagents, for manual/automated processing."	3	
88185	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (list separately in addition to code for first marker)"	Service  pre	L045A	Cytotechnologist	0.605	"Print out histograms, assemble materials with paperwork to pathologists"	1	
88185	"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (list separately in addition to code for first marker)"	Post-service	L033A	Lab Technician	0.44	"Enter data into laboratory information system, multiparameter analyses and field data entry, complete quality assurance documentation"	0	
88291	Interpretation and report of genetic testing	Pre-service	L045A	Cytotechnologist	0.605	Preservice total costs	15	0
88291	Interpretation and report of genetic testing	Post-service	L045A	Cytotechnologist	0.605	Post service total costs	5	0
88300	"Pathology examination of tissue using a microscope, limited examination"	Service  intra	L037B	Histotechnologist	0.505	Service total costs	5	
88300	"Pathology examination of tissue using a microscope, limited examination"	Service  intra	L033A	Lab Technician	0.44	Service total costs	7	
88300	"Pathology examination of tissue using a microscope, limited examination"	Post-service	L033A	Lab Technician	0.44	Post service total costs	1	
88302	Pathology examination of tissue using a microscope	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	0.5	
88302	Pathology examination of tissue using a microscope	Service  intra	L037B	Histotechnologist	0.505	Service total costs	10	
88302	Pathology examination of tissue using a microscope	Service  intra	L033A	Lab Technician	0.44	Service total costs	9	
88302	Pathology examination of tissue using a microscope	Post-service	L033A	Lab Technician	0.44	Post service total costs	4	
88304	"Pathology examination of tissue using a microscope, moderately low complexity"	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	0.5	
88304	"Pathology examination of tissue using a microscope, moderately low complexity"	Service  intra	L037B	Histotechnologist	0.505	Service total costs	14	
88304	"Pathology examination of tissue using a microscope, moderately low complexity"	Service  intra	L033A	Lab Technician	0.44	Service total costs	10	
88304	"Pathology examination of tissue using a microscope, moderately low complexity"	Post-service	L033A	Lab Technician	0.44	Post service total costs	5	
88305	"Level IV - Surgical pathology, gross and microscopic examination"	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	0.5	
88305	"Level IV - Surgical pathology, gross and microscopic examination"	Service  intra	L037B	Histotechnologist	0.505	Service total costs	16	
88305	"Level IV - Surgical pathology, gross and microscopic examination"	Service  intra	L033A	Lab Technician	0.44	Service total costs	9	
88305	"Level IV - Surgical pathology, gross and microscopic examination"	Post-service	L033A	Lab Technician	0.44	Post service total costs	4	
88307	"Pathology examination of tissue using a microscope, moderately high complexity"	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	1	
88307	"Pathology examination of tissue using a microscope, moderately high complexity"	Service  intra	L037B	Histotechnologist	0.505	Service total costs	82	
88307	"Pathology examination of tissue using a microscope, moderately high complexity"	Service  intra	L033A	Lab Technician	0.44	Service total costs	28	
88307	"Pathology examination of tissue using a microscope, moderately high complexity"	Post-service	L033A	Lab Technician	0.44	Post service total costs	13	
88309	"Pathology examination of tissue using a microscope, high complexity"	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	1	
88309	"Pathology examination of tissue using a microscope, high complexity"	Service  intra	L037B	Histotechnologist	0.505	Service total costs	111	
88309	"Pathology examination of tissue using a microscope, high complexity"	Service  intra	L033A	Lab Technician	0.44	Service total costs	27	
88309	"Pathology examination of tissue using a microscope, high complexity"	Post-service	L033A	Lab Technician	0.44	Post service total costs	13	
88311	Preparation of tissue for examination by removing any calcium present	Service  intra	L026A	Medical/Technical Assistant	0.31	Service total costs	15	
88312	Special stained specimen slides to identify organisms including interpretation and report	Pre-service	L037B	Histotechnologist	0.505	Preservice total costs	42	
88312	Special stained specimen slides to identify organisms including interpretation and report	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	1	
88312	Special stained specimen slides to identify organisms including interpretation and report	Post-service	L033A	Lab Technician	0.44	Post service total costs	7	
88313	Special stained specimen slides to examine tissue including interpretation and report	Pre-service	L037B	Histotechnologist	0.505	Preservice total costs	38	
88313	Special stained specimen slides to examine tissue including interpretation and report	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	1	
88313	Special stained specimen slides to examine tissue including interpretation and report	Post-service	L033A	Lab Technician	0.44	Post service total costs	7	
88314	Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report	Pre-service	L037B	Histotechnologist	0.505	Preservice total costs	41	
88314	Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	1	
88314	Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report	Post-service	L033A	Lab Technician	0.44	Post service total costs	11	
88319	Evaluation of specimen enzymes	Pre-service	L037B	Histotechnologist	0.505	Preservice total costs	57	
88319	Evaluation of specimen enzymes	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	1	
88319	Evaluation of specimen enzymes	Post-service	L033A	Lab Technician	0.44	Post service total costs	12	
88321	Consultation and report on referred slides prepared elsewhere	Service  pre	L037B	Histotechnologist	0.505	"Accession specimen/prepare for examination (register patient into hospital system, as these have not been previously admit, these are outside consult patients)"	0	
88321	Consultation and report on referred slides prepared elsewhere	Service  pre	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88321	Consultation and report on referred slides prepared elsewhere	Service  pre	L033A	Lab Technician	0.44	"Open shipping package, remove and sort slides based on outside number, and hand label outside paperwork"	3	
88321	Consultation and report on referred slides prepared elsewhere	Service  pre	L033A	Lab Technician	0.44	"Register the patient in the information system, including all demographic and billing information. In addition to standard accessioning, enter contributing physician name and address, number of slides…"	6	
88321	Consultation and report on referred slides prepared elsewhere	Service  intra	L037B	Histotechnologist	0.505	Assemble and deliver slides with paperwork to pathologists	0	
88321	Consultation and report on referred slides prepared elsewhere	Service  intra	L037B	Histotechnologist	0.505	Phone calls for clarifications and/or additional materials	3	
88321	Consultation and report on referred slides prepared elsewhere	Post-service	L033A	Lab Technician	0.44	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88321	Consultation and report on referred slides prepared elsewhere	Post-service	L033A	Lab Technician	0.44	Securely package and return outside material.	5	
88323	Consultation and report on referred material requiring preparation of slides	Service  pre	L033A	Lab Technician	0.44	"Accession specimen/prepare for examination (register patient into hospital system, as these have not been previously admit, these are outside consult patients)"	4	
88323	Consultation and report on referred material requiring preparation of slides	Service  pre	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88323	Consultation and report on referred material requiring preparation of slides	Service  pre	L033A	Lab Technician	0.44	"Open shipping package, remove and sort slides based on outside number, and hand label outside paperwork"	3	
88323	Consultation and report on referred material requiring preparation of slides	Service  pre	L033A	Lab Technician	0.44	"Register the patient in the information system, including all demographic and billing information. In addition to standard accessioning, enter contributing physician name and address, number of slides…"	7	
88323	Consultation and report on referred material requiring preparation of slides	Service  intra	L037B	Histotechnologist	0.505	Assemble and deliver slides with paperwork to pathologists	0	
88323	Consultation and report on referred material requiring preparation of slides	Service  intra	L037B	Histotechnologist	0.505	Clean equipment while performing service	0	
88323	Consultation and report on referred material requiring preparation of slides	Service  intra	L037B	Histotechnologist	0.505	Phone calls for clarifications and/or additional materials	3	
88323	Consultation and report on referred material requiring preparation of slides	Service  intra	L037B	Histotechnologist	0.505	"Prepare automated coverslipper, remove slides from stainer and place on coverslipper."	1	
88323	Consultation and report on referred material requiring preparation of slides	Service  intra	L037B	Histotechnologist	0.505	Prepare automated stainer with solutions and load microscopic slides. Set and confirm stainer program.	1	
88323	Consultation and report on referred material requiring preparation of slides	Service  intra	L037B	Histotechnologist	0.505	"Slide preparation sectioning and recuts, quality control function, maintaining specimen tracking, logs and labeling"	4	
88323	Consultation and report on referred material requiring preparation of slides	Post-service	L033A	Lab Technician	0.44	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88323	Consultation and report on referred material requiring preparation of slides	Post-service	L033A	Lab Technician	0.44	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88323	Consultation and report on referred material requiring preparation of slides	Post-service	L033A	Lab Technician	0.44	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	
88323	Consultation and report on referred material requiring preparation of slides	Post-service	L033A	Lab Technician	0.44	Securely package and return outside material.	5	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Service  pre	L033A	Lab Technician	0.44	"Accession specimen/prepare for examination (register patient into hospital system, as these have not been previously admit, these are outside consult patients)"	4	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Service  pre	L037B	Histotechnologist	0.505	Clean Equipment while performing service	0	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Service  pre	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Service  pre	L033A	Lab Technician	0.44	"Open shipping package, remove and sort slides based on outside number, and hand label outside paperwork"	3	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Service  pre	L033A	Lab Technician	0.44	"Register the patient in the information system, including all demographic and billing information. In addition to standard accessioning, enter contributing physician name and address, number of slides…"	8	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Service  intra	L037B	Histotechnologist	0.505	Assemble and deliver slides with paperwork to pathologists	0	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Service  intra	L037B	Histotechnologist	0.505	Phone calls for clarifications and/or additional materials	3	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Service  intra	L037B	Histotechnologist	0.505	"Prepare automated coverslipper, remove slides from stainer and place on coverslipper."	1	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Service  intra	L037B	Histotechnologist	0.505	Prepare automated stainer with solutions and load microscopic slides. Set and confirm stainer program.	1	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Service  intra	L037B	Histotechnologist	0.505	"Slide preparation sectioning and recuts, quality control function, maintaining specimen tracking, logs and labeling"	4	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Post-service	L033A	Lab Technician	0.44	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Post-service	L033A	Lab Technician	0.44	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Post-service	L033A	Lab Technician	0.44	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88325	"Consultation, comprehensive, with review of records and specimens, with report on referred material"	Post-service	L033A	Lab Technician	0.44	Securely package and return outside material.	5	
88329	Pathology consultation during surgery;	Service  pre	L038B	Cardiovascular Technician	0.49	Assist pathologist with gross specimen examination	3	
88329	Pathology consultation during surgery;	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88331	"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen"	Pre-service	L037B	Histotechnologist	0.505	Accession specimen/prepare for examination	4	
88331	"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen"	Pre-service	L033A	Lab Technician	0.44	"Prepare room. Filter and replenish stains and supplies. (including OCT blocks, set up grossing station with colored stains)"	0	
88331	"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen"	Service  pre	L037B	Histotechnologist	0.505	Assemble and deliver slides with paperwork to pathologists	0.5	
88331	"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen"	Service  pre	L037B	Histotechnologist	0.505	Assist pathologist with gross specimen examination	3	
88331	"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen"	Service  pre	L037B	Histotechnologist	0.505	"Process specimen for slide preparation (includes processing, embedding, sectioning and recuts, centrifugation, routine and special staining, coverslipping, quality control function, maintaining specimen tracking, logs and labeling"	12	
88331	"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88332	Pathology consultation during surgery; each additional tissue block with frozen section(s) (list separately in addition to code for primary procedure)	Service  pre	L037B	Histotechnologist	0.505	Assemble and deliver slides with paperwork to pathologists	0.5	
88332	Pathology consultation during surgery; each additional tissue block with frozen section(s) (list separately in addition to code for primary procedure)	Service  pre	L037B	Histotechnologist	0.505	Assist pathologist with gross specimen examination	3	
88332	Pathology consultation during surgery; each additional tissue block with frozen section(s) (list separately in addition to code for primary procedure)	Service  pre	L037B	Histotechnologist	0.505	"Process specimen for slide preparation (includes processing, embedding, sectioning and recuts, centrifugation, routine and special staining, coverslipping, quality control function, maintaining specimen tracking, logs and labeling"	12	
88332	Pathology consultation during surgery; each additional tissue block with frozen section(s) (list separately in addition to code for primary procedure)	Service  post	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88333	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site"	Pre-service	L033A	Lab Technician	0.44	Accession specimen/prepare for examination	0	
88333	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site"	Pre-service	L033A	Lab Technician	0.44	"Prepare room. Filter and replenish stains and supplies. (including OCT blocks, set up grossing station with colored stains)"	2	
88333	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site"	Service  pre	L037B	Histotechnologist	0.505	Assemble and deliver slides with paperwork to pathologists	0.5	
88333	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site"	Service  pre	L037B	Histotechnologist	0.505	Assist pathologist with gross specimen examination (including performance of intraoperative frozen sections)	3	
88333	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site"	Service  pre	L037B	Histotechnologist	0.505	"Process specimen for slide preparation (includes staining, coverslipping, quality control function, maintaining specimen tracking, logs and labeling)"	6	
88333	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88334	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (list separately in addition to code for primary procedure)"	Pre-service	L033A	Lab Technician	0.44	Accession specimen/prepare for examination	0	
88334	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (list separately in addition to code for primary procedure)"	Service  pre	L037B	Histotechnologist	0.505	Assemble and deliver slides with paperwork to pathologists	0.5	
88334	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (list separately in addition to code for primary procedure)"	Service  pre	L037B	Histotechnologist	0.505	Assist pathologist with gross specimen examination (including performance of intraoperative frozen sections)	3	
88334	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (list separately in addition to code for primary procedure)"	Service  pre	L037B	Histotechnologist	0.505	"Process specimen for slide preparation (includes staining, coverslipping, quality control function, maintaining specimen tracking, logs and labeling)"	6	
88334	"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (list separately in addition to code for primary procedure)"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	0	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L033A	Lab Technician	0.44	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	0.5	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	"Cut patient tissue and place on slide to include the following:
 - Section paraffin block in microtome, place section in water bath…"	1	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	Cut positive control tissue and place on slide	3	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L033A	Lab Technician	0.44	"Dehydrate to xylene through progressive alcohols, clear and coverslip by hand with permanent mounting media"	1	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	"Enter patient data, computational prep for antibody testing, generate and apply bar codes to slides, and enter data for automated slide stainer"	0.5	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	"Load the primary antibody (load secondary if applicable), detection kit dispensers and required reagents onto the reagent tray and place the tray on the automated slide stainer.  Load the slides onto the automated slide stainer…"	2	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L033A	Lab Technician	0.44	"Place slides in oven and incubate for 60 minutes, remove from oven, set timer"	1	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	"Prepare positive control block to include the following: Confirm control tissue ID. Embed tissue in paraffin. Take cassette out of embedding chamber, open cassette, put paraffin in bottom of embedding mold, embed tissue…"	0.15	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	Pull and verify tissue block and control block	0.5	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L033A	Lab Technician	0.44	Remove slides from automated slide stainer. Rinse slides in soapy water to remove the coverslip material.  Load slides on to cover rack.	1	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	Review positive and negative control slides	1	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Post-service	L033A	Lab Technician	0.44	Clean equipment and work station in histology lab	0.5	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Post-service	L033A	Lab Technician	0.44	Hazardous waste disposal	1	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Post-service	L033A	Lab Technician	0.44	Recycle xylene from tissue processor and stainer	1	
88341	Immunohistochemistry or immunocytochemistry per specimen;each multiplex antibody stain procedure	Post-service	L037B	Histotechnologist	0.505	"Refile block, unload and store antibody, detection kit and reagents"	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L033A	Lab Technician	0.44	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	Cut patient tissue and place on negative control slide	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	"Cut patient tissue and place on slide to include the following:
 - Section paraffin block in microtome, place section in water bath…"	3	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	Cut positive control tissue and place on slide	3	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L033A	Lab Technician	0.44	"Dehydrate to xylene through progressive alcohols, clear and coverslip by hand with permanent mounting media"	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	"Enter patient data, computational prep for antibody testing, generate and apply bar codes to slides, and enter data for automated slide stainer"	5	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	"Load the primary antibody (load secondary if applicable), detection kit dispensers and required reagents onto the reagent tray and place the tray on the automated slide stainer.  Load the slides onto the automated slide stainer…"	3	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L033A	Lab Technician	0.44	"Place slides in oven and incubate for 60 minutes, remove from oven, set timer"	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	"Prepare positive control block to include the following: Confirm control tissue ID. Embed tissue in paraffin. Take cassette out of embedding chamber, open cassette, put paraffin in bottom of embedding mold, embed tissue…"	0.15	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	Pull and verify tissue block and control block	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L033A	Lab Technician	0.44	Remove slides from automated slide stainer. Rinse slides in soapy water to remove the coverslip material.  Load slides on to cover rack.	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L037B	Histotechnologist	0.505	Review positive and negative control slides	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Pre-service	L033A	Lab Technician	0.44	Verify order and accession immunohistochemical stain order in laboratory information system	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Post-service	L033A	Lab Technician	0.44	Clean equipment and work station in histology lab	4	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Post-service	L033A	Lab Technician	0.44	Hazardous waste disposal	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Post-service	L033A	Lab Technician	0.44	Recycle xylene from tissue processor and stainer	1	
88342	Immunohistochemistry or immunocytochemistry per specimen;each additional single antibody stain procedure	Post-service	L037B	Histotechnologist	0.505	"Refile block, unload and store antibody, detection kit and reagents"	2	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L033A	Lab Technician	0.44	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Cut patient tissue and place on negative control slide	1	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Cut patient tissue and place on slide to include the following:
 - Section paraffin block in microtome, place section in water bath…"	3	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Cut positive control tissue and place on slide	3	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L033A	Lab Technician	0.44	"Dehydrate to xylene through progressive alcohols, clear and coverslip by hand with permanent mounting media"	1	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Enter patient data, computational prep for antibody testing, generate and apply bar codes to slides, and enter data for automated slide stainer"	5	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Load the primary antibody (load secondary if applicable), detection kit dispensers and required reagents onto the reagent tray and place the tray on the automated slide stainer.  Load the slides onto the automated slide stainer…"	5	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L033A	Lab Technician	0.44	"Place slides in oven and incubate for 60 minutes, remove from oven, set timer"	1	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Prepare positive control block to include the following: Confirm control tissue ID. Embed tissue in paraffin. Take cassette out of embedding chamber, open cassette, put paraffin in bottom of embedding mold, embed tissue…"	0.15	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Pull and verify tissue block and control block	1	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L033A	Lab Technician	0.44	Remove slides from automated slide stainer. Rinse slides in soapy water to remove the coverslip material.  Load slides on to cover rack.	1	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Review positive and negative control slides	1	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Pre-service	L033A	Lab Technician	0.44	Verify order and accession immunohistochemical stain order in laboratory information system	1	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Post-service	L033A	Lab Technician	0.44	Clean equipment and work station in histology lab	4	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Post-service	L033A	Lab Technician	0.44	Hazardous waste disposal	1	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Post-service	L033A	Lab Technician	0.44	Recycle xylene from tissue processor and stainer	1	
88344	"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Refile block, unload and store antibody, detection kit and reagents"	3	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Pre-service	L033A	Lab Technician	0.44	Accession specimen/prepare for examination	1	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Assist pathologist with gross specimen examination	1	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Freeze specimen, section block, label slides, perform H&E slide staining, coverslipping, quality control function, maintaining specimen tracking, logs, and labeling."	12	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Wash specimen, received in Zeus transport media, with 20 ml of Zeus washing solution for 30 minutes with gentle agitation. Includes preparation of magnetic stirrer, beaker for washing."	5	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  intra	L037B	Histotechnologist	0.505	"Allow the tissues to incubate for 30 minutes at room temperature.  Remove the slides from the folder, allow the excess antibody to run off onto a paper towel and tap the long edge of the slide to remove remaining droplets…"	6	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  intra	L037B	Histotechnologist	0.505	Assemble and deliver paperwork and  H&E and fluourescent stained slides with paperwork to pathologist	2	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  intra	L037B	Histotechnologist	0.505	Cut negative control tissue and place on slide	1	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  intra	L037B	Histotechnologist	0.505	Cut positive control tissue and place on slide	1	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  intra	L037B	Histotechnologist	0.505	"Immediately prior to staining, slides are fixed in acetone for 10 minutes.  Allow slides to dry for 5 minutes.  Draw a circle around each section with a PAP Pen to keep the antibodies on the tissue.  Allow the PAP Pen to dry for 5 minutes before con…"	10	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  intra	L037B	Histotechnologist	0.505	"Mix reagent solutions for dilution of antibodies and check pH, prepare and dispense PBS buffer"	1	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  intra	L037B	Histotechnologist	0.505	Place the slides in the plastic slide folder on a level counter so the antibody will stay on the tissue when applied.  Pipette each antibody onto the appropriate section of the slides including the controls.  Be sure each tissue is covered with antibod…	6	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  intra	L037B	Histotechnologist	0.505	Prepare positive control block by freezing control tissue on frozen tissue block and store at -70C.	0.15	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  intra	L037B	Histotechnologist	0.505	"Remove frozen block from cyostat, place in freezer at -70, Record place location in freezer in log book. (patient tissue block/sample)"	1	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  post	L033A	Lab Technician	0.44	Clean equipment and work station in lab	4	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  post	L033A	Lab Technician	0.44	Hazardous waste disposal	1	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  post	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88346	"Immunofluorescence, per specimen; initial single antibody stain procedure"	Service  post	L033A	Lab Technician	0.44	Recycle xylene from stainer	1	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Accession specimen in electron microscopy laboratory computer system.	2	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Affix labels to toluidine blue slides and examine under light microscopy access for adequacy.  Recut and/or retain slides as necessary.  Collate stained slides and paperwork and place in labeled case folder.	3	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	"Collate printed images, plastic sections, and place in labeled file folder."	3	
88348	Electron microscopy	Pre-service	L033A	Lab Technician	0.44	Collect electron micrographs from photographic laboratory and transport back to electron microscopy laboratory.	5	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Cut resin blocks on microtome to make one micron sections and place on labeled microscopic slides.	20	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Cut thin sections on diamond knife from block selected by pathologist.	20	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Deliver case folder including plastic sections and paperwork to pathologist and review plastic sections with pathologist.	10	
88348	Electron microscopy	Pre-service	L033A	Lab Technician	0.44	Deliver prints and slides to pathologist.	1	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Dilute 25% concentrated glutaraldehyde solution into working 3.75% buffered solution. Fill and label specimen containers with glutaraldehyde and distribute to surgical pathology grossing station.	3	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Embed tissue in resin molds.Place blocks in oven for partial resin polymerization.	3	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Examine blocks under light microscope to identify glomeruli.	4	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	"Examine tissue specimen under dissecting microscope and section into appropriately sized pieces for processing, wrap specimens in lens tissue and place into processor baskets with identification numbers.  Place baskets into processor vial."	10	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Face off tissue blocks on milling machine. Trim excess polymerized resin from sides of faced block to form pyramidal blocks that can be cut using microtome.	8	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Insert grid into staining rings.	1	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Load tissue processor with specimens and start processor.	2	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	"Perform measurements on glomerular basement membranes (30 separate foci), enter into excel spread sheet, average measurements, and print for inclusions in file folder."	20	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Place thin sections on labeled electron microscopic grids.  Place grids into appropriately labeled petri dishes.	3	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Prepare and load solutions onto tissue processor.	10	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Prepare and mix resin for EM tissue blocks.	10	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Prepare glass knifes for thick sectioning.	2	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	"Prepare instrument for carbon coating procedure.  Prepare carbon rod, insert into carbon evaporator, arrange petri dishes so that grids will receive ample carbon coating. Lower bell jar and prepump and pump system…"	22	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	"Prepare specimen labels for tissue block storage, EM grid identification, toluidine blue slide labels, and EM print file folder.  Prepare and label patient specimen boxes for storage of blocks."	5	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Prepare toluidine blue staining solution for staining thick sections.	5	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Prepare uranyl acetate and lead citrate staining solutions.	5	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Print electron microscopic images from digital files.	5	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Program tissue processor and perform quality control functions.	5	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	"Put resin into block molds, and add patient identifying number into resin mold."	1	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Remove completely polymerized tissue blocks from oven and trim blocks.	8	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Remove partially polymerized tissue blocks from oven and reposition tissue to center of embedding mold.  Return tissue blocks to oven.	3	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Remove tissue from processor.	2	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Retrieve liquid nitrogen from storage dewar (-70C solution) and place in electron microscope cooling chamber.	5	
88348	Electron microscopy	Pre-service	L033A	Lab Technician	0.44	Retrieve specimen from surgical pathology laboratory and transport to electron microscopy laboratory.	1	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Stain microscopic slides while applying heat to achieve proper metachromatic staining effect.	8	
88348	Electron microscopy	Pre-service	L045B	Electron Microscopy Technologist	0.67	Stain thin sections with uranyl acetate and lead citrate  Place petri dishes in oven.	10	
88348	Electron microscopy	Post-service	L033A	Lab Technician	0.44	Clean room/equipment by physician staff	3	
88348	Electron microscopy	Post-service	L033A	Lab Technician	0.44	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88348	Electron microscopy	Post-service	L033A	Lab Technician	0.44	File glass slides from plastic sections.  File electron microscopic prints.	2	
88350	"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	"Freeze specimen, section block, label slides, perform H&E slide staining, coverslipping, quality control function, maintaining specimen tracking, logs, and labeling."	1	
88350	"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)"	Service  intra	L037B	Histotechnologist	0.505	"Allow the tissues to incubate for 30 minutes at room temperature.  Remove the slides from the folder, allow the excess antibody to run off onto a paper towel and tap the long edge of the slide to remove remaining droplets…"	6	
88350	"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)"	Service  intra	L037B	Histotechnologist	0.505	Cut positive control tissue and place on slide	1	
88350	"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)"	Service  intra	L037B	Histotechnologist	0.505	"Immediately prior to staining, slides are fixed in acetone for 10 minutes.  Allow slides to dry for 5 minutes.  Draw a circle around each section with a PAP Pen to keep the antibodies on the tissue.  Allow the PAP Pen to dry for 5 minutes before con…"	10	
88350	"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)"	Service  intra	L037B	Histotechnologist	0.505	"Mix reagent solutions for dilution of antibodies and check pH, prepare and dispense PBS buffer"	1	
88350	"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)"	Service  intra	L037B	Histotechnologist	0.505	Place the slides in the plastic slide folder on a level counter so the antibody will stay on the tissue when applied.  Pipette each antibody onto the appropriate section of the slides including the controls.  Be sure each tissue is covered with antibod…	6	
88350	"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)"	Service  intra	L037B	Histotechnologist	0.505	Prepare positive control block by freezing control tissue on frozen tissue block and store at -70C.	0.15	
88350	"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)"	Service  post	L033A	Lab Technician	0.44	Hazardous waste disposal	1	
88355	Morphometric analysis; skeletal muscle	Pre-service	L033A	Lab Technician	0.44	Accession specimen/prepare for examination	4	
88355	Morphometric analysis; skeletal muscle	Pre-service	L033A	Lab Technician	0.44	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	5	
88355	Morphometric analysis; skeletal muscle	Pre-service	L033A	Lab Technician	0.44	"Receive phone call from referring laboratory/facility with scheduled procedure to arrange special delivery of specimen procurement kit, including muscle biopsy clamp as needed."	5	
88355	Morphometric analysis; skeletal muscle	Service  pre	L033A	Lab Technician	0.44	Assemble and deliver slides with paperwork to pathologists	0.5	
88355	Morphometric analysis; skeletal muscle	Service  pre	L037B	Histotechnologist	0.505	Assist pathologist with gross specimen examination	3	
88355	Morphometric analysis; skeletal muscle	Service  pre	L037B	Histotechnologist	0.505	Measure and snap freeze fresh saline specimen for histochemistry.	10	
88355	Morphometric analysis; skeletal muscle	Service  pre	L033A	Lab Technician	0.44	"Measure specimen and fix on muscle/nerve clamp in Karnovskys fixative for 8-12 hours.  After fixation, cut cross and longitudinal sections for histologic sections and retain portion for possible additional EM or nerve teasing studies."	5	
88355	Morphometric analysis; skeletal muscle	Service  pre	L037B	Histotechnologist	0.505	"Process specimen for slide preparation (includes processing, embedding, sectioning and recuts, centrifugation, routine and special staining, coverslipping, quality control function, maintaining specimen tracking, logs and labeling"	24	
88355	Morphometric analysis; skeletal muscle	Service  post	L033A	Lab Technician	0.44	"Clean room, equipment following procedure including any equipment maintenance that must be done after the procedure."	1	
88355	Morphometric analysis; skeletal muscle	Service  post	L033A	Lab Technician	0.44	"Prepare specimen for -70 degree storage, log specimen and place in freezer for retrieval and performance of quantitative enzyme/protein studies if needed.  Store minimum of 1 year."	0	
88355	Morphometric analysis; skeletal muscle	Service  post	L033A	Lab Technician	0.44	"Prepare, pack and transport specimens and records for storage."	3	
88355	Morphometric analysis; skeletal muscle	Post-service	L033A	Lab Technician	0.44	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88356	Morphometric analysis; nerve	Pre-service	L033A	Lab Technician	0.44	Accession specimen/prepare for examination	3	
88356	Morphometric analysis; nerve	Pre-service	L045B	Electron Microscopy Technologist	0.67	"EM - lab prepares containers  by mixing solutions, labeling and prefilling with fixative."	10	
88356	Morphometric analysis; nerve	Pre-service	L045B	Electron Microscopy Technologist	0.67	"EM-lab prepares labels, requisitions, billing forms.  Verifies order worksheet."	5	
88356	Morphometric analysis; nerve	Pre-service	L045B	Electron Microscopy Technologist	0.67	EM-retrieves specimen from receiving workstation or storage area.  Accession specimen and evaluate specimen quality.	1	
88356	Morphometric analysis; nerve	Pre-service	L033A	Lab Technician	0.44	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	6.5	
88356	Morphometric analysis; nerve	Service  pre	L033A	Lab Technician	0.44	Assemble and deliver slides with paperwork to pathologists	2	
88356	Morphometric analysis; nerve	Service  pre	L037B	Histotechnologist	0.505	Assist pathologist with gross specimen examination	10	
88356	Morphometric analysis; nerve	Service  pre	L045B	Electron Microscopy Technologist	0.67	"Fixes specimen in glutaraldehyde, washes 3 times, dehydrates, mixes resin and infiltrates specimen with resin.
Labels blocks (types labels, prints, cuts, puts into capsules/molds, logs into book). Places specimen into capsules/molds, orients and trims…"	96	
88356	Morphometric analysis; nerve	Service  pre	L033A	Lab Technician	0.44	"Under dissecting microscope, after fixation, cut cross and longitudinal sections for histologic sections and retain portion for possible additional EM or nerve teasing studies."	5	
88356	Morphometric analysis; nerve	Post-service	L033A	Lab Technician	0.44	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	3	
88356	Morphometric analysis; nerve	Post-service	L033A	Lab Technician	0.44	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88356	Morphometric analysis; nerve	Post-service	L033A	Lab Technician	0.44	File glass slides from plastic sections.  File electron microscopic prints.	2	
88356	Morphometric analysis; nerve	Post-service	L033A	Lab Technician	0.44	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	3	
88358	Microscopic genetic analysis of tumor	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	1	
88358	Microscopic genetic analysis of tumor	Service  intra	L037B	Histotechnologist	0.505	Service total costs	29	
88358	Microscopic genetic analysis of tumor	Post-service	L033A	Lab Technician	0.44	Post service total costs	4	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L037B	Histotechnologist	0.505	Cut patient tissue and place on negative control slide	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L037B	Histotechnologist	0.505	"Cut patient tissue and place on slide to include the following:
 - Section paraffin block in microtome, place section in water bath; label and place on microscopic slide from waterbath includes change and insert knife, rough-cut block."	3	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L037B	Histotechnologist	0.505	Cut positive control tissue and place on slide	3	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L033A	Lab Technician	0.44	Dehydrate to xylene through progressive alcohols	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L037B	Histotechnologist	0.505	"Enter patient data, computational prep for antibody testing, generate and apply bar codes to slides, and enter data for automated slide stainer"	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L037B	Histotechnologist	0.505	"Load the primary antibody (load secondary if applicable), detection kit dispensers and required reagents onto the reagent tray and place the tray on the automated slide stainer.  Load the slides onto the automated slide stainer…"	3	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L033A	Lab Technician	0.44	"Place slides in oven and incubate for 60 minutes, remove from oven, set timer"	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L037B	Histotechnologist	0.505	"Prepare positive control block to include the following: Confirm control tissue ID. Embed tissue in paraffin. Take cassette out of embedding chamber, open cassette, put paraffin in bottom of embedding mold, embed tissue…"	0.15	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L037B	Histotechnologist	0.505	Pull and verify tissue block and control block	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L033A	Lab Technician	0.44	Remove slides from automated slide stainer. Rinse slides in soapy water to remove the coverslip material.  Load slides on to cover rack.	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L037B	Histotechnologist	0.505	Review positive and negative control slides	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Pre-service	L033A	Lab Technician	0.44	Verify order and accession immunohistochemical stain order in laboratory information system	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Service  post	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Service  post	L033A	Lab Technician	0.44	Hazardous waste disposal	1	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Service  post	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	0	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Service  post	L037B	Histotechnologist	0.505	"Refile block, unload and store antibody, detection kit, and reagents"	2	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Service  post	L037B	Histotechnologist	0.505	Verify results and complete work load recording logs	0	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Post-service	L033A	Lab Technician	0.44	Clean equipment and work station in histology lab	4	
88360	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual"	Post-service	L033A	Lab Technician	0.44	Recycle xylene from tissue processor and stainer	0	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	Cut patient tissue and place on negative control slide	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	"Cut patient tissue and place on slide to include the following:
 - Section paraffin block in microtome, place section in water bath; label and place on microscopic slide from waterbath includes change and insert knife, rough-cut block."	3	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	Cut positive control tissue and place on slide	3	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L033A	Lab Technician	0.44	Dehydrate to xylene through progressive alcohols	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	"Enter patient data, computational prep for antibody testing, generate and apply bar codes to slides, and enter data for automated slide stainer"	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	Gate areas to be counted by the machine	0	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	Load slides on automatic image analyzer.	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	"Load the primary antibody (load secondary if applicable), detection kit dispensers and required reagents onto the reagent tray and place the tray on the automated slide stainer.  Load the slides onto the automated slide stainer…"	3	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	"Performing instrument calibration, instrument qc and start up and shutdown."	0	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L033A	Lab Technician	0.44	"Place slides in oven and incubate for 60 minutes, remove from oven, set timer"	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	"Prepare positive control block to include the following: Confirm control tissue ID. Embed tissue in paraffin. Take cassette out of embedding chamber, open cassette, put paraffin in bottom of embedding mold, embed tissue…"	0.15	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	Pull and verify tissue block and control block	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L033A	Lab Technician	0.44	Remove slides from automated slide stainer. Rinse slides in soapy water to remove the coverslip material.  Load slides on to cover rack.	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L037B	Histotechnologist	0.505	Review positive and negative control slides	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Pre-service	L033A	Lab Technician	0.44	Verify order and accession immunohistochemical stain order in laboratory information system	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Service  post	L033A	Lab Technician	0.44	Clean equipment and work station in histology lab and crytostat.	4	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Service  post	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Service  post	L033A	Lab Technician	0.44	Hazardous waste disposal	1	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Service  post	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	0	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Service  post	L037B	Histotechnologist	0.505	"Refile block, unload and store antibody, detection kit, and reagents"	2	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Post-service	L033A	Lab Technician	0.44	Recycle xylene from tissue processor and stainer	0	
88361	"Morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology"	Post-service	L037B	Histotechnologist	0.505	Verify results and complete work load recording logs	0	
88362	Nerve teasing preparations	Pre-service	L037B	Histotechnologist	0.505	Accession specimen and prepare for examination	4	
88362	Nerve teasing preparations	Pre-service	L037B	Histotechnologist	0.505	Collect specimen from OR or coordinate delivery of fresh specimen.	5	
88362	Nerve teasing preparations	Pre-service	L037B	Histotechnologist	0.505	"Consult with pathologist regarding representation needed, block selection and appropriate technique."	0	
88362	Nerve teasing preparations	Pre-service	L037B	Histotechnologist	0.505	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	5	
88362	Nerve teasing preparations	Service  pre	L033A	Lab Technician	0.44	Assemble and deliver cedar mounted slides with paperwork to pathologists	0.5	
88362	Nerve teasing preparations	Service  pre	L033A	Lab Technician	0.44	"Assemble other light microscopy slides, epon nerve biopsy slides, and clinical history, and present to pathologist to prepare clinical pathologic interpretation."	0.5	
88362	Nerve teasing preparations	Service  pre	L037B	Histotechnologist	0.505	"Assist pathologist with gross specimen examination including the following; 
A ; Selection of fresh unfixed tissue sample; 
B; selection of tissue for formulant fixation for parrifn blocking and epon blocking."	5	
88362	Nerve teasing preparations	Service  pre	L033A	Lab Technician	0.44	Preparation: labeling of blocks and containers and document location and processor used.	0.5	
88362	Nerve teasing preparations	Service  pre	L037B	Histotechnologist	0.505	"Prepare nerve for teasing: A: Strip epineurium from nerve B: Osmicate the nerve C; under a disection microscope, tease individual axons from nerve fascicle; D: Place axon onto cedar oil prepared glass slide, repeat 40-50 times. E: Coverslip"	70	
88362	Nerve teasing preparations	Service  pre	L037B	Histotechnologist	0.505	"Process specimen for slide review, includes coverslipping, quality control function, maintaining specimen tracking logs and labeling"	5	
88362	Nerve teasing preparations	Post-service	L033A	Lab Technician	0.44	Clean room/equipment following procedure (including dissecting microscope and dissection work area. Cedar oil specific clean up including and all tools.	1	
88362	Nerve teasing preparations	Post-service	L037B	Histotechnologist	0.505	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88362	Nerve teasing preparations	Post-service	L037B	Histotechnologist	0.505	Manage any relevant utilization review/quality assurance activities and regulatory compliance documentation.	0	
88362	Nerve teasing preparations	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport cedar oiled glass slides and records for in-house special storage (need to be stored flat)"	0	
88362	Nerve teasing preparations	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88362	Nerve teasing preparations	Post-service	L037B	Histotechnologist	0.505	"Storage remaining specimen. (Osmicated nerve strands, potential for additional teased specimens)"	0	
88363	Microscopic genetic analysis of tissue	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	6	0
88363	Microscopic genetic analysis of tissue	Post-service	L033A	Lab Technician	0.44	Post service total costs	2	0
88364	"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	0.5	
88364	"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	Examine signals in each cell and generate data for the pathologist to interpret	10	
88364	"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	Photograph and print samples	5	
88364	"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	14	
88364	"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	Signal Enumeration: Verify and QC controls and slide adequacy.	3	
88364	"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	0	
88364	"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Post-service	L037B	Histotechnologist	0.505	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	0.5	
88364	"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88365	"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88365	"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Examine signals in each cell and generate data for the pathologist to interpret	10	
88365	"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	
88365	"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Photograph and print samples	7	
88365	"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	43	
88365	"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Retrieve and accession specimen	1.5	
88365	"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Signal Enumeration: Verify and QC controls and slide adequacy.	3	
88365	"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88365	"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88365	"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	
88366	"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88366	"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Examine signals in each cell and generate data for the pathologist to interpret	15	
88366	"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	
88366	"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Photograph and print samples	7	
88366	"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	43	
88366	"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Retrieve and accession specimen	1.5	
88366	"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Signal Enumeration: Verify and QC controls and slide adequacy.	4.5	
88366	"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88366	"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88366	"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	
88367	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen: initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88367	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen: initial single probe stain procedure"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	
88367	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen: initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Load slides on Auto Vysis Scanner, and enter slide IDs.    After pathologist has verified fields of interest, select the fields to be scanned."	4	
88367	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen: initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Photograph and print samples	1	
88367	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen: initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	32	
88367	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen: initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Retrieve and accession specimen	1.5	
88367	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen: initial single probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88367	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen: initial single probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88367	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen: initial single probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	
88368	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88368	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; initial single probe stain procedure"	Pre-service	L035A	Lab Tech/Histotechnologist	0.473	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	
88368	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Photograph and print samples	7	
88368	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	43	
88368	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Retrieve and accession specimen	1.5	
88368	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Signal Enumeration: Count signals in malignant cells and generate data for pathologist to interpret	12	
88368	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; initial single probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Signal Enumeration: Verify and QC controls and slide adequacy.	4	
88368	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; initial single probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88368	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; initial single probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88368	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; initial single probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	
88369	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	0.5	
88369	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	Photograph and print samples	5	
88369	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	14	
88369	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	Signal Enumeration: Count signals in malignant cells and generate data for pathologist to interpret	12	
88369	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	Signal Enumeration: Verify and QC controls and slide adequacy.	4	
88369	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	0	
88369	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Post-service	L037B	Histotechnologist	0.505	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	0.5	
88369	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative) manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88373	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	0.5	
88373	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	"Load slides on Auto Vysis Scanner, and enter slide IDs.    After pathologist has verified fields of interest, select the fields to be scanned."	4	
88373	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	Photograph and print samples	1	
88373	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Pre-service	L037B	Histotechnologist	0.505	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	10	
88373	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	0.5	
88373	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Post-service	L037B	Histotechnologist	0.505	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	0.5	
88373	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)"	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	
88374	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88374	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	
88374	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Load slides on Auto Vysis Scanner, and enter slide IDs.    After pathologist has verified fields of interest, select the fields to be scanned."	4	
88374	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Photograph and print samples	1	
88374	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	32	
88374	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Retrieve and accession specimen	1.5	
88374	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each multiplex probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88374	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each multiplex probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88374	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,  per specimen; each multiplex probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	
88377	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	
88377	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	
88377	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Photograph and print samples	7	
88377	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	43	
88377	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Retrieve and accession specimen	1.5	
88377	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Signal Enumeration: Count signals in malignant cells and generate data for pathologist to interpret	18	
88377	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure"	Pre-service	L037B	Histotechnologist	0.505	Signal Enumeration: Verify and QC controls and slide adequacy.	6	
88377	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88377	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88377	"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure"	Post-service	L037B	Histotechnologist	0.505	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	
88380	Microdissection; laser capture	Pre-service	L033A	Lab Technician	0.44	Accession specimen/prepare for examination	1.5	
88380	Microdissection; laser capture	Pre-service	L037B	Histotechnologist	0.505	"Process specimen for H&E slide preparation (includes refacing block and preparing for cutting, step sectioning and recuts,  routine  staining, coverslipping, quality control function, maintaining specimen tracking logs and labeling.)"	14.5	
88380	Microdissection; laser capture	Pre-service	L033A	Lab Technician	0.44	Retrieve block	1	
88380	Microdissection; laser capture	Service  pre	L033A	Lab Technician	0.44	Assemble and deliver slides with paperwork to pathologists for H&E examination and target selection	1	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	Collect and label tubes for target	1	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	Deparaffination of unstained slides	15	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	"Dispose of razor blade, Cap tube and vortex specimens. Visually inspect tube to make sure microdissected material are at the bottom of tube."	3	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	Document procedure in logs and place tubes in storage until extraction	4	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	Etch slide with diamond tipped marker	3	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	Examination of stained slides to verify and visualize targets	8	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	Methylene blue staining of 10 (laser) and 8 (manual) slides	8	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	"Place tape on tube, place parafilm over tube lid.  Add to 55 degree waterbath overnight, after which tube will be transported to atuomated DNA extractor"	3	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	"Prepare Incubation buffer: Thaw proteinase K and DDT.  Add 100 uL of proteinase K and 100 uL of DTT to 800 uL of incubation buffer (can use for 10 cases).  Add 60uL of incubation buffer into cap of tube and 40uL of incubation buffer to tube.
"	6	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	"Prepare laser instrument, quality control and maintenance functions"	3	
88380	Microdissection; laser capture	Service  pre	L033A	Lab Technician	0.44	Slides and paperwork delivered to the laboratory after target selection	1	
88380	Microdissection; laser capture	Service  pre	L045A	Cytotechnologist	0.605	"Turn on dissecting microscope, place slide on scope, remove razor blade from box.  Microdissect tissue within etched area, while viewing slide under dissecting scope, place tissue into cap of collection tube with blade.  Repeat"	0	
88380	Microdissection; laser capture	Post-service	L033A	Lab Technician	0.44	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88380	Microdissection; laser capture	Post-service	L033A	Lab Technician	0.44	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88380	Microdissection; laser capture	Post-service	L033A	Lab Technician	0.44	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	
88381	Microdissection; manual	Pre-service	L033A	Lab Technician	0.44	Accession specimen/prepare for examination	1.5	
88381	Microdissection; manual	Pre-service	L037B	Histotechnologist	0.505	"Process specimen for H&E slide preparation (includes refacing block and preparing for cutting, step sectioning and recuts,  routine  staining, coverslipping, quality control function, maintaining specimen tracking logs and labeling.)"	14.5	
88381	Microdissection; manual	Pre-service	L033A	Lab Technician	0.44	Retrieve block	1	
88381	Microdissection; manual	Service  pre	L033A	Lab Technician	0.44	Assemble and deliver slides with paperwork to pathologists for H&E examination and target selection	1	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	Collect and label tubes for target	1	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	decontamination of workspace and dissecting scope	3	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	Deparaffination of unstained slides	15	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	"Dispose of razor blade, Cap tube and vortex specimens. Visually inspect tube to make sure microdissected material are at the bottom of tube."	3	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	Document procedure in logs and place tubes in storage until extraction	4	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	Etch slide with diamond tipped marker	3	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	Examination of stained slides to verify and visualize targets	8	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	Methylene blue staining of 10 (laser) and 8 (manual) slides	8	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	"Place tape on tube, place parafilm over tube lid.  Add to 55 degree waterbath overnight, after which tube will be transported to atuomated DNA extractor"	3	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	"Prepare Incubation buffer: Thaw proteinase K and DDT.  Add 100 uL of proteinase K and 100 uL of DTT to 800 uL of incubation buffer (can use for 10 cases).  Add 60uL of incubation buffer into cap of tube and 40uL of incubation buffer to tube.
"	6	
88381	Microdissection; manual	Service  pre	L033A	Lab Technician	0.44	Slides and paperwork delivered to the laboratory after target selection	1	
88381	Microdissection; manual	Service  pre	L045A	Cytotechnologist	0.605	"Turn on dissecting microscope, place slide on scope, remove razor blade from box.  Microdissect tissue within etched area, while viewing slide under dissecting scope, place tissue into cap of collection tube with blade.  Repeat"	30	
88381	Microdissection; manual	Post-service	L033A	Lab Technician	0.44	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	
88381	Microdissection; manual	Post-service	L033A	Lab Technician	0.44	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
88381	Microdissection; manual	Post-service	L033A	Lab Technician	0.44	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	
88387	"Pathologist examination, dissection, and preparation of tissue"	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	3	
88387	"Pathologist examination, dissection, and preparation of tissue"	Post-service	L033A	Lab Technician	0.44	Post service total costs	1	
88388	"Pathologist examination, dissection, and preparation of tissue during surgery"	Pre-service	L033A	Lab Technician	0.44	Preservice total costs	3	
88388	"Pathologist examination, dissection, and preparation of tissue during surgery"	Post-service	L033A	Lab Technician	0.44	Post service total costs	1	
89049	Test for malignant hyperthermia susceptibility (genetic disorder)	Service  intra	L035A	Lab Tech/Histotechnologist	0.473	Service total costs	274	0
89220	Sputum specimen collection	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	25	
89230	Sweat collection	Service  intra	L035A	Lab Tech/Histotechnologist	0.473	Service total costs	8	
90460	Administration of first vaccine or toxoid component through 18 years of age with counseling	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	0	0
90460	Administration of first vaccine or toxoid component through 18 years of age with counseling	Pre-service	L037D	RN/LPN/MTA	0.455	Review patient clinical extant information and questionnaire	1	0
90460	Administration of first vaccine or toxoid component through 18 years of age with counseling	Service  pre	L037D	RN/LPN/MTA	0.455	"Confirm order, protocol exam"	2	0
90460	Administration of first vaccine or toxoid component through 18 years of age with counseling	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
90460	Administration of first vaccine or toxoid component through 18 years of age with counseling	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	4	0
90460	Administration of first vaccine or toxoid component through 18 years of age with counseling	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	1	0
90460	Administration of first vaccine or toxoid component through 18 years of age with counseling	Service  post	L037D	RN/LPN/MTA	0.455	"Document procedure (nonPACS) (e.g. mandated reporting, registry logs, EEG file, etc.)"	3	0
90460	Administration of first vaccine or toxoid component through 18 years of age with counseling	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	4	0
90460	Administration of first vaccine or toxoid component through 18 years of age with counseling	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	1	0
90461	Administration of vaccine or toxoid component through 18 years of age with counseling	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
90471	Administration of 1 vaccine	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	0	0
90471	Administration of 1 vaccine	Pre-service	L037D	RN/LPN/MTA	0.455	Review patient clinical extant information and questionnaire	1	0
90471	Administration of 1 vaccine	Service  pre	L037D	RN/LPN/MTA	0.455	"Confirm order, protocol exam"	2	0
90471	Administration of 1 vaccine	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
90471	Administration of 1 vaccine	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	4	0
90471	Administration of 1 vaccine	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	1	0
90471	Administration of 1 vaccine	Service  post	L037D	RN/LPN/MTA	0.455	"Document procedure (nonPACS) (e.g. mandated reporting, registry logs, EEG file, etc.)"	3	0
90471	Administration of 1 vaccine	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	4	0
90471	Administration of 1 vaccine	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	1	0
90472	Administration of vaccine	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	0	0
90472	Administration of vaccine	Pre-service	L037D	RN/LPN/MTA	0.455	Review patient clinical extant information and questionnaire	1	0
90472	Administration of vaccine	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
90472	Administration of vaccine	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	4	0
90472	Administration of vaccine	Service  post	L037D	RN/LPN/MTA	0.455	"Document procedure (nonPACS) (e.g. mandated reporting, registry logs, EEG file, etc.)"	2	0
90473	Administration of 1 nasal or oral vaccine	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	0	0
90473	Administration of 1 nasal or oral vaccine	Pre-service	L037D	RN/LPN/MTA	0.455	Review patient clinical extant information and questionnaire	1	0
90473	Administration of 1 nasal or oral vaccine	Service  pre	L037D	RN/LPN/MTA	0.455	"Confirm order, protocol exam"	2	0
90473	Administration of 1 nasal or oral vaccine	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
90473	Administration of 1 nasal or oral vaccine	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	4	0
90473	Administration of 1 nasal or oral vaccine	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	1	0
90473	Administration of 1 nasal or oral vaccine	Service  post	L037D	RN/LPN/MTA	0.455	"Document procedure (nonPACS) (e.g. mandated reporting, registry logs, EEG file, etc.)"	3	0
90473	Administration of 1 nasal or oral vaccine	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, multitasking 1:4"	4	0
90473	Administration of 1 nasal or oral vaccine	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	1	0
90474	Administration of nasal or oral vaccine	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	0	0
90474	Administration of nasal or oral vaccine	Pre-service	L037D	RN/LPN/MTA	0.455	Review patient clinical extant information and questionnaire	1	0
90474	Administration of nasal or oral vaccine	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
90474	Administration of nasal or oral vaccine	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	4	0
90474	Administration of nasal or oral vaccine	Service  post	L037D	RN/LPN/MTA	0.455	"Document procedure (nonPACS) (e.g. mandated reporting, registry logs, EEG file, etc.)"	2	0
90849	Multiple-family group psychotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	6
90849	Multiple-family group psychotherapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	1	0
90863	Management of prescriptions and review of medication	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
90865	Injection of hypnotic drug for psychiatric diagnosis or therapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	0
90865	Injection of hypnotic drug for psychiatric diagnosis or therapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	35	6
90865	Injection of hypnotic drug for psychiatric diagnosis or therapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	0
90870	Shock treatment and monitoring	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	0
90870	Shock treatment and monitoring	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	42	0
90870	Shock treatment and monitoring	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	3
90876	"Individual psychophysiological therapy incorporating biofeedback training with psychotherapy, 45 minutes"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	1	0
90876	"Individual psychophysiological therapy incorporating biofeedback training with psychotherapy, 45 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	0
90876	"Individual psychophysiological therapy incorporating biofeedback training with psychotherapy, 45 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
90880	Hypnotherapy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	1	0
90880	Hypnotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	7	0
90880	Hypnotherapy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
90887	"Explanation of psychiatric, medical examinations, procedures, and data to other than patient"	Service  intra	L051A	RN	0.635	Service total costs	20	0
90901	Biofeedback training	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	10	0
90901	Biofeedback training	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	11	0
90901	Biofeedback training	Post-service	L039B	Physical Therapy Assistant	0.5	Post service total costs	3	0
90912	"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
90912	"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
90912	"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
90912	"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
90912	"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
90912	"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	3	0
90912	"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
90912	"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
90913	"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health care professional contact with the patient"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
90945	Dialysis procedure including one evaluation	Pre-service	L051A	RN	0.635	Preservice total costs		6
90945	Dialysis procedure including one evaluation	Post-service	L051A	RN	0.635	Post service total costs		8
90951	"Dialysis services (4 or more physician visits per month), patient younger than 2 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	34	34
90954	"Dialysis services (4 or more physician visits per month), patient 2-11 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	0
90955	"Dialysis services (2-3 physician visits per month), patient 2-11 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	55	55
90956	"Dialysis services (1 physician visit per month), patient 2-11 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	59	59
90957	"Dialysis services (4 or more physician visits per month), patient 12-19 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	53	53
90958	"Dialysis services (2-3 physician visits per month), patient 12-19 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	55	55
90959	"Dialysis services (1 physician visit per month), patient 12-19 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	59	59
90960	"Dialysis services (4 or more physician visits per month), patient 20 years of age and older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	54	54
90961	"Dialysis services (2-3 physician visits per month), patient 20 years of age and older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	54	54
90962	"Dialysis services (1 physician visit per month), patient 20 years of age and older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	58	58
90963	"Home dialysis services per month, patient younger than 2 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	55	55
90964	"Home dialysis services per month, patient 2-11 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	57	57
90965	"Home dialysis services per month, patient 12-19 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	57	57
90966	"Home dialysis services per month, patient 20 years of age or older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	54	54
90967	"Dialysis services, per day (less than full month service), patient younger than 2 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	2
90968	"Dialysis services, per day (less than full month service), patient 2-11 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	1.9	1.9
90969	"Dialysis services, per day (less than full month service), patient 12-19 years of age"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	1.9	1.9
90970	"Dialysis services, per day (less than full month service), patient 20 years of age or older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	1.8	1.8
91010	Measurement of esophageal swallowing movement	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91010	Measurement of esophageal swallowing movement	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	
91010	Measurement of esophageal swallowing movement	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
91013	Measurement of esophageal swallowing movement	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	9	
91020	Studies of the spontaneous stomach movement function	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91020	Studies of the spontaneous stomach movement function	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	
91022	Study of movement of the upper small bowel (duodenum)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91022	Study of movement of the upper small bowel (duodenum)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	
91022	Study of movement of the upper small bowel (duodenum)	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	13	
91030	Test for esophageal reflux disease	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91030	Test for esophageal reflux disease	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	62	
91034	Monitoring and recording of gastroesophageal reflux through nose including analysis and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91034	Monitoring and recording of gastroesophageal reflux through nose including analysis and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	
91034	Monitoring and recording of gastroesophageal reflux through nose including analysis and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	5	
91035	Monitoring and recording of gastroesophageal reflux with pH electrode insertion including analysis and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91035	Monitoring and recording of gastroesophageal reflux with pH electrode insertion including analysis and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	46	
91035	Monitoring and recording of gastroesophageal reflux with pH electrode insertion including analysis and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	5	
91037	Monitoring of gastroesophageal reflux including analysis and interpretation	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91037	Monitoring of gastroesophageal reflux including analysis and interpretation	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	
91037	Monitoring of gastroesophageal reflux including analysis and interpretation	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	5	
91038	"Monitoring of gastroesophageal reflux including analysis and interpretation, prolonged (greater than 1 hour, up to 24 hours)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91038	"Monitoring of gastroesophageal reflux including analysis and interpretation, prolonged (greater than 1 hour, up to 24 hours)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	53	
91038	"Monitoring of gastroesophageal reflux including analysis and interpretation, prolonged (greater than 1 hour, up to 24 hours)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	5	
91040	"Esophageal balloon distension study, diagnostic, with provocation when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91040	"Esophageal balloon distension study, diagnostic, with provocation when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	
91040	"Esophageal balloon distension study, diagnostic, with provocation when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	5	
91065	Measurement of hydrogen in breath to test for GI symptoms	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91065	Measurement of hydrogen in breath to test for GI symptoms	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	
91065	Measurement of hydrogen in breath to test for GI symptoms	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
91110	Imaging of digestive tract done from the inside of the digestive tract	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
91110	Imaging of digestive tract done from the inside of the digestive tract	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	0
91110	Imaging of digestive tract done from the inside of the digestive tract	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
91110	Imaging of digestive tract done from the inside of the digestive tract	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
91110	Imaging of digestive tract done from the inside of the digestive tract	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	10	0
91110	Imaging of digestive tract done from the inside of the digestive tract	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	6	0
91110	Imaging of digestive tract done from the inside of the digestive tract	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
91110	Imaging of digestive tract done from the inside of the digestive tract	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	4	0
91110	Imaging of digestive tract done from the inside of the digestive tract	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	6	0
91110	Imaging of digestive tract done from the inside of the digestive tract	Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	4	0
91111	Imaging of esophagus done from the inside of the esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
91111	Imaging of esophagus done from the inside of the esophagus	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	0
91111	Imaging of esophagus done from the inside of the esophagus	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
91111	Imaging of esophagus done from the inside of the esophagus	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
91111	Imaging of esophagus done from the inside of the esophagus	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	10	0
91111	Imaging of esophagus done from the inside of the esophagus	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	9	0
91111	Imaging of esophagus done from the inside of the esophagus	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
91111	Imaging of esophagus done from the inside of the esophagus	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	8	0
91111	Imaging of esophagus done from the inside of the esophagus	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	6	0
91111	Imaging of esophagus done from the inside of the esophagus	Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	4	0
91112	Transit and pressure measurement of stomach through colon with wireless capsule	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
91112	Transit and pressure measurement of stomach through colon with wireless capsule	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	
91112	Transit and pressure measurement of stomach through colon with wireless capsule	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	5	
91113	"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
91113	"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	0
91113	"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
91113	"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
91113	"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	10	0
91113	"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	6	0
91113	"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	9	0
91113	"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
91113	"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	6	0
91113	"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report"	Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	4	0
91117	"Measurement of colon movement, minimum 6 hours continuous recording"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		19
91120	Testing of tone and sensation of rectum and anus	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91120	Testing of tone and sensation of rectum and anus	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	
91120	Testing of tone and sensation of rectum and anus	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	5	
91122	Study of anorectal pressure generated by muscles surrounding anus (sphincter)	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91122	Study of anorectal pressure generated by muscles surrounding anus (sphincter)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	89	
91132	Recording of gastrointestinal electrical activity of stomach	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91132	Recording of gastrointestinal electrical activity of stomach	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	37	
91133	Recording of electrical activity of stomach with administration of drug	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
91133	Recording of electrical activity of stomach with administration of drug	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	45	
91200	"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
91200	"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
91200	"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
91200	"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (67% of physician intra-service time)	7	0
91200	"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	1	0
91200	"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report"	Service  post	L037D	RN/LPN/MTA	0.455	Review examination with interpreting MD/DO	2	0
92002	"Eye and medical examination for diagnosis and treatment, new patient"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	2	0
92002	"Eye and medical examination for diagnosis and treatment, new patient"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	42	0
92002	"Eye and medical examination for diagnosis and treatment, new patient"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	4	0
92004	"Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	2	0
92004	"Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	66	0
92004	"Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	4	0
92012	"Eye and medical examination for diagnosis and treatment, established patient"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	2	0
92012	"Eye and medical examination for diagnosis and treatment, established patient"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	40	0
92012	"Eye and medical examination for diagnosis and treatment, established patient"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	4	0
92014	"Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	2	0
92014	"Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	57	0
92014	"Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits"	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	4	0
92015	Assessment for prescriptive eye wear using a range of lens powers	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	1	0
92020	Examination of cornea and iris using lens device and slit lamp	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	2	0
92025	Computerized mapping of corneal curvature	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	17	
92060	Measurement of eye muscles to detect deviation of eyeball	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	5	
92060	Measurement of eye muscles to detect deviation of eyeball	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	26	
92065		Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
92065		Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
92065		Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide education/obtain consent	1	0
92065		Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
92065		Service  post	L038A	COMT/COT/RN/CST	0.45	"Review home care instructions, coordinate visits/prescriptions"	2	0
92071	Fitting of contact lens for treatment of ocular surface disease	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	5	0
92072	Fitting of contact lens for management of corneal degeneration	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	42	0
92072	Fitting of contact lens for management of corneal degeneration	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	6	0
92081	Measurement of field of vision during daylight conditions	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	17	
92082	Measurement of field of vision during daylight conditions	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	27	
92083	Measurement of field of vision during daylight conditions	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	37	
920XX		Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
920XX		Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
920XX		Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide education/obtain consent	1	0
920XX		Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure/service---NOT directly related to physician work time	30	0
920XX		Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
920XX		Service  post	L038A	COMT/COT/RN/CST	0.45	Review examination with interpreting MD/DO	2	0
920XX		Service  post	L038A	COMT/COT/RN/CST	0.45	"Review home care instructions, coordinate visits/prescriptions"	2	0
92100	"Multiple measurements of eye fluid pressure over an extended time period, same day"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	5	0
92100	"Multiple measurements of eye fluid pressure over an extended time period, same day"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	56	0
92132	Diagnostic imaging of eyes	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	2	
92132	Diagnostic imaging of eyes	Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure	12	
92133	Diagnostic imaging of optic nerve of eye	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	2	
92133	Diagnostic imaging of optic nerve of eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure	12	
92134	Diagnostic imaging of retina	Pre-service	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	2	
92134	Diagnostic imaging of retina	Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure	12	
92136	Measurement of corneal curvature and depth of eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	1	
92136	Measurement of corneal curvature and depth of eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
92136	Measurement of corneal curvature and depth of eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
92136	Measurement of corneal curvature and depth of eye	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	2	
92136	Measurement of corneal curvature and depth of eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	perform test	10	
92136	Measurement of corneal curvature and depth of eye	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
92145	Corneal hysteresis determination	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
92145	Corneal hysteresis determination	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
92145	Corneal hysteresis determination	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide education/obtain consent	1	0
92145	Corneal hysteresis determination	Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure/service---NOT directly related to physician work time	5	0
92227	"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	1	0
92227	"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	0
92227	"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
92227	"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
92227	"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
92227	"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure/service---NOT directly related to physician work time	7	0
92227	"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	6	0
92227	"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral"	Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
92227	"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
92227	"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral"	Post-service	L038A	COMT/COT/RN/CST	0.45	Coordinate post-procedure services	1	0
92228	"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	1	0
92228	"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	0
92228	"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
92228	"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
92228	"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
92228	"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	6	0
92228	"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral"	Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
92228	"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
92228	"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral"	Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	1	0
92229	"Imaging of retina for detection or monitoring of disease; point-of-care automated analysis and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	0
92229	"Imaging of retina for detection or monitoring of disease; point-of-care automated analysis and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
92229	"Imaging of retina for detection or monitoring of disease; point-of-care automated analysis and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
92229	"Imaging of retina for detection or monitoring of disease; point-of-care automated analysis and report, unilateral or bilateral"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
92229	"Imaging of retina for detection or monitoring of disease; point-of-care automated analysis and report, unilateral or bilateral"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	6	0
92229	"Imaging of retina for detection or monitoring of disease; point-of-care automated analysis and report, unilateral or bilateral"	Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
92229	"Imaging of retina for detection or monitoring of disease; point-of-care automated analysis and report, unilateral or bilateral"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
92229	"Imaging of retina for detection or monitoring of disease; point-of-care automated analysis and report, unilateral or bilateral"	Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	2	0
92230	Examination of retinal blood vessels by ophthalmoscope	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	8	0
92230	Examination of retinal blood vessels by ophthalmoscope	Service  intra	L051A	RN	0.635	Service total costs	7	0
92235	Examination of retinal blood vessels by ophthalmoscope	Service  pre	L039A	Certified Retinal Angio	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
92235	Examination of retinal blood vessels by ophthalmoscope	Service  pre	L039A	Certified Retinal Angio	0.455	"Prepare room, equipment, supplies"	2	
92235	Examination of retinal blood vessels by ophthalmoscope	Service  pre	L039A	Certified Retinal Angio	0.455	Provide pre-service education/obtain consent	1	
92235	Examination of retinal blood vessels by ophthalmoscope	Service  intra	L039A	Certified Retinal Angio	0.455	Acquire images	20	
92235	Examination of retinal blood vessels by ophthalmoscope	Service  post	L039A	Certified Retinal Angio	0.455	Clean room/equipment by physician staff	3	
92235	Examination of retinal blood vessels by ophthalmoscope	Service  post	L039A	Certified Retinal Angio	0.455	label & file photos/slides w/ patient chart	3	
92240	Examination of eye using an endoscope	Service  pre	L039A	Certified Retinal Angio	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
92240	Examination of eye using an endoscope	Service  pre	L039A	Certified Retinal Angio	0.455	"Prepare room, equipment, supplies"	2	
92240	Examination of eye using an endoscope	Service  pre	L039A	Certified Retinal Angio	0.455	Provide pre-service education/obtain consent	1	
92240	Examination of eye using an endoscope	Service  intra	L039A	Certified Retinal Angio	0.455	Acquire images	37	
92240	Examination of eye using an endoscope	Service  post	L039A	Certified Retinal Angio	0.455	Clean room/equipment by physician staff	3	
92240	Examination of eye using an endoscope	Service  post	L039A	Certified Retinal Angio	0.455	label & file photos/slides w/ patient chart	3	
92242	"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral"	Service  pre	L039A	Certified Retinal Angio	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
92242	"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral"	Service  pre	L039A	Certified Retinal Angio	0.455	"Prepare room, equipment, supplies"	2	
92242	"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral"	Service  pre	L039A	Certified Retinal Angio	0.455	Provide pre-service education/obtain consent	1	
92242	"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral"	Service  intra	L039A	Certified Retinal Angio	0.455	Acquire images	39	
92242	"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral"	Service  post	L039A	Certified Retinal Angio	0.455	Clean room/equipment by physician staff	3	
92242	"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral"	Service  post	L039A	Certified Retinal Angio	0.455	label & file photos/slides w/ patient chart	3	
92250	Photography of the retina	Service  intra	L038A	COMT/COT/RN/CST	0.45	Acquire images	14	
92250	Photography of the retina	Service  post	L038A	COMT/COT/RN/CST	0.45	label & file photos/slides w/ patient chart	3	
92260	Determination of retinal arterial pressure	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	4	0
92265	Application of needle electrodes to eye muscles with recording of muscle movement	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	13	
92265	Application of needle electrodes to eye muscles with recording of muscle movement	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	25	
92270	Evaluation of retinal response to light	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	65	
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Confirm order, protocol exam"	0	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	0	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	3	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	29	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide education/obtain consent	1	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure/service---NOT directly related to physician work time	31	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	8	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Service  post	L038A	COMT/COT/RN/CST	0.45	Review examination with interpreting MD/DO	2	0
92273	"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)"	Service  post	L038A	COMT/COT/RN/CST	0.45	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-procedure phone calls and prescription	0	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Complete pre-service diagnostic and referral forms	0	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Coordinate pre-surgery services (including test results)	0	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Pre-service	L038A	COMT/COT/RN/CST	0.45	Schedule space and equipment in facility	0	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Confirm order, protocol exam"	0	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	0	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	3	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	9	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide education/obtain consent	1	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure/service---NOT directly related to physician work time	27	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	8	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Service  post	L038A	COMT/COT/RN/CST	0.45	Review examination with interpreting MD/DO	2	0
92274	"Electroretinography (ERG), with interpretation and report; multifocal (mfERG)"	Service  post	L038A	COMT/COT/RN/CST	0.45	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	3	0
92283	Extended color vision examination	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	55	
92284		Service  pre	L038A	COMT/COT/RN/CST	0.45	"Confirm order, protocol exam"	1	0
92284		Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment and supplies"	2	0
92284		Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	1	0
92284		Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide education/obtain consent	2	0
92284		Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform procedure/service---NOT directly related to physician work time	15	0
92284		Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by clinical staff	3	0
92284		Service  post	L038A	COMT/COT/RN/CST	0.45	Review examination with interpreting MD/DO	2	0
92285	Photography of content of eyes	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	18	
92286	Microscopic evaluation of deep cells of the eye	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	17	
92287	Imaging and evaluation of deep cells of the eye	Service  pre	L039A	Certified Retinal Angio	0.455	"Prepare room, equipment and supplies"	2	0
92287	Imaging and evaluation of deep cells of the eye	Service  pre	L039A	Certified Retinal Angio	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
92287	Imaging and evaluation of deep cells of the eye	Service  pre	L039A	Certified Retinal Angio	0.455	Provide education/obtain consent	1	0
92287	Imaging and evaluation of deep cells of the eye	Service  intra	L039A	Certified Retinal Angio	0.455	Perform procedure/service---NOT directly related to physician work time	20	0
92287	Imaging and evaluation of deep cells of the eye	Service  post	L039A	Certified Retinal Angio	0.455	Clean room/equipment by clinical staff	3	0
92287	Imaging and evaluation of deep cells of the eye	Service  post	L039A	Certified Retinal Angio	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	2	0
92310	Measurement of curvature of both corneas with contact lens fitting	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	36	0
92310	Measurement of curvature of both corneas with contact lens fitting	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	10	0
92311	Measurement of curvature of cornea with contact lens fitting	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	46	0
92311	Measurement of curvature of cornea with contact lens fitting	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	8	0
92312	Measurement of curvature of both corneas with contact lens fitting	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	56	0
92312	Measurement of curvature of both corneas with contact lens fitting	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	10	0
92313	Measurement of curvature of cornea with contact lens fitting to cornea and sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	51	0
92313	Measurement of curvature of cornea with contact lens fitting to cornea and sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	8	0
92314	Measurement of curvature of both corneas with contact lens fitting	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	49	0
92314	Measurement of curvature of both corneas with contact lens fitting	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	10	0
92315	Measurement of curvature of the cornea with contact lens fitting	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	59	0
92315	Measurement of curvature of the cornea with contact lens fitting	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	8	0
92316	Measurement of curvature of both corneas with contact lens fitting	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	69	0
92316	Measurement of curvature of both corneas with contact lens fitting	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	10	0
92317	Measurement of curvature of cornea with contact lens fitting to cornea and sclera	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	64	0
92317	Measurement of curvature of cornea with contact lens fitting to cornea and sclera	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	8	0
92325	Modification of contact lens and medical supervision of adaptation	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	34	
92325	Modification of contact lens and medical supervision of adaptation	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	3	
92326	Replacement of contact lens	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	30	
92340	Fitting of monofocal spectacles	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	23	0
92340	Fitting of monofocal spectacles	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	10	0
92341	Fitting of bifocal spectacles	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	23	0
92341	Fitting of bifocal spectacles	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	10	0
92342	Fitting of multifocal spectacles	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	23	0
92342	Fitting of multifocal spectacles	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	10	0
92352	Fitting of monofocal spectacles	Service  intra	L033B	Optician/COMT	0.36	Service total costs	29	0
92353	Fitting of multifocal spectacles	Service  intra	L033B	Optician/COMT	0.36	Service total costs	29	0
92354	Fitting of spectacle mounted low vision aid	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	23	
92355	"Fitting of spectacle mounted, telescopic, or compound lens low vision aid"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	36	
92358	Fitting and provision of temporary contact lens for patient absent a natural lens	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	20	
92370	Repair and refitting of spectacles	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	19	0
92370	Repair and refitting of spectacles	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	2	0
92371	Repair and refitting of spectacle prosthesis for patient absent a natural lens	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	20	
92502	"Examination of head, neck, including ears, nose and throat under general anesthesia"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
92502	"Examination of head, neck, including ears, nose and throat under general anesthesia"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
92504	Diagnostic examination of ear and nose	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
92511	Nasopharyngoscopy with endoscope (separate procedure)	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0	7
92511	Nasopharyngoscopy with endoscope (separate procedure)	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	5
92511	Nasopharyngoscopy with endoscope (separate procedure)	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	0
92511	Nasopharyngoscopy with endoscope (separate procedure)	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	0
92511	Nasopharyngoscopy with endoscope (separate procedure)	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	0
92511	Nasopharyngoscopy with endoscope (separate procedure)	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	0
92511	Nasopharyngoscopy with endoscope (separate procedure)	Service  pre	L037D	RN/LPN/MTA	0.455	Setup scope (non facility setting only)	5	0
92511	Nasopharyngoscopy with endoscope (separate procedure)	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	5	0
92511	Nasopharyngoscopy with endoscope (separate procedure)	Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management  same day 99238 --6 minutes		0
92511	Nasopharyngoscopy with endoscope (separate procedure)	Post-service	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	0
92511	Nasopharyngoscopy with endoscope (separate procedure)	Post-service	L037D	RN/LPN/MTA	0.455	Clean scope	30	0
92511	Nasopharyngoscopy with endoscope (separate procedure)	Post-service	L037D	RN/LPN/MTA	0.455	"Monitor pt. following service/check tubes, monitors, drains (not related to moderate sedation)"	5	0
92512	Analysis of nasal resistance during breathing	Service  intra	L052A	Audiologist	0.665	Service total costs	42	0
92516	Tests for facial paralysis disorders	Service  intra	L052A	Audiologist	0.665	Service total costs	38	0
92520	Functional assessment of the voice box	Pre-service	L055A	Speech Pathologist	0.685	Preservice total costs	3	0
92520	Functional assessment of the voice box	Service  intra	L055A	Speech Pathologist	0.685	Service total costs	29	0
92520	Functional assessment of the voice box	Post-service	L055A	Speech Pathologist	0.685	Post service total costs	3	0
92546	Assessment and recording of abnormal eye movement with patient in a rotating chair	Pre-service	L052A	Audiologist	0.665	Preservice total costs	3	
92546	Assessment and recording of abnormal eye movement with patient in a rotating chair	Service  intra	L052A	Audiologist	0.665	Service total costs	50	
92546	Assessment and recording of abnormal eye movement with patient in a rotating chair	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	
92546	Assessment and recording of abnormal eye movement with patient in a rotating chair	Post-service	L052A	Audiologist	0.665	Post service total costs	3	
92547	Use of vertical electrodes during eye or balance evaluation	Service  intra	L052A	Audiologist	0.665	Service total costs	1	
92548	"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report;"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	0
92548	"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report;"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
92548	"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report;"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
92549		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	0
92549		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
92549		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
92551	Air tone conduction hearing assessment screening	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	19	
92552	Pure tone air conduction threshold hearing assessment	Service  intra	L052A	Audiologist	0.665	Service total costs	26	
92553	Pure tone air and bone conduction hearing assessment	Service  intra	L052A	Audiologist	0.665	Service total costs	31	
92555	Assessment of speech hearing loss	Service  intra	L052A	Audiologist	0.665	Service total costs	16	
92556	Assessment of hearing loss and speech recognition	Service  intra	L052A	Audiologist	0.665	Service total costs	26	
92562	Comparison assessment of hearing tones in one or both ears	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	
92562	Comparison assessment of hearing tones in one or both ears	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	
92563	Hearing test using earphones	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	
92563	Hearing test using earphones	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	31	
92565	Assessment of simultaneous but different hearing tones in same ear	Service  intra	L052A	Audiologist	0.665	Service total costs	13	
92571	Assessment of hearing using speech test with tone filtering	Service  intra	L052A	Audiologist	0.665	Service total costs	18	
92572	Assessment of hearing using speech test with tone filtering	Service  intra	L052A	Audiologist	0.665	Service total costs	33	
92575	Assessment of hearing using different tone pitches	Service  intra	L052A	Audiologist	0.665	Service total costs	42	
92576	Assessment of hearing loss using grammatically incorrect sentences	Service  intra	L052A	Audiologist	0.665	Service total costs	24	
92577	Assessment of two simultaneous words at different tones in same ear	Service  intra	L052A	Audiologist	0.665	Service total costs	13	
92582	Hearing tests for children	Service  intra	L052A	Audiologist	0.665	Service total costs	49	
92583	Hearing test in a booth	Service  intra	L052A	Audiologist	0.665	Service total costs	34	
92596	Hearing test in soundproof booth	Service  intra	L052A	Audiologist	0.665	Service total costs	43	
92612	Evaluation and recording of swallowing using an endoscope	Pre-service	L053A	RN/Speech Pathologist	0.66	Preservice total costs	5	0
92612	Evaluation and recording of swallowing using an endoscope	Service  intra	L053A	RN/Speech Pathologist	0.66	Service total costs	56	0
92614	Evaluation and recording of voice box sensory function using an endoscope	Pre-service	L053A	RN/Speech Pathologist	0.66	Preservice total costs	5	0
92614	Evaluation and recording of voice box sensory function using an endoscope	Service  intra	L053A	RN/Speech Pathologist	0.66	Service total costs	53	0
92616	Evaluation and recording of swallowing and voice box sensory function using an endoscope	Pre-service	L053A	RN/Speech Pathologist	0.66	Preservice total costs	5	0
92616	Evaluation and recording of swallowing and voice box sensory function using an endoscope	Service  intra	L053A	RN/Speech Pathologist	0.66	Service total costs	74	0
92950	Attempt to restart heart and lungs	Service  intra	L051A	RN	0.635	Service total costs	37	0
92960	External shock to heart to regulate heart beat	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	27
92960	External shock to heart to regulate heart beat	Service  intra	L051A	RN	0.635	Back out MS labor	0	0
92960	External shock to heart to regulate heart beat	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	0
92961	Internal shock to heart to regulate heart beat	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		27
92971	Placement of external devices to assist circulation	Pre-service	L042A	RN/LPN	0.525	Preservice total costs		12
92977	Infusion of drug into vein to dissolve coronary blood clot	Service  intra	L051A	RN	0.635	Service total costs	60	
92986	"Catheter based repair of left lower heart (aortic) valve, accessed through the skin"	Pre-service	L051A	RN	0.635	Preservice total costs		75
92986	"Catheter based repair of left lower heart (aortic) valve, accessed through the skin"	Service  intra	L051A	RN	0.635	Service total costs		12
92986	"Catheter based repair of left lower heart (aortic) valve, accessed through the skin"	Post-service	L051A	RN	0.635	Post service total costs		108
92987	"Catheter based repair of heart valve (mitral) between left upper and lower chambers, accessed through the skin"	Pre-service	L051A	RN	0.635	Preservice total costs		75
92987	"Catheter based repair of heart valve (mitral) between left upper and lower chambers, accessed through the skin"	Service  intra	L051A	RN	0.635	Service total costs		12
92987	"Catheter based repair of heart valve (mitral) between left upper and lower chambers, accessed through the skin"	Post-service	L051A	RN	0.635	Post service total costs		108
92990	"Catheter based repair of heart valve (pulmonary) to lungs, accessed through the skin"	Pre-service	L051A	RN	0.635	Preservice total costs		75
92990	"Catheter based repair of heart valve (pulmonary) to lungs, accessed through the skin"	Service  intra	L051A	RN	0.635	Service total costs		12
92990	"Catheter based repair of heart valve (pulmonary) to lungs, accessed through the skin"	Post-service	L051A	RN	0.635	Post service total costs		108
92997	"Balloon catheter opening of major lung artery (pulmonary), accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		16
92997	"Balloon catheter opening of major lung artery (pulmonary), accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
93000	Routine EKG using at least 12 leads including interpretation and report	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
93000	Routine EKG using at least 12 leads including interpretation and report	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	4	0
93000	Routine EKG using at least 12 leads including interpretation and report	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	3	0
93000	Routine EKG using at least 12 leads including interpretation and report	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	1	0
93005	Routine electrocardiogram (EKG) with tracing using at least 12 leads	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
93005	Routine electrocardiogram (EKG) with tracing using at least 12 leads	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	4	0
93005	Routine electrocardiogram (EKG) with tracing using at least 12 leads	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	3	0
93005	Routine electrocardiogram (EKG) with tracing using at least 12 leads	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	1	0
93010	Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
93015	"Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report"	Pre-service	L051A	RN	0.635	Preservice total costs	5	
93015	"Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report"	Service  intra	L051A	RN	0.635	Service total costs	48	
93017	Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring	Pre-service	L051A	RN	0.635	Preservice total costs	5	
93017	Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring	Service  intra	L051A	RN	0.635	Service total costs	44	
93024	Infusion of drug with evaluation of coronary artery spasm response	Service  intra	L051A	RN	0.635	Service total costs	80	
93025	Measurement of height of heart beats on EKG	Service  intra	L051A	RN	0.635	Service total costs	53	
93040	Tracing of electrical activity of heart using 1-3 leads with interpretation and report	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	
93041	Tracing of electrical activity of the heart using 1-3 leads	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	
93050	"Arterial pressure waveform analysis for assessment of central arterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transformations to determine central arterial pressures and augmentation index, with interpretation and report, upper extremity artery, non-invasive"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	1	
93050	"Arterial pressure waveform analysis for assessment of central arterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transformations to determine central arterial pressures and augmentation index, with interpretation and report, upper extremity artery, non-invasive"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	1	
93050	"Arterial pressure waveform analysis for assessment of central arterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transformations to determine central arterial pressures and augmentation index, with interpretation and report, upper extremity artery, non-invasive"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
93050	"Arterial pressure waveform analysis for assessment of central arterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transformations to determine central arterial pressures and augmentation index, with interpretation and report, upper extremity artery, non-invasive"	Service  intra	L037D	RN/LPN/MTA	0.455	Acquire images	8	
93050	"Arterial pressure waveform analysis for assessment of central arterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transformations to determine central arterial pressures and augmentation index, with interpretation and report, upper extremity artery, non-invasive"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Pre-service	L037A	Electrodiagnostic Technologist	0.405	Complete pre-service diagnostic and referral forms	5	0
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Confirm order, protocol exam"	1	0
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment and supplies"	2	0
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment and supplies"	2	0
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Provide education/obtain consent	5	0
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	64	0
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by clinical staff	3	0
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by clinical staff	3	0
93224	"Heart rhythm tracing, analysis, and interpretation of 48-hour EKG"	Service  post	L037A	Electrodiagnostic Technologist	0.405	"Review home care instructions, coordinate visits/prescriptions"	2	0
93225	Heart rhythm tracing of 48-hour EKG	Pre-service	L037A	Electrodiagnostic Technologist	0.405	Complete pre-service diagnostic and referral forms	5	0
93225	Heart rhythm tracing of 48-hour EKG	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Confirm order, protocol exam"	1	0
93225	Heart rhythm tracing of 48-hour EKG	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93225	Heart rhythm tracing of 48-hour EKG	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93225	Heart rhythm tracing of 48-hour EKG	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment and supplies"	2	0
93225	Heart rhythm tracing of 48-hour EKG	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment and supplies"	2	0
93225	Heart rhythm tracing of 48-hour EKG	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Provide education/obtain consent	5	0
93225	Heart rhythm tracing of 48-hour EKG	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	12	0
93225	Heart rhythm tracing of 48-hour EKG	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by clinical staff	3	0
93225	Heart rhythm tracing of 48-hour EKG	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by clinical staff	3	0
93225	Heart rhythm tracing of 48-hour EKG	Service  post	L037A	Electrodiagnostic Technologist	0.405	"Review home care instructions, coordinate visits/prescriptions"	2	0
93226	"Heart rhythm analysis, interpretation and report of 48-hour EKG"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	52	0
93228	"Heart rhythm tracing, computer analysis, and interpretation of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	5	0
93229	"Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Confirm order, protocol exam"	12	0
93229	"Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment and supplies"	6	0
93229	"Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  pre	L026A	Medical/Technical Assistant	0.31	Provide education/obtain consent	10	0
93229	"Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	24	0
93229	"Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	1	0
93229	"Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	281	0
93229	"Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  intra	L026A	Medical/Technical Assistant	0.31	Perform procedure/service---NOT directly related to physician work time	17	0
93229	"Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by clinical staff	3	0
93229	"Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  post	L037A	Electrodiagnostic Technologist	0.405	Review examination with interpreting MD/DO	8	0
93229	"Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days"	Service  post	L026A	Medical/Technical Assistant	0.31	"Review home care instructions, coordinate visits/prescriptions"	10	0
93241	"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Pre-service	L037A	Electrodiagnostic Technologist	0.405	Complete pre-service diagnostic and referral forms	5	0
93241	"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Confirm order, protocol exam"	1	0
93241	"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93241	"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment and supplies"	2	0
93241	"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Provide education/obtain consent	5	0
93241	"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  intra	L038B	Cardiovascular Technician	0.49	Perform procedure/service---NOT directly related to physician work time	76	0
93241	"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	31	0
93241	"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by clinical staff	3	0
93241	"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  post	L037A	Electrodiagnostic Technologist	0.405	"Review home care instructions, coordinate visits/prescriptions"	2	0
93242	External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Pre-service	L037A	Electrodiagnostic Technologist	0.405	Complete pre-service diagnostic and referral forms	5	0
93242	External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Confirm order, protocol exam"	1	0
93242	External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93242	External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment and supplies"	2	0
93242	External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Provide education/obtain consent	5	0
93242	External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	12	0
93242	External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by clinical staff	3	0
93242	External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  post	L037A	Electrodiagnostic Technologist	0.405	"Review home care instructions, coordinate visits/prescriptions"	2	0
93243	External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report	Service  intra	L038B	Cardiovascular Technician	0.49	Perform procedure/service---NOT directly related to physician work time	76	0
93243	External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	19	0
93245	"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Pre-service	L037A	Electrodiagnostic Technologist	0.405	Complete pre-service diagnostic and referral forms	5	0
93245	"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Confirm order, protocol exam"	1	0
93245	"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93245	"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment and supplies"	2	0
93245	"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Provide education/obtain consent	5	0
93245	"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  intra	L038B	Cardiovascular Technician	0.49	Perform procedure/service---NOT directly related to physician work time	104	0
93245	"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	31	0
93245	"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by clinical staff	3	0
93245	"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	Service  post	L037A	Electrodiagnostic Technologist	0.405	"Review home care instructions, coordinate visits/prescriptions"	2	0
93246	External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Pre-service	L037A	Electrodiagnostic Technologist	0.405	Complete pre-service diagnostic and referral forms	5	0
93246	External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Confirm order, protocol exam"	1	0
93246	External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93246	External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment and supplies"	2	0
93246	External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Provide education/obtain consent	5	0
93246	External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	12	0
93246	External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by clinical staff	3	0
93246	External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	Service  post	L037A	Electrodiagnostic Technologist	0.405	"Review home care instructions, coordinate visits/prescriptions"	2	0
93247	External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report	Service  intra	L038B	Cardiovascular Technician	0.49	Perform procedure/service---NOT directly related to physician work time	104	0
93247	External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	19	0
93260	"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care;"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
93260	"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care;"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
93260	"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care;"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
93260	"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care;"	Service  pre	L037D	RN/LPN/MTA	0.455	Review charts	2	
93260	"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care;"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
93260	"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care;"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
93260	"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care;"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
93260	"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care;"	Service  post	L037D	RN/LPN/MTA	0.455	Print PaceArt Report & Send	3	
93260	"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care;"	Service  post	L037D	RN/LPN/MTA	0.455	Scan & File	2	
93261	"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
93261	"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
93261	"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
93261	"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system"	Service  pre	L037D	RN/LPN/MTA	0.455	Review charts	2	
93261	"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
93261	"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
93261	"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
93261	"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system"	Service  post	L037D	RN/LPN/MTA	0.455	Print PaceArt Report & Send	3	
93261	"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system"	Service  post	L037D	RN/LPN/MTA	0.455	Scan & File	2	
93264	"Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads of pulmonary artery pressure recordings, interpretation(s), trend analysis, and report(s) by a physician or other qualified health care professional"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	40	0
93268	Heart rhythm symptom-related tracing and interpretation of 24-hour EKG monitoring up to 30 days	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	143	
93268	Heart rhythm symptom-related tracing and interpretation of 24-hour EKG monitoring up to 30 days	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	22	
93270	Heart rhythm symptom-related tracing of 24-hour EKG monitoring up to 30 days	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	22	
93271	Heart rhythm symptom-related transmission and analysis of 24-hour EKG monitoring up to 30 days	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	121	
93271	Heart rhythm symptom-related transmission and analysis of 24-hour EKG monitoring up to 30 days	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	22	
93278	Recording to evaluate height and duration of heart beats through damaged heart tissue	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	31	
93279	"Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
93279	"Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93279	"Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93279	"Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93279	"Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93279	"Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
93279	"Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
93279	"Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93279	"Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93279	"Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93280	"Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
93280	"Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93280	"Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93280	"Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93280	"Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93280	"Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
93280	"Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
93280	"Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93280	"Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93280	"Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93281	"Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
93281	"Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93281	"Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93281	"Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93281	"Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93281	"Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
93281	"Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
93281	"Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93281	"Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93281	"Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93282	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
93282	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93282	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93282	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93282	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93282	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
93282	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	12	
93282	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93282	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93282	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93283	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
93283	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93283	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93283	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93283	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93283	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
93283	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
93283	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93283	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93283	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93284	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
93284	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93284	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93284	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93284	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93284	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
93284	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	17.5	
93284	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93284	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93284	"Evaluation, testing and programming adjustment of defibrillator with analysis, review and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93285	"Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	1	
93285	"Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93285	"Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93285	"Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93285	"Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
93285	"Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
93285	"Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
93285	"Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93285	"Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93285	"Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
93286	"Evaluation, physician analysis, review, report, and programming adjustment of single, dual, or multiple lead pacemaker system"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	1	
93286	"Evaluation, physician analysis, review, report, and programming adjustment of single, dual, or multiple lead pacemaker system"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93286	"Evaluation, physician analysis, review, report, and programming adjustment of single, dual, or multiple lead pacemaker system"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	0	
93286	"Evaluation, physician analysis, review, report, and programming adjustment of single, dual, or multiple lead pacemaker system"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93286	"Evaluation, physician analysis, review, report, and programming adjustment of single, dual, or multiple lead pacemaker system"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93286	"Evaluation, physician analysis, review, report, and programming adjustment of single, dual, or multiple lead pacemaker system"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
93286	"Evaluation, physician analysis, review, report, and programming adjustment of single, dual, or multiple lead pacemaker system"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
93286	"Evaluation, physician analysis, review, report, and programming adjustment of single, dual, or multiple lead pacemaker system"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93286	"Evaluation, physician analysis, review, report, and programming adjustment of single, dual, or multiple lead pacemaker system"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93286	"Evaluation, physician analysis, review, report, and programming adjustment of single, dual, or multiple lead pacemaker system"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93287	"Evaluation and programming adjustment of defibrillator with analysis, review and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	1	
93287	"Evaluation and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93287	"Evaluation and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	0	
93287	"Evaluation and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93287	"Evaluation and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93287	"Evaluation and programming adjustment of defibrillator with analysis, review and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
93287	"Evaluation and programming adjustment of defibrillator with analysis, review and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
93287	"Evaluation and programming adjustment of defibrillator with analysis, review and report"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93287	"Evaluation and programming adjustment of defibrillator with analysis, review and report"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93287	"Evaluation and programming adjustment of defibrillator with analysis, review and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93288	"Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
93288	"Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93288	"Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93288	"Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93288	"Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93288	"Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
93288	"Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
93288	"Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93288	"Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93288	"Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93289	"Evaluation of defibrillator including connection, recording and disconnection"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	2	
93289	"Evaluation of defibrillator including connection, recording and disconnection"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93289	"Evaluation of defibrillator including connection, recording and disconnection"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93289	"Evaluation of defibrillator including connection, recording and disconnection"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93289	"Evaluation of defibrillator including connection, recording and disconnection"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93289	"Evaluation of defibrillator including connection, recording and disconnection"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
93289	"Evaluation of defibrillator including connection, recording and disconnection"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
93289	"Evaluation of defibrillator including connection, recording and disconnection"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93289	"Evaluation of defibrillator including connection, recording and disconnection"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93289	"Evaluation of defibrillator including connection, recording and disconnection"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93290	"Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	1	
93290	"Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93290	"Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93290	"Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93290	"Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93290	"Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	1	
93290	"Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
93290	"Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93290	"Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93290	"Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	1	
93291	"Evaluation of implantable heart recorder system including physician analysis, review, and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	1	
93291	"Evaluation of implantable heart recorder system including physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93291	"Evaluation of implantable heart recorder system including physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93291	"Evaluation of implantable heart recorder system including physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93291	"Evaluation of implantable heart recorder system including physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
93291	"Evaluation of implantable heart recorder system including physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
93291	"Evaluation of implantable heart recorder system including physician analysis, review, and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	7	
93291	"Evaluation of implantable heart recorder system including physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93291	"Evaluation of implantable heart recorder system including physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93291	"Evaluation of implantable heart recorder system including physician analysis, review, and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
93292	"Evaluation of wearable defibrillator system including connection, disconnection, recording, physician analysis, review, and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	1	
93292	"Evaluation of wearable defibrillator system including connection, disconnection, recording, physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93292	"Evaluation of wearable defibrillator system including connection, disconnection, recording, physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	Obtain vital signs	5	
93292	"Evaluation of wearable defibrillator system including connection, disconnection, recording, physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review charts	0	
93292	"Evaluation of wearable defibrillator system including connection, disconnection, recording, physician analysis, review, and report"	Service  pre	L026A	Medical/Technical Assistant	0.31	"Prepare room, equipment, supplies"	2	
93292	"Evaluation of wearable defibrillator system including connection, disconnection, recording, physician analysis, review, and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
93292	"Evaluation of wearable defibrillator system including connection, disconnection, recording, physician analysis, review, and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	10	
93292	"Evaluation of wearable defibrillator system including connection, disconnection, recording, physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	Clean room/equipment by physician staff	3	
93292	"Evaluation of wearable defibrillator system including connection, disconnection, recording, physician analysis, review, and report"	Service  post	L026A	Medical/Technical Assistant	0.31	"Complete diagnostic forms, lab, X-ray requisitions"	0	
93292	"Evaluation of wearable defibrillator system including connection, disconnection, recording, physician analysis, review, and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	2	
93293	"Telephonic evaluation of single, dual, or multiple lead pacemaker heart rhythm strips up to 90 days"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Assist physician in performing procedure	39	
93293	"Telephonic evaluation of single, dual, or multiple lead pacemaker heart rhythm strips up to 90 days"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	9	
93296	"Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Assist physician in performing procedure	28	
93297	"Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	0	0
93298	"Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Perform procedure/service---NOT directly related to physician work time	0	0
93303	Ultrasound examination of congenital heart defect	Pre-service	L050A	Cardiac Sonographer	0.635	Preservice total costs	5	
93303	Ultrasound examination of congenital heart defect	Service  intra	L050A	Cardiac Sonographer	0.635	Service total costs	67	
93303	Ultrasound examination of congenital heart defect	Post-service	L050A	Cardiac Sonographer	0.635	Post service total costs	6	
93304	Follow-up or limited ultrasound examination of congenital heart defect	Pre-service	L050A	Cardiac Sonographer	0.635	Preservice total costs	5	
93304	Follow-up or limited ultrasound examination of congenital heart defect	Service  intra	L050A	Cardiac Sonographer	0.635	Service total costs	46	
93304	Follow-up or limited ultrasound examination of congenital heart defect	Post-service	L050A	Cardiac Sonographer	0.635	Post service total costs	6	
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	2	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Pre-service	L037D	RN/LPN/MTA	0.455	Review patient clinical extant information and questionnaire	2	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Service  pre	L050A	Cardiac Sonographer	0.635	"Prepare room, equipment and supplies"	2	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Service  pre	L050A	Cardiac Sonographer	0.635	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Service  intra	L050A	Cardiac Sonographer	0.635	Perform procedure/service---NOT directly related to physician work time	52	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Service  post	L050A	Cardiac Sonographer	0.635	Clean room/equipment by clinical staff	3	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Service  post	L050A	Cardiac Sonographer	0.635	Review examination with interpreting MD/DO	2	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Service  post	L050A	Cardiac Sonographer	0.635	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
93306	"Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function"	Service  post	L050A	Cardiac Sonographer	0.635	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
93307	Chest ultrasound examination of heart	Pre-service	L050A	Cardiac Sonographer	0.635	Availability and review of prior images and report	2	
93307	Chest ultrasound examination of heart	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	
93307	Chest ultrasound examination of heart	Pre-service	L050A	Cardiac Sonographer	0.635	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93307	Chest ultrasound examination of heart	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, complete CGCAPS survey provide gowning, ensure appropriate medical records are available"	3	
93307	Chest ultrasound examination of heart	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	
93307	Chest ultrasound examination of heart	Service  pre	L050A	Cardiac Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	2	
93307	Chest ultrasound examination of heart	Service  pre	L050A	Cardiac Sonographer	0.635	"Prepare room, equipment, supplies"	2	
93307	Chest ultrasound examination of heart	Service  intra	L050A	Cardiac Sonographer	0.635	Acquire images	31	
93307	Chest ultrasound examination of heart	Service  post	L050A	Cardiac Sonographer	0.635	Clean room/equipment by physician staff	3	
93307	Chest ultrasound examination of heart	Service  post	L050A	Cardiac Sonographer	0.635	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93307	Chest ultrasound examination of heart	Service  post	L050A	Cardiac Sonographer	0.635	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93307	Chest ultrasound examination of heart	Service  post	L050A	Cardiac Sonographer	0.635	Review examination with interpreting MD	2	
93307	Chest ultrasound examination of heart	Service  post	L050A	Cardiac Sonographer	0.635	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
93308	Follow-up or limited ultrasound examination of heart	Pre-service	L050A	Cardiac Sonographer	0.635	Availability and review of prior images and report	2	
93308	Follow-up or limited ultrasound examination of heart	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	
93308	Follow-up or limited ultrasound examination of heart	Pre-service	L050A	Cardiac Sonographer	0.635	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93308	Follow-up or limited ultrasound examination of heart	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, complete CGCAPS survey provide gowning, ensure appropriate medical records are available"	3	
93308	Follow-up or limited ultrasound examination of heart	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	
93308	Follow-up or limited ultrasound examination of heart	Service  pre	L050A	Cardiac Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	2	
93308	Follow-up or limited ultrasound examination of heart	Service  pre	L050A	Cardiac Sonographer	0.635	"Prepare room, equipment, supplies"	2	
93308	Follow-up or limited ultrasound examination of heart	Service  intra	L050A	Cardiac Sonographer	0.635	Acquire images	20	
93308	Follow-up or limited ultrasound examination of heart	Service  post	L050A	Cardiac Sonographer	0.635	Clean room/equipment by physician staff	3	
93308	Follow-up or limited ultrasound examination of heart	Service  post	L050A	Cardiac Sonographer	0.635	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93308	Follow-up or limited ultrasound examination of heart	Service  post	L050A	Cardiac Sonographer	0.635	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93308	Follow-up or limited ultrasound examination of heart	Service  post	L050A	Cardiac Sonographer	0.635	Review examination with interpreting MD	2	
93308	Follow-up or limited ultrasound examination of heart	Service  post	L050A	Cardiac Sonographer	0.635	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Availability of prior images confirmed	2	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	2	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Pre-service	L037D	RN/LPN/MTA	0.455	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  intra	L050A	Cardiac Sonographer	0.635	Assist physician in performing procedure	30	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  intra	L051A	RN	0.635	Back out MS labor	2	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	Clean surgical instrument package	0	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	5	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  post	L037D	RN/LPN/MTA	0.455	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	"Process data: measure, record, preliminary findings"	0	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	Review images with MD	2	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Post-service	L051A	RN	0.635	Check dressings & wound/home care instructions / coordinate office visits / prescriptions	3	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Post-service	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
93312	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	Post-service	L050A	Cardiac Sonographer	0.635	Clean scope	10	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Pre-service	L037D	RN/LPN/MTA	0.455	Availability of prior images confirmed	2	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	2	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Pre-service	L037D	RN/LPN/MTA	0.455	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	3	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  intra	L050A	Cardiac Sonographer	0.635	Assist physician in performing procedure	30	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  intra	L051A	RN	0.635	Back out MS labor	2	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  post	L050A	Cardiac Sonographer	0.635	Clean surgical instrument package	0	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	5	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  post	L037D	RN/LPN/MTA	0.455	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  post	L050A	Cardiac Sonographer	0.635	"Process data: measure, record, preliminary findings"	0	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  post	L050A	Cardiac Sonographer	0.635	Review images with MD	2	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Service  post	L050A	Cardiac Sonographer	0.635	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Post-service	L051A	RN	0.635	Check dressings & wound/home care instructions / coordinate office visits / prescriptions	3	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Post-service	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
93314	"Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only"	Post-service	L050A	Cardiac Sonographer	0.635	Clean scope	10	
93319		Service  post	L037D	RN/LPN/MTA	0.455	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
93319		Service  post	L037D	RN/LPN/MTA	0.455	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
93320	Doppler echocardiography; complete	Service  intra	L050A	Cardiac Sonographer	0.635	Acquire images	19	
93321	Doppler echocardiography; follow-up or limited study	Service  intra	L050A	Cardiac Sonographer	0.635	Acquire images	10	
93325	Doppler echocardiography color flow velocity mapping	Service  intra	L050A	Cardiac Sonographer	0.635	Acquire images	11	
93350	"Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L050A	Cardiac Sonographer	0.635	"Other Clinical Activity - specify: review history, prior echocardiogram"	2	
93350	"Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L050A	Cardiac Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	2	
93350	"Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L050A	Cardiac Sonographer	0.635	"Prepare room, equipment, supplies"	2	
93350	"Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  intra	L050A	Cardiac Sonographer	0.635	Acquire images	45	
93350	"Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
93350	"Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	Clean room/equipment by physician staff	3	
93350	"Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93350	"Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	Review examination with interpreting MD	2	
93350	"Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L050A	Cardiac Sonographer	0.635	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L051A	RN	0.635	"Other Clinical Activity - specify: Review charts, prior ECG, determines type of stress"	2	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L050A	Cardiac Sonographer	0.635	"Other Clinical Activity - specify: review history, prior echocardiogram"	2	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L050A	Cardiac Sonographer	0.635	Prepare and position pt/ monitor pt/ set up IV	2	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  pre	L051A	RN	0.635	Setup scope (non facility setting only)	0	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  intra	L050A	Cardiac Sonographer	0.635	Acquire images	45	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  intra	L051A	RN	0.635	Acquire images	18	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L051A	RN	0.635	"Complete diagnostic forms, lab, X-ray requisitions"	4	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	Exam document scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L051A	RN	0.635	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4 (not related to moderate sedation)"	5	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	Review examination with interpreting MD	2	
93351	"Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report"	Service  post	L050A	Cardiac Sonographer	0.635	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
93352	Injection of X-ray contrast material for ultrasound examination of the heart	Service  intra	L050A	Cardiac Sonographer	0.635	Service total costs	9	
93352	Injection of X-ray contrast material for ultrasound examination of the heart	Service  intra	L051A	RN	0.635	Service total costs	21	
93356	Myocardial strain imaging using speckle–tracking derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)	Service  intra	L050A	Cardiac Sonographer	0.635	Perform procedure/service---NOT directly related to physician work time	12	0
93356	Myocardial strain imaging using speckle–tracking derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)	Service  post	L050A	Cardiac Sonographer	0.635	Review examination with interpreting MD/DO	2	0
93356	Myocardial strain imaging using speckle–tracking derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)	Service  post	L050A	Cardiac Sonographer	0.635	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
93451	Insertion of catheter for diagnostic evaluation of right heart structures	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93451	Insertion of catheter for diagnostic evaluation of right heart structures	Service  intra	L051A	RN	0.635	Back out MS labor	15	
93451	Insertion of catheter for diagnostic evaluation of right heart structures	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	35	
93451	Insertion of catheter for diagnostic evaluation of right heart structures	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	32	
93451	Insertion of catheter for diagnostic evaluation of right heart structures	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93451	Insertion of catheter for diagnostic evaluation of right heart structures	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93452	Insertion of catheter into left heart for diagnosis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93452	Insertion of catheter into left heart for diagnosis	Service  intra	L051A	RN	0.635	Back out MS labor	45	
93452	Insertion of catheter into left heart for diagnosis	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	35	
93452	Insertion of catheter into left heart for diagnosis	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	32	
93452	Insertion of catheter into left heart for diagnosis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93452	Insertion of catheter into left heart for diagnosis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93453	Insertion of catheter into right and left heart for diagnosis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93453	Insertion of catheter into right and left heart for diagnosis	Service  intra	L051A	RN	0.635	Back out MS labor	45	
93453	Insertion of catheter into right and left heart for diagnosis	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	50	
93453	Insertion of catheter into right and left heart for diagnosis	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	47	
93453	Insertion of catheter into right and left heart for diagnosis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93453	Insertion of catheter into right and left heart for diagnosis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93454	Insertion of catheter for imaging of heart blood vessels or grafts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93454	Insertion of catheter for imaging of heart blood vessels or grafts	Service  intra	L051A	RN	0.635	Back out MS labor	45	
93454	Insertion of catheter for imaging of heart blood vessels or grafts	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	35	
93454	Insertion of catheter for imaging of heart blood vessels or grafts	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	32	
93454	Insertion of catheter for imaging of heart blood vessels or grafts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93454	Insertion of catheter for imaging of heart blood vessels or grafts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93455	Insertion of catheter for imaging of heart blood vessels or grafts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93455	Insertion of catheter for imaging of heart blood vessels or grafts	Service  intra	L051A	RN	0.635	Back out MS labor	45	
93455	Insertion of catheter for imaging of heart blood vessels or grafts	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	45	
93455	Insertion of catheter for imaging of heart blood vessels or grafts	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	42	
93455	Insertion of catheter for imaging of heart blood vessels or grafts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93455	Insertion of catheter for imaging of heart blood vessels or grafts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93456	Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93456	Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts	Service  intra	L051A	RN	0.635	Back out MS labor	45	
93456	Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	45	
93456	Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	42	
93456	Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93456	Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93457	Insertion of catheter in right heart for imaging of blood vessels or grafts	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93457	Insertion of catheter in right heart for imaging of blood vessels or grafts	Service  intra	L051A	RN	0.635	Back out MS labor	45	
93457	Insertion of catheter in right heart for imaging of blood vessels or grafts	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	55	
93457	Insertion of catheter in right heart for imaging of blood vessels or grafts	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	52	
93457	Insertion of catheter in right heart for imaging of blood vessels or grafts	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93457	Insertion of catheter in right heart for imaging of blood vessels or grafts	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93458	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93458	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L051A	RN	0.635	Back out MS labor	45	
93458	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	50	
93458	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	47	
93458	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93458	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93459	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93459	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L051A	RN	0.635	Back out MS labor	45	
93459	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	55	
93459	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	52	
93459	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93459	Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93460	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93460	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L051A	RN	0.635	Back out MS labor	45	
93460	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	55	
93460	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	52	
93460	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93460	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93461	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	
93461	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L051A	RN	0.635	Back out MS labor	45	
93461	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	70	
93461	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	67	
93461	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
93461	Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93464	Drug infusion or exercise for heart stimulation during diagnostic study	Service  intra	L051A	RN	0.635	Back out MS labor	0	
93464	Drug infusion or exercise for heart stimulation during diagnostic study	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	29	
93464	Drug infusion or exercise for heart stimulation during diagnostic study	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	20	
93505	Biopsy of the wall dividing the left and right heart	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	
93505	Biopsy of the wall dividing the left and right heart	Service  intra	L051A	RN	0.635	Back out MS labor	15	
93505	Biopsy of the wall dividing the left and right heart	Service  intra	L038B	Cardiovascular Technician	0.49	Service total costs	25	
93505	Biopsy of the wall dividing the left and right heart	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	
93505	Biopsy of the wall dividing the left and right heart	Post-service	L051A	RN	0.635	Post service total costs	3	
93505	Biopsy of the wall dividing the left and right heart	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93580	"Catheter based closure of congenital heart defect with implant, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
93580	"Catheter based closure of congenital heart defect with implant, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
93581	"Catheter based closure of congenital heart defect with implant, accessed through the skin"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		30
93581	"Catheter based closure of congenital heart defect with implant, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		3
93590	"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
93590	"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
93590	"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
93590	"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
93590	"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
93591	"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms		5
93591	"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		10
93591	"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions		3
93591	"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent		7
93591	"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		5
93642	Evaluation of single or dual chamber pacing cardioverter-defibrillator with programming or reprogramming	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	
93642	Evaluation of single or dual chamber pacing cardioverter-defibrillator with programming or reprogramming	Service  intra	L051A	RN	0.635	Back out MS labor	0	
93642	Evaluation of single or dual chamber pacing cardioverter-defibrillator with programming or reprogramming	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	88	
93642	Evaluation of single or dual chamber pacing cardioverter-defibrillator with programming or reprogramming	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  pre	L037D	RN/LPN/MTA	0.455	Assemble lab/x-ray/path reports	2	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient / apply electrodes	2	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  pre	L037D	RN/LPN/MTA	0.455	"Review history, system, medications"	5	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	7	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	14	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  intra	L051A	RN	0.635	Back out MS labor	0	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab, X-ray requisitions"	3	
93644	Electrophysiologic evaluation of subcutaneous implantable defibrillator	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
93650	Insertion of catheters for creation of complete heart block	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		27
93660	Evaluation of heart function using tilt table	Pre-service	L051A	RN	0.635	Preservice total costs	9	
93660	Evaluation of heart function using tilt table	Service  intra	L051A	RN	0.635	Service total costs	78	
93668	Peripheral arterial disease (PAD) rehabilitation per session	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93668	Peripheral arterial disease (PAD) rehabilitation per session	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
93668	Peripheral arterial disease (PAD) rehabilitation per session	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
93668	Peripheral arterial disease (PAD) rehabilitation per session	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	15	0
93701	Measurement of heart blood flow and respiration	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	
93702	"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
93702	"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
93702	"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
93702	"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	2	
93702	"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	2	
93702	"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
93702	"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)"	Service  post	L037D	RN/LPN/MTA	0.455	Results are uploaded from the device into the analysis software and a report is generated and printed for physician review.	0	
93724	Electronic analysis of pacemaker to correct rapid heart rate	Service  intra	L051A	RN	0.635	Service total costs	27	
93724	Electronic analysis of pacemaker to correct rapid heart rate	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	
93750	Evaluation of lower heart chamber assist device with physician analysis	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
93750	Evaluation of lower heart chamber assist device with physician analysis	Service  intra	L051A	RN	0.635	Perform procedure/service---NOT directly related to physician work time	12	0
93750	Evaluation of lower heart chamber assist device with physician analysis	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
93784	"Ambulatory blood-pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93784	"Ambulatory blood-pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
93784	"Ambulatory blood-pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	28	0
93784	"Ambulatory blood-pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
93786	"Ambulatory blood-pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93786	"Ambulatory blood-pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
93786	"Ambulatory blood-pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	18	0
93786	"Ambulatory blood-pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
93788	"Ambulatory blood-pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; scanning analysis with report"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
93790	"Ambulatory blood-pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; review with interpretation and report"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
93792	"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, including use and care of the INR monitor, obtaining blood sample, instructions for reporting home INR test results, and documentation of patient's/caregiver’s ability to perform testing and report results"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	
93792	"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, including use and care of the INR monitor, obtaining blood sample, instructions for reporting home INR test results, and documentation of patient's/caregiver’s ability to perform testing and report results"	Service  intra	L051A	RN	0.635	Perform procedure	40	
93792	"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, including use and care of the INR monitor, obtaining blood sample, instructions for reporting home INR test results, and documentation of patient's/caregiver’s ability to perform testing and report results"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
93793	"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dosage adjustment (as needed), and scheduling of additional test(s), when performed"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93793	"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dosage adjustment (as needed), and scheduling of additional test(s), when performed"	Service  post	L037D	RN/LPN/MTA	0.455	Other Clinical activity - specify: communicate results/dosage changes etc to patient (3 min per call)	3	
93797	Physician services for outpatient heart cardiac rehabilitation per session	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
93798	Physician services for outpatient heart rehabilitation with continuous EKG monitoring per session	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
93880	Duplex scan of extracranial arteries; complete bilateral study	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93880	Duplex scan of extracranial arteries; complete bilateral study	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	42	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93880	Duplex scan of extracranial arteries; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	
93880	Duplex scan of extracranial arteries; complete bilateral study	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	21	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
93882	Duplex scan of extracranial arteries; unilateral or limited study	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93886	Transcranial doppler study of the intracranial arteries; complete study	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93886	Transcranial doppler study of the intracranial arteries; complete study	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	48	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93886	Transcranial doppler study of the intracranial arteries; complete study	Service  post	L054A	Vascular Technologist	0.725	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
93886	Transcranial doppler study of the intracranial arteries; complete study	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93888	Transcranial doppler study of the intracranial arteries; limited study	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93888	Transcranial doppler study of the intracranial arteries; limited study	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	24	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93888	Transcranial doppler study of the intracranial arteries; limited study	Service  post	L054A	Vascular Technologist	0.725	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	
93888	Transcranial doppler study of the intracranial arteries; limited study	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93890	Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain)	Pre-service	L054A	Vascular Technologist	0.725	Preservice total costs	3	
93890	Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain)	Service  intra	L054A	Vascular Technologist	0.725	Service total costs	70	
93890	Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain)	Post-service	L054A	Vascular Technologist	0.725	Post service total costs	5	
93892	Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain)	Pre-service	L054A	Vascular Technologist	0.725	Preservice total costs	3	
93892	Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain)	Service  intra	L054A	Vascular Technologist	0.725	Service total costs	80	
93892	Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain)	Post-service	L054A	Vascular Technologist	0.725	Post service total costs	5	
93893	Ultrasound scanning for blood clot detection with microbubble injection in head and neck vessel blood flow (inside the brain)	Pre-service	L054A	Vascular Technologist	0.725	Preservice total costs	3	
93893	Ultrasound scanning for blood clot detection with microbubble injection in head and neck vessel blood flow (inside the brain)	Service  intra	L054A	Vascular Technologist	0.725	Service total costs	73	
93893	Ultrasound scanning for blood clot detection with microbubble injection in head and neck vessel blood flow (inside the brain)	Post-service	L054A	Vascular Technologist	0.725	Post service total costs	5	
93922	Ultrasound study of arteries of both arms and legs	Pre-service	L054A	Vascular Technologist	0.725	Preservice total costs	3	
93922	Ultrasound study of arteries of both arms and legs	Service  intra	L054A	Vascular Technologist	0.725	Service total costs	36	
93922	Ultrasound study of arteries of both arms and legs	Post-service	L054A	Vascular Technologist	0.725	Post service total costs	3	
93923	Ultrasound study of arteries of both arms and legs	Pre-service	L054A	Vascular Technologist	0.725	Preservice total costs	3	
93923	Ultrasound study of arteries of both arms and legs	Service  intra	L054A	Vascular Technologist	0.725	Service total costs	56	
93923	Ultrasound study of arteries of both arms and legs	Post-service	L054A	Vascular Technologist	0.725	Post service total costs	3	
93924	Ultrasound study of arteries of both legs at rest and exercise	Pre-service	L054A	Vascular Technologist	0.725	Preservice total costs	3	
93924	Ultrasound study of arteries of both legs at rest and exercise	Service  intra	L054A	Vascular Technologist	0.725	Service total costs	70	
93924	Ultrasound study of arteries of both legs at rest and exercise	Post-service	L054A	Vascular Technologist	0.725	Post service total costs	3	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	69	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	
93925	Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	35	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	
93926	Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	45	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	8	
93930	Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	23	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	5	
93931	Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	45	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	5	
93970	Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Provide pre-service education/obtain consent	3	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	23	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	
93971	Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	67	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	
93975	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	28	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	
93976	"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study"	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	40	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	8	
93978	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	3	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	20	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  post	L054A	Vascular Technologist	0.725	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Service  post	L054A	Vascular Technologist	0.725	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	5	
93979	"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study"	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
93980	Ultrasound scan of penile arterial inflow and venous outflow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	
93980	Ultrasound scan of penile arterial inflow and venous outflow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	
93981	Ultrasound limited scan of penile arterial inflow and venous outflow	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	
93981	Ultrasound limited scan of penile arterial inflow and venous outflow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	41	
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Pre-service	L054A	Vascular Technologist	0.725	Confirm availability of prior images/studies	1	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Pre-service	L054A	Vascular Technologist	0.725	Review patient clinical extant information and questionnaire	2	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	3	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment and supplies"	2	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	3	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Service  pre	L054A	Vascular Technologist	0.725	Provide education/obtain consent	2	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Service  intra	L054A	Vascular Technologist	0.725	Perform procedure/service---NOT directly related to physician work time	76	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by clinical staff	3	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD/DO	2	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
93985	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study	Service  post	L054A	Vascular Technologist	0.725	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	4	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Pre-service	L054A	Vascular Technologist	0.725	Confirm availability of prior images/studies	1	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Pre-service	L054A	Vascular Technologist	0.725	Review patient clinical extant information and questionnaire	2	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Service  pre	L054A	Vascular Technologist	0.725	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	3	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment and supplies"	2	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Service  pre	L054A	Vascular Technologist	0.725	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Service  pre	L054A	Vascular Technologist	0.725	Provide education/obtain consent	2	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Service  intra	L054A	Vascular Technologist	0.725	Perform procedure/service---NOT directly related to physician work time	38	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by clinical staff	3	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD/DO	2	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Service  post	L054A	Vascular Technologist	0.725	Scan exam documents into PACS. Complete exam in RIS system to populate images into work queue.	1	0
93986	Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study	Service  post	L054A	Vascular Technologist	0.725	"Technologist QC's images in PACS, checking for all images, reformats, and dose page"	2	0
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Pre-service	L054A	Vascular Technologist	0.725	Availability of prior images confirmed	1	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Pre-service	L054A	Vascular Technologist	0.725	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Service  pre	L054A	Vascular Technologist	0.725	Greet patient and provide gowning	3	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Service  pre	L054A	Vascular Technologist	0.725	Obtain vital signs	5	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Service  pre	L054A	Vascular Technologist	0.725	Prepare and position pt/ monitor pt/ set up IV	2	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Service  pre	L054A	Vascular Technologist	0.725	"Prepare room, equipment, supplies"	2	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Service  pre	L054A	Vascular Technologist	0.725	Set up US Equipment	2	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Service  pre	L054A	Vascular Technologist	0.725	SVC Provide pre-service education/obtain consent	2	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Service  intra	L054A	Vascular Technologist	0.725	Acquire images	38	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Service  post	L054A	Vascular Technologist	0.725	Clean room/equipment by physician staff	3	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Service  post	L054A	Vascular Technologist	0.725	Review examination with interpreting MD	1	
93990	"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	Post-service	L054A	Vascular Technologist	0.725	QA Documentation	0	
94005	"Evaluation of home ventilator management care plan, 30 minutes or more"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	
94005	"Evaluation of home ventilator management care plan, 30 minutes or more"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	
94010	Measurement and graphic recording of total and timed exhaled air capacity	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
94010	Measurement and graphic recording of total and timed exhaled air capacity	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
94010	Measurement and graphic recording of total and timed exhaled air capacity	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
94010	Measurement and graphic recording of total and timed exhaled air capacity	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	15	0
94010	Measurement and graphic recording of total and timed exhaled air capacity	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
94010	Measurement and graphic recording of total and timed exhaled air capacity	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
94014	"Measurement and graphic recording of amount and speed of breathed air including transmission of tracing, analysis, recalibration of device, physician review and interpretation over 30 days"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	35	
94015	Measurement and graphic recording of amount and speed of breathed air over 30-day period	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	35	
94060	"Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
94060	"Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
94060	"Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
94060	"Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	30	0
94060	"Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
94060	"Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	2	0
94070	"Multiple measurements and graphic recordings of the amount and speed of breathed air, before and following medication administration"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	45	
94150	Measurement of largest amount of air exhaled from lungs	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	
94200	Measurement of largest amount of air breathed in an out of lungs over one minute	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	2	0
94200	Measurement of largest amount of air breathed in an out of lungs over one minute	Service  pre	L047C	RN/Respiratory Therapist	0.585	Provide education/obtain consent	3	0
94200	Measurement of largest amount of air breathed in an out of lungs over one minute	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	13	0
94375	Diagnostic testing in a pulmonary function lab	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	28	
94450	Lung function response to low oxygen	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	67	
94452	Testing of lung function at high altitude	Service  intra	L042B	Respiratory Therapist	0.53	Service total costs	43	
94453	Testing of lung function at high altitude with supplemental oxygen delivery	Service  intra	L042B	Respiratory Therapist	0.53	Service total costs	53	
94617	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
94617	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
94617	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	2	0
94617	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
94617	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Provide education/obtain consent	2	0
94617	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Perform procedure/service---NOT directly related to physician work time	55	0
94617	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
94617	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by clinical staff	3	0
94617	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
94617	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Monitor patient following procedure/service, multitasking 1:4"	2	0
94618	"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	2	0
94618	"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
94618	"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Provide education/obtain consent	2	0
94618	"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Perform procedure/service---NOT directly related to physician work time	8	0
94618	"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by clinical staff	1	0
94618	"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
94619	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
94619	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
94619	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	2	0
94619	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
94619	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Provide education/obtain consent	2	0
94619	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Perform procedure/service---NOT directly related to physician work time	45	0
94619	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by clinical staff	3	0
94619	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
94619	"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Monitor patient following procedure/service, multitasking 1:4"	2	0
94621	"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
94621	"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
94621	"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	10	0
94621	"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	5	0
94621	"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Provide education/obtain consent	5	0
94621	"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Perform procedure/service---NOT directly related to physician work time	41	0
94621	"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	3	0
94621	"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings"	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by clinical staff	15	0
94621	"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
94621	"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Monitor patient following procedure/service, multitasking 1:4"	7.5	0
94625	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) 	Service  pre	L042B	Respiratory Therapist	0.53	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
94625	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) 	Service  pre	L042B	Respiratory Therapist	0.53	Obtain vital signs	5	0
94625	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) 	Service  pre	L042B	Respiratory Therapist	0.53	"Prepare room, equipment and supplies"	2	0
94625	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) 	Service  pre	L042B	Respiratory Therapist	0.53	Provide education/obtain consent	2	0
94625	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) 	Service  intra	L042B	Respiratory Therapist	0.53	Perform procedure/service---NOT directly related to physician work time	65	0
94625	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) 	Service  post	L042B	Respiratory Therapist	0.53	Clean room/equipment by clinical staff	3	0
94626	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) 	Service  pre	L042B	Respiratory Therapist	0.53	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
94626	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) 	Service  pre	L042B	Respiratory Therapist	0.53	Obtain vital signs	5	0
94626	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) 	Service  pre	L042B	Respiratory Therapist	0.53	"Prepare room, equipment and supplies"	2	0
94626	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) 	Service  pre	L042B	Respiratory Therapist	0.53	Provide education/obtain consent	2	0
94626	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) 	Service  intra	L042B	Respiratory Therapist	0.53	Perform procedure/service---NOT directly related to physician work time	65	0
94626	Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) 	Service  post	L042B	Respiratory Therapist	0.53	Clean room/equipment by clinical staff	3	0
94640	"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
94640	"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
94640	"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	5	0
94640	"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	2	0
94644	"Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour"	Pre-service	L047C	RN/Respiratory Therapist	0.585	Preservice total costs	5	
94644	"Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	22	
94645	Respiratory inhaled aerosol treatment to relieve airway obstruction	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	19	
94645	Respiratory inhaled aerosol treatment to relieve airway obstruction	Post-service	L047C	RN/Respiratory Therapist	0.585	Post service total costs	3	
94660	Initiation and management of continued pressured respiratory assistance by mask or breathing tube	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	44	0
94664	"Demonstration and/or evaluation of patient use of aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	1	
94664	"Demonstration and/or evaluation of patient use of aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	
94667	Demonstration and/or evaluation of manual maneuvers to chest wall to assist movement of lung secretions	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	2	0
94667	Demonstration and/or evaluation of manual maneuvers to chest wall to assist movement of lung secretions	Service  pre	L047C	RN/Respiratory Therapist	0.585	Provide education/obtain consent	2	0
94667	Demonstration and/or evaluation of manual maneuvers to chest wall to assist movement of lung secretions	Service  intra	L047C	RN/Respiratory Therapist	0.585	Perform procedure/service---NOT directly related to physician work time	20	0
94667	Demonstration and/or evaluation of manual maneuvers to chest wall to assist movement of lung secretions	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by clinical staff	3	0
94667	Demonstration and/or evaluation of manual maneuvers to chest wall to assist movement of lung secretions	Service  post	L047C	RN/Respiratory Therapist	0.585	"Monitor patient following procedure/service, no multitasking"	3	0
94668	Manual maneuvers to chest wall to assist movement of lung secretions	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
94668	Manual maneuvers to chest wall to assist movement of lung secretions	Service  pre	L047C	RN/Respiratory Therapist	0.585	Obtain vital signs	5	0
94668	Manual maneuvers to chest wall to assist movement of lung secretions	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	2	0
94668	Manual maneuvers to chest wall to assist movement of lung secretions	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
94668	Manual maneuvers to chest wall to assist movement of lung secretions	Service  pre	L047C	RN/Respiratory Therapist	0.585	Provide education/obtain consent	1	0
94668	Manual maneuvers to chest wall to assist movement of lung secretions	Service  intra	L047C	RN/Respiratory Therapist	0.585	Perform procedure/service---NOT directly related to physician work time	20	0
94668	Manual maneuvers to chest wall to assist movement of lung secretions	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by clinical staff	3	0
94668	Manual maneuvers to chest wall to assist movement of lung secretions	Service  post	L047C	RN/Respiratory Therapist	0.585	"Monitor patient following procedure/service, no multitasking"	3	0
94669	Mechanical chest wall manipulation for improvement in lung function	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	2	0
94669	Mechanical chest wall manipulation for improvement in lung function	Service  pre	L047C	RN/Respiratory Therapist	0.585	Provide education/obtain consent	2	0
94669	Mechanical chest wall manipulation for improvement in lung function	Service  intra	L047C	RN/Respiratory Therapist	0.585	Perform procedure/service---NOT directly related to physician work time	20	0
94669	Mechanical chest wall manipulation for improvement in lung function	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by clinical staff	3	0
94669	Mechanical chest wall manipulation for improvement in lung function	Service  post	L047C	RN/Respiratory Therapist	0.585	"Monitor patient following procedure/service, no multitasking"	3	0
94680	Collection and analysis of exhaled air for evaluation of lung function during rest and exercise	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	47	
94681	Collection and analysis of exhaled air and carbon dioxide for evaluation of lung function	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	47	
94690	Collection and analysis of exhaled air for evaluation of lung function at rest	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	38	
94726	Determination of lung volumes using plethysmography	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	50	
94726	Determination of lung volumes using plethysmography	Post-service	L047C	RN/Respiratory Therapist	0.585	Post service total costs	3	
94727	Determination of lung volumes using gas dilution or washout	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	35	
94727	Determination of lung volumes using gas dilution or washout	Post-service	L047C	RN/Respiratory Therapist	0.585	Post service total costs	3	
94728	Measurement of airway resistance by impulse oscillometry	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	34	
94728	Measurement of airway resistance by impulse oscillometry	Post-service	L047C	RN/Respiratory Therapist	0.585	Post service total costs	3	
94729	Measurement of lung diffusing capacity	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	30	
94760	Measurement of oxygen saturation in blood using ear or finger device	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	4	
94761	Multiple measurements of oxygen saturation in blood using ear or finger device	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	7	
94762	Overnight measurement of oxygen saturation in blood using ear or finger device	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	22	
94780	"Car seat or bed airway testing of neonate, 60 minutes"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	5	0
94780	"Car seat or bed airway testing of neonate, 60 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	65	0
94781	Car seat or bed airway testing of neonate	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	30	0
95004	"Injection of allergenic extracts into skin, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	0.04	
95004	"Injection of allergenic extracts into skin, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies review physician orders; prepare testing supplies; document allergens, strengths, expiration dates, and lot numbers in the patients electronic medical record"	0.2	
95004	"Injection of allergenic extracts into skin, accessed through the skin"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	0.08	
95004	"Injection of allergenic extracts into skin, accessed through the skin"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform Service two minutes to clean and dry skin 5 minutes to mark skin 5 minutes to perform	0.24	
95004	"Injection of allergenic extracts into skin, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings & wound/ home care instructions /coordinate office visits /prescriptions clean patient, apply steroid, review what to do delayed reaction"	0.06	
95004	"Injection of allergenic extracts into skin, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff hazardous waste are appropriately disposed.  Allergen solutions are logged back into storage.  Supply items that are reusable (e.g. testing wells) are cleaned	0.06	
95004	"Injection of allergenic extracts into skin, accessed through the skin"	Service  post	L037D	RN/LPN/MTA	0.455	Other Cinical Activity - specify: Measure and document wheal and flare in millimeter at right angle diameter. Review the test results with the physician	0.5	
95004	"Injection of allergenic extracts into skin, accessed through the skin"	Post-service	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, multitasking 1:4 need to wait 20 minutes before measuring starts"	0.1	
95012	Measurement of inhaled nitric oxide gas	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Prepare room, equipment and supplies"	2	0
95012	Measurement of inhaled nitric oxide gas	Service  pre	L047C	RN/Respiratory Therapist	0.585	Provide education/obtain consent	2	0
95012	Measurement of inhaled nitric oxide gas	Service  intra	L047C	RN/Respiratory Therapist	0.585	Perform procedure/service---NOT directly related to physician work time	8	0
95012	Measurement of inhaled nitric oxide gas	Service  post	L047C	RN/Respiratory Therapist	0.585	Clean room/equipment by clinical staff	1	0
95012	Measurement of inhaled nitric oxide gas	Service  post	L047C	RN/Respiratory Therapist	0.585	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	1	0
95017	"Allergy testing with venoms into or within skin, immediate type reaction, including test interpretation and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	4.2	0
95018	"Allergy testing with drugs or biologicals into or within the skin, immediate type reaction, including test interpretation and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	5.195	0
95024	Injection of allergenic extracts into skin for immediate reaction analysis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0.5	0
95024	Injection of allergenic extracts into skin for immediate reaction analysis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	1.349	0
95027	Injection into skin of airborne allergen extracts for immediate reaction analysis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0.533	
95027	Injection into skin of airborne allergen extracts for immediate reaction analysis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	1.437	
95027	Injection into skin of airborne allergen extracts for immediate reaction analysis	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0.067	
95028	Injection of allergenic extracts into skin with delayed reaction analysis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	13	
95044	Application of allergenic extract skin patch with reaction analysis	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0.14	
95044	Application of allergenic extract skin patch with reaction analysis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2.22	
95052	"Application of allergenic extract skin patch, exposure to ultraviolet light, and reaction analysis"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0.14	
95052	"Application of allergenic extract skin patch, exposure to ultraviolet light, and reaction analysis"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	3	
95056	Ultraviolet light tests of skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	5	
95056	Ultraviolet light tests of skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	49	
95060	Application of allergenic extract onto mucous membrane of eye with reaction analysis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	
95065	Application of allergenic extract onto mucous membrane of nose with reaction analysis	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	
95070	Inhalation of medications with allergic reaction analysis	Service  intra	L047C	RN/Respiratory Therapist	0.585	Service total costs	36	
95076	"Ingestion of test items for allergies, 120 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	110	0
95079	Ingestion of test items for allergies	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	40	0
95115	Injection of incremental dosages of allergen	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
95117	"Injection of incremental dosages of allergen, 2 or more injections"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	17	
95144	Preparation and provision of single-dose vials of allergen antigens for allergy immunotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Preparation of antigens for allergen immunotherapy	4	
95145	Preparation and provision of single stinging insect venom for allergen immunotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2.3	0
95146	Preparation and provision of 2 single stinging insect venom for allergen immunotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	3.3	0
95147	Preparation and provision of 3 single stinging insect venom for allergen immunotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2.3	0
95148	Preparation and provision of 4 single stinging insect venom for allergen immunotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	3.3	0
95149	Preparation and provision of 5 single stinging insect venom for allergen immunotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	4.3	0
95165	Preparation and provision of single or multiple antigens for allergen immunotherapy	Service  intra	L037D	RN/LPN/MTA	0.455	Preparation of antigens for allergen immunotherapy	3	
95170	Preparation and provision of whole body extract of biting insect or arthropod antigens	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2.3	0
95180	"Rapid desensitization procedure, each hour"	Pre-service	L051A	RN	0.635	Preservice total costs	14	0
95180	"Rapid desensitization procedure, each hour"	Service  intra	L051A	RN	0.635	Service total costs	38	0
95180	"Rapid desensitization procedure, each hour"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	3	0
95180	"Rapid desensitization procedure, each hour"	Post-service	L051A	RN	0.635	Post service total costs	3	6
95249	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor, patient training, and printout of recording"	Service  pre	L047D	RN/Registered Dietician	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
95249	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor, patient training, and printout of recording"	Service  pre	L047D	RN/Registered Dietician	0.585	"Prepare room, equipment, supplies"	2	
95249	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor, patient training, and printout of recording"	Service  intra	L047D	RN/Registered Dietician	0.585	"Other Clinical Activity - specify: Inserting and initializing the device, education/instruction/counseling"	47	
95249	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor, patient training, and printout of recording"	Service  post	L042A	RN/LPN	0.525	Clean room/equipment by physician staff	3	
95249	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor, patient training, and printout of recording"	Post-service	L042A	RN/LPN	0.525	Perform procedure/service in post-service period---NOT directly related to physician work time	20	
95250	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; sensor placement, hook-up, calibration of monitor, patient training, removal of sensor, and printout of recording"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	0	
95250	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; sensor placement, hook-up, calibration of monitor, patient training, removal of sensor, and printout of recording"	Service  pre	L047D	RN/Registered Dietician	0.585	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
95250	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; sensor placement, hook-up, calibration of monitor, patient training, removal of sensor, and printout of recording"	Service  pre	L047D	RN/Registered Dietician	0.585	"Prepare room, equipment, supplies"	2	
95250	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; sensor placement, hook-up, calibration of monitor, patient training, removal of sensor, and printout of recording"	Service  intra	L047D	RN/Registered Dietician	0.585	"Other Clinical Activity - specify: Inserting and initializing the device, education/instruction/counseling"	47	
95250	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; sensor placement, hook-up, calibration of monitor, patient training, removal of sensor, and printout of recording"	Service  post	L042A	RN/LPN	0.525	Clean room/equipment by physician staff	3	
95250	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; sensor placement, hook-up, calibration of monitor, patient training, removal of sensor, and printout of recording"	Service  post	L042A	RN/LPN	0.525	Other Clinical Activity - specify: Remove sensor	5	
95250	"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; sensor placement, hook-up, calibration of monitor, patient training, removal of sensor, and printout of recording"	Post-service	L042A	RN/LPN	0.525	Other Clinical Activity - specify: Downloading data	25	
95782	Sleep monitoring of patient (younger than 6 years) in sleep lab	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95782	Sleep monitoring of patient (younger than 6 years) in sleep lab	Service  intra	L047B	REEGT	0.615	Service total costs	642	
95782	Sleep monitoring of patient (younger than 6 years) in sleep lab	Post-service	L047B	REEGT	0.615	Post service total costs	99	
95783	Sleep monitoring of patient (younger than 6 years) in sleep lab with continued pressured respiratory assistance by mask or breathing tube	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95783	Sleep monitoring of patient (younger than 6 years) in sleep lab with continued pressured respiratory assistance by mask or breathing tube	Service  intra	L047B	REEGT	0.615	Service total costs	687	
95783	Sleep monitoring of patient (younger than 6 years) in sleep lab with continued pressured respiratory assistance by mask or breathing tube	Post-service	L047B	REEGT	0.615	Post service total costs	99	
95800	Study of sleep patterns	Pre-service	L047B	REEGT	0.615	Complete pre-service diagnostic and referral forms	3	0
95800	Study of sleep patterns	Pre-service	L047B	REEGT	0.615	Provide pre-service education/obtain consent	3	0
95800	Study of sleep patterns	Service  pre	L047B	REEGT	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
95800	Study of sleep patterns	Service  pre	L047B	REEGT	0.615	"Prepare room, equipment and supplies"	2	0
95800	Study of sleep patterns	Service  pre	L047B	REEGT	0.615	Provide education/obtain consent	3	0
95800	Study of sleep patterns	Service  intra	L047B	REEGT	0.615	Perform procedure/service---NOT directly related to physician work time	15	0
95800	Study of sleep patterns	Service  post	L047B	REEGT	0.615	Clean room/equipment by clinical staff	3	0
95800	Study of sleep patterns	Post-service	L047B	REEGT	0.615	Perform procedure/service in post-service period---NOT directly related to physician work time	17	0
95801	Study of sleep patterns	Pre-service	L047B	REEGT	0.615	Complete pre-service diagnostic and referral forms	3	0
95801	Study of sleep patterns	Pre-service	L047B	REEGT	0.615	Provide pre-service education/obtain consent	3	0
95801	Study of sleep patterns	Service  pre	L047B	REEGT	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
95801	Study of sleep patterns	Service  pre	L047B	REEGT	0.615	"Prepare room, equipment and supplies"	2	0
95801	Study of sleep patterns	Service  pre	L047B	REEGT	0.615	Provide education/obtain consent	3	0
95801	Study of sleep patterns	Service  intra	L047B	REEGT	0.615	Perform procedure/service---NOT directly related to physician work time	15	0
95801	Study of sleep patterns	Service  post	L047B	REEGT	0.615	Clean room/equipment by clinical staff	3	0
95801	Study of sleep patterns	Post-service	L047B	REEGT	0.615	Perform procedure/service in post-service period---NOT directly related to physician work time	17	0
95803	"Study of sleep and wake patterns including interpretation and report, minimum of 72 hours to 14 consecutive days of recording"	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95803	"Study of sleep and wake patterns including interpretation and report, minimum of 72 hours to 14 consecutive days of recording"	Service  intra	L047B	REEGT	0.615	Service total costs	12	
95803	"Study of sleep and wake patterns including interpretation and report, minimum of 72 hours to 14 consecutive days of recording"	Post-service	L047B	REEGT	0.615	Post service total costs	17	
95805	Diagnostic test for sleep disorder	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95805	Diagnostic test for sleep disorder	Service  intra	L047B	REEGT	0.615	Service total costs	307	
95805	Diagnostic test for sleep disorder	Post-service	L047B	REEGT	0.615	Post service total costs	2	
95806	"Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort"	Pre-service	L047B	REEGT	0.615	Complete pre-service diagnostic and referral forms	3	0
95806	"Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort"	Pre-service	L047B	REEGT	0.615	Provide pre-service education/obtain consent	3	0
95806	"Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort"	Service  pre	L047B	REEGT	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
95806	"Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort"	Service  pre	L047B	REEGT	0.615	"Prepare room, equipment and supplies"	2	0
95806	"Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort"	Service  pre	L047B	REEGT	0.615	Provide education/obtain consent	3	0
95806	"Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort"	Service  intra	L047B	REEGT	0.615	Perform procedure/service---NOT directly related to physician work time	20	0
95806	"Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort"	Service  post	L047B	REEGT	0.615	Clean room/equipment by clinical staff	3	0
95806	"Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort"	Post-service	L047B	REEGT	0.615	Perform procedure/service in post-service period---NOT directly related to physician work time	17	0
95807	Sleep study attended by a technician	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95807	Sleep study attended by a technician	Service  intra	L047B	REEGT	0.615	Service total costs	271	
95807	Sleep study attended by a technician	Post-service	L047B	REEGT	0.615	Post service total costs	22	
95808	Sleep monitoring of patient in sleep lab	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95808	Sleep monitoring of patient in sleep lab	Service  intra	L047B	REEGT	0.615	Service total costs	299	
95808	Sleep monitoring of patient in sleep lab	Post-service	L047B	REEGT	0.615	Post service total costs	52	
95810	Sleep monitoring of patient (6 years or older) in sleep lab	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95810	Sleep monitoring of patient (6 years or older) in sleep lab	Service  intra	L047B	REEGT	0.615	Service total costs	317	
95810	Sleep monitoring of patient (6 years or older) in sleep lab	Post-service	L047B	REEGT	0.615	Post service total costs	88	
95811	Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95811	Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube	Service  intra	L047B	REEGT	0.615	Service total costs	352	
95811	Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube	Post-service	L047B	REEGT	0.615	Post service total costs	88	
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	3
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Service  pre	L047B	REEGT	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Service  pre	L047B	REEGT	0.615	"Measure and mark head. Apply and secure electrodes to head and chest. Check impedances, reapply electrodes as needed."	20	
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Service  pre	L047B	REEGT	0.615	Obtain vital signs	0	
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Service  intra	L047B	REEGT	0.615	Perform procedure	50	
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Service  post	L047B	REEGT	0.615	"Clean patient, remove electrodes"	20	
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Service  post	L047B	REEGT	0.615	Clean room/equipment by physician staff	3	
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Service  post	L047B	REEGT	0.615	"Complete diagnostic forms, lab, X-ray requisitions"	0	
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Post-service	L047B	REEGT	0.615	Prepare technician report in EEG file	3	
95812	Electroencephalogram (EEG) extended monitoring; 41-60 minutes	Post-service	L047B	REEGT	0.615	Transfer data to reading station & archive data	2	
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	3
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Service  pre	L047B	REEGT	0.615	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Service  pre	L047B	REEGT	0.615	"Measure and mark head. Apply and secure electrodes to head and chest. Check impedances, reapply electrodes as needed."	20	
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Service  pre	L047B	REEGT	0.615	Obtain vital signs	0	
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Service  intra	L047B	REEGT	0.615	Perform procedure	80	
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Service  post	L047B	REEGT	0.615	"Clean patient, remove electrodes"	20	
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Service  post	L047B	REEGT	0.615	Clean room/equipment by physician staff	3	
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Service  post	L047B	REEGT	0.615	"Complete diagnostic forms, lab, X-ray requisitions"	0	
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Post-service	L047B	REEGT	0.615	Prepare technician report in EEG file	3	
95813	Electroencephalogram (EEG) extended monitoring; greater than 1 hour	Post-service	L047B	REEGT	0.615	Transfer data to reading station & archive data	2	
95816	"Measurement and recording of brain wave (EEG) activity, awake and drowsy"	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95816	"Measurement and recording of brain wave (EEG) activity, awake and drowsy"	Service  intra	L047B	REEGT	0.615	Service total costs	109	
95816	"Measurement and recording of brain wave (EEG) activity, awake and drowsy"	Post-service	L047B	REEGT	0.615	Post service total costs	9	
95819	"Measurement and recording of brain wave (EEG) activity, awake and asleep"	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95819	"Measurement and recording of brain wave (EEG) activity, awake and asleep"	Service  intra	L047B	REEGT	0.615	Service total costs	141	
95819	"Measurement and recording of brain wave (EEG) activity, awake and asleep"	Post-service	L047B	REEGT	0.615	Post service total costs	9	
95822	"Measurement and recording of brain wave (EEG) activity, in coma or asleep"	Pre-service	L047B	REEGT	0.615	Preservice total costs	6	
95822	"Measurement and recording of brain wave (EEG) activity, in coma or asleep"	Service  intra	L047B	REEGT	0.615	Service total costs	116	
95822	"Measurement and recording of brain wave (EEG) activity, in coma or asleep"	Post-service	L047B	REEGT	0.615	Post service total costs	9	
95829	Measurement of brain activity (EEG) during surgery	Pre-service	L047B	REEGT	0.615	Preservice total costs	50	
95829	Measurement of brain activity (EEG) during surgery	Service  intra	L047B	REEGT	0.615	Service total costs	178	
95829	Measurement of brain activity (EEG) during surgery	Post-service	L047B	REEGT	0.615	Post service total costs	35	
95830	Insertion of electrodes in bone for measurement and recording of brain wave activity (EEG)	Pre-service	L047B	REEGT	0.615	Preservice total costs	8	0
95830	Insertion of electrodes in bone for measurement and recording of brain wave activity (EEG)	Service  intra	L047B	REEGT	0.615	Service total costs	32	0
95830	Insertion of electrodes in bone for measurement and recording of brain wave activity (EEG)	Post-service	L047B	REEGT	0.615	Post service total costs	5	0
95851	"Range of motion testing of arm, leg or each spine section"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	8	0
95851	"Range of motion testing of arm, leg or each spine section"	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	12	0
95852	Range of motion testing of hand	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	8	0
95852	Range of motion testing of hand	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	10	0
95857	Injection to test for myasthenia gravis	Service  intra	L032B	EEG Technician	0.38	Service total costs	30	0
95860	Needle measurement and recording of electrical activity of muscles of arm or leg	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	32	
95861	Needle measurement and recording of electrical activity of muscles of arms or legs	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	41	
95863	Needle electromyography; 3 extremities with or without related paraspinal areas	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
95863	Needle electromyography; 3 extremities with or without related paraspinal areas	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Obtain vital signs	5	
95863	Needle electromyography; 3 extremities with or without related paraspinal areas	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Prepare and position pt/ monitor pt/ set up IV	2	
95863	Needle electromyography; 3 extremities with or without related paraspinal areas	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment, supplies"	2	
95863	Needle electromyography; 3 extremities with or without related paraspinal areas	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Provide pre-service education/obtain consent	2	
95863	Needle electromyography; 3 extremities with or without related paraspinal areas	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Assist physician in performing procedure	40	
95863	Needle electromyography; 3 extremities with or without related paraspinal areas	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by physician staff	3	
95864	Needle electromyography; 4 extremities with or without related paraspinal areas	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
95864	Needle electromyography; 4 extremities with or without related paraspinal areas	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Obtain vital signs	5	
95864	Needle electromyography; 4 extremities with or without related paraspinal areas	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Prepare and position patient/ monitor patient	2	
95864	Needle electromyography; 4 extremities with or without related paraspinal areas	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment, supplies"	2	
95864	Needle electromyography; 4 extremities with or without related paraspinal areas	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Provide pre-service education/obtain consent	2	
95864	Needle electromyography; 4 extremities with or without related paraspinal areas	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Assist physician in performing procedure	50	
95864	Needle electromyography; 4 extremities with or without related paraspinal areas	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by physician staff	3	
95864	Needle electromyography; 4 extremities with or without related paraspinal areas	Service  post	L037A	Electrodiagnostic Technologist	0.405	"Prepare technician report, summarize clinical and electrodiagnostic data, and interpretation. Provide maximum assistance with dressing and transferring the patient"	0	
95865	Needle measurement and recording of electrical activity of muscles of voice box	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	27	
95866	Needle measurement and recording of electrical activity of muscles between chest and abdominal cavity	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	27	
95867	Needle measurement and recording of electrical activity of cranial nerve-supplied muscles on one side of body	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	27	
95868	Needle measurement and recording of electrical activity of cranial nerve-supplied muscles on both sides of body	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	32	
95869	Needle electromyography; thoracic paraspinal muscles (excluding t1 or t12)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
95869	Needle electromyography; thoracic paraspinal muscles (excluding t1 or t12)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Obtain vital signs	5	
95869	Needle electromyography; thoracic paraspinal muscles (excluding t1 or t12)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Prepare and position pt/ monitor pt/ set up IV	2	
95869	Needle electromyography; thoracic paraspinal muscles (excluding t1 or t12)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment, supplies"	2	
95869	Needle electromyography; thoracic paraspinal muscles (excluding t1 or t12)	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Provide pre-service education/obtain consent	2	
95869	Needle electromyography; thoracic paraspinal muscles (excluding t1 or t12)	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Assist physician in performing procedure	15	
95869	Needle electromyography; thoracic paraspinal muscles (excluding t1 or t12)	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by physician staff	3	
95870	"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
95870	"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Obtain vital signs	5	
95870	"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Prepare and position pt/ monitor pt/ set up IV	2	
95870	"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment, supplies"	2	
95870	"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	Provide pre-service education/obtain consent	2	
95870	"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Assist physician in performing procedure	15	
95870	"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters"	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by physician staff	3	
95872	Needle measurement and recording electrical activity of muscles including jitter blocking and/or fiber density using single electrode	Pre-service	L037A	Electrodiagnostic Technologist	0.405	Preservice total costs	8	
95872	Needle measurement and recording electrical activity of muscles including jitter blocking and/or fiber density using single electrode	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	26	
95872	Needle measurement and recording electrical activity of muscles including jitter blocking and/or fiber density using single electrode	Post-service	L037A	Electrodiagnostic Technologist	0.405	Post service total costs	3	
95873	Electrical stimulation for guidance with injection of chemical for destruction of muscles	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	5	
95874	Needle measurement and recording of electrical activity of muscles for guidance with injection of chemical for destruction of muscles	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	5	
95875	Needle measurement and recording of electrical activity of muscles having lost blood flow	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	43	
95885	Needle measurement and recording of electrical activity of muscles of arm or leg limited study	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	8	
95886	Needle measurement and recording of electrical activity of muscles of arm or leg complete study	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	18	
95887	Needle measurement and recording of electrical activity of head or trunk muscles	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	13	
95905	Needle measurement and recording of movement and/or feeling of arm or leg with interpretation and report	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	8	
95907	"Nerve transmission studies, 1-2 studies"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	27	
95908	"Nerve transmission studies, 3-4 studies"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	34	
95909	"Nerve transmission studies, 5-6 studies"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	42	
95910	"Nerve transmission studies, 7-8 studies"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	52	
95911	"Nerve transmission studies, 9-10 studies"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	62	
95912	"Nerve transmission studies, 11-12 studies"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	72	
95913	"Nerve transmission studies, 13 or more studies"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	82	
95921	Testing of autonomic (sympathetic) nervous system function	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	55	
95922	Testing of autonomic (sympathetic) nervous system function at least 5 minutes of tilt	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	70	
95923	"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (qsart), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential"	Pre-service	L037A	Electrodiagnostic Technologist	0.405	Complete pre-service diagnostic and referral forms	2	
95923	"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (qsart), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment, supplies"	2	
95923	"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (qsart), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Assist physician in performing procedure	41	
95923	"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (qsart), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential"	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by physician staff	0	
95923	"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (qsart), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential"	Service  post	L037A	Electrodiagnostic Technologist	0.405	"Complete diagnostic forms, lab, X-ray requisitions"	0	
95924	"Testing of autonomic (sympathetic) nervous system function, at least 5 minutes of tilt"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	76	
95925	Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the arms	Pre-service	L047B	REEGT	0.615	Preservice total costs	8	
95925	Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the arms	Service  intra	L047B	REEGT	0.615	Service total costs	76	
95926	Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the legs	Pre-service	L047B	REEGT	0.615	Preservice total costs	8	
95926	Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the legs	Service  intra	L047B	REEGT	0.615	Service total costs	76	
95927	Insertion of needles and skin electrodes for measurement and recording of stimulated sites on the trunk or head	Pre-service	L047B	REEGT	0.615	Preservice total costs	14	
95927	Insertion of needles and skin electrodes for measurement and recording of stimulated sites on the trunk or head	Service  intra	L047B	REEGT	0.615	Service total costs	94	
95927	Insertion of needles and skin electrodes for measurement and recording of stimulated sites on the trunk or head	Post-service	L047B	REEGT	0.615	Post service total costs	3	
95928	Central motor evoked potential study (transcranial motor stimulation); upper limbs	Pre-service	L047B	REEGT	0.615	Complete pre-service diagnostic and referral forms	2	
95928	Central motor evoked potential study (transcranial motor stimulation); upper limbs	Pre-service	L047B	REEGT	0.615	Provide pre-service education/obtain consent	3	
95928	Central motor evoked potential study (transcranial motor stimulation); upper limbs	Pre-service	L047B	REEGT	0.615	"Review requisition. Assess for special needs. Give patient instructions for test preparation (eg, hair, lotion) and what to expect on the day of testing"	0	
95928	Central motor evoked potential study (transcranial motor stimulation); upper limbs	Service  pre	L047B	REEGT	0.615	"Prepare room, equipment, supplies"	2	
95928	Central motor evoked potential study (transcranial motor stimulation); upper limbs	Service  intra	L047B	REEGT	0.615	Assist physician in performing procedure	40	
95928	Central motor evoked potential study (transcranial motor stimulation); upper limbs	Service  post	L047B	REEGT	0.615	Clean room/equipment by physician staff	3	
95929	Central motor evoked potential study (transcranial motor stimulation); lower limbs	Pre-service	L047B	REEGT	0.615	Complete pre-service diagnostic and referral forms	2	
95929	Central motor evoked potential study (transcranial motor stimulation); lower limbs	Pre-service	L047B	REEGT	0.615	Provide pre-service education/obtain consent	3	
95929	Central motor evoked potential study (transcranial motor stimulation); lower limbs	Pre-service	L047B	REEGT	0.615	"Review requisition. Assess for special needs. Give patient instructions for test preparation (eg, hair, lotion) and what to expect on the day of testing"	0	
95929	Central motor evoked potential study (transcranial motor stimulation); lower limbs	Service  pre	L047B	REEGT	0.615	Assist physician in performing procedure	40	
95929	Central motor evoked potential study (transcranial motor stimulation); lower limbs	Service  pre	L047B	REEGT	0.615	"Prepare room, equipment, supplies"	2	
95929	Central motor evoked potential study (transcranial motor stimulation); lower limbs	Service  post	L047B	REEGT	0.615	Clean room/equipment by physician staff	3	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Greet patient, provide gowning, ensure appropriate medical records are available"	1	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Other Clinical Activity - specify: check impedance and signal strength, reapply as needed"	1	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Other Clinical Activity - specify: measure and mark head. Apply electrodes.	4	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Other Clinical Activity - specify: set up machine with testing parameters	2	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Prepare and position pt/ monitor pt/ set up IV	2	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  pre	L038A	COMT/COT/RN/CST	0.45	"Prepare room, equipment, supplies"	2	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  pre	L038A	COMT/COT/RN/CST	0.45	Provide pre-service education/obtain consent	1	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  intra	L038A	COMT/COT/RN/CST	0.45	Perform test - collect patient data utilizing appropriate test patterns. Replicate data. Troubleshoot. Repeat on other eye. Store data. Mark waveforms. Collect additional data if needed	21	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  post	L038A	COMT/COT/RN/CST	0.45	Clean room/equipment by physician staff	3	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  post	L038A	COMT/COT/RN/CST	0.45	"Complete diagnostic forms, lab, X-ray requisitions"	2	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  post	L038A	COMT/COT/RN/CST	0.45	Other Clinical Activity - specify: Remove electrodes from patients scalp and clean gel from patients hair	3	
95930	"Visual evoked potential (VEP) testing central nervous system except glaucoma, checkerboard or flash, with interpretation and report"	Service  post	L038A	COMT/COT/RN/CST	0.45	Review examination with interpreting MD	2	
95933	"Orbicularis oculi (blink) reflex, by electrodiagnostic testing"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Assist physician in cleaning area, relaxing patient.  Take notes from physician"	25	
95933	"Orbicularis oculi (blink) reflex, by electrodiagnostic testing"	Service  pre	L037A	Electrodiagnostic Technologist	0.405	"Prepare room, equipment, supplies"	2	
95933	"Orbicularis oculi (blink) reflex, by electrodiagnostic testing"	Service  post	L037A	Electrodiagnostic Technologist	0.405	Clean room/equipment by physician staff	3	
95937	Testing with stimulation for assessment of function at muscle-nerve junction	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	22	
95938	Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the arms and legs	Pre-service	L047B	REEGT	0.615	Preservice total costs	8	
95938	Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the arms and legs	Service  intra	L047B	REEGT	0.615	Service total costs	132	
95939	Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the arms and legs	Pre-service	L047B	REEGT	0.615	Preservice total costs	8	
95939	Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the arms and legs	Service  intra	L047B	REEGT	0.615	Service total costs	153	
95954	Measurement and recording of electrical activity (EEG) of the brain including stimulation by medication or physical activity	Pre-service	L047B	REEGT	0.615	Preservice total costs	8	
95954	Measurement and recording of electrical activity (EEG) of the brain including stimulation by medication or physical activity	Service  intra	L047B	REEGT	0.615	Service total costs	177	
95954	Measurement and recording of electrical activity (EEG) of the brain including stimulation by medication or physical activity	Post-service	L047B	REEGT	0.615	Post service total costs	33	
95957	Digital analysis of electrical brain wave activity (EEG)	Service  pre	L047B	REEGT	0.615	"import EEG recordings, confirm EEG recordings are compatible with dipole analysis software, obtain medical records and MRI images for co-registration"	22	
95957	Digital analysis of electrical brain wave activity (EEG)	Service  intra	L047B	REEGT	0.615	"Prepare data for physician review 95957 (Prepare dipole analysis data for physician review, generate 3-D mapping and template report of spike generator location)"	89	
95958	Measurement and recording of electrical brain wave activity (EEG) in a specific area of the brain	Pre-service	L047B	REEGT	0.615	Preservice total costs	17	
95958	Measurement and recording of electrical brain wave activity (EEG) in a specific area of the brain	Service  intra	L047B	REEGT	0.615	Service total costs	223	
95961	"Mapping of electrical brain wave activity (EEG) using electrodes on brain surface to provoke seizure activity or assess brain function, first hour"	Service  intra	L047B	REEGT	0.615	Service total costs	60	
95962	Mapping of electrical brain wave activity (EEG) to provoke seizure activity or assess brain function	Service  intra	L047B	REEGT	0.615	Service total costs	60	
95971	Electronic analysis of implanted neurostimulator ; simple spinal cord with intraoperative or subsequent programming	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
95971	Electronic analysis of implanted neurostimulator ; simple spinal cord with intraoperative or subsequent programming	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
95971	Electronic analysis of implanted neurostimulator ; simple spinal cord with intraoperative or subsequent programming	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	13	
95971	Electronic analysis of implanted neurostimulator ; simple spinal cord with intraoperative or subsequent programming	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	
95972	"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
95972	"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
95972	"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
95972	"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
95972	"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
95972	"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
95972	"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	3	
95980	Electronic analysis and programming during surgery of implanted gastric neurostimulator generator	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		3
95981	Electronic analysis of implanted gastric neurostimulator generator or transmitter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	3
95981	Electronic analysis of implanted gastric neurostimulator generator or transmitter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	25	0
95981	Electronic analysis of implanted gastric neurostimulator generator or transmitter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
95982	Electronic analysis and programming of implanted gastric neurostimulator generator or transmitter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	3
95982	Electronic analysis and programming of implanted gastric neurostimulator generator or transmitter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	28	0
95982	Electronic analysis and programming of implanted gastric neurostimulator generator or transmitter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
95990	Refilling and maintenance of implantable spinal or brain drug delivery pump or reservoir	Pre-service	L051A	RN	0.635	Preservice total costs	15	
95990	Refilling and maintenance of implantable spinal or brain drug delivery pump or reservoir	Service  intra	L051A	RN	0.635	Service total costs	32	
95990	Refilling and maintenance of implantable spinal or brain drug delivery pump or reservoir	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	3	
95991	Refilling and maintenance by physician of implantable spinal or brain drug delivery pump or reservoir	Pre-service	L051A	RN	0.635	Preservice total costs	15	0
95991	Refilling and maintenance by physician of implantable spinal or brain drug delivery pump or reservoir	Service  intra	L051A	RN	0.635	Service total costs	32	0
95991	Refilling and maintenance by physician of implantable spinal or brain drug delivery pump or reservoir	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	3	0
95992	"Repositioning maneuvers for treatment of vertigo, per day"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	4	0
959XX		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
959XX		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	3	0
959XX		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	1	0
959XX		Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	2	0
96040	Medical genetic patient or family counseling services each 30 minutes	Pre-service	L057A	Genetics Counselor	0.709	Preservice total costs	5	
96040	Medical genetic patient or family counseling services each 30 minutes	Service  intra	L057A	Genetics Counselor	0.709	Service total costs	30	
96040	Medical genetic patient or family counseling services each 30 minutes	Post-service	L057A	Genetics Counselor	0.709	Post service total costs	20	
96110	Developmental screening	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	6	0
96113	"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; each additional 30 minutes (List separately in addition to code for primary procedure)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
96121	"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; each additional hour"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
96127	Brief emotional/behavioral assessment	Service  intra	L026A	Medical/Technical Assistant	0.31	Perform procedure/service---NOT directly related to physician work time	6	0
96130	"Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
96131	"Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; each additional hour"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
96132	"Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
96133	"Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; each additional hour"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
96136	"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
96137	"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
96138	"Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes"	Service  pre	L039C	Psychometrist	0.517	"Prepare room, equipment and supplies"	1	0
96138	"Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	29	0
96139	"Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; each additional 30 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	30	0
96146	"Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
96146	"Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	2	0
96160	"Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument"	Service  intra	L026A	Medical/Technical Assistant	0.31	"Administration, scoring, and documenting results of completed standardized instrument"	7	
96160	"Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument"	Service  intra	L026A	Medical/Technical Assistant	0.31	Collate and score data elements on assessment in advance of physician exam	0	
96160	"Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument"	Service  intra	L026A	Medical/Technical Assistant	0.31	Explain purpose of assessment to patient/caregiver and answer questions	0	
96160	"Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument"	Service  intra	L026A	Medical/Technical Assistant	0.31	Remain in exam room with patient/caregiver exclusive to completion of assessment	0	
96160	"Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument"	Service  intra	L026A	Medical/Technical Assistant	0.31	Scan assessment or enter data elements and total score into electronic health record	0	
96161	"Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument"	Service  intra	L026A	Medical/Technical Assistant	0.31	"Administration, scoring, and documenting results of completed standardized instrument"	7	
96161	"Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument"	Service  intra	L026A	Medical/Technical Assistant	0.31	Collate and score data elements on assessment in advance of physician exam	0	
96161	"Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument"	Service  intra	L026A	Medical/Technical Assistant	0.31	Explain purpose of assessment to patient/caregiver and answer questions	0	
96161	"Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument"	Service  intra	L026A	Medical/Technical Assistant	0.31	Remain in exam room with patient/caregiver exclusive to completion of assessment	0	
96161	"Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument"	Service  intra	L026A	Medical/Technical Assistant	0.31	Scan assessment or enter data elements and total score into electronic health record	0	
96360	Hydration infusion into a vein 31 minutes to 1 hour	Service  pre	L056A	RN/OCN	0.8	Obtain vital signs	5	
96360	Hydration infusion into a vein 31 minutes to 1 hour	Service  pre	L056A	RN/OCN	0.8	Prepare and position pt/ monitor pt/ set up IV	2	
96360	Hydration infusion into a vein 31 minutes to 1 hour	Service  pre	L056A	RN/OCN	0.8	"Prepare room, equipment, supplies"	2	
96360	Hydration infusion into a vein 31 minutes to 1 hour	Service  pre	L056A	RN/OCN	0.8	Provide pre-service education/obtain consent	2	
96360	Hydration infusion into a vein 31 minutes to 1 hour	Service  intra	L056A	RN/OCN	0.8	Clinical staff performs procedure	5	
96360	Hydration infusion into a vein 31 minutes to 1 hour	Service  post	L056A	RN/OCN	0.8	"Monitor pt following service/check tubes, monitors, drains, multi-tasking 1:4"	2	
96361	Hydration infusion into a vein	Service  pre	L056A	RN/OCN	0.8	Obtain vital signs	5	
96361	Hydration infusion into a vein	Service  intra	L056A	RN/OCN	0.8	Clinical staff performs procedure	4	
96365	"Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour"	Pre-service	L056A	RN/OCN	0.8	Preservice total costs	2	
96365	"Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour"	Service  intra	L056A	RN/OCN	0.8	Service total costs	44	
96365	"Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour"	Post-service	L056A	RN/OCN	0.8	Post service total costs	3	
96366	"Infusion into a vein for therapy, prevention, or diagnosis"	Service  intra	L056A	RN/OCN	0.8	Service total costs	12	
96367	Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour	Service  intra	L056A	RN/OCN	0.8	Service total costs	19	
96368	"Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion"	Service  intra	L056A	RN/OCN	0.8	Service total costs	11	
96369	Infusion into tissue for therapy or prevention up to 1 hour	Pre-service	L051A	RN	0.635	Preservice total costs	6	
96369	Infusion into tissue for therapy or prevention up to 1 hour	Service  intra	L051A	RN	0.635	Service total costs	41	
96369	Infusion into tissue for therapy or prevention up to 1 hour	Post-service	L051A	RN	0.635	Post service total costs	1	
96370	"Infusion into tissue for therapy or prevention, beneath the skin"	Service  intra	L051A	RN	0.635	Service total costs	10	
96371	"Infusion for therapy or prevention, beneath the skin"	Service  intra	L051A	RN	0.635	Service total costs	7	
96372	"Injection beneath the skin or into muscle for therapy, diagnosis, or prevention"	Service  pre	L037D	RN/LPN/MTA	0.455	Document lot number and expiration date	0	
96372	"Injection beneath the skin or into muscle for therapy, diagnosis, or prevention"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
96372	"Injection beneath the skin or into muscle for therapy, diagnosis, or prevention"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
96372	"Injection beneath the skin or into muscle for therapy, diagnosis, or prevention"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
96372	"Injection beneath the skin or into muscle for therapy, diagnosis, or prevention"	Service  pre	L037D	RN/LPN/MTA	0.455	Verify medication interaction	1	
96372	"Injection beneath the skin or into muscle for therapy, diagnosis, or prevention"	Service  pre	L037D	RN/LPN/MTA	0.455	Verify orders	1	
96372	"Injection beneath the skin or into muscle for therapy, diagnosis, or prevention"	Service  intra	L037D	RN/LPN/MTA	0.455	Clinical staff performs the service	1	
96372	"Injection beneath the skin or into muscle for therapy, diagnosis, or prevention"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	0	
96372	"Injection beneath the skin or into muscle for therapy, diagnosis, or prevention"	Service  post	L037D	RN/LPN/MTA	0.455	Complete medical record documentation	0	
96373	"Injection into artery for therapy, diagnosis, or prevention"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	19	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Assemble supplies	1	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Prep labels	1	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Prepare and position pt/ monitor pt/ set up IV	2	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	"Prepare room, equipment, supplies"	2	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Provide pre-service education/obtain consent	2	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Reconsitute drug	1	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Verify medication interaction	1	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Verify orders	1	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  intra	L056A	RN/OCN	0.8	Clinical staff performs the service	8	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  post	L056A	RN/OCN	0.8	Complete medical record documentation	0	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Service  post	L056A	RN/OCN	0.8	"Monitor pt following service/check tubes, monitors, drains, multi-tasking 1:4"	3	
96374	"Injection of drug or substance into a vein for therapy, diagnosis, or prevention"	Post-service	L056A	RN/OCN	0.8	Conduct phone calls/call in prescriptions	3	
96375	"Injection of different drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Assemble supplies	1	
96375	"Injection of different drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Prep labels	1	
96375	"Injection of different drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Reconsitute drug	1	
96375	"Injection of different drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Verify medication interaction	1	
96375	"Injection of different drug or substance into a vein for therapy, diagnosis, or prevention"	Service  pre	L056A	RN/OCN	0.8	Verify orders	1	
96375	"Injection of different drug or substance into a vein for therapy, diagnosis, or prevention"	Service  intra	L056A	RN/OCN	0.8	Clinical staff performs the service	4	
96375	"Injection of different drug or substance into a vein for therapy, diagnosis, or prevention"	Service  post	L056A	RN/OCN	0.8	Complete medical record documentation	0	
96375	"Injection of different drug or substance into a vein for therapy, diagnosis, or prevention"	Service  post	L056A	RN/OCN	0.8	"Monitor pt following service/check tubes, monitors, drains, multi-tasking 1:4"	2	
96377	Application of on-body injector (includes cannula insertion) for timed subcutaneous injection	Service  pre	L056A	RN/OCN	0.8	Assemble supplies	1	
96377	Application of on-body injector (includes cannula insertion) for timed subcutaneous injection	Service  pre	L056A	RN/OCN	0.8	Insert drug into device	1	
96377	Application of on-body injector (includes cannula insertion) for timed subcutaneous injection	Service  pre	L056A	RN/OCN	0.8	Prepare and position pt/ monitor pt/ set up IV	2	
96377	Application of on-body injector (includes cannula insertion) for timed subcutaneous injection	Service  pre	L056A	RN/OCN	0.8	Provide pre-service education/obtain consent	2	
96377	Application of on-body injector (includes cannula insertion) for timed subcutaneous injection	Service  pre	L056A	RN/OCN	0.8	Verify medication interaction	1	
96377	Application of on-body injector (includes cannula insertion) for timed subcutaneous injection	Service  pre	L056A	RN/OCN	0.8	Verify orders	1	
96377	Application of on-body injector (includes cannula insertion) for timed subcutaneous injection	Service  intra	L056A	RN/OCN	0.8	Clinical staff performs the service	3	
96377	Application of on-body injector (includes cannula insertion) for timed subcutaneous injection	Service  post	L056A	RN/OCN	0.8	Complete medical record documentation	0	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Pre-service	L056A	RN/OCN	0.8	Complete pre-service diagnostic and referral forms	3	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Pre-service	L056A	RN/OCN	0.8	Coordinate pre-surgery services	3	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Assemble and don personal protective equipment	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Assemble supplies	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Calculate BSA	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Calculate dose	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Clean hood	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Document lot number and expiration date	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Maximum and cumulative dose	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Obtain vital signs	5	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Prep labels	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Prepare and position pt/ monitor pt/ set up IV	2	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	"Prepare room, equipment, supplies"	2	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Provide pre-service education/obtain consent (initial education of 1 hr amortized over average of 6 cycles). Includes a psych assessment and a review of medication list	5	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Reconsitute drug	2	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Review charts by chemo nurse regarding course of treatment & obtain chemotherapy-related medical hx	4	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Second verification of orders (performed by another nurse or technician)	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Verify medication interaction	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  pre	L056A	RN/OCN	0.8	Verify orders	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  intra	L056A	RN/OCN	0.8	Assemble and don personal protective equipment	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  intra	L056A	RN/OCN	0.8	Clinical staff performs procedure	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  intra	L056A	RN/OCN	0.8	Patient and medication verification before administration (two verifications by two different RNs)	1	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  post	L056A	RN/OCN	0.8	Check dressings & wound/  individualized education and home care instructions / side effects for which the patient should call office/Safe handling of hazardous body fluids/coordinate office visits /prescriptions/	5	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  post	L056A	RN/OCN	0.8	Clean room/equipment by physician staff	3	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  post	L056A	RN/OCN	0.8	"Complete diagnostic forms, lab & X-ray requisitions, and documentation"	3	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Service  post	L056A	RN/OCN	0.8	"Monitor pt following service/check tubes, monitors, drains, multi-tasking 1:4"	5	
96401	Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle	Post-service	L056A	RN/OCN	0.8	Conduct phone calls/call in prescriptions	3	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Assemble and don personal protective equipment	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Assemble supplies	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Calculate dose	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Clean hood	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Document lot number and expiration date	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Prep labels	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent (initial education of 1 hr amortized over average of 6 cycles). Includes a psych assessment and a review of medication list	5	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Reconsitute drug	2	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Review charts by chemo nurse regarding course of treatment & obtain chemotherapy-related medical hx	2	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Verify medication interaction	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  pre	L037D	RN/LPN/MTA	0.455	Verify orders	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Assemble and don personal protective equipment	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Clinical staff performs procedure	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  intra	L037D	RN/LPN/MTA	0.455	Patient and medication verification before administration (two verifications by two different RNs)	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	
96402	Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab & X-ray requisitions, and documentation"	3	
96405	"Chemotherapy into a lesion, up to and including 7 lesions"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	21	0
96406	"Chemotherapy into a lesion, more than 7 lesions"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	26	0
96409	Infusion of chemotherapy into a vein using push technique	Pre-service	L056A	RN/OCN	0.8	Complete pre-service diagnostic and referral forms	3	
96409	Infusion of chemotherapy into a vein using push technique	Pre-service	L056A	RN/OCN	0.8	Coordinate pre-surgery services	3	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Assemble and don personal protective equipment	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Assemble supplies	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Calculate BSA	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Calculate dose	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Clean hood	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Document lot number and expiration date	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Maximum and cumulative dose	2	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Obtain vital signs	5	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Prep labels	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Prepare and position pt/ monitor pt/ set up IV	2	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	"Prepare room, equipment, supplies"	2	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Provide pre-service education/obtain consent (initial education of 1 hr amortized over average of 6 cycles). Includes a psych assessment and a review of medication list	5	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Reconsitute drug	6	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Review charts by chemo nurse regarding course of treatment & obtain chemotherapy-related medical hx	4	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Second verification of orders (performed by another nurse or technician)	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Verify medication interaction	2	
96409	Infusion of chemotherapy into a vein using push technique	Service  pre	L056A	RN/OCN	0.8	Verify orders	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  intra	L056A	RN/OCN	0.8	Assemble and don personal protective equipment	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  intra	L056A	RN/OCN	0.8	Clinical staff performs procedure	15	
96409	Infusion of chemotherapy into a vein using push technique	Service  intra	L056A	RN/OCN	0.8	Patient and medication verification before administration (two verifications by two different RNs)	1	
96409	Infusion of chemotherapy into a vein using push technique	Service  post	L056A	RN/OCN	0.8	Check dressings & wound/  individualized education and home care instructions / side effects for which the patient should call office/Safe handling of hazardous body fluids/coordinate office visits /prescriptions/	5	
96409	Infusion of chemotherapy into a vein using push technique	Service  post	L056A	RN/OCN	0.8	Clean room/equipment by physician staff	3	
96409	Infusion of chemotherapy into a vein using push technique	Service  post	L056A	RN/OCN	0.8	"Complete diagnostic forms, lab & X-ray requisitions, and documentation"	3	
96409	Infusion of chemotherapy into a vein using push technique	Service  post	L056A	RN/OCN	0.8	"Monitor pt following service/check tubes, monitors, drains, multi-tasking 1:4"	5	
96409	Infusion of chemotherapy into a vein using push technique	Post-service	L056A	RN/OCN	0.8	Conduct phone calls/call in prescriptions	3	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Assemble and don personal protective equipment	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Assemble supplies	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Calculate BSA	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Calculate dose	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Clean hood	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Document lot number and expiration date	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Maximum and cumulative dose	2	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Prep labels	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Provide pre-service education/obtain consent (initial education of 1 hr amortized over average of 6 cycles). Includes a psych assessment and a review of medication list	2	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Reconsitute drug	6	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Second verification of orders (performed by another nurse or technician)	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Verify medication interaction	2	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  pre	L056A	RN/OCN	0.8	Verify orders	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  intra	L056A	RN/OCN	0.8	Assemble and don personal protective equipment	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  intra	L056A	RN/OCN	0.8	Clinical staff performs procedure	15	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  intra	L056A	RN/OCN	0.8	Patient and medication verification before administration (two verifications by two different RNs)	1	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  post	L056A	RN/OCN	0.8	"Complete diagnostic forms, lab & X-ray requisitions, and documentation"	2	
96411	Infusion of different chemotherapy drug or substance into a vein	Service  post	L056A	RN/OCN	0.8	"Monitor pt following service/check tubes, monitors, drains, multi-tasking 1:4"	2	
96413	Infusion of chemotherapy into a vein up to 1 hour	Pre-service	L056A	RN/OCN	0.8	Preservice total costs	2	
96413	Infusion of chemotherapy into a vein up to 1 hour	Service  intra	L056A	RN/OCN	0.8	Service total costs	90	
96413	Infusion of chemotherapy into a vein up to 1 hour	Post-service	L056A	RN/OCN	0.8	Post service total costs	6	
96415	Infusion of chemotherapy into a vein	Service  intra	L056A	RN/OCN	0.8	Service total costs	21	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Pre-service	L056A	RN/OCN	0.8	documenation and phone calls involved with arranging delivery and receipt of the infusion pump	0	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Pre-service	L056A	RN/OCN	0.8	Ensure availability of functioning ambulatory pump	5	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  pre	L056A	RN/OCN	0.8	Greet patient and provide gowning	2	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  pre	L056A	RN/OCN	0.8	Mixed chemotherapy	28	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  pre	L056A	RN/OCN	0.8	Obtain vital signs	5	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  pre	L056A	RN/OCN	0.8	Prepare and position patient	2	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  pre	L056A	RN/OCN	0.8	"Prepare room, equipment, supplies"	2	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  pre	L056A	RN/OCN	0.8	Provide pre-service education/obtain consent (initial education of 1 hr amortized over average of 6 cycles)	8	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  pre	L056A	RN/OCN	0.8	Review charts by chemo nurse regarding course of treatment & obtain chemotherapy-related medical hx	4	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  intra	L056A	RN/OCN	0.8	Perform procedure or Assist physician in performing procedure	6	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  post	L056A	RN/OCN	0.8	Clean room/equipment by physician staff	3	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  post	L056A	RN/OCN	0.8	"Complete medical record documentation, diagnositc forms, lab & X-ray requisitions"	5	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  post	L056A	RN/OCN	0.8	"Monitor pt following service/check tubes, monitors, drains"	0	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Service  post	L056A	RN/OCN	0.8	"Post procedure education/ conditions for which patient should call office (side effects, complications) home care instructions/ coordinate office visits/ prescriptions"	15	
96416	Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours	Post-service	L056A	RN/OCN	0.8	Conduct phone calls/call in prescriptions	6	
96417	Infusion of different chemotherapy drug or substance into a vein up to 1 hour	Service  intra	L056A	RN/OCN	0.8	Service total costs	46	
96420	Injection of chemotherapy using push technique into an artery	Service  intra	L056A	RN/OCN	0.8	Service total costs	76	
96420	Injection of chemotherapy using push technique into an artery	Post-service	L056A	RN/OCN	0.8	Post service total costs	6	
96422	Infusion of chemotherapy into an artery up to 1 hour	Service  intra	L056A	RN/OCN	0.8	Service total costs	121	
96422	Infusion of chemotherapy into an artery up to 1 hour	Post-service	L056A	RN/OCN	0.8	Post service total costs	6	
96423	Infusion of chemotherapy into artery	Service  intra	L056A	RN/OCN	0.8	Service total costs	65	
96425	"Prolonged chemotherapy infusion into artery by portable or implanted pump, more than 8 hours"	Service  intra	L056A	RN/OCN	0.8	Service total costs	140	
96425	"Prolonged chemotherapy infusion into artery by portable or implanted pump, more than 8 hours"	Post-service	L056A	RN/OCN	0.8	Post service total costs	6	
96440	Chemotherapy administration into chest cavity requiring insertion of catheter	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	23
96440	Chemotherapy administration into chest cavity requiring insertion of catheter	Service  intra	L051A	RN	0.635	Back out MS labor	12	0
96440	Chemotherapy administration into chest cavity requiring insertion of catheter	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	12	0
96440	Chemotherapy administration into chest cavity requiring insertion of catheter	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
96446	Chemotherapy infusion into abdominal cavity	Pre-service	L056A	RN/OCN	0.8	Preservice total costs	6	0
96446	Chemotherapy infusion into abdominal cavity	Service  intra	L056A	RN/OCN	0.8	Service total costs	123	0
96446	Chemotherapy infusion into abdominal cavity	Post-service	L056A	RN/OCN	0.8	Post service total costs	6	0
96450	Chemotherapy administration into spinal canal requiring spinal tap	Pre-service	L056A	RN/OCN	0.8	Preservice total costs	6	0
96450	Chemotherapy administration into spinal canal requiring spinal tap	Service  intra	L056A	RN/OCN	0.8	Service total costs	74	0
96450	Chemotherapy administration into spinal canal requiring spinal tap	Post-service	L056A	RN/OCN	0.8	Post service total costs	3	0
96521	Refilling and maintenance of portable pump	Pre-service	L056A	RN/OCN	0.8	Preservice total costs	6	
96521	Refilling and maintenance of portable pump	Service  intra	L056A	RN/OCN	0.8	Service total costs	72	
96521	Refilling and maintenance of portable pump	Post-service	L056A	RN/OCN	0.8	Post service total costs	6	
96522	Refilling and maintenance of implantable pump or reservoir for drug delivery	Pre-service	L056A	RN/OCN	0.8	Preservice total costs	6	
96522	Refilling and maintenance of implantable pump or reservoir for drug delivery	Service  intra	L056A	RN/OCN	0.8	Service total costs	75	
96522	Refilling and maintenance of implantable pump or reservoir for drug delivery	Post-service	L056A	RN/OCN	0.8	Post service total costs	6	
96523	Irrigation of implanted venous access drug delivery device	Service  intra	L056A	RN/OCN	0.8	Service total costs	18	
96542	Chemotherapy injection into brain through reservoir beneath the skin	Pre-service	L056A	RN/OCN	0.8	Preservice total costs	6	0
96542	Chemotherapy injection into brain through reservoir beneath the skin	Service  intra	L056A	RN/OCN	0.8	Service total costs	61	0
96542	Chemotherapy injection into brain through reservoir beneath the skin	Post-service	L056A	RN/OCN	0.8	Post service total costs	3	0
96567	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
96567	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure	10	
96567	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
96573	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
96573	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
96573	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
96573	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
96573	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
96573	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	0	
96573	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
96573	"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains, no multi-tasking 1:1"	35	
96574	"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
96574	"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
96574	"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	2	
96574	"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
96574	"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	2	
96574	"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/Apply anesthesia	2	
96574	"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	0	
96574	"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
96574	"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt following service/check tubes, monitors, drains, no multi-tasking 1:1"	35	
96900	Application of ultraviolet light to skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	21	
96900	Application of ultraviolet light to skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	1	
96904	Whole body skin photography	Service  intra	L038C	Medical Photographer	0.383	Service total costs	28	
96904	Whole body skin photography	Service  intra	L026A	Medical/Technical Assistant	0.31	Service total costs	29	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Pre-service	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Calibrate Phototherapy	2	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  pre	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Review physician orders and calculate dosage	2	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	15	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  intra	L037D	RN/LPN/MTA	0.455	Monitor patient during procedure	16	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	15	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  post	L037D	RN/LPN/MTA	0.455	"Complete diagnostic forms, lab & X-ray requisitions, and documentation"	0	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following procedure/check tubes, monitors, drains, no multitasking 1:1 (not related to moderate sedation)"	5	
96910	Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	1	
96912	Application of chemical agents activated by ultraviolet light to skin	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	
96912	Application of chemical agents activated by ultraviolet light to skin	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	48	
96912	Application of chemical agents activated by ultraviolet light to skin	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	1	
96913	Application of chemical agents activated by ultraviolet light to skin at least 4-8 hours	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	
96913	Application of chemical agents activated by ultraviolet light to skin at least 4-8 hours	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	85	
96920	Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	0
96921	Laser treatment (250 to 500 sq centimeters) for inflammatory skin disease	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	0
96922	Laser treatment (over 500 sq centimeters) for inflammatory skin disease	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
96931	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion"	Pre-service	L042A	RN/LPN	0.525	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
96931	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion"	Service  pre	L042A	RN/LPN	0.525	"Greet patient, ensure appropriate medical records are available"	3	
96931	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion"	Service  pre	L042A	RN/LPN	0.525	Prepare and position pt/ monitor pt/ set up IV	2	
96931	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion"	Service  pre	L042A	RN/LPN	0.525	"Prepare room, equipment, supplies"	2	
96931	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion"	Service  pre	L042A	RN/LPN	0.525	Provide pre-service education/obtain consent	3	
96931	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion"	Service  intra	L042A	RN/LPN	0.525	Acquire images	30	
96931	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion"	Service  post	L042A	RN/LPN	0.525	Clean room/equipment by physician staff	3	
96931	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion"	Service  post	L042A	RN/LPN	0.525	Review imaging with interpreting physician	2	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Pre-service	L042A	RN/LPN	0.525	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  pre	L042A	RN/LPN	0.525	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  pre	L042A	RN/LPN	0.525	Obtain vital signs	0	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  pre	L042A	RN/LPN	0.525	Prepare and position pt/ monitor pt/ set up IV	2	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  pre	L042A	RN/LPN	0.525	"Prepare room, equipment, supplies"	2	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  pre	L042A	RN/LPN	0.525	Provide pre-service education/obtain consent	3	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  pre	L042A	RN/LPN	0.525	Sedate/Apply anesthesia	0	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  pre	L042A	RN/LPN	0.525	Setup scope (non facility setting only)	0	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  intra	L042A	RN/LPN	0.525	Acquire images	30	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  post	L042A	RN/LPN	0.525	Clean room/equipment by physician staff	3	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  post	L042A	RN/LPN	0.525	Clean scope	0	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  post	L042A	RN/LPN	0.525	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	0	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  post	L042A	RN/LPN	0.525	Review examination with interpreting MD	0	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  post	L042A	RN/LPN	0.525	Review imaging with interpreting physician	2	
96932	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only	Service  post	L042A	RN/LPN	0.525	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	0	
96933	Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only	Service  post	L042A	RN/LPN	0.525	Review imaging with interpreting physician	0	
96934	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, each additional lesion (List separately in addition to code for primary procedure)"	Pre-service	L042A	RN/LPN	0.525	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
96934	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, each additional lesion (List separately in addition to code for primary procedure)"	Service  pre	L042A	RN/LPN	0.525	Prepare and position pt/ monitor pt/ set up IV	1	
96934	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, each additional lesion (List separately in addition to code for primary procedure)"	Service  intra	L042A	RN/LPN	0.525	Acquire images	30	
96934	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, each additional lesion (List separately in addition to code for primary procedure)"	Service  post	L042A	RN/LPN	0.525	Review imaging with interpreting physician	1	
96935	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for primary procedure)"	Pre-service	L042A	RN/LPN	0.525	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	0	
96935	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for primary procedure)"	Service  pre	L042A	RN/LPN	0.525	Prepare and position pt/ monitor pt/ set up IV	1	
96935	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for primary procedure)"	Service  intra	L042A	RN/LPN	0.525	Acquire images	30	
96935	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for primary procedure)"	Service  post	L042A	RN/LPN	0.525	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	0	
96935	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for primary procedure)"	Service  post	L042A	RN/LPN	0.525	Review examination with interpreting MD	0	
96935	"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for primary procedure)"	Service  post	L042A	RN/LPN	0.525	Review imaging with interpreting physician	0	
97010	Application of hot or cold packs to 1 or more areas	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	3	
97010	Application of hot or cold packs to 1 or more areas	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	4	
97012	Application of mechanical traction to 1 or more areas	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97012	Application of mechanical traction to 1 or more areas	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97012	Application of mechanical traction to 1 or more areas	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	2	
97012	Application of mechanical traction to 1 or more areas	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97014	"Application of electrical stimulation to 1 or more areas, unattended by physical therapist"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97014	"Application of electrical stimulation to 1 or more areas, unattended by physical therapist"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97014	"Application of electrical stimulation to 1 or more areas, unattended by physical therapist"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	2	
97014	"Application of electrical stimulation to 1 or more areas, unattended by physical therapist"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97016	Application of blood vessel compression or decompression device to 1 or more areas	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97016	Application of blood vessel compression or decompression device to 1 or more areas	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97016	Application of blood vessel compression or decompression device to 1 or more areas	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	2	
97016	Application of blood vessel compression or decompression device to 1 or more areas	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97018	Application of hot wax bath to 1 or more areas	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97018	Application of hot wax bath to 1 or more areas	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97018	Application of hot wax bath to 1 or more areas	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	2	
97018	Application of hot wax bath to 1 or more areas	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97022	Application of whirlpool therapy to 1 or more areas	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	2	
97022	Application of whirlpool therapy to 1 or more areas	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	4	
97022	Application of whirlpool therapy to 1 or more areas	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	2	
97022	Application of whirlpool therapy to 1 or more areas	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	8	
97024	Application of heat wave therapy to 1 or more areas	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	2	
97024	Application of heat wave therapy to 1 or more areas	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	4	
97026	Application of low energy heat (infrared) to 1 or more areas	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	2	
97026	Application of low energy heat (infrared) to 1 or more areas	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	4	
97028	Application of ultraviolet light to 1 or more areas	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	2	
97028	Application of ultraviolet light to 1 or more areas	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	4	
97032	"Application of electrical stimulation to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97032	"Application of electrical stimulation to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97032	"Application of electrical stimulation to 1 or more areas, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97033	"Application of medication through skin using electrical current, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97033	"Application of medication through skin using electrical current, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
97033	"Application of medication through skin using electrical current, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1	
97033	"Application of medication through skin using electrical current, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97034	"Therapeutic hot and cold baths to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97034	"Therapeutic hot and cold baths to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
97034	"Therapeutic hot and cold baths to 1 or more areas, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	2	
97035	"Application of ultrasound to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97035	"Application of ultrasound to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97035	"Application of ultrasound to 1 or more areas, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1	
97035	"Application of ultrasound to 1 or more areas, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97036	"Physical therapy treatment to 1 or more areas, Hubbard tank, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	24	
97036	"Physical therapy treatment to 1 or more areas, Hubbard tank, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	16	
97110	"Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
97110	"Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	1	
97110	"Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97110	"Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97110	"Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	5	
97110	"Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	2.5	
97110	"Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1.5	
97110	"Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97112	"Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
97112	"Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	1	
97112	"Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97112	"Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97112	"Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	5	
97112	"Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	2.5	
97112	"Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1.5	
97112	"Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97113	"Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	
97113	"Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	2	
97113	"Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	3	
97113	"Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
97113	"Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	15	
97113	"Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	2	
97113	"Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97113	"Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	2	
97113	"Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Other clinical Activity - specify: post-treatment assistance	2	
97116	"Walking training to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
97116	"Walking training to 1 or more areas, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	1	
97116	"Walking training to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97116	"Walking training to 1 or more areas, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97116	"Walking training to 1 or more areas, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	5	
97116	"Walking training to 1 or more areas, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	2.5	
97116	"Walking training to 1 or more areas, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1.5	
97116	"Walking training to 1 or more areas, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97124	"Therapeutic massage to 1 or more areas, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	5	
97124	"Therapeutic massage to 1 or more areas, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	15	
97140	"Manual (physical) therapy techniques to 1 or more regions, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
97140	"Manual (physical) therapy techniques to 1 or more regions, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	1	
97140	"Manual (physical) therapy techniques to 1 or more regions, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97140	"Manual (physical) therapy techniques to 1 or more regions, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97140	"Manual (physical) therapy techniques to 1 or more regions, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	5	
97140	"Manual (physical) therapy techniques to 1 or more regions, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	2.5	
97140	"Manual (physical) therapy techniques to 1 or more regions, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1.5	
97140	"Manual (physical) therapy techniques to 1 or more regions, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97150	Therapeutic procedures in a group setting	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	5	
97161	Pt eval low complex 20 min	Pre-service	L039B	Physical Therapy Assistant	0.5	"Contact providers as necessary eg, for prior imaging, op reports, prior assessments, plan of care, treatment goals  (minimum of one phone call)"	3	
97161	Pt eval low complex 20 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
97161	Pt eval low complex 20 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	5	
97161	Pt eval low complex 20 min	Service  pre	L039B	Physical Therapy Assistant	0.5	"Obtain/record medical and medication history, self assessment tools, and fall screening for PT review"	8	
97161	Pt eval low complex 20 min	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
97161	Pt eval low complex 20 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
97161	Pt eval low complex 20 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Provide pre-service education/obtain consent	2	
97161	Pt eval low complex 20 min	Service  intra	L039B	Physical Therapy Assistant	0.5	"Assist physical therapist with exam/evaluation, obtain records/measures"	10	
97161	Pt eval low complex 20 min	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
97161	Pt eval low complex 20 min	Post-service	L039B	Physical Therapy Assistant	0.5	Conduct phone calls/call in prescriptions	3	
97162	Pt eval mod complex 30 min	Pre-service	L039B	Physical Therapy Assistant	0.5	"Contact providers as necessary eg, for prior imaging, op reports, prior assessments, plan of care, treatment goals  (minimum of one phone call)"	3	
97162	Pt eval mod complex 30 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
97162	Pt eval mod complex 30 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	5	
97162	Pt eval mod complex 30 min	Service  pre	L039B	Physical Therapy Assistant	0.5	"Obtain/record medical and medication history, self assessment tools, and fall screening for PT review"	8	
97162	Pt eval mod complex 30 min	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
97162	Pt eval mod complex 30 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
97162	Pt eval mod complex 30 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Provide pre-service education/obtain consent	2	
97162	Pt eval mod complex 30 min	Service  intra	L039B	Physical Therapy Assistant	0.5	"Assist physical therapist with exam/evaluation, obtain records/measures"	10	
97162	Pt eval mod complex 30 min	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
97162	Pt eval mod complex 30 min	Post-service	L039B	Physical Therapy Assistant	0.5	Conduct phone calls/call in prescriptions	3	
97163	Pt eval high complex 45 min	Pre-service	L039B	Physical Therapy Assistant	0.5	"Contact providers as necessary eg, for prior imaging, op reports, prior assessments, plan of care, treatment goals  (minimum of one phone call)"	3	
97163	Pt eval high complex 45 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
97163	Pt eval high complex 45 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	5	
97163	Pt eval high complex 45 min	Service  pre	L039B	Physical Therapy Assistant	0.5	"Obtain/record medical and medication history, self assessment tools, and fall screening for PT review"	8	
97163	Pt eval high complex 45 min	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
97163	Pt eval high complex 45 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
97163	Pt eval high complex 45 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Provide pre-service education/obtain consent	2	
97163	Pt eval high complex 45 min	Service  intra	L039B	Physical Therapy Assistant	0.5	"Assist physical therapist with exam/evaluation, obtain records/measures"	10	
97163	Pt eval high complex 45 min	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
97163	Pt eval high complex 45 min	Post-service	L039B	Physical Therapy Assistant	0.5	Conduct phone calls/call in prescriptions	3	
97164	Pt re-eval est plan care	Pre-service	L039B	Physical Therapy Assistant	0.5	"Contact providers as necessary eg, for prior imaging, op reports, prior assessments, plan of care, treatment goals  (minimum of one phone call)"	3	
97164	Pt re-eval est plan care	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
97164	Pt re-eval est plan care	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	5	
97164	Pt re-eval est plan care	Service  pre	L039B	Physical Therapy Assistant	0.5	"Obtain/record medical and medication history, self assessment tools, and fall screening for PT review"	4	
97164	Pt re-eval est plan care	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
97164	Pt re-eval est plan care	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
97164	Pt re-eval est plan care	Service  pre	L039B	Physical Therapy Assistant	0.5	Provide pre-service education/obtain consent	2	
97164	Pt re-eval est plan care	Service  intra	L039B	Physical Therapy Assistant	0.5	"Assist physical therapist with exam/evaluation, obtain records/measures"	7	
97164	Pt re-eval est plan care	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
97164	Pt re-eval est plan care	Post-service	L039B	Physical Therapy Assistant	0.5	Conduct phone calls/call in prescriptions	3	
97165	Ot eval low complex 20 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
97165	Ot eval low complex 20 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain measurements	6	
97165	Ot eval low complex 20 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	5	
97165	Ot eval low complex 20 min	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
97165	Ot eval low complex 20 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97165	Ot eval low complex 20 min	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist physician in performing procedure (15%)	7	
97165	Ot eval low complex 20 min	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97165	Ot eval low complex 20 min	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
97165	Ot eval low complex 20 min	Post-service	L039B	Physical Therapy Assistant	0.5	Conduct phone calls/call in prescriptions	3	
97166	Ot eval mod complex 30 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
97166	Ot eval mod complex 30 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain measurements	6	
97166	Ot eval mod complex 30 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	5	
97166	Ot eval mod complex 30 min	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
97166	Ot eval mod complex 30 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97166	Ot eval mod complex 30 min	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist physician in performing procedure (15%)	7	
97166	Ot eval mod complex 30 min	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97166	Ot eval mod complex 30 min	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
97166	Ot eval mod complex 30 min	Post-service	L039B	Physical Therapy Assistant	0.5	Conduct phone calls/call in prescriptions	3	
97167	Ot eval high complex 45 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
97167	Ot eval high complex 45 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain measurements	6	
97167	Ot eval high complex 45 min	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	5	
97167	Ot eval high complex 45 min	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
97167	Ot eval high complex 45 min	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97167	Ot eval high complex 45 min	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist physician in performing procedure (15%)	7	
97167	Ot eval high complex 45 min	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97167	Ot eval high complex 45 min	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
97167	Ot eval high complex 45 min	Post-service	L039B	Physical Therapy Assistant	0.5	Conduct phone calls/call in prescriptions	3	
97168	Ot re-eval est plan care	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
97168	Ot re-eval est plan care	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain measurements	2	
97168	Ot re-eval est plan care	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	5	
97168	Ot re-eval est plan care	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position pt/ monitor pt/ set up IV	2	
97168	Ot re-eval est plan care	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97168	Ot re-eval est plan care	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist physician in performing procedure (15%)	5	
97168	Ot re-eval est plan care	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97168	Ot re-eval est plan care	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	3	
97168	Ot re-eval est plan care	Post-service	L039B	Physical Therapy Assistant	0.5	Conduct phone calls/call in prescriptions	3	
97530	"Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
97530	"Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	1	
97530	"Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97530	"Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97530	"Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	3.75	
97530	"Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	3.75	
97530	"Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1.5	
97530	"Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97533	"Sensory technique to enhance processing and adaptation to environmental demands, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
97533	"Sensory technique to enhance processing and adaptation to environmental demands, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	1	
97533	"Sensory technique to enhance processing and adaptation to environmental demands, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97533	"Sensory technique to enhance processing and adaptation to environmental demands, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97533	"Sensory technique to enhance processing and adaptation to environmental demands, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	7.5	
97533	"Sensory technique to enhance processing and adaptation to environmental demands, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1.5	
97533	"Sensory technique to enhance processing and adaptation to environmental demands, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97535	"Self-care or home management training, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
97535	"Self-care or home management training, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	1	
97535	"Self-care or home management training, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97535	"Self-care or home management training, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97535	"Self-care or home management training, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	7.5	
97535	"Self-care or home management training, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1.5	
97535	"Self-care or home management training, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97537	"Community or work reintegration training, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
97537	"Community or work reintegration training, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	1	
97537	"Community or work reintegration training, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97537	"Community or work reintegration training, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97537	"Community or work reintegration training, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	7.5	
97537	"Community or work reintegration training, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1.5	
97537	"Community or work reintegration training, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97542	"Wheelchair management, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
97542	"Wheelchair management, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	1	
97542	"Wheelchair management, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	1	
97542	"Wheelchair management, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	1	
97542	"Wheelchair management, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	3.75	
97542	"Wheelchair management, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	3.75	
97542	"Wheelchair management, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1.5	
97542	"Wheelchair management, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	1	
97597	Removal of tissue from wounds per session	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
97597	Removal of tissue from wounds per session	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
97597	Removal of tissue from wounds per session	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
97597	Removal of tissue from wounds per session	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
97597	Removal of tissue from wounds per session	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	2	0
97597	Removal of tissue from wounds per session	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
97597	Removal of tissue from wounds per session	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
97597	Removal of tissue from wounds per session	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
97597	Removal of tissue from wounds per session	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	0
97597	Removal of tissue from wounds per session	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
97597	Removal of tissue from wounds per session	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
97598	Removal of tissue from wounds per session	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	20	0
97605	"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less th"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
97605	"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less th"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	20	
97605	"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less th"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97605	"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less th"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	
97606	"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
97606	"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	30	
97606	"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97606	"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	
97607	"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ong"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
97607	"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ong"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	15	
97607	"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ong"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97607	"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ong"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	
97608	"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ong"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
97608	"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ong"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	23	
97608	"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ong"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97608	"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ong"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	
97610	"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
97610	"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
97610	"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
97610	"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
97610	"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	1	0
97610	"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	15	0
97610	"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
97610	"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
97610	"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	2	0
97750	"Physical performance test or measurement with report, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	8	
97750	"Physical performance test or measurement with report, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	14	
97755	"Assistive technology assessment to enhance functional performance, each 15 minutes"	Pre-service	L023A	Physical Therapy Aide	0.255	Preservice total costs	0.8	
97755	"Assistive technology assessment to enhance functional performance, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	0.7	
97755	"Assistive technology assessment to enhance functional performance, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	9.6	
97755	"Assistive technology assessment to enhance functional performance, each 15 minutes"	Post-service	L023A	Physical Therapy Aide	0.255	Post service total costs	0.8	
97755	"Assistive technology assessment to enhance functional performance, each 15 minutes"	Post-service	L039B	Physical Therapy Assistant	0.5	Post service total costs	0.6	
97760	"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	
97760	"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	2	
97760	"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	2	
97760	"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
97760	"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	5	
97760	"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	2.5	
97760	"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97760	"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	2	
97760	"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	Post-service	L039B	Physical Therapy Assistant	0.5	Conduct phone calls/call in prescriptions	2	
97761	"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	
97761	"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	2	
97761	"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	2	
97761	"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
97761	"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	10	
97761	"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	5	
97761	"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97761	"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	2	
97761	"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes"	Post-service	L039B	Physical Therapy Assistant	0.5	Conduct phone calls/call in prescriptions	2	
97763	"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Greet patient, provide gowning, ensure appropriate medical records are available"	2	
97763	"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes"	Service  pre	L039B	Physical Therapy Assistant	0.5	Obtain vital signs	2	
97763	"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	Prepare and position patient	2	
97763	"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes"	Service  pre	L023A	Physical Therapy Aide	0.255	"Prepare room, equipment, supplies"	2	
97763	"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes"	Service  intra	L023A	Physical Therapy Aide	0.255	Assist therapist	5	
97763	"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes"	Service  intra	L039B	Physical Therapy Assistant	0.5	Assist therapist	2.5	
97763	"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes"	Service  post	L039B	Physical Therapy Assistant	0.5	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	
97763	"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes"	Service  post	L023A	Physical Therapy Aide	0.255	Clean room/equipment by physician staff	2	
97802	"Medical nutrition therapy, assessment and intervention, each 15 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2	0
97803	"Medical nutrition therapy re-assessment and intervention, each 15 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2	0
97810	"Acupuncture 1 or more needles, first 15 minutes"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
97810	"Acupuncture 1 or more needles, first 15 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
97813	"Acupuncture 1 or more needles with electrical stimulation, first 15 minutes"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
97813	"Acupuncture 1 or more needles with electrical stimulation, first 15 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
98925	Osteopathic manipulative treatment to 1-2 body regions	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	14	0
98926	Osteopathic manipulative treatment to 3-4 body regions	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	17	0
98927	Osteopathic manipulative treatment to 5-6 body regions	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	20	0
98928	Osteopathic manipulative treatment to 7-8 body regions	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	22	0
98929	Osteopathic manipulative treatment to 9-10 body regions	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	24	0
98940	"Chiropractic manipulative treatment, 1-2 spinal regions"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	10	0
98941	"Chiropractic manipulative treatment, 3 to 4 spinal regions"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	11	0
98942	"Chiropractic manipulative treatment, 5 spinal regions"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	11	0
98943	Chiropractic manipulative treatment to 1 or more regions other than spine	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	10	0
98960	"Education and training for patient self-management, each 30 minutes"	Pre-service	L047D	RN/Registered Dietician	0.585	Preservice total costs	3	
98960	"Education and training for patient self-management, each 30 minutes"	Service  intra	L047D	RN/Registered Dietician	0.585	Service total costs	30	
98960	"Education and training for patient self-management, each 30 minutes"	Post-service	L047D	RN/Registered Dietician	0.585	Post service total costs	5	
98961	"Education and training for patient self-management, 2-4 patients, each 30 minutes"	Pre-service	L047D	RN/Registered Dietician	0.585	Preservice total costs	3	
98961	"Education and training for patient self-management, 2-4 patients, each 30 minutes"	Service  intra	L047D	RN/Registered Dietician	0.585	Service total costs	10	
98961	"Education and training for patient self-management, 2-4 patients, each 30 minutes"	Post-service	L047D	RN/Registered Dietician	0.585	Post service total costs	5	
98962	"Education and training for patient self-management, 5-8 patients, each 30 minutes"	Pre-service	L047D	RN/Registered Dietician	0.585	Preservice total costs	3	
98962	"Education and training for patient self-management, 5-8 patients, each 30 minutes"	Service  intra	L047D	RN/Registered Dietician	0.585	Service total costs	5	
98962	"Education and training for patient self-management, 5-8 patients, each 30 minutes"	Post-service	L047D	RN/Registered Dietician	0.585	Post service total costs	5	
98966	"Telephone assessment and management service, 5-10 minutes of medical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
98967	"Telephone assessment and management service, 11-20 minutes of medical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
98968	"Telephone assessment and management service, 21-30 minutes of medical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
98975		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
98975		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	35	0
98975		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	10	0
98980		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
98980		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	30	0
98981		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
98981		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	10	0
99151	"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age"	Service  pre	L051A	RN	0.635	Sedate/Apply anesthesia	2	
99151	"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age"	Service  intra	L051A	RN	0.635	Assist physician/moderate sedation (% of physician time)	15	
99151	"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age"	Service  post	L051A	RN	0.635	Monitor pt following moderate sedation	15	
99152	"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older"	Service  pre	L051A	RN	0.635	Sedate/Apply anesthesia	2	
99152	"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older"	Service  intra	L051A	RN	0.635	Assist physician/moderate sedation (% of physician time)	15	
99152	"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older"	Service  post	L051A	RN	0.635	Monitor pt following moderate sedation	15	
99153	"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time"	Service  intra	L051A	RN	0.635	Assist physician/moderate sedation (% of physician time)	15	
99170	"Examination of genital and anal region of child using an endoscope, suspected trauma"	Pre-service	L051A	RN	0.635	Preservice total costs	3	0
99170	"Examination of genital and anal region of child using an endoscope, suspected trauma"	Service  intra	L037E	Child Life Specialist	0.43	Service total costs	60	0
99170	"Examination of genital and anal region of child using an endoscope, suspected trauma"	Service  intra	L051A	RN	0.635	Service total costs	70	0
99170	"Examination of genital and anal region of child using an endoscope, suspected trauma"	Post-service	L051A	RN	0.635	Post service total costs	3	0
99173	Eye chart testing of visual acuity of both eyes	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	5	
99174	"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
99174	"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
99174	"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure	2	
99174	"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	
99174	"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report"	Post-service	L037D	RN/LPN/MTA	0.455	Prepare and send out results for interpretation	2	
99175	Administration of medication to induce vomiting	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	16	
99177	"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position pt/ monitor pt/ set up IV	3	
99177	"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
99177	"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure	2	
99177	"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	
99188	Application of topical fluoride varnish by a physician or other qualified health care professional	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
99195	Therapeutic removal of whole blood to correct blood level imbalance	Service  intra	L056A	RN/OCN	0.8	Service total costs	77	
99202	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."	Pre-service	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - three days prior (to be used with E/M only)"	2	0
99202	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99202	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	1	0
99202	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99202	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99202	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99202	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	10	0
99202	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99202	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	3	0
99202	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Pre-service	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - three days prior (to be used with E/M only)"	4	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	2	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	12	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Coordinate home or outpatient care (to be used with E/M only)	2	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	3	0
99203	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	5	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Pre-service	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - three days prior (to be used with E/M only)"	6	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	3	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	14	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	1	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Coordinate home or outpatient care (to be used with E/M only)	3	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	5	0
99204	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	7	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Pre-service	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - three days prior (to be used with E/M only)"	10	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	5	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	14	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	2	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Coordinate home or outpatient care (to be used with E/M only)	5	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	5	0
99205	"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	11	0
99211	"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal."	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99211	"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal."	Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	1	0
99211	"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal."	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
99211	"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99211	"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	1	0
99211	"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal."	Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	3	0
99211	"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal."	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	2	0
99211	"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal."	Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	1	0
99211	"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal."	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	1	0
99212	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."	Pre-service	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - three days prior (to be used with E/M only)"	2	0
99212	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99212	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	1	0
99212	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99212	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99212	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99212	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	5	0
99212	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99212	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	3	0
99212	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Pre-service	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - three days prior (to be used with E/M only)"	4	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	2	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	5	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Coordinate home or outpatient care (to be used with E/M only)	2	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	3	0
99213	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	5	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Pre-service	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - three days prior (to be used with E/M only)"	5	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	3	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	13	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	1	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Coordinate home or outpatient care (to be used with E/M only)	3	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	5	0
99214	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	6	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Pre-service	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - three days prior (to be used with E/M only)"	7	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	4	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	14	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	2	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Coordinate home or outpatient care (to be used with E/M only)	5	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	5	0
99215	"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	10	0
99221		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
99222		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
99223		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
99231		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
99232		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
99233		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
99234		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
99235		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
99236		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
99238		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	12
99239		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	0	15
99242		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	9	0
99242		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99242		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99242		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99242		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99242		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	1	0
99242		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	10	0
99242		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99242		Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	2	0
99242		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	3	0
99243		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	12	0
99243		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99243		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99243		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99243		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99243		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	12	0
99243		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	2	0
99243		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99243		Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	3	0
99243		Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	3	0
99243		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	5	0
99244		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	15	0
99244		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99244		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99244		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99244		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99244		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	3	0
99244		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	14	0
99244		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99244		Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	5	0
99244		Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	4	0
99244		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	7	0
99245		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	18	0
99245		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99245		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99245		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99245		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99245		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	5	0
99245		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	14	0
99245		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	1	0
99245		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99245		Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	4	0
99245		Service  post	L037D	RN/LPN/MTA	0.455	"Review/read post-procedure x-ray, lab and pathology reports"	5	0
99245		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	11	0
99291	"Critical care delivery critically ill or injured patient, first 30-74 minutes"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	0
99291	"Critical care delivery critically ill or injured patient, first 30-74 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
99291	"Critical care delivery critically ill or injured patient, first 30-74 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	0
99292	Critical care delivery critically ill or injured patient	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
99304		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
99304		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
99304		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	8	8
99305		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
99305		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
99305		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	8	8
99306		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
99306		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
99306		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	8	8
99307		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
99307		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
99307		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	5	5
99308		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
99308		Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	3	3
99308		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
99308		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	8	8
99309		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
99309		Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	3	3
99309		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
99309		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	12	12
99310		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	6	6
99310		Pre-service	L037D	RN/LPN/MTA	0.455	Confirm availability of prior images/studies	3	3
99310		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	6	6
99310		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	12	12
99315	"Nursing facility discharge day management, 30 minutes or less"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
99315	"Nursing facility discharge day management, 30 minutes or less"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
99315	"Nursing facility discharge day management, 30 minutes or less"	Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	6	6
99316	"Nursing facility discharge management, more than 30 minutes"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	3
99316	"Nursing facility discharge management, more than 30 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	3
99316	"Nursing facility discharge management, more than 30 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	6	6
99341		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
99341		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
99341		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99341		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	3	0
99342		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
99342		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
99342		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99342		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	3	0
99344		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
99344		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
99344		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99344		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	3	0
99345		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
99345		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
99345		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99345		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	3	0
99347		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
99347		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
99347		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99348		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
99348		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
99348		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99348		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	3	0
99349		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
99349		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
99349		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99349		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	3	0
99350		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-procedure phone calls and prescription	3	0
99350		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
99350		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99350		Post-service	L037D	RN/LPN/MTA	0.455	Coordinate post-procedure services	3	0
99358	Prolonged patient service without direct patient contact first hour	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99359	Prolonged patient service without direct patient contact each 30 minutes beyond first hour	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99366	"Medical team conference with patient and/or family, and nonphysician health care professionals, 30 minutes or more"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	0.33	0
99374	"Physician supervision of patient home health agency services, 15-29 minutes per month"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	0
99374	"Physician supervision of patient home health agency services, 15-29 minutes per month"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
99375	"Physician supervision of patient home health agency services, 30 minutes or more per month"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	0
99375	"Physician supervision of patient home health agency services, 30 minutes or more per month"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
99377	"Physician supervision of patient hospice services, 15-29 minutes per month"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	0
99377	"Physician supervision of patient hospice services, 15-29 minutes per month"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
99378	"Physician supervision of patient hospice services, 30 minutes or more per month"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	0
99378	"Physician supervision of patient hospice services, 30 minutes or more per month"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
99379	"Supervision of nursing facility patient services, 15-29 minutes per month"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	15	0
99379	"Supervision of nursing facility patient services, 15-29 minutes per month"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
99380	"Supervision of nursing facility patient services, 30 minutes or more per month"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	0
99380	"Supervision of nursing facility patient services, 30 minutes or more per month"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
99381	Initial new patient preventive medicine evaluation infant younger than 1 year	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99381	Initial new patient preventive medicine evaluation infant younger than 1 year	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
99381	Initial new patient preventive medicine evaluation infant younger than 1 year	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	0
99382	"Initial new patient preventive medicine evaluation, age 1 through 4 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99382	"Initial new patient preventive medicine evaluation, age 1 through 4 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
99382	"Initial new patient preventive medicine evaluation, age 1 through 4 years"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	0
99383	"Initial new patient preventive medicine evaluation, age 5 through 11 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99383	"Initial new patient preventive medicine evaluation, age 5 through 11 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
99383	"Initial new patient preventive medicine evaluation, age 5 through 11 years"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	0
99384	"Initial new patient preventive medicine evaluation, age 12 through 17 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99384	"Initial new patient preventive medicine evaluation, age 12 through 17 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
99384	"Initial new patient preventive medicine evaluation, age 12 through 17 years"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	0
99385	Initial new patient preventive medicine evaluation age 18-39 years	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99385	Initial new patient preventive medicine evaluation age 18-39 years	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
99385	Initial new patient preventive medicine evaluation age 18-39 years	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	0
99386	Initial new patient preventive medicine evaluation age 40-64 years	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99386	Initial new patient preventive medicine evaluation age 40-64 years	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
99386	Initial new patient preventive medicine evaluation age 40-64 years	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	0
99387	"Initial new patient preventive medicine evaluation, age 65 years and older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	0
99387	"Initial new patient preventive medicine evaluation, age 65 years and older"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	59	0
99387	"Initial new patient preventive medicine evaluation, age 65 years and older"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	0
99391	Established patient periodic preventive medicine examination infant younger than 1 year	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99391	Established patient periodic preventive medicine examination infant younger than 1 year	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	0
99391	Established patient periodic preventive medicine examination infant younger than 1 year	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	0
99392	"Established patient periodic preventive medicine examination, age 1 through 4 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99392	"Established patient periodic preventive medicine examination, age 1 through 4 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	0
99392	"Established patient periodic preventive medicine examination, age 1 through 4 years"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	0
99393	"Established patient periodic preventive medicine examination, age 5 through 11 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99393	"Established patient periodic preventive medicine examination, age 5 through 11 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	0
99393	"Established patient periodic preventive medicine examination, age 5 through 11 years"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	0
99394	"Established patient periodic preventive medicine examination, age 12 through 17 years"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99394	"Established patient periodic preventive medicine examination, age 12 through 17 years"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	0
99394	"Established patient periodic preventive medicine examination, age 12 through 17 years"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	0
99395	Established patient periodic preventive medicine examination age 18-39 years	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99395	Established patient periodic preventive medicine examination age 18-39 years	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	0
99395	Established patient periodic preventive medicine examination age 18-39 years	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	0
99396	Established patient periodic preventive medicine examination age 40-64 years	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	3	0
99396	Established patient periodic preventive medicine examination age 40-64 years	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	44	0
99396	Established patient periodic preventive medicine examination age 40-64 years	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	0
99397	"Established patient periodic preventive medicine examination, age 65 years and older"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	0
99397	"Established patient periodic preventive medicine examination, age 65 years and older"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	51	0
99397	"Established patient periodic preventive medicine examination, age 65 years and older"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	0
993X0		Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	0	0
99401	"Preventive medicine counseling, approximately 15 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
99401	"Preventive medicine counseling, approximately 15 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	1	0
99402	"Preventive medicine counseling, approximately 30 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
99402	"Preventive medicine counseling, approximately 30 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	1	0
99403	"Preventive medicine counseling, approximately 45 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
99403	"Preventive medicine counseling, approximately 45 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	1	0
99404	"Preventive medicine counseling, approximately 60 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	0
99404	"Preventive medicine counseling, approximately 60 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	1	0
99411	"Group preventive medicine counseling, approximately 30 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	9	0
99412	"Group preventive medicine counseling, approximately 60 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	9	0
99415	"Prolonged clinical staff service (the service beyond the typical service time) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour (List separately in addition to code for outpatient Evaluation and Management service)"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	30	0
99416	"Prolonged clinical staff service (the service beyond the typical service time) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes (List separately in addition to code for prolonged service)"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	15	0
99417		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
99421	"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	4	0
99422	"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	7.5	0
99423	"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	12.5	0
99424		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	15	0
99425		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	15	0
99426		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	30	0
99427		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	30	0
99437		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	18	0
99439		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	25	0
99441	"Physician telephone patient service, 5-10 minutes of medical discussion"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	2	0
99441	"Physician telephone patient service, 5-10 minutes of medical discussion"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	1	0
99441	"Physician telephone patient service, 5-10 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99441	"Physician telephone patient service, 5-10 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99441	"Physician telephone patient service, 5-10 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99441	"Physician telephone patient service, 5-10 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99441	"Physician telephone patient service, 5-10 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	5	0
99441	"Physician telephone patient service, 5-10 minutes of medical discussion"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	3	0
99441	"Physician telephone patient service, 5-10 minutes of medical discussion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99441	"Physician telephone patient service, 5-10 minutes of medical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	4	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	2	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	5	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	3	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
99442	"Physician telephone patient service, 11-20 minutes of medical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	5	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	5	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	13	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	1	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	5	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99443	"Physician telephone patient service, 21-30 minutes of medical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	6	0
99453	"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99453	"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	27	0
99453	"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
99457	"Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
99457	"Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
99457	"Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	30	0
99457	"Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	30	0
99458		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
99458		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	10	0
99461	Initial newborn infant evaluation and management per day	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	4	0
99461	Initial newborn infant evaluation and management per day	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	50	0
99461	Initial newborn infant evaluation and management per day	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	8	0
99463	Initial inpatient hospital or birthing center same date care and discharge of newborn	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		12
99473	Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device calibration	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99473	Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device calibration	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99473	Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device calibration	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	18	0
99474		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
99474		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	6	0
99483		Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	6	0
99483		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
99483		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
99483		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
99483		Service  pre	L051A	RN	0.635	Provide education/obtain consent	5	0
99483		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	5	0
99483		Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	3	0
99483		Service  intra	L051A	RN	0.635	Perform procedure/service---NOT directly related to physician work time	45	0
99483		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
99483		Service  post	L037D	RN/LPN/MTA	0.455	Discharge day management	5	0
99483		Post-service	L051A	RN	0.635	Conduct patient communications	9	0
99484	"Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements:Initial assessment or follow-up monitoring, including the use of applicable validated rating scales;Behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes;Facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation; andContinuity of care with a designated member of the care team"	Service  pre	L057B	Behavioral Health Care Manager	0.57	Other clinical Activity - specify: G0507	20	0
99487		Service  intra	L051A	RN	0.635	Perform procedure/service---NOT directly related to physician work time	60	0
99489		Service  intra	L051A	RN	0.635	Perform procedure/service---NOT directly related to physician work time	30	0
99490		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	25	0
99491		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	18	0
99492	"Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements:outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional; initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan; review by the psychiatric consultant with modifications of the plan if recommended; entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant; andprovision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies."	Service  pre	L057B	Behavioral Health Care Manager	0.57	Other clinical Activity - specify: 994X1 and 994X3	85	0
99493	"Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements:tracking patient follow-up and progress using the registry, with appropriate documentation; participation in weekly caseload consultation with the psychiatric consultant; ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers; additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant;provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies;monitoring of patient outcomes using validated rating scales; and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment."	Service  pre	L057B	Behavioral Health Care Manager	0.57	Other clinical Activity - specify: 994X2	60	0
99494	"Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional"	Service  pre	L057B	Behavioral Health Care Manager	0.57	Other clinical Activity - specify: 994X1 and 994X3	30	0
99495	"Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge"	Pre-service	L037D	RN/LPN/MTA	0.455	Review patient clinical extant information and questionnaire	3	
99495	"Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
99495	"Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
99495	"Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	
99495	"Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	
99495	"Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	
99495	"Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	11	
99495	"Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	
99495	"Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	11	
99495	"Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge"	Post-service	L042A	RN/LPN	0.525	"Other activity: communication (with patient, family members, guardian or caretaker, surrogate decision makers, and/or other professionals) regarding aspects of care"	60	
99496	"Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge"	Pre-service	L037D	RN/LPN/MTA	0.455	Review patient clinical extant information and questionnaire	4	
99496	"Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
99496	"Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
99496	"Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	
99496	"Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	
99496	"Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	
99496	"Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge"	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	15	
99496	"Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	
99496	"Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge"	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	15	
99496	"Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge"	Post-service	L042A	RN/LPN	0.525	"Other activity: communication (with patient, family members, guardian or caretaker, surrogate decision makers, and/or other professionals) regarding aspects of care"	90	
99497	"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified healthcare professional; first 30 minutes, face-to-face with t"	Service  pre	L037D	RN/LPN/MTA	0.455	SVC Provide pre-service education/obtain consent	2	
99497	"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified healthcare professional; first 30 minutes, face-to-face with t"	Service  post	L037D	RN/LPN/MTA	0.455	Provide post visit education to patient	5	
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	0	10
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
G0104	Colorectal cancer screening; flexible sigmoidoscopy	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	10	18
G0104	Colorectal cancer screening; flexible sigmoidoscopy	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	67	0
G0104	Colorectal cancer screening; flexible sigmoidoscopy	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	9	19
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	Service  intra	L051A	RN	0.635	Service total costs	56	0
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	76	0
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
G0106	"Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	75	
G0108	"Diabetes outpatient self-management training services, individual, per 30 minutes"	Service  pre	L051A	RN	0.635	Obtain vital signs	2	0
G0117	Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	2	
G0117	Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	36	
G0117	Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	4	
G0118	Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalomologist	Pre-service	L038A	COMT/COT/RN/CST	0.45	Preservice total costs	2	
G0118	Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalomologist	Service  intra	L038A	COMT/COT/RN/CST	0.45	Service total costs	36	
G0118	Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalomologist	Post-service	L038A	COMT/COT/RN/CST	0.45	Post service total costs	4	
G0120	"Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema."	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	75	
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	Service  intra	L051A	RN	0.635	Service total costs	219	0
G0122	Colorectal cancer screening; barium enema	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	75	
G0124	"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician"	Service  pre	L045A	Cytotechnologist	0.605	Examine and screen	10	
G0124	"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician"	Service  pre	L033A	Lab Technician	0.44	Examine and screen	1	
G0124	"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician"	Service  intra	L033A	Lab Technician	0.44	"File specimen, supplies, and other materials"	0	
G0124	"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician"	Service  intra	L045A	Cytotechnologist	0.605	Perform procedure/service---NOT directly related to physician work time	1	
G0124	"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician"	Service  intra	L033A	Lab Technician	0.44	Perform procedure/service---NOT directly related to physician work time	8	
G0124	"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician"	Service  post	L045A	Cytotechnologist	0.605	Perform regulatory mandated quality assurance activity (service period)	5	
G0127	"Trimming of dystrophic nails, any number"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	19	0
G0128	"Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes"	Service  intra	L051C	RN/CORF	0.635	Service total costs	10	
G0130	"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)"	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	26	
G0141	"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician"	Service  pre	L045A	Cytotechnologist	0.605	Examine and screen	10	
G0141	"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician"	Service  pre	L033A	Lab Technician	0.44	Examine and screen	1	
G0141	"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician"	Service  intra	L033A	Lab Technician	0.44	"File specimen, supplies, and other materials"	0	
G0141	"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician"	Service  intra	L045A	Cytotechnologist	0.605	Perform procedure/service---NOT directly related to physician work time	1	
G0141	"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician"	Service  intra	L033A	Lab Technician	0.44	Perform procedure/service---NOT directly related to physician work time	8	
G0141	"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician"	Service  post	L045A	Cytotechnologist	0.605	Perform regulatory mandated quality assurance activity (service period)	5	
G0166	"External counterpulsation, per treatment session"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
G0166	"External counterpulsation, per treatment session"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	0	0
G0166	"External counterpulsation, per treatment session"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	3	0
G0166	"External counterpulsation, per treatment session"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
G0166	"External counterpulsation, per treatment session"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	6	0
G0166	"External counterpulsation, per treatment session"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	60	0
G0166	"External counterpulsation, per treatment session"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
G0166	"External counterpulsation, per treatment session"	Service  post	L037D	RN/LPN/MTA	0.455	"Complete post-procedure diagnostic forms, lab and x-ray requisitions"	3	0
G0166	"External counterpulsation, per treatment session"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor patient following procedure/service, no multitasking"	3	0
G0168	Wound closure utilizing tissue adhesive(s) only	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
G0168	Wound closure utilizing tissue adhesive(s) only	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	5	0
G0168	Wound closure utilizing tissue adhesive(s) only	Service  post	L037D	RN/LPN/MTA	0.455	"Check dressings, catheters, wounds"	1	0
G0168	Wound closure utilizing tissue adhesive(s) only	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	1	0
G0168	Wound closure utilizing tissue adhesive(s) only	Service  post	L037D	RN/LPN/MTA	0.455	"Review home care instructions, coordinate visits/prescriptions"	1	0
G0179	"Physician re-certification for medicare-covered home health  services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial i"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	
G0179	"Physician re-certification for medicare-covered home health  services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial i"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	
G0180	"Physician certification for medicare-covered home health  services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial impl"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	
G0180	"Physician certification for medicare-covered home health  services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial impl"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	
G0181	Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of 	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	
G0181	Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of 	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	
G0182	"Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patie"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	18	
G0182	"Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patie"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	18	
G0237	"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)"	Service  intra	L042B	Respiratory Therapist	0.53	Service total costs	15	
G0238	"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)"	Service  intra	L042B	Respiratory Therapist	0.53	Service total costs	15	
G0239	"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)"	Service  intra	L042B	Respiratory Therapist	0.53	Service total costs	20	
G0245	"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that con"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	38	0
G0246	"Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	27	0
G0247	"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following "	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	47	0
G0247	"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following "	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
G0248	"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-t"	Pre-service	L051A	RN	0.635	Preservice total costs	5	
G0248	"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-t"	Service  intra	L051A	RN	0.635	Service total costs	50	
G0248	"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-t"	Post-service	L051A	RN	0.635	Post service total costs	20	
G0249	"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in th"	Service  intra	L037A	Electrodiagnostic Technologist	0.405	Service total costs	32	
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	Service  pre	L037D	RN/LPN/MTA	0.455	Provide education/obtain consent	3	0
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (100% of physician intra-service time)	10	0
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	0	0
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  pre	L037D	RN/LPN/MTA	0.455	"Blood glucose, food/H2O, blood glucose recheck"	0.25	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	1	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	1	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  pre	L047C	RN/Respiratory Therapist	0.585	Prepare and position pt/ monitor pt/ set up IV	1	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	0.5	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  pre	L047C	RN/Respiratory Therapist	0.585	SVC Provide pre-service education/obtain consent	1	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  pre	L047C	RN/Respiratory Therapist	0.585	"Turn on chamber operating panel, check communications with patient and adjust volumes, prepare chamber operating settings per physician order"	1	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  intra	L047C	RN/Respiratory Therapist	0.585	Assist physician in performing procedure	15	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  post	L047C	RN/Respiratory Therapist	0.585	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  post	L037D	RN/LPN/MTA	0.455	"Clean air mask and tubes, clean inside of chamber"	2	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	1	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  post	L047C	RN/Respiratory Therapist	0.585	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	1	
G0277	"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	Service  post	L037D	RN/LPN/MTA	0.455	"Post-service blood glucose, food/H2O, blood glucose recheck"	0.25	
G0281	"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous statsis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, a"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	3	
G0283	"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	3	
G0288	"Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery"	Service  intra	L046A	CT Technologist	0.61	Service total costs	60	
G0296	Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2	0
G0329	"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a thera"	Service  intra	L023A	Physical Therapy Aide	0.255	Service total costs	2	
G0329	"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a thera"	Service  intra	L039B	Physical Therapy Assistant	0.5	Service total costs	4	
G0341	"Percutaneous islet cell transplant, includes portal vein catheterization and infusion"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	8	10
G0341	"Percutaneous islet cell transplant, includes portal vein catheterization and infusion"	Service  intra	L051A	RN	0.635	Back out MS labor	45	0
G0341	"Percutaneous islet cell transplant, includes portal vein catheterization and infusion"	Service  intra	L041A	Angio Technician	0.503	Service total costs	84	0
G0341	"Percutaneous islet cell transplant, includes portal vein catheterization and infusion"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	21	0
G0341	"Percutaneous islet cell transplant, includes portal vein catheterization and infusion"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	3
G0342	"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
G0342	"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
G0342	"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		68
G0343	"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		60
G0343	"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
G0343	"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	6	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	14	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	1	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	5	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	7	0
G0402	"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
G0403	"Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report"	Service  intra	L051A	RN	0.635	Service total costs	12	
G0409	"Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)"	Service  intra	L045C	CORF socialworker/psychologist	0.575	Service total costs	15	
G0412	"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		33
G0412	"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
G0412	"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		90
G0413	"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		33
G0413	"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
G0413	"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
G0414	"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		33
G0414	"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
G0414	"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
G0415	"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs		33
G0415	"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs		12
G0415	"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs		135
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Pre-service	L033A	Lab Technician	0.44	"Order, fill, lable, restock, and distribute specimen containers"	4	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Service  pre	L033A	Lab Technician	0.44	Accession specimen in lab computer system including the following:  Unwrap and/or remove specimen bottle and requisition slip from plastic bag. Check demographics to ensure they are correct and to ensure proper billing.  Check requisition slip against bot	17	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Service  pre	L037B	Histotechnologist	0.505	Assist pathologist with gross specimen examination	18	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Service  pre	L033A	Lab Technician	0.44	"Clean grossing station includes; Load dirty cutting board, knives, forceps, etc. (instrument pack) in dishwasher, clean counter, clean sink, dispose of and package trash, restocks, set up gross area for next day"	3	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Service  pre	L033A	Lab Technician	0.44	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	6.5	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Service  pre	L037B	Histotechnologist	0.505	"Confirm specimen ID.  Embed tissue in paraffin includes: Review applicable gross information (number of fragments, orientation, size) Take cassette out of embeding chamber, open cassette, put paraffin in bottom of embedding mold, embed tissue, put cassett"	24	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Service  pre	L037B	Histotechnologist	0.505	"Load solutions into tissue processor.  Load and sort cassettes into tissues processor include drain cassette basket, place basket in processor, put lid on basket, close lid, set processor.  Confirm settings.  Take requisitions to secretary."	2	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Service  pre	L037B	Histotechnologist	0.505	"Prepare automated coverslipper, remove slides from stainer and place on coverslipper"	6.5	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Service  pre	L037B	Histotechnologist	0.505	Prepare automated stainer with solutions and load microscopic slides. Set and confirm stainer program.	6.5	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Service  pre	L037B	Histotechnologist	0.505	Prepare tissue cassettes	6.5	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Service  pre	L037B	Histotechnologist	0.505	Retrieve paraffin block from freezer and place on ice tray at microtome.  Place paraffin block in microtome.  Change and insert knife.  Rough-cut block.  Place block on ice.  Retrieve block and section.  Place section on water bath.  Confirm specimen ID.	60	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Post-service	L033A	Lab Technician	0.44	"Clean tissue processor, embedding and staining area"	1	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Post-service	L033A	Lab Technician	0.44	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Post-service	L033A	Lab Technician	0.44	"File blocks, requisitions and slides"	1	
G0416	"Surgical pathology, gross and microscopic examinations, for prostate needle  biopsy, any method"	Post-service	L033A	Lab Technician	0.44	Recycle xylene from tissue processor and stainer	1	
G0420	"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2	
G0429	"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy)"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	11	0
G0429	"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy)"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	36	0
G0429	"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy)"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	0	3
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	6	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	14	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	1	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	5	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	7	0
G0438	"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	3	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Pre-service	L037D	RN/LPN/MTA	0.455	Perform regulatory mandated quality assurance activity (pre-service)	5	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Service  pre	L037D	RN/LPN/MTA	0.455	Sedate/apply anesthesia	13	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	1	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	5	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
G0439	"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	6	0
G0442	"Annual alcohol misuse screening, 15 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
G0443	"Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2	0
G0444	"Annual depression screening, 15 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	0
G0445	"High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2	0
G0446	"Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2	0
G0447	"Face-to-face behavioral counseling for obesity, 15 minutes"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	2	0
G0451	"Development testing, with interpretation and report, per standardized instrument form"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	15	
G0452	Molecular pathology procedure; physician interpretation and report	Service  pre	L045A	Cytotechnologist	0.605	Examine and screen	2	0
G0455	"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	2	0
G0455	"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	77	0
G0473	"Group obesity csl, small grp"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	1	0
G0500	"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older. (additional time may be reported with 99153, as appropriate)"	Service  pre	L051A	RN	0.635	Sedate/Apply anesthesia	2	
G0500	"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older. (additional time may be reported with 99153, as appropriate)"	Service  intra	L051A	RN	0.635	Assist physician/moderate sedation (% of physician time)	15	
G0500	"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older. (additional time may be reported with 99153, as appropriate)"	Service  post	L051A	RN	0.635	Monitor pt following moderate sedation	15	
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services. (List separately in addition to primary monthly care management service). 	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	5	
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services. (List separately in addition to primary monthly care management service). 	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services	3	
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services. (List separately in addition to primary monthly care management service). 	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services. (List separately in addition to primary monthly care management service). 	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	7	
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services. (List separately in addition to primary monthly care management service). 	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility	0	
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services. (List separately in addition to primary monthly care management service). 	Service  post	L037D	RN/LPN/MTA	0.455	Other Clinical Activity - specify: Service total costs	18	
G0513	"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
G0513	"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	2.5	
G0513	"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	1	
G0513	"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	1	
G0513	"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	1.5	
G0514	"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	1.5	
G0514	"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	2.5	
G0514	"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	1	
G0514	"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes"	Service  pre	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	1	
G0514	"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct phone calls/call in prescriptions	1.5	
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	5
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient/ monitor patient/ set up IV	2	
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	25	
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
G0516	"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following service/check tubes, monitors, drains not related to moderate sedation"	5	
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	5
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient/ monitor patient/ set up IV	2	
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	45	
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	10	
G0517	"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following service/check tubes, monitors, drains not related to moderate sedation"	5	
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Pre-service	L037D	RN/LPN/MTA	0.455	Complete pre-service diagnostic and referral forms	3	3
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Pre-service	L037D	RN/LPN/MTA	0.455	Coordinate pre-surgery services		5
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Pre-service	L037D	RN/LPN/MTA	0.455	Follow-up phone calls and prescriptions	3	3
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Pre-service	L037D	RN/LPN/MTA	0.455	Provide pre-service education/obtain consent	3	5
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Pre-service	L037D	RN/LPN/MTA	0.455	Schedule space and equipment in facility		3
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  pre	L037D	RN/LPN/MTA	0.455	Prepare and position patient/ monitor patient/ set up IV	4	
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment, supplies"	2	
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician in performing procedure	70	
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  post	L037D	RN/LPN/MTA	0.455	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by physician staff	3	
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  post	L037D	RN/LPN/MTA	0.455	Clean surgical instrument package	20	
G0518	"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"	Service  post	L037D	RN/LPN/MTA	0.455	"Monitor pt. following service/check tubes, monitors, drains not related to moderate sedation"	8	
G2010	"Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment"	Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	
G2010	"Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment"	Service  post	L037D	RN/LPN/MTA	0.455	Other Clinical activity - specify: communicate results/dosage changes etc to patient (3 min per call)	3	
G2012	"Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	0
G2082		Pre-service	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - three days prior (to be used with E/M only)"	2	0
G2082		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
G2082		Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	1	0
G2082		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
G2082		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
G2082		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
G2082		Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	5	0
G2082		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	150	0
G2082		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
G2082		Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	3	0
G2082		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
G2083		Pre-service	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - three days prior (to be used with E/M only)"	2	0
G2083		Service  pre	L037D	RN/LPN/MTA	0.455	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
G2083		Service  pre	L037D	RN/LPN/MTA	0.455	"Identify need for imaging, lab or other test result(s) and ensure information has been obtained - day of (to be used with E/M only)"	1	0
G2083		Service  pre	L037D	RN/LPN/MTA	0.455	Obtain vital signs	5	0
G2083		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare room, equipment and supplies"	2	0
G2083		Service  pre	L037D	RN/LPN/MTA	0.455	"Prepare, set-up and start IV, initial positioning and monitoring of patient"	2	0
G2083		Service  pre	L037D	RN/LPN/MTA	0.455	"Review and document history, systems and medications (to be used with E/M only)"	5	0
G2083		Service  intra	L037D	RN/LPN/MTA	0.455	Assist physician or other qualified healthcare professional---directly related to physician work time (other% of physician intra-service time)	150	0
G2083		Service  post	L037D	RN/LPN/MTA	0.455	Clean room/equipment by clinical staff	3	0
G2083		Service  post	L037D	RN/LPN/MTA	0.455	Education/instruction/counseling (to be used with E/M only)	3	0
G2083		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
G2086	"Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month."	Service  pre	L057B	Behavioral Health Care Manager	0.57	Other clinical Activity - specify: 994X1 and 994X3	85	0
G2087	"Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month."	Service  pre	L057B	Behavioral Health Care Manager	0.57	Other clinical Activity - specify: 994X2	60	0
G2088	"Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (List separately in addition to code for primary procedure)."	Service  pre	L057B	Behavioral Health Care Manager	0.57	Other clinical Activity - specify: 994X1 and 994X3	30	0
G2212	"Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
G2214	"Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional"	Service  pre	L057B	Behavioral Health Care Manager	0.57	Provide education/obtain consent	30	0
G2250	"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment"	Service  pre	L037D	RN/LPN/MTA	0.455	Greet patient and provide gowning	3	
G2250	"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment"	Service  post	L037D	RN/LPN/MTA	0.455	Other Clinical activity - specify: communicate results/dosage changes etc to patient (3 min per call)	3	
G2251	"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5–10 minutes of clinical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	3	
G2252	"Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion"	Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	3	0
G6001	Echo guidance radiotherapy	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	22	
G6002	Stereoscopic x-ray guidance	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	24	
G6003	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6003	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	13	
G6004	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6004	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	13	
G6005	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6005	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	13	
G6006	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6006	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	13	
G6007	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6007	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	18	
G6008	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6008	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	18	
G6009	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6009	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	18	
G6010	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6010	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	18	
G6011	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6011	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	24	
G6012	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6012	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	24	
G6013	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6013	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	24	
G6014	Radiation treatment delivery	Pre-service	L050C	Radiation Therapist	0.695	Preservice total costs	1	
G6014	Radiation treatment delivery	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	24	
G6015	Radiation tx delivery imrt	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	30	
G6015	Radiation tx delivery imrt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	3	
G6015	Radiation tx delivery imrt	Service  intra	L050D	Second Radiation Therapist for IMRT	0.695	Service total costs	30	
G6015	Radiation tx delivery imrt	Post-service	L050C	Radiation Therapist	0.695	Post service total costs	5	
G6016	Delivery comp imrt	Service  intra	L050C	Radiation Therapist	0.695	Service total costs	30	
G6016	Delivery comp imrt	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	3	
G6016	Delivery comp imrt	Service  intra	L050D	Second Radiation Therapist for IMRT	0.695	Service total costs	30	
G6016	Delivery comp imrt	Post-service	L050C	Radiation Therapist	0.695	Post service total costs	5	
G9187	"Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, flui"	Pre-service	L037D	RN/LPN/MTA	0.455	Preservice total costs	6	
G9187	"Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, flui"	Service  intra	L051A	RN	0.635	Service total costs	45	
G9187	"Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, flui"	Post-service	L037D	RN/LPN/MTA	0.455	Post service total costs	6	
GBHI1		Service  pre	L057B	Behavioral Health Care Manager	0.57	Other clinical Activity - specify: G0507	20	0
GRTM1		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
GRTM1		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	30	0
GRTM2		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	10	0
GRTM2		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	10	0
GXXX1		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
GXXX2		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
GXXX3		Post-service	L037D	RN/LPN/MTA	0.455	Conduct patient communications	2	0
GYYY1		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	15	0
GYYY2		Service  intra	L037D	RN/LPN/MTA	0.455	Perform procedure/service---NOT directly related to physician work time	8	0
P3001	"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician"	Service  pre	L045A	Cytotechnologist	0.605	Examine and screen	10	
P3001	"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician"	Service  pre	L033A	Lab Technician	0.44	Examine and screen	1	
P3001	"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician"	Service  intra	L033A	Lab Technician	0.44	"File specimen, supplies, and other materials"	0	
P3001	"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician"	Service  intra	L045A	Cytotechnologist	0.605	Perform procedure/service---NOT directly related to physician work time	1	
P3001	"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician"	Service  intra	L033A	Lab Technician	0.44	Perform procedure/service---NOT directly related to physician work time	8	
P3001	"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician"	Service  post	L045A	Cytotechnologist	0.605	Perform regulatory mandated quality assurance activity (service period)	5	
Q0035	Cardiokymography	Service  intra	L051A	RN	0.635	Service total costs	12	
Q0091	"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory"	Service  intra	L037D	RN/LPN/MTA	0.455	Service total costs	57	0
Q0092	Set-up portable x-ray equipment	Service  intra	L041B	Radiologic Technologist	0.52	Service total costs	45	0
