		Addendum C. - Proposed HCPCS Codes Payable Under the 2014 OPPS by APC						
		CPT codes and descriptions only are copyright 2012 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS Apply. Dental codes (D codes) are copyright 2012 American Dental Association.  All Rights Reserved.						
APC	HCPCS	Group Title	Short Descriptor	SI	Relative Weight	Payment Rate	National Unadjusted Copayment	Minimum Unadjusted Copayment
0001		Level I Photochemotherapy		S	0.5168	$37.59	.	$7.52
0001	96900		Ultraviolet light therapy					
0001	96910		Photochemotherapy with UV-B					
0001	96912		Photochemotherapy with UV-A					
0003		Bone Marrow Biopsy/Aspiration		T	14.7619	"$1,073.60"	.	$214.72
0003	38220		Bone marrow aspiration					
0003	38221		Bone marrow biopsy					
0003	G0364		Bone marrow aspirate &biops					
0004		Level I Needle Biopsy/ Aspiration Except Bone Marrow		T	6.9519	$505.60	.	$101.12
0004	10022		Fna w/image					
0004	19000		Drainage of breast lesion					
0004	19100		Bx breast percut w/o image					
0004	20615		Treatment of bone cyst					
0004	47399		Liver surgery procedure					
0004	48999		Pancreas surgery procedure					
0004	54800		Biopsy of epididymis					
0004	55000		Drainage of hydrocele					
0004	60100		Biopsy of thyroid					
0004	60300		Aspir/inj thyroid cyst					
0004	62267		Interdiscal perq aspir dx					
0005		Level II Needle Biopsy/Aspiration Except Bone Marrow		T	11.8703	$863.30	.	$172.66
0005	19102		Bx breast percut w/image					
0005	20206		Needle biopsy muscle					
0005	38505		Needle biopsy lymph nodes					
0005	42400		Biopsy of salivary gland					
0006		Level I Incision & Drainage		T	2.2670	$164.87	.	$32.98
0006	10060		Drainage of skin abscess					
0006	10061		Drainage of skin abscess					
0006	10080		Drainage of pilonidal cyst					
0006	10160		Puncture drainage of lesion					
0006	20950		Fluid pressure muscle					
0006	21725		Revision of neck muscle					
0006	26010		Drainage of finger abscess					
0006	40800		Drainage of mouth lesion					
0006	41800		Drainage of gum lesion					
0006	69000		Drain external ear lesion					
0006	69020		Drain outer ear canal lesio					
0007		Level II Incision & Drainage		T	12.4015	$901.94	.	$180.39
0007	10081		Drainage of pilonidal cyst					
0007	10140		Drainage of hematoma/fluid					
0007	20103		Explore wound extremity					
0007	23931		Drainage of arm bursa					
0007	26011		Drainage of finger abscess					
0007	28001		Drainage of bursa of foot					
0007	38300		Drainage lymph node lesion					
0007	55100		Drainage of scrotum abscess					
0007	57022		I & d vaginal hematoma pp					
0007	69005		Drain external ear lesion					
0008		Level III Incision and Drainage		T	22.2123	"$1,615.46"	.	$323.10
0008	10180		Complex drainage wound					
0008	19020		Incision of breast lesion					
0008	21501		Drain neck/chest lesion					
0008	23030		Drain shoulder lesion					
0008	23031		Drain shoulder bursa					
0008	23930		Drainage of arm lesion					
0008	27301		Drain thigh/knee lesion					
0008	27603		Drain lower leg lesion					
0008	38305		Drainage lymph node lesion					
0008	51080		Drainage of bladder abscess					
0008	54015		Drain penis lesion					
0008	54115		Treatment of penis lesion					
0008	57023		I & d vag hematoma non-ob					
0012		Level I Debridement & Destruction		T	0.8547	$62.16	.	$12.44
0012	11719		Trim nail(s) any number					
0012	11720		Debride nail 1-5					
0012	11721		Debride nail 6 or more					
0012	11740		Drain blood from under nail					
0012	16000		Initial treatment of burn(s					
0012	17340		Cryotherapy of skin					
0012	17999		Skin tissue procedure					
0012	96999		Dermatological procedure					
0012	G0127		Trim nail(s)					
0012	G0247		Routine footcare pt w lops					
0013		Level II Debridement & Destruction		T	1.1529	$83.85	.	$16.77
0013	0183T		Wound ultrasound					
0013	10040		Acne surgery					
0013	11055		Trim skin lesion					
0013	11056		Trim skin lesions 2 to 4					
0013	11200		Removal of skin tags <w/15					
0013	11300		Shave skin lesion 0.5 cm/<					
0013	11301		Shave skin lesion 0.6-1.0 c					
0013	11302		Shave skin lesion 1.1-2.0 c					
0013	11305		Shave skin lesion 0.5 cm/<					
0013	11306		Shave skin lesion 0.6-1.0 c					
0013	11307		Shave skin lesion 1.1-2.0 c					
0013	11310		Shave skin lesion 0.5 cm/<					
0013	11311		Shave skin lesion 0.6-1.0 c					
0013	11765		Excision of nail fold toe					
0013	11900		Inject skin lesions </w 7					
0013	11901		Inject skin lesions >7					
0013	15786		Abrasion lesion single					
0013	15788		Chemical peel face epiderm					
0013	15793		Chemical peel nonfacial					
0013	17000		Destruct premalg lesion					
0013	17110		Destruct b9 lesion 1-14					
0013	54056		Cryosurgery penis lesion(s)					
0013	69220		Clean out mastoid cavity					
0013	97602		Wound(s) care non-selective					
0013	97605		Neg press wound tx </=50 cm					
0015		Level III Debridement & Destruction		T	2.1493	$156.31	.	$31.27
0015	11057		Trim skin lesions over 4					
0015	11100		Biopsy skin lesion					
0015	11303		Shave skin lesion >2.0 cm					
0015	11308		Shave skin lesion >2.0 cm					
0015	11312		Shave skin lesion 1.1-2.0 c					
0015	11313		Shave skin lesion >2.0 cm					
0015	11730		Removal of nail plate					
0015	15789		Chemical peel face dermal					
0015	15792		Chemical peel nonfacial					
0015	16020		Dress/debrid p-thick burn s					
0015	16025		Dress/debrid p-thick burn m					
0015	16030		Dress/debrid p-thick burn l					
0015	16035		Incision of burn scab initi					
0015	17111		Destruct lesion 15 or more					
0015	17250		Chemical cautery tissue					
0015	17260		Destruction of skin lesions					
0015	17261		Destruction of skin lesions					
0015	17262		Destruction of skin lesions					
0015	17263		Destruction of skin lesions					
0015	17264		Destruction of skin lesions					
0015	17270		Destruction of skin lesions					
0015	17271		Destruction of skin lesions					
0015	17272		Destruction of skin lesions					
0015	17280		Destruction of skin lesions					
0015	17360		Skin peel therapy					
0015	17380		Hair removal by electrolysi					
0015	36468		Injection(s) spider veins					
0015	36469		Injection(s) spider veins					
0015	36470		Injection therapy of vein					
0015	36471		Injection therapy of veins					
0015	45520		Treatment of rectal prolaps					
0015	46916		Cryosurgery anal lesion(s)					
0015	54050		Destruction penis lesion(s)					
0015	96567		Photodynamic tx skin					
0015	96920		Laser tx skin < 250 sq cm					
0015	96921		Laser tx skin 250-500 sq cm					
0015	96922		Laser tx skin >500 sq cm					
0015	97597		Rmvl devital tis 20 cm/<					
0015	97606		Neg press wound tx >50 cm					
0016		Level IV Debridement & Destruction		T	3.7965	$276.11	.	$55.23
0016	10120		Remove foreign body					
0016	11000		Debride infected skin					
0016	11042		Deb subq tissue 20 sq cm/<					
0016	11043		Deb musc/fascia 20 sq cm/<					
0016	15783		Dermabrasion suprfl any sit					
0016	15850		Remove sutures same surgeon					
0016	15851		Remove sutures diff surgeon					
0016	17004		Destroy premal lesions 15/>					
0016	17106		Destruction of skin lesions					
0016	17107		Destruction of skin lesions					
0016	17108		Destruction of skin lesions					
0016	17266		Destruction of skin lesions					
0016	17273		Destruction of skin lesions					
0016	17274		Destruction of skin lesions					
0016	17276		Destruction of skin lesions					
0016	17281		Destruction of skin lesions					
0016	17282		Destruction of skin lesions					
0016	17283		Destruction of skin lesions					
0016	17284		Destruction of skin lesions					
0016	17286		Destruction of skin lesions					
0016	46900		Destruction anal lesion(s)					
0016	G0456		Neg pre wound <=50 sq cm					
0016	G0457		Neg pres wound >50 sq cm					
0017		Level V Debridement & Destruction		T	22.3701	"$1,626.93"	.	$325.39
0017	46910		Destruction anal lesion(s)					
0017	46917		Laser surgery anal lesions					
0017	46922		Excision of anal lesion(s)					
0017	46924		Destruction anal lesion(s)					
0017	54055		Destruction penis lesion(s)					
0017	54057		Laser surg penis lesion(s)					
0017	54060		Excision of penis lesion(s)					
0017	54065		Destruction penis lesion(s)					
0017	56501		Destroy vulva lesions sim					
0017	56515		Destroy vulva lesion/s comp					
0019		Level I Excision/ Biopsy		T	4.7540	$345.75	.	$69.15
0019	10021		Fna w/o image					
0019	11011		Debride skin musc at fx sit					
0019	11400		Exc tr-ext b9+marg 0.5 cm<					
0019	11401		Exc tr-ext b9+marg 0.6-1 cm					
0019	11402		Exc tr-ext b9+marg 1.1-2 cm					
0019	11440		Exc face-mm b9+marg 0.5 cm/					
0019	11441		Exc face-mm b9+marg 0.6-1 c					
0019	11601		Exc tr-ext mal+marg 0.6-1 c					
0019	11602		Exc tr-ext mal+marg 1.1-2 c					
0019	11750		Removal of nail bed					
0019	11755		Biopsy nail unit					
0019	11976		Remove contraceptive capsul					
0019	15782		Dermabrasion other than fac					
0019	15999		Removal of pressure sore					
0020		Level II Excision/ Biopsy		T	10.2316	$744.12	.	$148.83
0020	11010		Debride skin at fx site					
0020	11012		Deb skin bone at fx site					
0020	11044		Deb bone 20 sq cm/<					
0020	11403		Exc tr-ext b9+marg 2.1-3cm/					
0020	11420		Exc h-f-nk-sp b9+marg 0.5/<					
0020	11421		Exc h-f-nk-sp b9+marg 0.6-1					
0020	11422		Exc h-f-nk-sp b9+marg 1.1-2					
0020	11442		Exc face-mm b9+marg 1.1-2 c					
0020	11443		Exc face-mm b9+marg 2.1-3 c					
0020	11444		Exc face-mm b9+marg 3.1-4 c					
0020	11600		Exc tr-ext mal+marg 0.5 cm/					
0020	11603		Exc tr-ext mal+marg 2.1-3 c					
0020	11604		Exc tr-ext mal+marg 3.1-4 c					
0020	11620		Exc h-f-nk-sp mal+marg 0.5/					
0020	11621		Exc s/n/h/f/g mal+mrg 0.6-1					
0020	11622		Exc s/n/h/f/g mal+mrg 1.1-2					
0020	11623		Exc s/n/h/f/g mal+mrg 2.1-3					
0020	11640		Exc f/e/e/n/l mal+mrg 0.5cm					
0020	11641		Exc f/e/e/n/l mal+mrg 0.6-1					
0020	11642		Exc f/e/e/n/l mal+mrg 1.1-2					
0020	11643		Exc f/e/e/n/l mal+mrg 2.1-3					
0020	15781		Dermabrasion segmental face					
0020	15920		Removal of tail bone ulcer					
0020	20005		I&d abscess subfascial					
0020	20220		Bone biopsy trocar/needle					
0020	20520		Removal of foreign body					
0020	21011		Exc face les sc <2 cm					
0020	21012		Exc face les sbq 2 cm/<					
0020	21013		Exc face tum deep < 2 cm					
0020	21014		Exc face tum deep 2 cm/>					
0020	21920		Biopsy soft tissue of back					
0020	23065		Biopsy shoulder tissues					
0020	23330		Remove shoulder foreign bod					
0020	24200		Removal of arm foreign body					
0020	25065		Biopsy forearm soft tissues					
0020	27040		Biopsy of soft tissues					
0020	27041		Biopsy of soft tissues					
0020	27086		Remove hip foreign body					
0020	27323		Biopsy thigh soft tissues					
0020	27613		Biopsy lower leg soft tissu					
0020	28190		Removal of foot foreign bod					
0020	28193		Removal of foot foreign bod					
0020	33284		Remove pat-active ht record					
0020	35226		Repair blood vessel lesion					
0020	41108		Biopsy of floor of mouth					
0021		Level III Excision/ Biopsy		T	18.3830	"$1,336.96"	.	$267.40
0021	10121		Remove foreign body					
0021	11404		Exc tr-ext b9+marg 3.1-4 cm					
0021	11406		Exc tr-ext b9+marg >4.0 cm					
0021	11423		Exc h-f-nk-sp b9+marg 2.1-3					
0021	11424		Exc h-f-nk-sp b9+marg 3.1-4					
0021	11606		Exc tr-ext mal+marg >4 cm					
0021	11624		Exc s/n/h/f/g mal+mrg 3.1-4					
0021	11644		Exc f/e/e/n/l mal+mrg 3.1-4					
0021	15836		Excise excessive skin arm					
0021	15837		Excise excess skin arm/hand					
0021	15838		Excise excess skin fat pad					
0021	15839		Excise excess skin & tissue					
0021	19260		Removal of chest wall lesio					
0021	20200		Muscle biopsy					
0021	20205		Deep muscle biopsy					
0021	20225		Bone biopsy trocar/needle					
0021	20670		Removal of support implant					
0021	21015		Resect face tum < 2 cm					
0021	21550		Biopsy of neck/chest					
0021	21555		Exc neck les sc < 3 cm					
0021	21557		Resect neck tum < 5 cm					
0021	21930		Exc back les sc < 3 cm					
0021	21932		Exc back tum deep < 5 cm					
0021	21935		Resect back tum < 5 cm					
0021	22902		Exc abd les sc < 3 cm					
0021	22904		Resect abd tum < 5 cm					
0021	23000		Removal of calcium deposits					
0021	23075		Exc shoulder les sc < 3 cm					
0021	23076		Exc shoulder tum deep < 5 c					
0021	23077		Resect shoulder tum < 5 cm					
0021	24065		Biopsy arm/elbow soft tissu					
0021	24066		Biopsy arm/elbow soft tissu					
0021	24075		Exc arm/elbow les sc < 3 cm					
0021	24076		Ex arm/elbow tum deep < 5 c					
0021	24077		Resect arm/elbow tum < 5 cm					
0021	24201		Removal of arm foreign body					
0021	25075		Exc forearm les sc < 3 cm					
0021	25076		Exc forearm tum deep < 3 cm					
0021	25077		Resect forearm/wrist tum<3c					
0021	26115		Exc hand les sc < 1.5 cm					
0021	26116		Exc hand tum deep < 1.5 cm					
0021	26117		Exc hand tum ra < 3 cm					
0021	26320		Removal of implant from han					
0021	27047		Exc hip/pelvis les sc < 3 c					
0021	27048		Exc hip/pelv tum deep < 5 c					
0021	27049		Resect hip/pelv tum < 5 cm					
0021	27328		Exc thigh/knee tum deep <5c					
0021	27329		Resect thigh/knee tum < 5 c					
0021	27615		Resect leg/ankle tum < 5 cm					
0021	27618		Exc leg/ankle tum < 3 cm					
0021	27619		Exc leg/ankle tum deep <5 c					
0021	28043		Exc foot/toe tum sc < 1.5 c					
0021	28045		Exc foot/toe tum deep <1.5c					
0021	28046		Resect foot/toe tumor < 3 c					
0021	28192		Removal of foot foreign bod					
0021	37609		Temporal artery procedure					
0021	54100		Biopsy of penis					
0021	69110		Remove external ear partial					
0021	69145		Remove ear canal lesion(s)					
0022		Level IV Excision/ Biopsy		T	25.0608	"$1,822.62"	.	$364.53
0022	11426		Exc h-f-nk-sp b9+marg >4 cm					
0022	11446		Exc face-mm b9+marg >4 cm					
0022	11450		Removal sweat gland lesion					
0022	11451		Removal sweat gland lesion					
0022	11462		Removal sweat gland lesion					
0022	11463		Removal sweat gland lesion					
0022	11470		Removal sweat gland lesion					
0022	11471		Removal sweat gland lesion					
0022	11626		Exc s/n/h/f/g mal+mrg >4 cm					
0022	11646		Exc f/e/e/n/l mal+mrg >4 cm					
0022	11752		Remove nail bed/finger tip					
0022	11770		Remove pilonidal cyst simpl					
0022	11771		Remove pilonidal cyst exten					
0022	11772		Remove pilonidal cyst compl					
0022	11971		Remove tissue expander(s)					
0022	15780		Dermabrasion total face					
0022	15832		Excise excessive skin thigh					
0022	15833		Excise excessive skin leg					
0022	15834		Excise excessive skin hip					
0022	15835		Excise excessive skin buttc					
0022	15931		Remove sacrum pressure sore					
0022	15933		Remove sacrum pressure sore					
0022	15940		Remove hip pressure sore					
0022	15941		Remove hip pressure sore					
0022	15950		Remove thigh pressure sore					
0022	15951		Remove thigh pressure sore					
0022	20240		Bone biopsy excisional					
0022	20245		Bone biopsy excisional					
0022	20525		Removal of foreign body					
0022	20680		Removal of support implant					
0022	21016		Resect face tum 2 cm/>					
0022	21552		Exc neck les sc 3 cm/>					
0022	21554		Exc neck tum deep 5 cm/>					
0022	21556		Exc neck tum deep < 5 cm					
0022	21558		Resect neck tum 5 cm/>					
0022	21925		Biopsy soft tissue of back					
0022	21931		Exc back les sc 3 cm/>					
0022	21933		Exc back tum deep 5 cm/>					
0022	21936		Resect back tum 5 cm/>					
0022	22900		Exc abdl tum deep < 5 cm					
0022	22901		Exc abdl tum deep 5 cm/>					
0022	22903		Exc abd les sc 3 cm/>					
0022	22905		Resect abd tum 5 cm/>					
0022	23066		Biopsy shoulder tissues					
0022	23071		Exc shoulder les sc 3 cm/>					
0022	23073		Exc shoulder tum deep 5 cm/					
0022	23078		Resect shoulder tum 5 cm/>					
0022	23331		Remove shoulder foreign bod					
0022	24071		Exc arm/elbow les sc 3 cm/>					
0022	24073		Ex arm/elbow tum deep 5 cm/					
0022	24079		Resect arm/elbow tum 5 cm/>					
0022	25066		Biopsy forearm soft tissues					
0022	25071		Exc forearm les sc 3 cm/>					
0022	25073		Exc forearm tum deep 3 cm/>					
0022	25078		Resect forarm/wrist tum 3cm					
0022	26111		Exc hand les sc 1.5 cm/>					
0022	26113		Exc hand tum deep 1.5 cm/>					
0022	26118		Exc hand tum ra 3 cm/>					
0022	27043		Exc hip pelvis les sc 3 cm/					
0022	27045		Exc hip/pelv tum deep 5 cm/					
0022	27059		Resect hip/pelv tum 5 cm/>					
0022	27324		Biopsy thigh soft tissues					
0022	27327		Exc thigh/knee les sc < 3 c					
0022	27337		Exc thigh/knee les sc 3 cm/					
0022	27339		Exc thigh/knee tum dep 5cm/					
0022	27364		Resect thigh/knee tum 5 cm/					
0022	27372		Removal of foreign body					
0022	27614		Biopsy lower leg soft tissu					
0022	27616		Resect leg/ankle tum 5 cm/>					
0022	27632		Exc leg/ankle les sc 3 cm/>					
0022	27634		Exc leg/ankle tum dep 5 cm/					
0022	28039		Exc foot/toe tum sc 1.5 cm/					
0022	28041		Exc foot/toe tum dep 1.5cm/					
0022	28047		Resect foot/toe tumor 3 cm/					
0022	54105		Biopsy of penis					
0022	69205		Clear outer ear canal					
0028		Level I Breast and Skin Surgery		T	29.2276	"$2,125.66"	.	$425.14
0028	19101		Biopsy of breast open					
0028	19110		Nipple exploration					
0028	19112		Excise breast duct fistula					
0028	19120		Removal of breast lesion					
0028	19125		Excision breast lesion					
0028	19300		Removal of breast tissue					
0028	19301		Partial mastectomy					
0028	19350		Breast reconstruction					
0028	19499		Breast surgery procedure					
0028	C9726		Rxt breast appl place/remov					
0029		Level II Breast and Skin Surgery		T	41.0399	"$2,984.75"	.	$596.95
0029	19105		Cryosurg ablate fa each					
0029	19303		Mast simple complete					
0029	19304		Mast subq					
0029	19316		Suspension of breast					
0029	19328		Removal of breast implant					
0029	19330		Removal of implant material					
0029	19355		Correct inverted nipple(s)					
0029	19366		Breast reconstruction					
0029	19370		Surgery of breast capsule					
0029	19371		Removal of breast capsule					
0029	19396		Design custom breast implan					
0030		Level III Breast and Skin Surgery		T	56.1747	"$4,085.47"	.	$817.10
0030	15830		Exc skin abd					
0030	19302		P-mastectomy w/ln removal					
0030	19307		Mast mod rad					
0030	19318		Reduction of large breast					
0030	19324		Enlarge breast					
0030	19340		Immediate breast prosthesis					
0030	19380		Revise breast reconstructio					
0031		Level I Health and Behavior Services		S	0.2973	$21.62	.	$4.33
0031	99406		Behav chng smoking 3-10 min					
0031	99407		Behav chng smoking > 10 min					
0031	G0436		Tobacco-use counsel 3-10 mi				$0.00	$0.00
0031	G0444		Depression screen annual				$0.00	$0.00
0031	G0445		High inten beh couns STD 30				$0.00	$0.00
0031	G0446		Intens behave ther cardio d				$0.00	$0.00
0035		Vascular Puncture and Minor Diagnostic Procedures		S	0.2583	$18.79	.	$3.76
0035	0208T		Audiometry air only					
0035	0209T		Audiometry air & bone					
0035	0210T		Speech audiometry threshold					
0035	0211T		Speech audiom thresh & reco					
0035	36425		Vein access cutdown > 1 yr					
0035	75571		Ct hrt w/o dye w/ca test					
0035	92228		Remote retinal imaging mgmt					
0035	93278		ECG/signal-averaged					
0035	93998		Noninvas vasc dx study proc					
0035	G0404		EKG tracing for initial pre					
0037		Level IV Needle Biopsy/Aspiration Except Bone Marrow		T	18.2654	"$1,328.41"	.	$265.69
0037	19103		Bx breast percut w/device					
0037	44901		Drain app abscess percut					
0037	47011		Percut drain liver lesion					
0037	48511		Drain pancreatic pseudocyst					
0037	49021		Drain abdominal abscess					
0037	49041		Drain percut abdom abscess					
0037	49061		Drain percut retroper absc					
0037	50021		Renal abscess percut drain					
0037	54500		Biopsy of testis					
0039		Level I Implantation of Neurostimulator Generator		J1	290.9091	"$21,157.24"	.	"$4,231.45"
0039	0268T		Implt/rpl crtd sns dev gen					
0039	0316T		Replc vagus nerve pls gen					
0039	61885		Insrt/redo neurostim 1 arra					
0039	63685		Insrt/redo spine n generato					
0039	64590		Insrt/redo pn/gastr stimul					
0040		Level I Implantation/Revision/Replacement of Neurostimulator Electrodes		J1	75.4072	"$5,484.21"	.	"$1,096.85"
0040	0282T		Periph field stimul trial					
0040	63650		Implant neuroelectrodes					
0040	63663		Revise spine eltrd perq ara					
0040	63664		Revise spine eltrd plate					
0040	64553		Implant neuroelectrodes					
0040	64555		Implant neuroelectrodes					
0040	64561		Implant neuroelectrodes					
0040	64565		Implant neuroelectrodes					
0040	64569		Revise/repl vagus n eltrd					
0041		Level I Arthroscopy		T	29.7306	"$2,162.25"	.	$432.45
0041	29800		Jaw arthroscopy/surgery					
0041	29804		Jaw arthroscopy/surgery					
0041	29805		Shoulder arthroscopy dx					
0041	29822		Shoulder arthroscopy/surger					
0041	29834		Elbow arthroscopy/surgery					
0041	29837		Elbow arthroscopy/surgery					
0041	29838		Elbow arthroscopy/surgery					
0041	29840		Wrist arthroscopy					
0041	29843		Wrist arthroscopy/surgery					
0041	29844		Wrist arthroscopy/surgery					
0041	29845		Wrist arthroscopy/surgery					
0041	29846		Wrist arthroscopy/surgery					
0041	29848		Wrist endoscopy/surgery					
0041	29850		Knee arthroscopy/surgery					
0041	29870		Knee arthroscopy dx					
0041	29871		Knee arthroscopy/drainage					
0041	29873		Knee arthroscopy/surgery					
0041	29874		Knee arthroscopy/surgery					
0041	29875		Knee arthroscopy/surgery					
0041	29876		Knee arthroscopy/surgery					
0041	29877		Knee arthroscopy/surgery					
0041	29879		Knee arthroscopy/surgery					
0041	29880		Knee arthroscopy/surgery					
0041	29881		Knee arthroscopy/surgery					
0041	29882		Knee arthroscopy/surgery					
0041	29883		Knee arthroscopy/surgery					
0041	29884		Knee arthroscopy/surgery					
0041	29886		Knee arthroscopy/surgery					
0041	29887		Knee arthroscopy/surgery					
0041	29894		Ankle arthroscopy/surgery					
0041	29895		Ankle arthroscopy/surgery					
0041	29897		Ankle arthroscopy/surgery					
0041	29898		Ankle arthroscopy/surgery					
0041	29900		Mcp joint arthroscopy dx					
0041	29902		Mcp joint arthroscopy surg					
0041	29904		Subtalar arthro w/fb rmvl					
0041	29905		Subtalar arthro w/exc					
0041	29906		Subtalar arthro w/deb					
0041	29999		Arthroscopy of joint					
0042		Level II Arthroscopy		T	58.7902	"$4,275.69"	.	$855.14
0042	29806		Shoulder arthroscopy/surger					
0042	29807		Shoulder arthroscopy/surger					
0042	29819		Shoulder arthroscopy/surger					
0042	29820		Shoulder arthroscopy/surger					
0042	29821		Shoulder arthroscopy/surger					
0042	29823		Shoulder arthroscopy/surger					
0042	29824		Shoulder arthroscopy/surger					
0042	29825		Shoulder arthroscopy/surger					
0042	29827		Arthroscop rotator cuff rep					
0042	29828		Arthroscopy biceps tenodesi					
0042	29830		Elbow arthroscopy					
0042	29835		Elbow arthroscopy/surgery					
0042	29836		Elbow arthroscopy/surgery					
0042	29847		Wrist arthroscopy/surgery					
0042	29851		Knee arthroscopy/surgery					
0042	29855		Tibial arthroscopy/surgery					
0042	29856		Tibial arthroscopy/surgery					
0042	29860		Hip arthroscopy dx					
0042	29861		Hip arthro w/fb removal					
0042	29862		Hip arthr0 w/debridement					
0042	29863		Hip arthr0 w/synovectomy					
0042	29866		Autgrft implnt knee w/scope					
0042	29867		Allgrft implnt knee w/scope					
0042	29868		Meniscal trnspl knee w/scpe					
0042	29885		Knee arthroscopy/surgery					
0042	29891		Ankle arthroscopy/surgery					
0042	29899		Ankle arthroscopy/surgery					
0042	29901		Mcp joint arthroscopy surg					
0042	29907		Subtalar arthro w/fusion					
0042	29914		Hip arthro w/femoroplasty					
0042	29915		Hip arthro acetabuloplasty					
0042	29916		Hip arthro w/labral repair					
0045		Bone/Joint Manipulation Under Anesthesia		T	16.5737	"$1,205.37"	$257.70	$241.08
0045	22505		Manipulation of spine					
0045	23655		Treat shoulder dislocation					
0045	23700		Fixation of shoulder					
0045	24300		Manipulate elbow w/anesth					
0045	24605		Treat elbow dislocation					
0045	26775		Treat finger dislocation					
0045	27194		Treat pelvic ring fracture					
0045	27252		Treat hip dislocation					
0045	27257		Treat hip dislocation					
0045	27266		Treat hip dislocation					
0045	27275		Manipulation of hip joint					
0045	27552		Treat knee dislocation					
0045	27562		Treat kneecap dislocation					
0045	27570		Fixation of knee joint					
0045	27842		Treat ankle dislocation					
0045	27860		Fixation of ankle joint					
0045	28635		Treat toe dislocation					
0045	28665		Treat toe dislocation					
0047		Arthroplasty without Prosthesis		T	43.4818	"$3,162.34"	.	$632.47
0047	24360		Reconstruct elbow joint					
0047	24365		Reconstruct head of radius					
0047	25332		Revise wrist joint					
0047	25447		Repair wrist joints					
0047	25449		Remove wrist joint implant					
0047	26530		Revise knuckle joint					
0047	26535		Revise finger joint					
0047	27437		Revise kneecap					
0047	27440		Revision of knee joint					
0047	27441		Revision of knee joint					
0047	27442		Revision of knee joint					
0047	27443		Revision of knee joint					
0047	27700		Revision of ankle joint					
0048		Level I Arthroplasty or Implantation with Prosthesis		T	64.0609	"$4,659.02"	.	$931.81
0048	24362		Reconstruct elbow joint					
0048	25443		Reconstruct wrist joint					
0048	25444		Reconstruct wrist joint					
0048	25445		Reconstruct wrist joint					
0048	26531		Revise knuckle with implant					
0048	26536		Revise/implant finger joint					
0048	27438		Revise kneecap with implant					
0049		Level I Musculoskeletal Procedures Except Hand and Foot		T	23.1867	"$1,686.32"	.	$337.27
0049	20662		Application of pelvis brace					
0049	20694		Remove bone fixation device					
0049	20999		Musculoskeletal surgery					
0049	21502		Drain chest lesion					
0049	21700		Revision of neck muscle					
0049	21720		Revision of neck muscle					
0049	22999		Abdomen surgery procedure					
0049	23035		Drain shoulder bone lesion					
0049	23100		Biopsy of shoulder joint					
0049	23140		Removal of bone lesion					
0049	23935		Drain arm/elbow bone lesion					
0049	24100		Biopsy elbow joint lining					
0049	24105		Removal of elbow bursa					
0049	24110		Remove humerus lesion					
0049	24120		Remove elbow lesion					
0049	24310		Revision of arm tendon					
0049	24925		Amputation follow-up surger					
0049	25000		Incision of tendon sheath					
0049	25001		Incise flexor carpi radiali					
0049	25028		Drainage of forearm lesion					
0049	25031		Drainage of forearm bursa					
0049	25035		Treat forearm bone lesion					
0049	25085		Incision of wrist capsule					
0049	25100		Biopsy of wrist joint					
0049	25109		Excise tendon forearm/wrist					
0049	25110		Remove wrist tendon lesion					
0049	25111		Remove wrist tendon lesion					
0049	25112		Reremove wrist tendon lesio					
0049	25115		Remove wrist/forearm lesion					
0049	25116		Remove wrist/forearm lesion					
0049	25248		Remove forearm foreign body					
0049	25295		Release wrist/forearm tendo					
0049	25907		Amputation follow-up surger					
0049	25909		Amputation follow-up surger					
0049	25922		Amputate hand at wrist					
0049	25931		Amputation follow-up surger					
0049	26990		Drainage of pelvis lesion					
0049	26991		Drainage of pelvis bursa					
0049	27000		Incision of hip tendon					
0049	27050		Biopsy of sacroiliac joint					
0049	27052		Biopsy of hip joint					
0049	27057		Buttock fasciotomy w/dbrdmt					
0049	27060		Removal of ischial bursa					
0049	27062		Remove femur lesion/bursa					
0049	27065		Remove hip bone les super					
0049	27087		Remove hip foreign body					
0049	27305		Incise thigh tendon & fasci					
0049	27306		Incision of thigh tendon					
0049	27340		Removal of kneecap bursa					
0049	27345		Removal of knee cyst					
0049	27347		Remove knee cyst					
0049	27390		Incision of thigh tendon					
0049	27391		Incision of thigh tendons					
0049	27497		Decompression of thigh/knee					
0049	27594		Amputation follow-up surger					
0049	27600		Decompression of lower leg					
0049	27601		Decompression of lower leg					
0049	27606		Incision of achilles tendon					
0049	27607		Treat lower leg bone lesion					
0049	27630		Removal of tendon lesion					
0049	27656		Repair leg fascia defect					
0049	27658		Repair of leg tendon each					
0049	27659		Repair of leg tendon each					
0049	27675		Repair lower leg tendons					
0049	27704		Removal of ankle implant					
0049	27884		Amputation follow-up surger					
0049	28002		Treatment of foot infection					
0049	28003		Treatment of foot infection					
0050		Level II Musculoskeletal Procedures Except Hand and Foot		T	35.7266	"$2,598.32"	.	$519.67
0050	0101T		Extracorp shockwv tx hi enr					
0050	0102T		Extracorp shockwv tx anesth					
0050	0200T		Perq sacral augmt unilat in					
0050	0201T		Perq sacral augmt bilat inj					
0050	0221T		Plmt post facet implt lumb					
0050	20250		Open bone biopsy					
0050	20251		Open bone biopsy					
0050	20555		Place ndl musc/tis for rt					
0050	20650		Insert and remove bone pin					
0050	20663		Application of thigh brace					
0050	20690		Apply bone fixation device					
0050	20692		Apply bone fixation device					
0050	20693		Adjust bone fixation device					
0050	20696		Comp multiplane ext fixatio					
0050	20900		Removal of bone for graft					
0050	20902		Removal of bone for graft					
0050	20924		Removal of tendon for graft					
0050	21600		Partial removal of rib					
0050	21610		Partial removal of rib					
0050	22520		Percut vertebroplasty thor					
0050	22521		Percut vertebroplasty lumb					
0050	22899		Spine surgery procedure					
0050	23020		Release shoulder joint					
0050	23040		Exploratory shoulder surger					
0050	23044		Exploratory shoulder surger					
0050	23101		Shoulder joint surgery					
0050	23105		Remove shoulder joint linin					
0050	23106		Incision of collarbone join					
0050	23107		Explore treat shoulder join					
0050	23120		Partial removal collar bone					
0050	23125		Removal of collar bone					
0050	23145		Removal of bone lesion					
0050	23146		Removal of bone lesion					
0050	23150		Removal of humerus lesion					
0050	23155		Removal of humerus lesion					
0050	23156		Removal of humerus lesion					
0050	23170		Remove collar bone lesion					
0050	23172		Remove shoulder blade lesio					
0050	23174		Remove humerus lesion					
0050	23180		Remove collar bone lesion					
0050	23182		Remove shoulder blade lesio					
0050	23184		Remove humerus lesion					
0050	23190		Partial removal of scapula					
0050	23195		Removal of head of humerus					
0050	23400		Fixation of shoulder blade					
0050	23405		Incision of tendon & muscle					
0050	23406		Incise tendon(s) & muscle(s					
0050	23440		Remove/transplant tendon					
0050	24000		Exploratory elbow surgery					
0050	24006		Release elbow joint					
0050	24101		Explore/treat elbow joint					
0050	24102		Remove elbow joint lining					
0050	24115		Remove/graft bone lesion					
0050	24116		Remove/graft bone lesion					
0050	24125		Remove/graft bone lesion					
0050	24126		Remove/graft bone lesion					
0050	24130		Removal of head of radius					
0050	24134		Removal of arm bone lesion					
0050	24136		Remove radius bone lesion					
0050	24138		Remove elbow bone lesion					
0050	24140		Partial removal of arm bone					
0050	24145		Partial removal of radius					
0050	24147		Partial removal of elbow					
0050	24149		Radical resection of elbow					
0050	24155		Removal of elbow joint					
0050	24160		Remove elbow joint implant					
0050	24164		Remove radius head implant					
0050	24301		Muscle/tendon transfer					
0050	24305		Arm tendon lengthening					
0050	24320		Repair of arm tendon					
0050	24332		Tenolysis triceps					
0050	24343		Repr elbow lat ligmnt w/tis					
0050	24345		Repr elbw med ligmnt w/tiss					
0050	24357		Repair elbow perc					
0050	24358		Repair elbow w/deb open					
0050	24359		Repair elbow deb/attch open					
0050	24495		Decompression of forearm					
0050	25020		Decompress forearm 1 space					
0050	25023		Decompress forearm 1 space					
0050	25024		Decompress forearm 2 spaces					
0050	25025		Decompress forearm 2 spaces					
0050	25040		Explore/treat wrist joint					
0050	25101		Explore/treat wrist joint					
0050	25105		Remove wrist joint lining					
0050	25107		Remove wrist joint cartilag					
0050	25118		Excise wrist tendon sheath					
0050	25119		Partial removal of ulna					
0050	25120		Removal of forearm lesion					
0050	25125		Remove/graft forearm lesion					
0050	25126		Remove/graft forearm lesion					
0050	25130		Removal of wrist lesion					
0050	25135		Remove & graft wrist lesion					
0050	25136		Remove & graft wrist lesion					
0050	25145		Remove forearm bone lesion					
0050	25150		Partial removal of ulna					
0050	25151		Partial removal of radius					
0050	25170		Resect radius/ulnar tumor					
0050	25210		Removal of wrist bone					
0050	25215		Removal of wrist bones					
0050	25230		Partial removal of radius					
0050	25240		Partial removal of ulna					
0050	25250		Removal of wrist prosthesis					
0050	25251		Removal of wrist prosthesis					
0050	25260		Repair forearm tendon/muscl					
0050	25263		Repair forearm tendon/muscl					
0050	25265		Repair forearm tendon/muscl					
0050	25270		Repair forearm tendon/muscl					
0050	25272		Repair forearm tendon/muscl					
0050	25274		Repair forearm tendon/muscl					
0050	25275		Repair forearm tendon sheat					
0050	25280		Revise wrist/forearm tendon					
0050	25290		Incise wrist/forearm tendon					
0050	25300		Fusion of tendons at wrist					
0050	25301		Fusion of tendons at wrist					
0050	25310		Transplant forearm tendon					
0050	25315		Revise palsy hand tendon(s)					
0050	25392		Shorten radius & ulna					
0050	27001		Incision of hip tendon					
0050	27003		Incision of hip tendon					
0050	27006		Incision of hip tendons					
0050	27027		Buttock fasciotomy					
0050	27035		Denervation of hip joint					
0050	27066		Remove hip bone les deep					
0050	27067		Remove/graft hip bone lesio					
0050	27080		Removal of tail bone					
0050	27097		Revision of hip tendon					
0050	27098		Transfer tendon to pelvis					
0050	27235		Treat thigh fracture					
0050	27307		Incision of thigh tendons					
0050	27310		Exploration of knee joint					
0050	27330		Biopsy knee joint lining					
0050	27331		Explore/treat knee joint					
0050	27332		Removal of knee cartilage					
0050	27333		Removal of knee cartilage					
0050	27334		Remove knee joint lining					
0050	27335		Remove knee joint lining					
0050	27350		Removal of kneecap					
0050	27355		Remove femur lesion					
0050	27356		Remove femur lesion/graft					
0050	27357		Remove femur lesion/graft					
0050	27360		Partial removal leg bone(s)					
0050	27380		Repair of kneecap tendon					
0050	27381		Repair/graft kneecap tendon					
0050	27385		Repair of thigh muscle					
0050	27386		Repair/graft of thigh muscl					
0050	27392		Incision of thigh tendons					
0050	27393		Lengthening of thigh tendon					
0050	27394		Lengthening of thigh tendon					
0050	27396		Transplant of thigh tendon					
0050	27403		Repair of knee cartilage					
0050	27425		Lat retinacular release ope					
0050	27435		Incision of knee joint					
0050	27475		Surgery to stop leg growth					
0050	27479		Surgery to stop leg growth					
0050	27496		Decompression of thigh/knee					
0050	27498		Decompression of thigh/knee					
0050	27499		Decompression of thigh/knee					
0050	27602		Decompression of lower leg					
0050	27604		Drain lower leg bursa					
0050	27610		Explore/treat ankle joint					
0050	27612		Exploration of ankle joint					
0050	27620		Explore/treat ankle joint					
0050	27625		Remove ankle joint lining					
0050	27626		Remove ankle joint lining					
0050	27635		Remove lower leg bone lesio					
0050	27637		Remove/graft leg bone lesio					
0050	27638		Remove/graft leg bone lesio					
0050	27640		Partial removal of tibia					
0050	27641		Partial removal of fibula					
0050	27647		Resect talus/calcaneus tum					
0050	27664		Repair of leg tendon each					
0050	27665		Repair of leg tendon each					
0050	27676		Repair lower leg tendons					
0050	27680		Release of lower leg tendon					
0050	27681		Release of lower leg tendon					
0050	27685		Revision of lower leg tendo					
0050	27686		Revise lower leg tendons					
0050	27687		Revision of calf tendon					
0050	27695		Repair of ankle ligament					
0050	27696		Repair of ankle ligaments					
0050	27698		Repair of ankle ligament					
0050	27707		Incision of fibula					
0050	27709		Incision of tibia & fibula					
0050	27730		Repair of tibia epiphysis					
0050	27732		Repair of fibula epiphysis					
0050	27734		Repair lower leg epiphyses					
0050	27740		Repair of leg epiphyses					
0050	27889		Amputation of foot at ankle					
0050	27892		Decompression of leg					
0050	27893		Decompression of leg					
0050	27894		Decompression of leg					
0050	28890		Hi enrgy eswt plantar fasci					
0050	G0413		Pelvic ring fracture uni/bi					
0051		Level III Musculoskeletal Procedures Except Hand and Foot		T	52.8245	"$3,841.82"	.	$768.37
0051	11970		Replace tissue expander					
0051	20150		Excise epiphyseal bar					
0051	20982		Ablate bone tumor(s) perq					
0051	21742		Repair stern/nuss w/o scope					
0051	21743		Repair sternum/nuss w/scope					
0051	23130		Remove shoulder bone part					
0051	23395		Muscle transfer shoulder/ar					
0051	23397		Muscle transfers					
0051	23410		Repair rotator cuff acute					
0051	23412		Repair rotator cuff chronic					
0051	23415		Release of shoulder ligamen					
0051	23420		Repair of shoulder					
0051	23430		Repair biceps tendon					
0051	23462		Repair shoulder capsule					
0051	23465		Repair shoulder capsule					
0051	23466		Repair shoulder capsule					
0051	23480		Revision of collar bone					
0051	24150		Resect distal humerus tumor					
0051	24152		Resect radius tumor					
0051	24331		Revision of arm muscles					
0051	24340		Repair of biceps tendon					
0051	24341		Repair arm tendon/muscle					
0051	24342		Repair of ruptured tendon					
0051	24344		Reconstruct elbow lat ligmn					
0051	24346		Reconstruct elbow med ligmn					
0051	24400		Revision of humerus					
0051	24410		Revision of humerus					
0051	24420		Revision of humerus					
0051	24470		Revision of elbow joint					
0051	24800		Fusion of elbow joint					
0051	25312		Transplant forearm tendon					
0051	25320		Repair/revise wrist joint					
0051	25335		Realignment of hand					
0051	25337		Reconstruct ulna/radioulnar					
0051	25350		Revision of radius					
0051	25355		Revision of radius					
0051	25360		Revision of ulna					
0051	25365		Revise radius & ulna					
0051	25370		Revise radius or ulna					
0051	25375		Revise radius & ulna					
0051	25390		Shorten radius or ulna					
0051	25391		Lengthen radius or ulna					
0051	25393		Lengthen radius & ulna					
0051	25394		Repair carpal bone shorten					
0051	25400		Repair radius or ulna					
0051	25425		Repair/graft radius or ulna					
0051	25426		Repair/graft radius & ulna					
0051	25430		Vasc graft into carpal bone					
0051	25431		Repair nonunion carpal bone					
0051	25440		Repair/graft wrist bone					
0051	25450		Revision of wrist joint					
0051	25455		Revision of wrist joint					
0051	25490		Reinforce radius					
0051	25491		Reinforce ulna					
0051	25492		Reinforce radius and ulna					
0051	25820		Fusion of hand bones					
0051	25830		Fusion radioulnar jnt/ulna					
0051	27033		Exploration of hip joint					
0051	27100		Transfer of abdominal muscl					
0051	27105		Transfer of spinal muscle					
0051	27110		Transfer of iliopsoas muscl					
0051	27111		Transfer of iliopsoas muscl					
0051	27395		Lengthening of thigh tendon					
0051	27397		Transplants of thigh tendon					
0051	27400		Revise thigh muscles/tendon					
0051	27405		Repair of knee ligament					
0051	27409		Repair of knee ligaments					
0051	27416		Osteochondral knee autograf					
0051	27418		Repair degenerated kneecap					
0051	27420		Revision of unstable kneeca					
0051	27422		Revision of unstable kneeca					
0051	27424		Revision/removal of kneecap					
0051	27430		Revision of thigh muscles					
0051	27650		Repair achilles tendon					
0051	27652		Repair/graft achilles tendo					
0051	27654		Repair of achilles tendon					
0051	27690		Revise lower leg tendon					
0051	27691		Revise lower leg tendon					
0051	27705		Incision of tibia					
0051	27742		Repair of leg epiphyses					
0051	29892		Ankle arthroscopy/surgery					
0052		Level IV Musculoskeletal Procedures Except Hand and Foot		T	91.2970	"$6,639.85"	.	"$1,327.97"
0052	0171T		Lumbar spine proces distrac					
0052	22523		Percut kyphoplasty thor					
0052	22524		Percut kyphoplasty lumbar					
0052	23450		Repair shoulder capsule					
0052	23455		Repair shoulder capsule					
0052	23460		Repair shoulder capsule					
0052	23485		Revision of collar bone					
0052	23490		Reinforce clavicle					
0052	23491		Reinforce shoulder bones					
0052	23800		Fusion of shoulder joint					
0052	23802		Fusion of shoulder joint					
0052	24330		Revision of arm muscles					
0052	24430		Repair of humerus					
0052	24435		Repair humerus with graft					
0052	24498		Reinforce humerus					
0052	24802		Fusion/graft of elbow joint					
0052	24935		Revision of amputation					
0052	25316		Revise palsy hand tendon(s)					
0052	25405		Repair/graft radius or ulna					
0052	25415		Repair radius & ulna					
0052	25420		Repair/graft radius & ulna					
0052	25800		Fusion of wrist joint					
0052	25805		Fusion/graft of wrist joint					
0052	25810		Fusion/graft of wrist joint					
0052	25825		Fuse hand bones with graft					
0052	27179		Revise head/neck of femur					
0052	27407		Repair of knee ligament					
0052	27412		Autochondrocyte implant kne					
0052	27415		Osteochondral knee allograf					
0052	27427		Reconstruction knee					
0052	27428		Reconstruction knee					
0052	27429		Reconstruction knee					
0052	27745		Reinforce tibia					
0052	27870		Fusion of ankle joint open					
0052	27871		Fusion of tibiofibular join					
0052	28715		Fusion of foot bones					
0052	29888		Knee arthroscopy/surgery					
0052	29889		Knee arthroscopy/surgery					
0053		Level I Hand Musculoskeletal Procedures		T	17.2718	"$1,256.14"	.	$251.23
0053	26020		Drain hand tendon sheath					
0053	26025		Drainage of palm bursa					
0053	26030		Drainage of palm bursas					
0053	26034		Treat hand bone lesion					
0053	26035		Decompress fingers/hand					
0053	26037		Decompress fingers/hand					
0053	26040		Release palm contracture					
0053	26055		Incise finger tendon sheath					
0053	26060		Incision of finger tendon					
0053	26070		Explore/treat hand joint					
0053	26075		Explore/treat finger joint					
0053	26080		Explore/treat finger joint					
0053	26100		Biopsy hand joint lining					
0053	26105		Biopsy finger joint lining					
0053	26110		Biopsy finger joint lining					
0053	26130		Remove wrist joint lining					
0053	26140		Revise finger joint each					
0053	26145		Tendon excision palm/finger					
0053	26160		Remove tendon sheath lesion					
0053	26170		Removal of palm tendon each					
0053	26180		Removal of finger tendon					
0053	26185		Remove finger bone					
0053	26200		Remove hand bone lesion					
0053	26210		Removal of finger lesion					
0053	26215		Remove/graft finger lesion					
0053	26230		Partial removal of hand bon					
0053	26235		Partial removal finger bone					
0053	26236		Partial removal finger bone					
0053	26250		Extensive hand surgery					
0053	26260		Resect prox finger tumor					
0053	26262		Resect distal finger tumor					
0053	26410		Repair hand tendon					
0053	26418		Repair finger tendon					
0053	26432		Repair finger tendon					
0053	26433		Repair finger tendon					
0053	26437		Realignment of tendons					
0053	26440		Release palm/finger tendon					
0053	26445		Release hand/finger tendon					
0053	26450		Incision of palm tendon					
0053	26455		Incision of finger tendon					
0053	26460		Incise hand/finger tendon					
0053	26471		Fusion of finger tendons					
0053	26474		Fusion of finger tendons					
0053	26476		Tendon lengthening					
0053	26477		Tendon shortening					
0053	26478		Lengthening of hand tendon					
0053	26479		Shortening of hand tendon					
0053	26500		Hand tendon reconstruction					
0053	26508		Release thumb contracture					
0053	26520		Release knuckle contracture					
0053	26525		Release finger contracture					
0053	26540		Repair hand joint					
0053	26542		Repair hand joint with graf					
0053	26560		Repair of web finger					
0053	26580		Repair hand deformity					
0053	26587		Reconstruct extra finger					
0053	26590		Repair finger deformity					
0053	26593		Release muscles of hand					
0053	26596		Excision constricting tissu					
0053	26951		Amputation of finger/thumb					
0053	26952		Amputation of finger/thumb					
0054		Level II Hand Musculoskeletal Procedures		T	31.1299	"$2,264.02"	.	$452.81
0054	20822		Replantation digit complete					
0054	26045		Release palm contracture					
0054	26121		Release palm contracture					
0054	26123		Release palm contracture					
0054	26135		Revise finger joint each					
0054	26205		Remove/graft bone lesion					
0054	26350		Repair finger/hand tendon					
0054	26352		Repair/graft hand tendon					
0054	26356		Repair finger/hand tendon					
0054	26357		Repair finger/hand tendon					
0054	26358		Repair/graft hand tendon					
0054	26370		Repair finger/hand tendon					
0054	26372		Repair/graft hand tendon					
0054	26373		Repair finger/hand tendon					
0054	26390		Revise hand/finger tendon					
0054	26392		Repair/graft hand tendon					
0054	26412		Repair/graft hand tendon					
0054	26415		Excision hand/finger tendon					
0054	26416		Graft hand or finger tendon					
0054	26420		Repair/graft finger tendon					
0054	26426		Repair finger/hand tendon					
0054	26428		Repair/graft finger tendon					
0054	26434		Repair/graft finger tendon					
0054	26442		Release palm & finger tendo					
0054	26449		Release forearm/hand tendon					
0054	26480		Transplant hand tendon					
0054	26483		Transplant/graft hand tendo					
0054	26485		Transplant palm tendon					
0054	26489		Transplant/graft palm tendo					
0054	26490		Revise thumb tendon					
0054	26492		Tendon transfer with graft					
0054	26494		Hand tendon/muscle transfer					
0054	26496		Revise thumb tendon					
0054	26497		Finger tendon transfer					
0054	26498		Finger tendon transfer					
0054	26499		Revision of finger					
0054	26502		Hand tendon reconstruction					
0054	26510		Thumb tendon transfer					
0054	26516		Fusion of knuckle joint					
0054	26517		Fusion of knuckle joints					
0054	26518		Fusion of knuckle joints					
0054	26541		Repair hand joint with graf					
0054	26545		Reconstruct finger joint					
0054	26546		Repair nonunion hand					
0054	26548		Reconstruct finger joint					
0054	26550		Construct thumb replacement					
0054	26555		Positional change of finger					
0054	26561		Repair of web finger					
0054	26562		Repair of web finger					
0054	26565		Correct metacarpal flaw					
0054	26567		Correct finger deformity					
0054	26568		Lengthen metacarpal/finger					
0054	26591		Repair muscles of hand					
0054	26820		Thumb fusion with graft					
0054	26841		Fusion of thumb					
0054	26842		Thumb fusion with graft					
0054	26843		Fusion of hand joint					
0054	26844		Fusion/graft of hand joint					
0054	26850		Fusion of knuckle					
0054	26852		Fusion of knuckle with graf					
0054	26860		Fusion of finger joint					
0054	26862		Fusion/graft of finger join					
0054	26910		Amputate metacarpal bone					
0054	64821		Remove sympathetic nerves					
0054	64822		Remove sympathetic nerves					
0054	64823		Sympathectomy supfc palmar					
0055		Level I Foot Musculoskeletal Procedures		T	23.9329	"$1,740.59"	$353.37	$348.12
0055	27605		Incision of achilles tendon					
0055	28005		Treat foot bone lesion					
0055	28008		Incision of foot fascia					
0055	28010		Incision of toe tendon					
0055	28011		Incision of toe tendons					
0055	28020		Exploration of foot joint					
0055	28022		Exploration of foot joint					
0055	28024		Exploration of toe joint					
0055	28050		Biopsy of foot joint lining					
0055	28052		Biopsy of foot joint lining					
0055	28054		Biopsy of toe joint lining					
0055	28060		Partial removal foot fascia					
0055	28062		Removal of foot fascia					
0055	28070		Removal of foot joint linin					
0055	28072		Removal of foot joint linin					
0055	28080		Removal of foot lesion					
0055	28086		Excise foot tendon sheath					
0055	28088		Excise foot tendon sheath					
0055	28090		Removal of foot lesion					
0055	28092		Removal of toe lesions					
0055	28100		Removal of ankle/heel lesio					
0055	28104		Removal of foot lesion					
0055	28108		Removal of toe lesions					
0055	28110		Part removal of metatarsal					
0055	28111		Part removal of metatarsal					
0055	28112		Part removal of metatarsal					
0055	28113		Part removal of metatarsal					
0055	28114		Removal of metatarsal heads					
0055	28116		Revision of foot					
0055	28118		Removal of heel bone					
0055	28119		Removal of heel spur					
0055	28120		Part removal of ankle/heel					
0055	28122		Partial removal of foot bon					
0055	28124		Partial removal of toe					
0055	28126		Partial removal of toe					
0055	28130		Removal of ankle bone					
0055	28140		Removal of metatarsal					
0055	28150		Removal of toe					
0055	28153		Partial removal of toe					
0055	28160		Partial removal of toe					
0055	28171		Resect tarsal tumor					
0055	28173		Resect metatarsal tumor					
0055	28175		Resect phalanx of toe tumor					
0055	28200		Repair of foot tendon					
0055	28202		Repair/graft of foot tendon					
0055	28208		Repair of foot tendon					
0055	28220		Release of foot tendon					
0055	28222		Release of foot tendons					
0055	28225		Release of foot tendon					
0055	28226		Release of foot tendons					
0055	28230		Incision of foot tendon(s)					
0055	28232		Incision of toe tendon					
0055	28234		Incision of foot tendon					
0055	28240		Release of big toe					
0055	28250		Revision of foot fascia					
0055	28260		Release of midfoot joint					
0055	28261		Revision of foot tendon					
0055	28262		Revision of foot and ankle					
0055	28270		Release of foot contracture					
0055	28272		Release of toe joint each					
0055	28280		Fusion of toes					
0055	28285		Repair of hammertoe					
0055	28286		Repair of hammertoe					
0055	28288		Partial removal of foot bon					
0055	28289		Repair hallux rigidus					
0055	28302		Incision of ankle bone					
0055	28306		Incision of metatarsal					
0055	28307		Incision of metatarsal					
0055	28308		Incision of metatarsal					
0055	28310		Revision of big toe					
0055	28312		Revision of toe					
0055	28313		Repair deformity of toe					
0055	28315		Removal of sesamoid bone					
0055	28340		Resect enlarged toe tissue					
0055	28341		Resect enlarged toe					
0055	28344		Repair extra toe(s)					
0055	28345		Repair webbed toe(s)					
0055	28755		Fusion of big toe joint					
0055	28805		Amputation thru metatarsal					
0055	28810		Amputation toe & metatarsal					
0055	28820		Amputation of toe					
0055	28825		Partial amputation of toe					
0055	29893		Scope plantar fasciotomy					
0056		Level II Foot Musculoskeletal Procedures		T	67.7072	"$4,924.21"	.	$984.85
0056	20972		Bone/skin graft metatarsal					
0056	20973		Bone/skin graft great toe					
0056	28102		Remove/graft foot lesion					
0056	28103		Remove/graft foot lesion					
0056	28106		Remove/graft foot lesion					
0056	28107		Remove/graft foot lesion					
0056	28210		Repair/graft of foot tendon					
0056	28238		Revision of foot tendon					
0056	28264		Release of midfoot joint					
0056	28300		Incision of heel bone					
0056	28304		Incision of midfoot bones					
0056	28305		Incise/graft midfoot bones					
0056	28309		Incision of metatarsals					
0056	28320		Repair of foot bones					
0056	28322		Repair of metatarsals					
0056	28360		Reconstruct cleft foot					
0056	28446		Osteochondral talus autogrf					
0056	28705		Fusion of foot bones					
0056	28725		Fusion of foot bones					
0056	28730		Fusion of foot bones					
0056	28735		Fusion of foot bones					
0056	28737		Revision of foot bones					
0056	28740		Fusion of foot bones					
0056	28750		Fusion of big toe joint					
0056	28760		Fusion of big toe joint					
0057		Bunion Procedures		T	36.7515	"$2,672.86"	.	$534.58
0057	28290		Correction of bunion					
0057	28292		Correction of bunion					
0057	28293		Correction of bunion					
0057	28294		Correction of bunion					
0057	28296		Correction of bunion					
0057	28297		Correction of bunion					
0057	28298		Correction of bunion					
0057	28299		Correction of bunion					
0058		Level I Cast Application		S	1.6811	$122.26	.	$24.46
0058	29000		Application of body cast					
0058	29020		Application of body cast					
0058	29025		Application of body cast					
0058	29040		Application of body cast					
0058	29049		Application of figure eight					
0058	29058		Application of shoulder cas					
0058	29085		Apply hand/wrist cast					
0058	29086		Apply finger cast					
0058	29105		Apply long arm splint					
0058	29125		Apply forearm splint					
0058	29126		Apply forearm splint					
0058	29440		Addition of walker to cast					
0058	29450		Application of leg cast					
0058	29505		Application long leg splint					
0058	29515		Application lower leg splin					
0058	29580		Application of paste boot					
0058	29581		Apply multlay comprs lwr le					
0058	29700		Removal/revision of cast					
0058	29705		Removal/revision of cast					
0058	29715		Removal/revision of cast					
0058	29720		Repair of body cast					
0058	29730		Windowing of cast					
0058	29740		Wedging of cast					
0058	29750		Wedging of clubfoot cast					
0058	29799		Casting/strapping procedure					
0059		Level I Strapping		S	0.8076	$58.74	.	$11.75
0059	29130		Application of finger splin					
0059	29131		Application of finger splin					
0059	29200		Strapping of chest					
0059	29240		Strapping of shoulder					
0059	29260		Strapping of elbow or wrist					
0059	29280		Strapping of hand or finger					
0059	29520		Strapping of hip					
0059	29530		Strapping of knee					
0059	29540		Strapping of ankle and/or f					
0059	29550		Strapping of toes					
0059	29583		Apply multlay comprs upr ar					
0059	29584		Appl multlay comprs arm/han					
0060		Manipulation Therapy		S	0.2561	$18.63	.	$3.73
0060	98925		Osteopath manj 1-2 regions					
0060	98926		Osteopath manj 3-4 regions					
0060	98927		Osteopath manj 5-6 regions					
0060	98928		Osteopath manj 7-8 regions					
0060	98929		Osteopath manj 9-10 regions					
0060	98940		Chiropract manj 1-2 regions					
0060	98941		Chiropract manj 3-4 regions					
0060	98942		Chiropractic manj 5 regions					
0061		Level II Implantation/Revision/Replacement of Neurostimulator Electrodes		J1	121.2432	"$8,817.78"	.	"$1,763.56"
0061	43647		Lap impl electrode antrum					
0061	63655		Implant neuroelectrodes					
0061	64575		Implant neuroelectrodes					
0061	64580		Implant neuroelectrodes					
0061	64581		Implant neuroelectrodes					
0062		Level I Treatment Fracture/Dislocation		T	28.3363	"$2,060.84"	.	$412.17
0062	0245T		Open tx rib fx 1-2 ribs					
0062	0246T		Opn tx rib fx 3-4 ribs					
0062	0247T		Opn tx rib fx 5-6 ribs					
0062	0248T		Open tx rib fx 7/> ribs					
0062	21336		Open tx septal fx w/wo stab					
0062	21805		Treatment of rib fracture					
0062	23532		Treat clavicle dislocation					
0062	24538		Treat humerus fracture					
0062	24566		Treat humerus fracture					
0062	24582		Treat humerus fracture					
0062	25606		Treat fx distal radial					
0062	25651		Pin ulnar styloid fracture					
0062	25670		Treat wrist dislocation					
0062	25671		Pin radioulnar dislocation					
0062	25676		Treat wrist dislocation					
0062	25685		Treat wrist fracture					
0062	25695		Treat wrist dislocation					
0062	26608		Treat metacarpal fracture					
0062	26650		Treat thumb fracture					
0062	26676		Pin hand dislocation					
0062	26685		Treat hand dislocation					
0062	26715		Treat knuckle dislocation					
0062	26727		Treat finger fracture each					
0062	26735		Treat finger fracture each					
0062	26746		Treat finger fracture each					
0062	26756		Pin finger fracture each					
0062	26765		Treat finger fracture each					
0062	26776		Pin finger dislocation					
0062	26785		Treat finger dislocation					
0062	27509		Treatment of thigh fracture					
0062	27756		Treatment of tibia fracture					
0062	28406		Treatment of heel fracture					
0062	28436		Treatment of ankle fracture					
0062	28456		Treat midfoot fracture					
0062	28476		Treat metatarsal fracture					
0062	28496		Treat big toe fracture					
0062	28505		Treat big toe fracture					
0062	28525		Treat toe fracture					
0062	28531		Treat sesamoid bone fractur					
0062	28545		Treat foot dislocation					
0062	28546		Treat foot dislocation					
0062	28576		Treat foot dislocation					
0062	28585		Repair foot dislocation					
0062	28606		Treat foot dislocation					
0062	28636		Treat toe dislocation					
0062	28645		Repair toe dislocation					
0062	28666		Treat toe dislocation					
0062	28675		Repair of toe dislocation					
0063		Level II Treatment Fracture/Dislocation		T	57.6895	"$4,195.64"	.	$839.13
0063	23530		Treat clavicle dislocation					
0063	23550		Treat clavicle dislocation					
0063	23552		Treat clavicle dislocation					
0063	23660		Treat shoulder dislocation					
0063	23680		Treat dislocation/fracture					
0063	24665		Treat radius fracture					
0063	24685		Treat ulnar fracture					
0063	25515		Treat fracture of radius					
0063	25525		Treat fracture of radius					
0063	25526		Treat fracture of radius					
0063	25545		Treat fracture of ulna					
0063	25628		Treat wrist bone fracture					
0063	25645		Treat wrist bone fracture					
0063	25652		Treat fracture ulnar styloi					
0063	26615		Treat metacarpal fracture					
0063	26665		Treat thumb fracture					
0063	27202		Treat tail bone fracture					
0063	27524		Treat kneecap fracture					
0063	27566		Treat kneecap dislocation					
0063	27720		Repair of tibia					
0063	27726		Repair fibula nonunion					
0063	27758		Treatment of tibia fracture					
0063	27766		Optx medial ankle fx					
0063	27769		Optx post ankle fx					
0063	27784		Treatment of fibula fractur					
0063	27792		Treatment of ankle fracture					
0063	27814		Treatment of ankle fracture					
0063	27822		Treatment of ankle fracture					
0063	27826		Treat lower leg fracture					
0063	27829		Treat lower leg joint					
0063	27832		Treat lower leg dislocation					
0063	27846		Treat ankle dislocation					
0063	27848		Treat ankle dislocation					
0063	28420		Treat/graft heel fracture					
0063	28445		Treat ankle fracture					
0063	28465		Treat midfoot fracture each					
0063	28485		Treat metatarsal fracture					
0063	28555		Repair foot dislocation					
0063	28615		Repair foot dislocation					
0064		Level III Treatment Fracture/Dislocation		T	75.4192	"$5,485.09"	.	"$1,097.02"
0064	23515		Treat clavicle fracture					
0064	23585		Treat scapula fracture					
0064	23615		Treat humerus fracture					
0064	23616		Treat humerus fracture					
0064	23630		Treat humerus fracture					
0064	23670		Treat dislocation/fracture					
0064	24515		Treat humerus fracture					
0064	24516		Treat humerus fracture					
0064	24545		Treat humerus fracture					
0064	24546		Treat humerus fracture					
0064	24575		Treat humerus fracture					
0064	24579		Treat humerus fracture					
0064	24586		Treat elbow fracture					
0064	24587		Treat elbow fracture					
0064	24615		Treat elbow dislocation					
0064	24635		Treat elbow fracture					
0064	24666		Treat radius fracture					
0064	25574		Treat fracture radius & uln					
0064	25575		Treat fracture radius/ulna					
0064	25607		Treat fx rad extra-articul					
0064	25608		Treat fx rad intra-articul					
0064	25609		Treat fx radial 3+ frag					
0064	26686		Treat hand dislocation					
0064	27722		Repair/graft of tibia					
0064	27759		Treatment of tibia fracture					
0064	27823		Treatment of ankle fracture					
0064	27827		Treat lower leg fracture					
0064	27828		Treat lower leg fracture					
0064	28415		Treat heel fracture					
0065		"IORT, MRgFUS, and MEG"		S	23.9366	"$1,740.86"	.	$348.18
0065	0071T		U/s leiomyomata ablate <200					
0065	0072T		U/s leiomyomata ablate >200					
0065	0301T		Mw therapy for breast tumor					
0065	77424		Io rad tx delivery by x-ray					
0065	77425		Io rad tx deliver by elctrn					
0065	95965		Meg spontaneous					
0065	95966		Meg evoked single					
0065	C9734		"U/S trtmt, not leiomyomata"					
0066		Level I Stereotactic Radiosurgery		S	34.1124	"$2,480.93"	.	$496.19
0066	77373		Sbrt delivery					
0067		Level II Stereotactic Radiosurgery		S	117.9227	"$8,576.28"	.	"$1,715.26"
0067	77371		Srs multisource					
0067	77372		Srs linear based					
0069		Thoracoscopy		T	40.3947	"$2,937.83"	$591.64	$587.57
0069	32601		Thoracoscopy diagnostic					
0069	32604		Thoracoscopy wbx sac					
0069	32606		Thoracoscopy w/bx med space					
0069	32607		Thoracoscopy w/bx infiltrat					
0069	32608		Thoracoscopy w/bx nodule					
0069	32609		Thoracoscopy w/bx pleura					
0069	39400		Mediastinoscopy incl biopsy					
0070		Thoracentesis/Lavage Procedures		T	6.9711	$506.99	.	$101.40
0070	32201		Drain percut lung lesion					
0070	32551		Insertion of chest tube					
0070	32552		Remove lung catheter					
0070	32554		Aspirate pleura w/o imaging					
0070	32555		Aspirate pleura w/ imaging					
0070	32556		Insert cath pleura w/o imag					
0070	32557		Insert cath pleura w/ image					
0070	32560		Treat pleurodesis w/agent					
0070	32561		Lyse chest fibrin init day					
0070	32562		Lyse chest fibrin subq day					
0070	32960		Therapeutic pneumothorax					
0070	32999		Chest surgery procedure					
0070	33010		Drainage of heart sac					
0070	33011		Repeat drainage of heart sa					
0070	33999		Cardiac surgery procedure					
0070	49082		Abd paracentesis					
0070	49083		Abd paracentesis w/imaging					
0070	49084		Peritoneal lavage					
0071		Level I Endoscopy Upper Airway		T	1.2349	$89.81	.	$17.97
0071	31505		Diagnostic laryngoscopy					
0071	92511		Nasopharyngoscopy					
0072		Level II Endoscopy Upper Airway		T	2.2574	$164.18	.	$32.84
0072	31231		Nasal endoscopy dx					
0072	31233		Nasal/sinus endoscopy dx					
0072	31511		Remove foreign body larynx					
0072	31513		Injection into vocal cord					
0072	31520		Dx laryngoscopy newborn					
0072	31575		Diagnostic laryngoscopy					
0073		Level III Endoscopy Upper Airway		T	4.7942	$348.67	.	$69.74
0073	31577		Remove foreign body larynx					
0073	31579		Diagnostic laryngoscopy					
0073	31717		Bronchial brush biopsy					
0073	31730		Intro windpipe wire/tube					
0074		Level IV Endoscopy Upper Airway		T	21.0645	"$1,531.98"	.	$306.40
0074	31235		Nasal/sinus endoscopy dx					
0074	31237		Nasal/sinus endoscopy surg					
0074	31238		Nasal/sinus endoscopy surg					
0074	31240		Nasal/sinus endoscopy surg					
0074	31510		Laryngoscopy with biopsy					
0074	31512		Removal of larynx lesion					
0074	31515		Laryngoscopy for aspiration					
0074	31525		Dx laryngoscopy excl nb					
0074	31526		Dx laryngoscopy w/oper scop					
0074	31530		Laryngoscopy w/fb removal					
0074	31531		Laryngoscopy w/fb & op scop					
0074	31535		Laryngoscopy w/biopsy					
0074	31536		Laryngoscopy w/bx & op scop					
0074	31540		Laryngoscopy w/exc of tumor					
0074	31545		Remove vc lesion w/scope					
0074	31570		Laryngoscope w/vc inj					
0074	31571		Laryngoscop w/vc inj + scop					
0074	31576		Laryngoscopy with biopsy					
0074	31578		Removal of larynx lesion					
0075		Level V Endoscopy Upper Airway		T	32.3789	"$2,354.85"	.	$470.97
0075	31239		Nasal/sinus endoscopy surg					
0075	31254		Revision of ethmoid sinus					
0075	31255		Removal of ethmoid sinus					
0075	31256		Exploration maxillary sinus					
0075	31267		Endoscopy maxillary sinus					
0075	31276		Sinus endoscopy surgical					
0075	31287		Nasal/sinus endoscopy surg					
0075	31288		Nasal/sinus endoscopy surg					
0075	31292		Nasal/sinus endoscopy surg					
0075	31293		Nasal/sinus endoscopy surg					
0075	31294		Nasal/sinus endoscopy surg					
0075	31295		Sinus endo w/balloon dil					
0075	31296		Sinus endo w/balloon dil					
0075	31297		Sinus endo w/balloon dil					
0075	31527		Laryngoscopy for treatment					
0075	31528		Laryngoscopy and dilation					
0075	31529		Laryngoscopy and dilation					
0075	31541		Larynscop w/tumr exc + scop					
0075	31546		Remove vc lesion scope/graf					
0075	31560		Laryngoscop w/arytenoidecto					
0075	31561		Larynscop remve cart + scop					
0076		Level I Endoscopy Lower Airway		T	14.2837	"$1,038.82"	.	$207.77
0076	31622		Dx bronchoscope/wash					
0076	31623		Dx bronchoscope/brush					
0076	31624		Dx bronchoscope/lavage					
0076	31625		Bronchoscopy w/biopsy(s)					
0076	31628		Bronchoscopy/lung bx each					
0076	31635		Bronchoscopy w/fb removal					
0076	31643		Diag bronchoscope/catheter					
0076	31645		Bronchoscopy clear airways					
0076	31646		Bronchoscopy reclear airway					
0076	31649		Bronchial valve remov addl					
0076	31899		Airways surgical procedure					
0077		Level I Pulmonary Treatment		S	0.5408	$39.33	.	$7.87
0077	94668		Chest wall manipulation					
0077	G0237		Therapeutic procd strg endu					
0077	G0238		"Oth resp proc, indiv"					
0077	G0239		"Oth resp proc, group"					
0077	G0424		Pulmonary rehab w exer					
0078		Level III Pulmonary Treatment		S	3.4176	$248.56	.	$49.72
0078	0243T		Intm msr bronchodil wheeze					
0078	31502		Change of windpipe airway					
0078	94060		Evaluation of wheezing					
0078	94642		Aerosol inhalation treatmen					
0079		Ventilation Initiation and Management		S	5.4176	$394.01	.	$78.81
0079	94002		Vent mgmt inpat init day					
0079	94003		Vent mgmt inpat subq day					
0079	94662		Neg press ventilation cnp					
0080		Diagnostic Cardiac Catheterization		T	36.2341	"$2,635.23"	$810.73	$527.05
0080	93451		Right heart cath					
0080	93452		Left hrt cath w/ventrclgrph					
0080	93453		R&l hrt cath w/ventriclgrph					
0080	93454		Coronary artery angio s&i					
0080	93455		Coronary art/grft angio s&i					
0080	93456		R hrt coronary artery angio					
0080	93457		R hrt art/grft angio					
0080	93458		L hrt artery/ventricle angi					
0080	93459		L hrt art/grft angio					
0080	93460		R&l hrt art/ventricle angio					
0080	93461		R&l hrt art/ventricle angio					
0080	93530		Rt heart cath congenital					
0080	93531		R & l heart cath congenital					
0080	93532		R & l heart cath congenital					
0080	93533		R & l heart cath congenital					
0082		Coronary or Non-Coronary Atherectomy		J1	142.1988	"$10,341.83"	.	"$2,068.37"
0082	0234T		Trluml perip athrc renal ar					
0082	0236T		Trluml perip athrc abd aort					
0082	0237T		Trluml perip athrc brchiocp					
0082	0238T		Trluml perip athrc iliac ar					
0082	37204		Transcatheter occlusion					
0082	61623		Endovasc tempory vessel occ					
0082	61626		Transcath occlusion non-cns					
0082	92924		Prq card angio/athrect 1 ar					
0083		"Coronary Angioplasty, Valvuloplasty, and Level I Endovascular Revascularization"		J1	62.4497	"$4,541.84"	.	$908.37
0083	35458		Repair arterial blockage					
0083	35460		Repair venous blockage					
0083	35471		Repair arterial blockage					
0083	35472		Repair arterial blockage					
0083	35475		Repair arterial blockage					
0083	35476		Repair venous blockage					
0083	37220		Iliac revasc					
0083	37224		Fem/popl revas w/tla					
0083	37228		Tib/per revasc w/tla					
0083	92920		Prq cardiac angioplast 1 ar					
0083	92986		Revision of aortic valve					
0083	92987		Revision of mitral valve					
0083	92990		Revision of pulmonary valve					
0083	92997		Pul art balloon repr percut					
0084		Level I Electrophysiologic Procedures		S	10.4216	$757.94	.	$151.59
0084	93600		Bundle of His recording					
0084	93602		Intra-atrial recording					
0084	93603		Right ventricular recording					
0084	93610		Intra-atrial pacing					
0084	93612		Intraventricular pacing					
0084	93615		Esophageal recording					
0084	93616		Esophageal recording					
0084	93618		Heart rhythm pacing					
0084	93642		Electrophysiology evaluatio					
0085		Level II Electrophysiologic Procedures		J1	158.3657	"$11,517.62"	.	"$2,303.53"
0085	93619		Electrophysiology evaluatio					
0085	93620		Electrophysiology evaluatio					
0085	93624		Electrophysiologic study					
0085	93650		Ablate heart dysrhythm focu					
0088		Thrombectomy		T	45.2941	"$3,294.15"	.	$658.83
0088	33233		Removal of pm generator					
0088	34101		Removal of artery clot					
0088	34111		Removal of arm artery clot					
0088	34201		Removal of artery clot					
0088	34203		Removal of leg artery clot					
0088	34421		Removal of vein clot					
0088	34471		Removal of vein clot					
0088	34490		Removal of vein clot					
0088	34501		Repair valve femoral vein					
0088	34510		Transposition of vein valve					
0088	34520		Cross-over vein graft					
0088	34530		Leg vein fusion					
0088	35188		Repair blood vessel lesion					
0088	35207		Repair blood vessel lesion					
0088	35875		Removal of clot in graft					
0088	35876		Removal of clot in graft					
0088	35879		Revise graft w/vein					
0088	35881		Revise graft w/vein					
0088	35883		Revise graft w/nonauto graf					
0088	35884		Revise graft w/vein					
0088	36818		Av fuse uppr arm cephalic					
0088	36819		Av fuse uppr arm basilic					
0088	36820		Av fusion/forearm vein					
0088	36821		Av fusion direct any site					
0088	36825		Artery-vein autograft					
0088	36830		Artery-vein nonautograft					
0088	36831		Open thrombect av fistula					
0088	36832		Av fistula revision open					
0088	36833		Av fistula revision					
0088	36838		Dist revas ligation hemo					
0088	37184		Prim art mech thrombectomy					
0088	37187		Venous mech thrombectomy					
0088	37188		Venous m-thrombectomy add-o					
0089		Insertion/Replacement of Permanent Pacemaker and Electrodes		J1	130.0413	"$9,457.64"	.	"$1,891.53"
0089	0302T		Icar ischm mntrng sys compl					
0089	33206		Insert heart pm atrial					
0089	33207		Insert heart pm ventricular					
0090		Level I Insertion/Replacement of Permanent Pacemaker		J1	102.3575	"$7,444.26"	"$1,593.50"	"$1,488.86"
0090	0304T		Icar ischm mntrng sys devic					
0090	33212		Insert pulse gen sngl lead					
0090	33227		Remove&replace pm gen singl					
0091		Level II Vascular Ligation		T	40.2361	"$2,926.29"	.	$585.26
0091	36475		Endovenous rf 1st vein					
0091	37191		Ins endovas vena cava filtr					
0091	37500		Endoscopy ligate perf veins					
0091	37605		Ligation of neck artery					
0091	37619		Ligation of inf vena cava					
0091	37722		Ligate/strip long leg vein					
0091	37735		Removal of leg veins/lesion					
0092		Level I Vascular Ligation		T	28.5685	"$2,077.73"	.	$415.55
0092	30915		Ligation nasal sinus artery					
0092	30920		Ligation upper jaw artery					
0092	36478		Endovenous laser 1st vein					
0092	37501		Vascular endoscopy procedur					
0092	37606		Ligation of neck artery					
0092	37607		Ligation of a-v fistula					
0092	37615		Ligation of neck artery					
0092	37650		Revision of major vein					
0092	37700		Revise leg vein					
0092	37718		Ligate/strip short leg vein					
0092	37760		Ligate leg veins radical					
0092	37761		Ligate leg veins open					
0092	37765		Stab phleb veins xtr 10-20					
0092	37766		Phleb veins - extrem 20+					
0092	37780		Revision of leg vein					
0092	37785		Ligate/divide/excise vein					
0093		Vascular Reconstruction/Fistula Repair without Device		T	32.5782	"$2,369.35"	.	$473.87
0093	35045		Repair defect of arm artery					
0093	35180		Repair blood vessel lesion					
0093	35184		Repair blood vessel lesion					
0093	35190		Repair blood vessel lesion					
0093	35201		Repair blood vessel lesion					
0093	35206		Repair blood vessel lesion					
0093	35231		Repair blood vessel lesion					
0093	35236		Repair blood vessel lesion					
0093	35256		Repair blood vessel lesion					
0093	35321		Rechanneling of artery					
0093	35761		Exploration of artery/vein					
0093	35860		Explore limb vessels					
0093	35903		Excision graft extremity					
0093	37565		Ligation of neck vein					
0093	37600		Ligation of neck artery					
0093	75978		Repair venous blockage					
0094		Level I Resuscitation and Cardioversion		S	2.2666	$164.85	$43.80	$32.97
0094	31500		Insert emergency airway					
0094	92950		Heart/lung resuscitation cp					
0094	92953		Temporary external pacing					
0094	99465		Nb resuscitation					
0095		Cardiac Rehabilitation		S	1.4014	$101.92	.	$20.39
0095	93797		Cardiac rehab					
0095	93798		Cardiac rehab/monitor					
0095	G0422		Intens cardiac rehab w/exer					
0095	G0423		Intens cardiac rehab no exe					
0096		Level II Noninvasive Physiologic Studies		S	1.8786	$136.63	$36.86	$27.33
0096	43755		Dx gastr intub w/asp specs					
0096	76936		Echo guide for artery repai					
0096	93225		Ecg monit/reprt up to 48 hr					
0096	93923		Upr/lxtr art stdy 3+ lvls					
0096	93924		Lwr xtr vasc stdy bilat					
0096	93965		Extremity study					
0097		Level I Noninvasive Physiologic Studies		S	1.3151	$95.64	.	$19.13
0097	0239T		Bioimpedance spectroscopy					
0097	0296T		Ext ecg recording					
0097	0297T		Ext ecg scan w/report					
0097	93226		Ecg monit/reprt up to 48 hr					
0097	93786		Ambulatory BP recording					
0097	93788		Ambulatory BP analysis					
0097	93799		Cardiovascular procedure					
0097	93922		Upr/l xtremity art 2 levels					
0097	93982		Aneurysm pressure sens stud					
0097	94762		Measure blood oxygen level					
0097	94775		Ped home apnea rec hk-up					
0097	94776		Ped home apnea rec downld					
0099		Electrocardiograms/Cardiography		S	1.0076	$73.28	.	$14.66
0099	0223T		Acoustic ecg w/i&r					
0099	0311T		Cal & alys cntrl artl press					
0099	93005		Electrocardiogram tracing					
0099	93701		Bioimpedance cv analysis					
0100		Cardiac Stress Tests		S	3.3348	$242.53	.	$48.51
0100	0179T		64 lead ecg w/tracing					
0100	93017		Cardiovascular stress test					
0100	93024		Cardiac drug stress test					
0100	93025		Microvolt t-wave assess					
0100	Q0035		Cardiokymography					
0101		Tilt Table Evaluation		S	4.7686	$346.81	$100.24	$69.37
0101	93660		Tilt table evaluation					
0102		Level II Pulmonary Treatment		S	1.2720	$92.51	.	$18.51
0102	31720		Clearance of airways					
0102	94610		Surfactant admin thru tube					
0102	94640		Airway inhalation treatment					
0102	94660		Pos airway pressure cpap					
0102	94664		Evaluate pt use of inhaler					
0102	94667		Chest wall manipulation					
0103		Miscellaneous Vascular Procedures		T	22.0912	"$1,606.65"	.	$321.33
0103	37202		Transcatheter therapy infus					
0103	93503		Insert/place heart catheter					
0103	93505		Biopsy of heart lining					
0104		Transcatheter Placement of Intracoronary Stents		J1	121.0010	"$8,800.16"	.	"$1,760.04"
0104	92928		Prq card stent w/angio 1 vs					
0104	92933		Prq card stent/ath/angio					
0104	92937		Prq revasc byp graft 1 vsl					
0104	92941		Prq card revasc mi 1 vsl					
0104	92943		Prq card revasc chronic 1vs					
0105		"Repair/Revision/Removal of Pacemakers, AICDs, or Vascular Devices"		T	23.4918	"$1,708.51"	.	$341.71
0105	0307T		Rmvl icar ischm mntrng dvce					
0105	0322T		Rmvl subq defib pls gen					
0105	0324T		Rmvl subq defib electrode					
0105	0325T		Repos subq defib eltrd &/ge					
0105	33215		Reposition pacing-defib lea					
0105	33218		Repair lead pace-defib one					
0105	33220		Repair lead pace-defib dual					
0105	33226		Reposition l ventric lead					
0105	33234		Removal of pacemaker system					
0105	33235		Removal pacemaker electrode					
0105	33241		Remove pulse generator					
0105	33244		Remove eltrd transven					
0105	36261		Revision of infusion pump					
0105	36262		Removal of infusion pump					
0105	49422		Remove tunneled ip cath					
0105	49429		Removal of shunt					
0106		"Insertion/Replacement/Repair of Pacemaker Generator, Leads, and/or Electrodes"		J1	80.7562	"$5,873.24"	.	"$1,174.65"
0106	0303T		Icar ischm mntrng sys eltrd					
0106	0320T		Insert subq defib electrode					
0106	33210		Insert electrd/pm cath sngl					
0106	33211		Insert card electrodes dual					
0106	33216		Insert 1 electrode pm-defib					
0106	33217		Insert 2 electrode pm-defib					
0107		Level I Implantation of Cardioverter-Defibrillators (ICDs)		J1	346.4139	"$25,193.99"	.	"$5,038.80"
0107	0319T		Insert subq defib w/eltrd					
0107	0321T		Insert subq defib pls gen					
0107	0323T		Rmvl & replc subq pls gen					
0107	33230		Insrt pulse gen w/dual lead					
0107	33231		Insrt pulse gen w/mult lead					
0107	33240		Insrt pulse gen w/singl lea					
0107	33262		Remv&replc cvd gen sing lea					
0107	33263		Remv&replc cvd gen dual lea					
0107	33264		Remv&replc cvd gen mult lea					
0108		Level II Implantation of Cardioverter-Defibrillators (ICDs)		J1	434.4173	"$31,594.30"	.	"$6,318.86"
0108	33249		Nsert pace-defib w/lead					
0110		Transfusion		S	5.0585	$367.89	.	$73.58
0110	36430		Blood transfusion service					
0110	36440		Bl push transfuse 2 yr/<					
0110	36450		Bl exchange/transfuse nb					
0110	36455		Bl exchange/transfuse non-n					
0110	36460		Transfusion service fetal					
0110	38207		Cryopreserve stem cells					
0110	38208		Thaw preserved stem cells					
0110	38209		Wash harvest stem cells					
0110	38999		Blood/lymph system procedur					
0111		Blood Product Exchange		S	15.0181	"$1,092.24"	.	$218.45
0111	36511		Apheresis wbc					
0111	36512		Apheresis rbc					
0111	36513		Apheresis platelets					
0111	36514		Apheresis plasma					
0111	38206		Harvest auto stem cells					
0111	38242		Transplt allo lymphocytes					
0111	38243		Transplj hematopoietic boos					
0112		Apheresis and Stem Cell Procedures		S	44.4573	"$3,233.29"	.	$646.66
0112	0263T		Im B1 mrw cel ther cmpl					
0112	0264T		Im B1 mrw cel ther xcl hrvs					
0112	0265T		Im B1 mrw cel ther hrvst on					
0112	36515		Apheresis adsorp/reinfuse					
0112	36516		Apheresis selective					
0112	36522		Photopheresis					
0112	38230		Bone marrow harvest allogen					
0112	38232		Bone marrow harvest autolog					
0112	38240		Transplt allo hct/donor					
0112	38241		Transplt autol hct/donor					
0113		Excision Lymphatic System		T	31.2189	"$2,270.49"	.	$454.10
0113	38308		Incision of lymph channels					
0113	38500		Biopsy/removal lymph nodes					
0113	38510		Biopsy/removal lymph nodes					
0113	38520		Biopsy/removal lymph nodes					
0113	38525		Biopsy/removal lymph nodes					
0113	38530		Biopsy/removal lymph nodes					
0113	38550		Removal neck/armpit lesion					
0113	38555		Removal neck/armpit lesion					
0113	38700		Removal of lymph nodes neck					
0113	38720		Removal of lymph nodes neck					
0113	38760		Remove groin lymph nodes					
0114		Thyroid/Lymphadenectomy Procedures		T	57.2691	"$4,165.07"	.	$833.02
0114	38542		Explore deep node(s) neck					
0114	38740		Remove armpit lymph nodes					
0114	38745		Remove armpit lymph nodes					
0114	60200		Remove thyroid lesion					
0114	60210		Partial thyroid excision					
0114	60212		Partial thyroid excision					
0114	60220		Partial removal of thyroid					
0114	60225		Partial removal of thyroid					
0114	60240		Removal of thyroid					
0114	60280		Remove thyroid duct lesion					
0114	60281		Remove thyroid duct lesion					
0114	60699		Endocrine surgery procedure					
0115		Cannula/Access Device Procedures		T	36.8306	"$2,678.62"	.	$535.73
0115	36800		Insertion of cannula					
0115	36810		Insertion of cannula					
0115	36815		Insertion of cannula					
0115	36835		Artery to vein shunt					
0115	36861		Cannula declotting					
0115	49419		Insert tun ip cath w/port					
0121		Level I Tube or Catheter Changes or Repositioning		T	6.4912	$472.09	.	$94.42
0121	36575		Repair tunneled cv cath					
0121	36589		Removal tunneled cv cath					
0121	44500		Intro gastrointestinal tube					
0121	49450		Replace g/c tube perc					
0121	49451		Replace duod/jej tube perc					
0121	49452		Replace g-j tube perc					
0121	49460		Fix g/colon tube w/device					
0121	51710		Change of bladder tube					
0121	61070		Brain canal shunt procedure					
0126		Level I Urinary and Anal Procedures		T	1.9191	$139.57	.	$27.92
0126	50391		Instll rx agnt into rnal tu					
0126	50686		Measure ureter pressure					
0126	51101		Drain bladder by trocar/cat					
0126	51700		Irrigation of bladder					
0126	51703		Insert bladder cath complex					
0126	51741		Electro-uroflowmetry first					
0126	51784		Anal/urinary muscle study					
0126	51792		Urinary reflex study					
0126	53601		Dilate urethra stricture					
0126	53660		Dilation of urethra					
0126	53661		Dilation of urethra					
0126	53899		Urology surgery procedure					
0126	54200		Treatment of penis lesion					
0126	54240		Penis study					
0126	55899		Genital surgery procedure					
0126	90911		Biofeedback peri/uro/rectal					
0126	91120		Rectal sensation test					
0129		Level I Closed Treatment Fracture		T	2.2040	$160.29	.	$32.06
0129	21800		Treatment of rib fracture					
0129	21820		Treat sternum fracture					
0129	22305		Closed tx spine process fx					
0129	23500		Treat clavicle fracture					
0129	23570		Treat shoulder blade fx					
0129	23600		Treat humerus fracture					
0129	23620		Treat humerus fracture					
0129	23929		Shoulder surgery procedure					
0129	24560		Treat humerus fracture					
0129	24670		Treat ulnar fracture					
0129	24999		Upper arm/elbow surgery					
0129	25500		Treat fracture of radius					
0129	25530		Treat fracture of ulna					
0129	25560		Treat fracture radius & uln					
0129	25680		Treat wrist fracture					
0129	25999		Forearm or wrist surgery					
0129	26600		Treat metacarpal fracture					
0129	26670		Treat hand dislocation					
0129	26720		Treat finger fracture each					
0129	26750		Treat finger fracture each					
0129	26770		Treat finger dislocation					
0129	26989		Hand/finger surgery					
0129	27200		Treat tail bone fracture					
0129	27220		Treat hip socket fracture					
0129	27250		Treat hip dislocation					
0129	27256		Treat hip dislocation					
0129	27299		Pelvis/hip joint surgery					
0129	27516		Treat thigh fx growth plate					
0129	27560		Treat kneecap dislocation					
0129	27599		Leg surgery procedure					
0129	27767		Cltx post ankle fx					
0129	27768		Cltx post ankle fx w/mnpj					
0129	27830		Treat lower leg dislocation					
0129	27899		Leg/ankle surgery procedure					
0129	28430		Treatment of ankle fracture					
0129	28450		Treat midfoot fracture each					
0129	28455		Treat midfoot fracture each					
0129	28490		Treat big toe fracture					
0129	28510		Treatment of toe fracture					
0129	28530		Treat sesamoid bone fractur					
0129	28540		Treat foot dislocation					
0129	28600		Treat foot dislocation					
0129	28605		Treat foot dislocation					
0129	28660		Treat toe dislocation					
0129	28899		Foot/toes surgery procedure					
0130		Level I Laparoscopy		T	41.1387	"$2,991.94"	$659.53	$598.39
0130	38129		Laparoscope proc spleen					
0130	38589		Laparoscope proc lymphatic					
0130	43289		Laparoscope proc esoph					
0130	43648		Lap revise/remv eltrd antru					
0130	43659		Laparoscope proc stom					
0130	44238		Laparoscope proc intestine					
0130	44979		Laparoscope proc app					
0130	45499		Laparoscope proc rectum					
0130	47379		Laparoscope procedure liver					
0130	47560		Laparoscopy w/cholangio					
0130	47561		Laparo w/cholangio/biopsy					
0130	47579		Laparoscope proc biliary					
0130	49320		Diag laparo separate proc					
0130	49321		Laparoscopy biopsy					
0130	49322		Laparoscopy aspiration					
0130	49323		Laparo drain lymphocele					
0130	49324		Lap insert tunnel ip cath					
0130	49325		Lap revision perm ip cath					
0130	49329		Laparo proc abdm/per/oment					
0130	49659		Laparo proc hernia repair					
0130	50541		Laparo ablate renal cyst					
0130	50549		Laparoscope proc renal					
0130	50949		Laparoscope proc ureter					
0130	51999		Laparoscope proc bla					
0130	54699		Laparoscope proc testis					
0130	55559		Laparo proc spermatic cord					
0130	58545		Laparoscopic myomectomy					
0130	58578		Laparo proc uterus					
0130	58679		Laparo proc oviduct-ovary					
0130	59898		Laparo proc ob care/deliver					
0130	60659		Laparo proc endocrine					
0131		Level II Laparoscopy		T	51.7775	"$3,765.67"	"$1,001.89"	$753.14
0131	38120		Laparoscopy splenectomy					
0131	38570		Laparoscopy lymph node biop					
0131	38572		Laparoscopy lymphadenectomy					
0131	43653		Laparoscopy gastrostomy					
0131	44180		Lap enterolysis					
0131	44186		Lap jejunostomy					
0131	44970		Laparoscopy appendectomy					
0131	47562		Laparoscopic cholecystectom					
0131	47563		Laparo cholecystectomy/grap					
0131	47564		Laparo cholecystectomy/expl					
0131	49650		Lap ing hernia repair init					
0131	49651		Lap ing hernia repair recur					
0131	50543		Laparo partial nephrectomy					
0131	50544		Laparoscopy pyeloplasty					
0131	50945		Laparoscopy ureterolithotom					
0131	50947		Laparo new ureter/bladder					
0131	50948		Laparo new ureter/bladder					
0131	51990		Laparo urethral suspension					
0131	51992		Laparo sling operation					
0131	54690		Laparoscopy orchiectomy					
0131	55550		Laparo ligate spermatic vei					
0131	57425		Laparoscopy surg colpopexy					
0131	58546		Laparo-myomectomy complex					
0131	58552		Laparo-vag hyst incl t/o					
0131	58553		Laparo-vag hyst complex					
0131	58554		Laparo-vag hyst w/t/o compl					
0131	58570		Tlh uterus 250 g or less					
0131	58571		Tlh w/t/o 250 g or less					
0131	58572		Tlh uterus over 250 g					
0131	58573		Tlh w/t/o uterus over 250 g					
0131	58660		Laparoscopy lysis					
0131	58661		Laparoscopy remove adnexa					
0131	58662		Laparoscopy excise lesions					
0131	58670		Laparoscopy tubal cautery					
0131	58671		Laparoscopy tubal block					
0131	58672		Laparoscopy fimbrioplasty					
0131	58673		Laparoscopy salpingostomy					
0131	59150		Treat ectopic pregnancy					
0131	59151		Treat ectopic pregnancy					
0132		Level III Laparoscopy		T	74.9796	"$5,453.12"	"$1,236.99"	"$1,090.63"
0132	38571		Laparoscopy lymphadenectomy					
0132	43280		Laparoscopy fundoplasty					
0132	43281		Lap paraesophag hern repair					
0132	43651		Laparoscopy vagus nerve					
0132	43652		Laparoscopy vagus nerve					
0132	43770		Lap place gastr adj device					
0132	44206		Lap part colectomy w/stoma					
0132	44207		L colectomy/coloproctostomy					
0132	44208		L colectomy/coloproctostomy					
0132	49652		Lap vent/abd hernia repair					
0132	49653		Lap vent/abd hern proc comp					
0132	49654		Lap inc hernia repair					
0132	49655		Lap inc hern repair comp					
0132	49656		Lap inc hernia repair recur					
0132	49657		Lap inc hern recur comp					
0132	54692		Laparoscopy orchiopexy					
0132	58541		Lsh uterus 250 g or less					
0132	58542		Lsh w/t/o ut 250 g or less					
0132	58543		Lsh uterus above 250 g					
0132	58544		Lsh w/t/o uterus above 250					
0132	58550		Laparo-asst vag hysterectom					
0133		Level I Skin Repair		T	1.2083	$87.88	$23.38	$17.58
0133	0299T		Esw wound healing init woun					
0133	11760		Repair of nail bed					
0133	11954		Tx contour defects >10.0 cc					
0133	12001		Rpr s/n/ax/gen/trnk 2.5cm/<					
0133	12002		Rpr s/n/ax/gen/trnk2.6-7.5c					
0133	12004		Rpr s/n/ax/gen/trk7.6-12.5c					
0133	12005		Rpr s/n/a/gen/trk12.6-20.0c					
0133	12006		Rpr s/n/a/gen/trk20.1-30.0c					
0133	12007		Rpr s/n/ax/gen/trnk >30.0 c					
0133	12011		Rpr f/e/e/n/l/m 2.5 cm/<					
0133	12013		Rpr f/e/e/n/l/m 2.6-5.0 cm					
0133	12014		Rpr f/e/e/n/l/m 5.1-7.5 cm					
0133	12015		Rpr f/e/e/n/l/m 7.6-12.5 cm					
0133	12016		Rpr fe/e/en/l/m 12.6-20.0 c					
0133	12017		Rpr fe/e/en/l/m 20.1-30.0 c					
0133	12041		Intmd rpr n-hf/genit 2.5cm/					
0133	12054		Intmd rpr face/mm 7.6-12.5c					
0133	15775		Hair trnspl 1-15 punch grft					
0133	15776		Hair trnspl >15 punch graft					
0134		Level II Skin Repair		T	3.0548	$222.17	.	$44.44
0134	11950		Tx contour defects 1 cc/<					
0134	12018		Rpr f/e/e/n/l/m >30.0 cm					
0134	12021		Closure of split wound					
0134	12031		Intmd rpr s/a/t/ext 2.5 cm/					
0134	12032		Intmd rpr s/a/t/ext 2.6-7.5					
0134	12034		Intmd rpr s/tr/ext 7.6-12.5					
0134	12042		Intmd rpr n-hf/genit2.6-7.5					
0134	12044		Intmd rpr n-hf/genit7.6-12.					
0134	12045		Intmd rpr n-hf/genit12.6-20					
0134	12046		Intmd rpr n-hf/genit20.1-30					
0134	12051		Intmd rpr face/mm 2.5 cm/<					
0134	12052		Intmd rpr face/mm 2.6-5.0 c					
0134	12053		Intmd rpr face/mm 5.1-7.5 c					
0134	12055		Intmd rpr face/mm 12.6-20 c					
0134	12056		Intmd rpr face/mm 20.1-30.0					
0134	12057		Intmd rpr face/mm >30.0 cm					
0134	13120		Cmplx rpr s/a/l 1.1-2.5 cm					
0134	13121		Cmplx rpr s/a/l 2.6-7.5 cm					
0134	13131		Cmplx rpr f/c/c/m/n/ax/g/h/					
0134	15050		Skin pinch graft					
0135		Level IV Skin Repair		T	12.0272	$874.71	.	$174.95
0135	13100		Cmplx rpr trunk 1.1-2.5 cm					
0135	13101		Cmplx rpr trunk 2.6-7.5 cm					
0135	15110		Epidrm autogrft trnk/arm/le					
0135	15271		Skin sub graft trnk/arm/leg					
0135	15275		Skin sub graft face/nk/hf/g					
0135	15277		Skn sub grft f/n/hf/g child					
0135	C9800		Dermal filler inj px/suppl					
0136		Level V Skin Repair		T	18.9370	"$1,377.25"	.	$275.45
0136	11762		Reconstruction of nail bed					
0136	14000		Tis trnfr trunk 10 sq cm/<					
0136	14001		Tis trnfr trunk 10.1-30sqcm					
0136	14020		Tis trnfr s/a/l 10 sq cm/<					
0136	14021		Tis trnfr s/a/l 10.1-30 sqc					
0136	14040		Tis trnfr f/c/c/m/n/a/g/h/f					
0136	14041		Tis trnfr f/c/c/m/n/a/g/h/f					
0136	14060		Tis trnfr e/n/e/l 10 sq cm/					
0136	14061		Tis trnfr e/n/e/l10.1-30sqc					
0136	15115		Epidrm a-grft face/nck/hf/g					
0136	15130		Derm autograft trnk/arm/leg					
0136	15135		Derm autograft face/nck/hf/					
0136	15200		Skin full graft trunk					
0136	15220		Skin full graft sclp/arm/le					
0136	15240		Skin full grft face/genit/h					
0136	15260		Skin full graft een & lips					
0136	15273		Skin sub grft t/arm/lg chil					
0136	15740		Island pedicle flap graft					
0136	15936		Remove sacrum pressure sore					
0136	15952		Remove thigh pressure sore					
0136	15953		Remove thigh pressure sore					
0136	15956		Remove thigh pressure sore					
0136	15958		Remove thigh pressure sore					
0136	20920		Removal of fascia for graft					
0136	20922		Removal of fascia for graft					
0136	20926		Removal of tissue for graft					
0136	23921		Amputation follow-up surger					
0136	25929		Amputation follow-up surger					
0136	33222		Revise pocket pacemaker					
0136	33223		Revise pocket for defib					
0136	43887		Remove gastric port open					
0137		Level VI Skin Repair		T	22.1596	"$1,611.62"	.	$322.33
0137	11960		Insert tissue expander(s)					
0137	13160		Late closure of wound					
0137	14301		Tis trnfr any 30.1-60 sq cm					
0137	14350		Filleted finger/toe flap					
0137	15100		Skin splt grft trnk/arm/leg					
0137	15120		Skn splt a-grft fac/nck/hf/					
0137	15570		Skin pedicle flap trunk					
0137	15572		Skin pedicle flap arms/legs					
0137	15574		Pedcle fh/ch/ch/m/n/ax/g/h/					
0137	15576		Pedicle e/n/e/l/ntroral					
0137	15600		Delay flap trunk					
0137	15610		Delay flap arms/legs					
0137	15620		Delay flap f/c/c/n/ax/g/h/f					
0137	15630		Delay flap eye/nos/ear/lip					
0137	15650		Transfer skin pedicle flap					
0137	15731		Forehead flap w/vasc pedicl					
0137	15732		Muscle-skin graft head/neck					
0137	15734		Muscle-skin graft trunk					
0137	15736		Muscle-skin graft arm					
0137	15738		Muscle-skin graft leg					
0137	15750		Neurovascular pedicle flap					
0137	15760		Composite skin graft					
0137	15770		Derma-fat-fascia graft					
0137	15820		Revision of lower eyelid					
0137	15821		Revision of lower eyelid					
0137	15822		Revision of upper eyelid					
0137	15823		Revision of upper eyelid					
0137	15824		Removal of forehead wrinkle					
0137	15825		Removal of neck wrinkles					
0137	15826		Removal of brow wrinkles					
0137	15828		Removal of face wrinkles					
0137	15829		Removal of skin wrinkles					
0137	15840		Nerve palsy fascial graft					
0137	15841		Nerve palsy muscle graft					
0137	15842		Nerve palsy microsurg graft					
0137	15845		Skin and muscle repair face					
0137	15876		Suction lipectomy head&neck					
0137	15877		Suction lipectomy trunk					
0137	15878		Suction lipectomy upr extre					
0137	15879		Suction lipectomy lwr extre					
0137	15922		Removal of tail bone ulcer					
0137	15934		Remove sacrum pressure sore					
0137	15935		Remove sacrum pressure sore					
0137	15937		Remove sacrum pressure sore					
0137	15944		Remove hip pressure sore					
0137	15945		Remove hip pressure sore					
0137	15946		Remove hip pressure sore					
0137	20101		Explore wound chest					
0137	20102		Explore wound abdomen					
0137	20910		Remove cartilage for graft					
0137	20912		Remove cartilage for graft					
0137	43886		Revise gastric port open					
0137	43888		Change gastric port open					
0137	44312		Revision of ileostomy					
0137	44340		Revision of colostomy					
0138		Level II Closed Treatment Fracture		T	3.6863	$268.10	.	$53.62
0138	22310		Closed tx vert fx w/o manj					
0138	23520		Treat clavicle dislocation					
0138	23525		Treat clavicle dislocation					
0138	23540		Treat clavicle dislocation					
0138	23545		Treat clavicle dislocation					
0138	23575		Treat shoulder blade fx					
0138	23650		Treat shoulder dislocation					
0138	23675		Treat dislocation/fracture					
0138	24500		Treat humerus fracture					
0138	24505		Treat humerus fracture					
0138	24530		Treat humerus fracture					
0138	24535		Treat humerus fracture					
0138	24565		Treat humerus fracture					
0138	24576		Treat humerus fracture					
0138	24577		Treat humerus fracture					
0138	24600		Treat elbow dislocation					
0138	24640		Treat elbow dislocation					
0138	24650		Treat radius fracture					
0138	24655		Treat radius fracture					
0138	24675		Treat ulnar fracture					
0138	25520		Treat fracture of radius					
0138	25535		Treat fracture of ulna					
0138	25565		Treat fracture radius & uln					
0138	25600		Treat fracture radius/ulna					
0138	25622		Treat wrist bone fracture					
0138	25630		Treat wrist bone fracture					
0138	25635		Treat wrist bone fracture					
0138	25650		Treat wrist bone fracture					
0138	25660		Treat wrist dislocation					
0138	25675		Treat wrist dislocation					
0138	26340		Manipulate finger w/anesth					
0138	26341		Manipulat palm cord post in					
0138	26605		Treat metacarpal fracture					
0138	26641		Treat thumb dislocation					
0138	26645		Treat thumb fracture					
0138	26675		Treat hand dislocation					
0138	26700		Treat knuckle dislocation					
0138	26705		Treat knuckle dislocation					
0138	26725		Treat finger fracture each					
0138	26740		Treat finger fracture each					
0138	26742		Treat finger fracture each					
0138	26755		Treat finger fracture each					
0138	27193		Treat pelvic ring fracture					
0138	27230		Treat thigh fracture					
0138	27238		Treat thigh fracture					
0138	27246		Treat thigh fracture					
0138	27265		Treat hip dislocation					
0138	27267		Cltx thigh fx					
0138	27500		Treatment of thigh fracture					
0138	27501		Treatment of thigh fracture					
0138	27503		Treatment of thigh fracture					
0138	27508		Treatment of thigh fracture					
0138	27510		Treatment of thigh fracture					
0138	27517		Treat thigh fx growth plate					
0138	27520		Treat kneecap fracture					
0138	27530		Treat knee fracture					
0138	27538		Treat knee fracture(s)					
0138	27550		Treat knee dislocation					
0138	27750		Treatment of tibia fracture					
0138	27760		Cltx medial ankle fx					
0138	27780		Treatment of fibula fractur					
0138	27786		Treatment of ankle fracture					
0138	27788		Treatment of ankle fracture					
0138	27808		Treatment of ankle fracture					
0138	27810		Treatment of ankle fracture					
0138	27816		Treatment of ankle fracture					
0138	27824		Treat lower leg fracture					
0138	27840		Treat ankle dislocation					
0138	28400		Treatment of heel fracture					
0138	28435		Treatment of ankle fracture					
0138	28470		Treat metatarsal fracture					
0138	28475		Treat metatarsal fracture					
0138	28495		Treat big toe fracture					
0138	28515		Treatment of toe fracture					
0138	28570		Treat foot dislocation					
0138	28630		Treat toe dislocation					
0139		Level III Closed Treatment Fracture		T	14.5388	"$1,057.38"	.	$211.48
0139	20660		Apply rem fixation device					
0139	20697		Comp ext fixate strut chang					
0139	22315		Closed tx vert fx w/manj					
0139	23505		Treat clavicle fracture					
0139	23605		Treat humerus fracture					
0139	23625		Treat humerus fracture					
0139	23665		Treat dislocation/fracture					
0139	24620		Treat elbow fracture					
0139	25259		Manipulate wrist w/anesthes					
0139	25505		Treat fracture of radius					
0139	25605		Treat fracture radius/ulna					
0139	25624		Treat wrist bone fracture					
0139	25690		Treat wrist dislocation					
0139	26607		Treat metacarpal fracture					
0139	26706		Pin knuckle dislocation					
0139	27502		Treatment of thigh fracture					
0139	27532		Treat knee fracture					
0139	27752		Treatment of tibia fracture					
0139	27762		Cltx med ankle fx w/mnpj					
0139	27781		Treatment of fibula fractur					
0139	27818		Treatment of ankle fracture					
0139	27825		Treat lower leg fracture					
0139	27831		Treat lower leg dislocation					
0139	28405		Treatment of heel fracture					
0139	28575		Treat foot dislocation					
0140		Esophageal Dilation without Endoscopy		T	8.3549	$607.64	.	$121.53
0140	43450		Dilate esophagus					
0140	43453		Dilate esophagus					
0140	43456		Dilate esophagus					
0141		Level I Upper GI Procedures		T	10.1877	$740.93	.	$148.19
0141	43200		Esophagus endoscopy					
0141	43202		Esophagus endoscopy biopsy					
0141	43204		Esoph scope w/sclerosis inj					
0141	43235		Uppr gi endoscopy diagnosis					
0141	43236		Uppr gi scope w/submuc inj					
0141	43239		Upper gi endoscopy biopsy					
0141	43241		Upper GI endoscopy with tub					
0141	43243		Upper gi endoscopy & inject					
0141	43247		Operative upper GI endoscop					
0141	43248		Uppr gi endoscopy/guide wir					
0141	43499		Esophagus surgery procedure					
0141	43510		Surgical opening of stomach					
0141	43761		Reposition gastrostomy tube					
0141	43831		Place gastrostomy tube					
0141	43999		Stomach surgery procedure					
0142		Level I Small Intestine Endoscopy		T	11.5539	$840.29	.	$168.06
0142	44360		Small bowel endoscopy					
0142	44361		Small bowel endoscopy/biops					
0142	44363		Small bowel endoscopy					
0142	44376		Small bowel endoscopy					
0142	44380		Small bowel endoscopy					
0142	44382		Small bowel endoscopy					
0142	91110		Gi tract capsule endoscopy					
0143		Lower GI Endoscopy		T	10.7036	$778.45	$186.06	$155.69
0143	44385		Endoscopy of bowel pouch					
0143	44386		Endoscopy bowel pouch/biop					
0143	44388		Colonoscopy					
0143	44389		Colonoscopy with biopsy					
0143	44390		Colonoscopy for foreign bod					
0143	44391		Colonoscopy for bleeding					
0143	44392		Colonoscopy & polypectomy					
0143	44393		Colonoscopy lesion removal					
0143	44394		Colonoscopy w/snare					
0143	45355		Surgical colonoscopy					
0143	45378		Diagnostic colonoscopy					
0143	45379		Colonoscopy w/fb removal					
0143	45380		Colonoscopy and biopsy					
0143	45381		Colonoscopy submucous inj					
0143	45382		Colonoscopy/control bleedin					
0143	45383		Lesion removal colonoscopy					
0143	45384		Lesion remove colonoscopy					
0143	45385		Lesion removal colonoscopy					
0143	45386		Colonoscopy dilate strictur					
0143	45391		Colonoscopy w/endoscope us					
0143	45392		Colonoscopy w/endoscopic fn					
0146		Level I Sigmoidoscopy and Anoscopy		T	6.6058	$480.43	.	$96.09
0146	45300		Proctosigmoidoscopy dx					
0146	45330		Diagnostic sigmoidoscopy					
0146	45331		Sigmoidoscopy and biopsy					
0146	45333		Sigmoidoscopy & polypectomy					
0146	45335		Sigmoidoscopy w/submuc inj					
0147		Level II Sigmoidoscopy and Anoscopy		T	11.2856	$820.78	.	$164.16
0147	0227T		Anoscopy hra w/biopsy					
0147	45303		Proctosigmoidoscopy dilate					
0147	45305		Proctosigmoidoscopy w/bx					
0147	45308		Proctosigmoidoscopy removal					
0147	45309		Proctosigmoidoscopy removal					
0147	45315		Proctosigmoidoscopy removal					
0147	45317		Proctosigmoidoscopy bleed					
0147	45332		Sigmoidoscopy w/fb removal					
0147	45334		Sigmoidoscopy for bleeding					
0147	45337		Sigmoidoscopy & decompress					
0147	45338		Sigmoidoscopy w/tumr remove					
0147	45339		Sigmoidoscopy w/ablate tumr					
0147	45340		Sig w/balloon dilation					
0147	45341		Sigmoidoscopy w/ultrasound					
0147	45342		Sigmoidoscopy w/us guide bx					
0147	46604		Anoscopy and dilation					
0147	46606		Anoscopy and biopsy					
0147	46608		Anoscopy remove for body					
0147	46611		Anoscopy					
0147	46614		Anoscopy control bleeding					
0148		Level I Anal/Rectal Procedures		T	6.5088	$473.37	.	$94.68
0148	45900		Reduction of rectal prolaps					
0148	45999		Rectum surgery procedure					
0148	46030		Removal of rectal marker					
0148	46050		Incision of anal abscess					
0148	46221		Ligation of hemorrhoid(s)					
0148	46500		Injection into hemorrhoid(s					
0148	46930		Destroy internal hemorrhoid					
0148	46942		Treatment of anal fissure					
0148	46999		Anus surgery procedure					
0148	C9725		Place endorectal app					
0149		Level III Anal/Rectal Procedures		T	27.0258	"$1,965.53"	.	$393.11
0149	45000		Drainage of pelvic abscess					
0149	45108		Removal of anorectal lesion					
0149	45150		Excision of rectal strictur					
0149	45160		Excision of rectal lesion					
0149	45171		Exc rect tum transanal part					
0149	45190		Destruction rectal tumor					
0149	45500		Repair of rectum					
0149	46020		Placement of seton					
0149	46045		Incision of rectal abscess					
0149	46200		Removal of anal fissure					
0149	46250		Remove ext hem groups 2+					
0149	46255		Remove int/ext hem 1 group					
0149	46257		Remove in/ex hem grp & fiss					
0149	46258		Remove in/ex hem grp w/fist					
0149	46260		Remove in/ex hem groups 2+					
0149	46261		Remove in/ex hem grps & fis					
0149	46262		Remove in/ex hem grps w/fis					
0149	46270		Remove anal fist subq					
0149	46275		Remove anal fist inter					
0149	46280		Remove anal fist complex					
0149	46285		Remove anal fist 2 stage					
0149	46700		Repair of anal stricture					
0149	46706		Repr of anal fistula w/glue					
0149	46753		Reconstruction of anus					
0149	46945		Remove by ligat int hem grp					
0149	46946		Remove by ligat int hem grp					
0150		Level IV Anal/Rectal Procedures		T	35.1711	"$2,557.92"	.	$511.59
0150	0184T		Exc rectal tumor endoscopic					
0150	0249T		Ligation hemorrhoid w/us					
0150	0288T		Anoscopy w/rf delivery					
0150	45172		Exc rect tum transanal full					
0150	45505		Repair of rectum					
0150	45541		Correct rectal prolapse					
0150	45560		Repair of rectocele					
0150	46288		Repair anal fistula					
0150	46707		Repair anorectal fist w/plu					
0150	46750		Repair of anal sphincter					
0150	46760		Repair of anal sphincter					
0150	46761		Repair of anal sphincter					
0150	46762		Implant artificial sphincte					
0150	46947		Hemorrhoidopexy by stapling					
0150	C9735		"Anoscopy, submucosal inj"					
0151		Endoscopic Retrograde Cholangio-Pancreatography (ERCP)		T	26.7845	"$1,947.98"	.	$389.60
0151	43260		Endo cholangiopancreatograp					
0151	43261		Endo cholangiopancreatograp					
0151	43262		Endo cholangiopancreatograp					
0151	43263		Endo cholangiopancreatograp					
0151	43264		Endo cholangiopancreatograp					
0151	43265		Endo cholangiopancreatograp					
0151	43267		Endo cholangiopancreatograp					
0151	43271		Endo cholangiopancreatograp					
0151	43272		Endo cholangiopancreatograp					
0152		Level I Percutaneous Abdominal and Biliary Procedures		T	24.4340	"$1,777.04"	.	$355.41
0152	47490		Incision of gallbladder					
0152	47510		Insert catheter bile duct					
0152	47552		Biliary endoscopy thru skin					
0152	47554		Biliary endoscopy thru skin					
0152	47555		Biliary endoscopy thru skin					
0152	47630		Remove bile duct stone					
0152	47999		Bile tract surgery procedur					
0153		Peritoneal and Abdominal Procedures		T	23.8803	"$1,736.77"	.	$347.36
0153	44799		Unlisted procedure intestin					
0153	44950		Appendectomy					
0153	49250		Excision of umbilicus					
0153	49402		Remove foreign body adbomen					
0153	49426		Revise abdomen-venous shunt					
0153	49999		Abdomen surgery procedure					
0153	55920		Place needles pelvic for rt					
0154		Hernia/Hydrocele Procedures		T	36.3252	"$2,641.86"	.	$528.38
0154	49491		Rpr hern preemie reduc					
0154	49492		Rpr ing hern premie blocked					
0154	49495		Rpr ing hernia baby reduc					
0154	49496		Rpr ing hernia baby blocked					
0154	49500		Rpr ing hernia init reduce					
0154	49501		Rpr ing hernia init blocked					
0154	49505		Prp i/hern init reduc >5 yr					
0154	49507		Prp i/hern init block >5 yr					
0154	49520		Rerepair ing hernia reduce					
0154	49521		Rerepair ing hernia blocked					
0154	49525		Repair ing hernia sliding					
0154	49540		Repair lumbar hernia					
0154	49550		Rpr rem hernia init reduce					
0154	49553		Rpr fem hernia init blocked					
0154	49555		Rerepair fem hernia reduce					
0154	49557		Rerepair fem hernia blocked					
0154	49560		Rpr ventral hern init reduc					
0154	49561		Rpr ventral hern init block					
0154	49565		Rerepair ventrl hern reduce					
0154	49566		Rerepair ventrl hern block					
0154	49570		Rpr epigastric hern reduce					
0154	49572		Rpr epigastric hern blocked					
0154	49580		Rpr umbil hern reduc < 5 yr					
0154	49582		Rpr umbil hern block < 5 yr					
0154	49585		Rpr umbil hern reduc > 5 yr					
0154	49587		Rpr umbil hern block > 5 yr					
0154	49590		Repair spigelian hernia					
0154	49600		Repair umbilical lesion					
0154	51500		Removal of bladder cyst					
0154	54530		Removal of testis					
0154	54550		Exploration for testis					
0154	54640		Suspension of testis					
0154	54650		Orchiopexy (Fowler-Stephens					
0154	55040		Removal of hydrocele					
0154	55041		Removal of hydroceles					
0154	55535		Revise spermatic cord veins					
0154	55540		Revise hernia & sperm veins					
0155		Level II Anal/Rectal Procedures		T	20.0921	"$1,461.26"	.	$292.26
0155	45005		Drainage of rectal abscess					
0155	45020		Drainage of rectal abscess					
0155	45100		Biopsy of rectum					
0155	45905		Dilation of anal sphincter					
0155	45910		Dilation of rectal narrowin					
0155	45915		Remove rectal obstruction					
0155	45990		Surg dx exam anorectal					
0155	46040		Incision of rectal abscess					
0155	46060		Incision of rectal abscess					
0155	46070		Incision of anal septum					
0155	46080		Incision of anal sphincter					
0155	46220		Excise anal ext tag/papilla					
0155	46230		Removal of anal tags					
0155	46320		Removal of hemorrhoid clot					
0155	46505		Chemodenervation anal musc					
0155	46754		Removal of suture from anus					
0155	46940		Treatment of anal fissure					
0155	49442		Place cecostomy tube perc					
0156		Level III Urinary and Anal Procedures		T	7.2631	$528.23	.	$105.65
0156	51726		Complex cystometrogram					
0156	51727		Cystometrogram w/up					
0156	51728		Cystometrogram w/vp					
0156	51729		Cystometrogram w/vp&up					
0156	91117		Colon motility 6 hr study					
0157		Colorectal Cancer Screening: Barium Enema		S	4.0212	$292.45	.	$58.49
0157	G0106		Colon CA screen;barium enem					
0157	G0120		Colon ca scrn; barium enema					
0158		Colorectal Cancer Screening: Colonoscopy		T	8.8833	$646.06	$0.00	$0.00
0158	G0105		Colorectal scrn; hi risk in				$0.00	$0.00
0158	G0121		Colon ca scrn not hi rsk in				$0.00	$0.00
0159		Colorectal Cancer Screening: Flexible Sigmoidoscopy		S	6.1737	$449.00	$0.00	$0.00
0159	G0104		CA screen;flexi sigmoidscop				$0.00	$0.00
0160		Level I Cystourethroscopy and other Genitourinary Procedures		T	7.7370	$562.70	.	$112.54
0160	50386		Remove stent via transureth					
0160	50389		Remove renal tube w/fluoro					
0160	50551		Kidney endoscopy					
0160	50555		Kidney endoscopy & biopsy					
0160	50562		Renal scope w/tumor resect					
0160	50570		Kidney endoscopy					
0160	50572		Kidney endoscopy					
0160	50574		Kidney endoscopy & biopsy					
0160	50951		Endoscopy of ureter					
0160	50953		Endoscopy of ureter					
0160	50970		Ureter endoscopy					
0160	50972		Ureter endoscopy & catheter					
0160	51045		Incise bladder/drain ureter					
0160	52000		Cystoscopy					
0160	52010		Cystoscopy & duct catheter					
0160	52265		Cystoscopy and treatment					
0160	53855		Insert prost urethral stent					
0161		Level II Cystourethroscopy and other Genitourinary Procedures		T	16.7594	"$1,218.88"	.	$243.78
0161	50384		Remove ureter stent percut					
0161	50392		Insert kidney drain					
0161	50576		Kidney endoscopy & treatmen					
0161	50580		Kidney endoscopy & treatmen					
0161	50974		Ureter endoscopy & biopsy					
0161	50976		Ureter endoscopy & treatmen					
0161	52001		Cystoscopy removal of clots					
0161	52260		Cystoscopy and treatment					
0161	52270		Cystoscopy & revise urethra					
0161	52281		Cystoscopy and treatment					
0161	52285		Cystoscopy and treatment					
0161	52287		Cystoscopy chemodenervation					
0161	52310		Cystoscopy and treatment					
0161	53605		Dilate urethra stricture					
0161	74475		X-ray control cath insert					
0161	74480		X-ray control cath insert					
0161	74485		X-ray guide gu dilation					
0162		Level III Cystourethroscopy and other Genitourinary Procedures		T	28.6257	"$2,081.89"	.	$416.38
0162	50020		Renal abscess open drain					
0162	50382		Change ureter stent percut					
0162	50385		Change stent via transureth					
0162	50393		Insert ureteral tube					
0162	50395		Create passage to kidney					
0162	50553		Kidney endoscopy					
0162	50557		Kidney endoscopy & treatmen					
0162	50561		Kidney endoscopy & treatmen					
0162	50955		Ureter endoscopy & biopsy					
0162	50957		Ureter endoscopy & treatmen					
0162	50961		Ureter endoscopy & treatmen					
0162	50980		Ureter endoscopy & treatmen					
0162	51020		Incise & treat bladder					
0162	51030		Incise & treat bladder					
0162	51040		Incise & drain bladder					
0162	51050		Removal of bladder stone					
0162	51065		Remove ureter calculus					
0162	51520		Removal of bladder lesion					
0162	51535		Repair of ureter lesion					
0162	51860		Repair of bladder wound					
0162	51880		Repair of bladder opening					
0162	52005		Cystoscopy & ureter cathete					
0162	52007		Cystoscopy and biopsy					
0162	52204		Cystoscopy w/biopsy(s)					
0162	52214		Cystoscopy and treatment					
0162	52224		Cystoscopy and treatment					
0162	52234		Cystoscopy and treatment					
0162	52235		Cystoscopy and treatment					
0162	52240		Cystoscopy and treatment					
0162	52250		Cystoscopy and radiotracer					
0162	52275		Cystoscopy & revise urethra					
0162	52276		Cystoscopy and treatment					
0162	52277		Cystoscopy and treatment					
0162	52283		Cystoscopy and treatment					
0162	52290		Cystoscopy and treatment					
0162	52300		Cystoscopy and treatment					
0162	52301		Cystoscopy and treatment					
0162	52305		Cystoscopy and treatment					
0162	52315		Cystoscopy and treatment					
0162	52317		Remove bladder stone					
0162	52318		Remove bladder stone					
0162	52320		Cystoscopy and treatment					
0162	52325		Cystoscopy stone removal					
0162	52330		Cystoscopy and treatment					
0162	52332		Cystoscopy and treatment					
0162	52334		Create passage to kidney					
0162	52341		Cysto w/ureter stricture tx					
0162	52342		Cysto w/up stricture tx					
0162	52343		Cysto w/renal stricture tx					
0162	52344		Cysto/uretero stricture tx					
0162	52345		Cysto/uretero w/up strictur					
0162	52346		Cystouretero w/renal strict					
0162	52351		Cystouretero & or pyeloscop					
0162	52352		Cystouretero w/stone remove					
0162	52354		Cystouretero w/biopsy					
0162	52355		Cystouretero w/excise tumor					
0162	52400		Cystouretero w/congen repr					
0162	52402		Cystourethro cut ejacul duc					
0162	52450		Incision of prostate					
0162	52500		Revision of bladder neck					
0162	52640		Relieve bladder contracture					
0162	52700		Drainage of prostate absces					
0162	55720		Drainage of prostate absces					
0162	55725		Drainage of prostate absces					
0163		Level IV Cystourethroscopy and other Genitourinary Procedures		T	41.7640	"$3,037.41"	.	$607.49
0163	50575		Kidney endoscopy					
0163	51060		Removal of ureter stone					
0163	52282		Cystoscopy implant stent					
0163	52327		Cystoscopy inject material					
0163	52353		Cystouretero w/lithotripsy					
0163	52601		Prostatectomy (TURP)					
0163	52630		Remove prostate regrowth					
0163	55875		Transperi needle place pros					
0164		Level II Urinary and Anal Procedures		T	3.1956	$232.41	.	$46.49
0164	46083		Incise external hemorrhoid					
0164	50396		Measure kidney pressure					
0164	51100		Drain bladder by needle					
0164	51705		Change of bladder tube					
0164	51720		Treatment of bladder lesion					
0164	51725		Simple cystometrogram					
0164	51785		Anal/urinary muscle study					
0164	53600		Dilate urethra stricture					
0164	53621		Dilate urethra stricture					
0164	54220		Treatment of penis lesion					
0164	54235		Penile injection					
0164	54250		Penis study					
0164	54450		Preputial stretching					
0164	91122		Anal pressure record					
0165		Level IV Urinary and Anal Procedures		T	19.9093	"$1,447.96"	.	$289.60
0165	50727		Revise ureter					
0165	51102		Drain bl w/cath insertion					
0165	53620		Dilate urethra stricture					
0165	53860		Transurethral rf treatment					
0165	54231		Dynamic cavernosometry					
0165	55860		Surgical exposure prostate					
0166		Level I Urethral Procedures		T	21.7922	"$1,584.90"	.	$316.98
0166	53000		Incision of urethra					
0166	53010		Incision of urethra					
0166	53020		Incision of urethra					
0166	53025		Incision of urethra					
0166	53040		Drainage of urethra abscess					
0166	53060		Drainage of urethra abscess					
0166	53080		Drainage of urinary leakage					
0166	53085		Drainage of urinary leakage					
0166	53200		Biopsy of urethra					
0166	53215		Removal of urethra					
0166	53235		Removal of urethra lesion					
0166	53250		Removal of urethra gland					
0166	53260		Treatment of urethra lesion					
0166	53265		Treatment of urethra lesion					
0166	53270		Removal of urethra gland					
0166	53275		Repair of urethra defect					
0166	53460		Revision of urethra					
0166	53502		Repair of urethra injury					
0166	53510		Repair of urethra injury					
0166	53665		Dilation of urethra					
0166	54000		Slitting of prepuce					
0166	54001		Slitting of prepuce					
0168		Level II Urethral Procedures		T	34.6787	"$2,522.11"	.	$504.43
0168	51715		Endoscopic injection/implan					
0168	53210		Removal of urethra					
0168	53220		Treatment of urethra lesion					
0168	53230		Removal of urethra lesion					
0168	53240		Surgery for urethra pouch					
0168	53400		Revise urethra stage 1					
0168	53405		Revise urethra stage 2					
0168	53410		Reconstruction of urethra					
0168	53420		Reconstruct urethra stage 1					
0168	53425		Reconstruct urethra stage 2					
0168	53430		Reconstruction of urethra					
0168	53431		Reconstruct urethra/bladder					
0168	53442		Remove/revise male sling					
0168	53446		Remove uro sphincter					
0168	53449		Repair uro sphincter					
0168	53450		Revision of urethra					
0168	53500		Urethrlys transvag w/ scope					
0168	53505		Repair of urethra injury					
0168	53515		Repair of urethra injury					
0168	53520		Repair of urethra defect					
0169		Lithotripsy		T	41.8076	"$3,040.58"	$979.42	$608.12
0169	50590		Fragmenting of kidney stone					
0170		Dialysis		S	8.8040	$640.30	.	$128.06
0170	90935		Hemodialysis one evaluation					
0170	G0257		Unsched dialysis ESRD pt ho					
0174		Level IV Laparoscopy		T	118.8167	"$8,641.30"	"$1,922.27"	"$1,728.26"
0174	47370		Laparo ablate liver tumor r					
0174	47371		Laparo ablate liver cryosur					
0174	50542		Laparo ablate renal mass					
0177		Level I Echocardiogram with Contrast		S	7.2398	$526.54	$129.40	$105.31
0177	C8922		"TTE w or w/o fol w/cont, f/"					
0177	C8923		"2D TTE w or w/o fol w/con,c"					
0177	C8924		"2D TTE w or w/o fol w/con,f"					
0177	C8927		"TEE w or w/o fol w/cont, mo"					
0178		Level II Echocardiogram with Contrast		S	9.0479	$658.04	$172.48	$131.61
0178	C8921		"TTE w or w/o fol w/cont, co"					
0178	C8925		"2D TEE w or w/o fol w/con,i"					
0178	C8926		"TEE w or w/o fol w/cont,con"					
0178	C8928		"TTE w or w/o fol w/con,stre"					
0178	C8929		"TTE w or wo fol wcon,Dopple"					
0178	C8930		"TTE w or w/o contr, cont EC"					
0181		Level II Male Genital Procedures		T	41.5033	"$3,018.45"	$607.88	$603.69
0181	37790		Penile venous occlusion					
0181	54110		Treatment of penis lesion					
0181	54111		Treat penis lesion graft					
0181	54112		Treat penis lesion graft					
0181	54120		Partial removal of penis					
0181	54205		Treatment of penis lesion					
0181	54300		Revision of penis					
0181	54304		Revision of penis					
0181	54308		Reconstruction of urethra					
0181	54312		Reconstruction of urethra					
0181	54316		Reconstruction of urethra					
0181	54318		Reconstruction of urethra					
0181	54322		Reconstruction of urethra					
0181	54324		Reconstruction of urethra					
0181	54326		Reconstruction of urethra					
0181	54328		Revise penis/urethra					
0181	54332		Revise penis/urethra					
0181	54336		Revise penis/urethra					
0181	54340		Secondary urethral surgery					
0181	54344		Secondary urethral surgery					
0181	54348		Secondary urethral surgery					
0181	54352		Reconstruct urethra/penis					
0181	54360		Penis plastic surgery					
0181	54380		Repair penis					
0181	54385		Repair penis					
0181	54406		Remove muti-comp penis pros					
0181	54408		Repair multi-comp penis pro					
0181	54415		Remove self-contd penis pro					
0181	54420		Revision of penis					
0181	54435		Revision of penis					
0181	54440		Repair of penis					
0181	54535		Extensive testis surgery					
0183		Level I Male Genital Procedures		T	25.3174	"$1,841.28"	.	$368.26
0183	54150		Circumcision w/regionl bloc					
0183	54160		Circumcision neonate					
0183	54161		Circum 28 days or older					
0183	54162		Lysis penil circumic lesion					
0183	54163		Repair of circumcision					
0183	54164		Frenulotomy of penis					
0183	54505		Biopsy of testis					
0183	54512		Excise lesion testis					
0183	54520		Removal of testis					
0183	54522		Orchiectomy partial					
0183	54560		Exploration for testis					
0183	54600		Reduce testis torsion					
0183	54620		Suspension of testis					
0183	54660		Revision of testis					
0183	54670		Repair testis injury					
0183	54680		Relocation of testis(es)					
0183	54700		Drainage of scrotum					
0183	54830		Remove epididymis lesion					
0183	54840		Remove epididymis lesion					
0183	54860		Removal of epididymis					
0183	54861		Removal of epididymis					
0183	54865		Explore epididymis					
0183	54900		Fusion of spermatic ducts					
0183	54901		Fusion of spermatic ducts					
0183	55060		Repair of hydrocele					
0183	55110		Explore scrotum					
0183	55120		Removal of scrotum lesion					
0183	55150		Removal of scrotum					
0183	55175		Revision of scrotum					
0183	55180		Revision of scrotum					
0183	55200		Incision of sperm duct					
0183	55250		Removal of sperm duct(s)					
0183	55400		Repair of sperm duct					
0183	55450		Ligation of sperm duct					
0183	55500		Removal of hydrocele					
0183	55520		Removal of sperm cord lesio					
0183	55530		Revise spermatic cord veins					
0183	55600		Incise sperm duct pouch					
0183	55680		Remove sperm pouch lesion					
0184		Prostate Biopsy		T	19.2802	"$1,402.21"	.	$280.45
0184	55700		Biopsy of prostate					
0184	55705		Biopsy of prostate					
0184	55706		Prostate saturation samplin					
0186		Level III Skin Repair		T	5.8851	$428.01	.	$85.61
0186	11920		Correct skin color 6.0 cm/<					
0186	11921		Corect skin color 6.1-20.0c					
0186	11951		Tx contour defects 1.1-5.0c					
0186	11952		Tx contour defects 5.1-10cc					
0186	12020		Closure of split wound					
0186	12035		Intmd rpr s/a/t/ext 12.6-20					
0186	12036		Intmd rpr s/a/t/ext 20.1-30					
0186	12037		Intmd rpr s/tr/ext >30.0 cm					
0186	12047		Intmd rpr n-hf/genit >30.0c					
0186	13132		Cmplx rpr f/c/c/m/n/ax/g/h/					
0186	13150		Cmplx rpr e/n/e/l 1.0 cm/<					
0186	13151		Cmplx rpr e/n/e/l 1.1-2.5 c					
0186	13152		Cmplx rpr e/n/e/l 2.6-7.5 c					
0186	15002		Wound prep trk/arm/leg					
0186	15004		Wound prep f/n/hf/g					
0186	15040		Harvest cultured skin graft					
0186	15150		Cult skin grft t/arm/leg					
0186	15155		Cult skin graft f/n/hf/g					
0186	15819		Plastic surgery neck					
0188		Level II Female Reproductive Proc		T	1.7925	$130.36	.	$26.08
0188	56420		Drainage of gland abscess					
0188	57150		Treat vagina infection					
0188	57160		Insert pessary/other device					
0188	57180		Treat vaginal bleeding					
0188	59020		Fetal contract stress test					
0188	59025		Fetal non-stress test					
0189		Level III Female Reproductive Proc		T	2.9344	$213.41	.	$42.69
0189	56405		I & D of vulva/perineum					
0189	56820		Exam of vulva w/scope					
0189	56821		Exam/biopsy of vulva w/scop					
0189	57420		Exam of vagina w/scope					
0189	57452		Exam of cervix w/scope					
0189	57511		Cryocautery of cervix					
0189	58100		Biopsy of uterus lining					
0189	58301		Remove intrauterine device					
0189	58321		Artificial insemination					
0189	58322		Artificial insemination					
0189	58323		Sperm washing					
0189	58976		Transfer of embryo					
0189	59012		Fetal cord puncture prenata					
0189	59030		Fetal scalp blood sample					
0189	59072		Umbilical cord occlud w/us					
0189	59074		Fetal fluid drainage w/us					
0189	59076		Fetal shunt placement w/us					
0189	59200		Insert cervical dilator					
0189	59866		Abortion (mpr)					
0190		Level I Hysteroscopy		T	25.3568	"$1,844.15"	$424.28	$368.83
0190	58555		Hysteroscopy dx sep proc					
0190	58558		Hysteroscopy biopsy					
0190	58559		Hysteroscopy lysis					
0190	58562		Hysteroscopy remove fb					
0190	58579		Hysteroscope procedure					
0191		Level I Female Reproductive Proc		T	0.1454	$10.57	.	$2.12
0191	57170		Fitting of diaphragm/cap					
0191	58999		Genital surgery procedure					
0191	59897		Fetal invas px w/us					
0191	59899		Maternity care procedure					
0191	99170		Anogenital exam child					
0191	Q0091		Obtaining screen pap smear				$0.00	$0.00
0192		Level IV Female Reproductive Proc		T	6.0413	$439.37	.	$87.88
0192	55870		Electroejaculation					
0192	56605		Biopsy of vulva/perineum					
0192	57100		Biopsy of vagina					
0192	57156		Ins vag brachytx device					
0192	57421		Exam/biopsy of vag w/scope					
0192	57454		Bx/curett of cervix w/scope					
0192	57455		Biopsy of cervix w/scope					
0192	57456		Endocerv curettage w/scope					
0192	57500		Biopsy of cervix					
0192	57505		Endocervical curettage					
0192	58970		Retrieval of oocyte					
0192	58974		Transfer of embryo					
0192	59000		Amniocentesis diagnostic					
0192	59001		Amniocentesis therapeutic					
0192	59015		Chorion biopsy					
0192	59070		Transabdom amnioinfus w/us					
0193		Level V Female Reproductive Proc		T	22.8509	"$1,661.90"	.	$332.38
0193	56440		Surgery for vulva lesion					
0193	56441		Lysis of labial lesion(s)					
0193	56442		Hymenotomy					
0193	56620		Partial removal of vulva					
0193	56625		Complete removal of vulva					
0193	56700		Partial removal of hymen					
0193	56740		Remove vagina gland lesion					
0193	56800		Repair of vagina					
0193	56805		Repair clitoris					
0193	56810		Repair of perineum					
0193	57000		Exploration of vagina					
0193	57010		Drainage of pelvic abscess					
0193	57020		Drainage of pelvic fluid					
0193	57061		Destroy vag lesions simple					
0193	57065		Destroy vag lesions complex					
0193	57105		Biopsy of vagina					
0193	57106		Remove vagina wall partial					
0193	57130		Remove vagina lesion					
0193	57135		Remove vagina lesion					
0193	57155		Insert uteri tandem/ovoids					
0193	57200		Repair of vagina					
0193	57210		Repair vagina/perineum					
0193	57295		Revise vag graft via vagina					
0193	57400		Dilation of vagina					
0193	57410		Pelvic examination					
0193	57415		Remove vaginal foreign body					
0193	57426		Revise prosth vag graft lap					
0193	57460		Bx of cervix w/scope leep					
0193	57461		Conz of cervix w/scope leep					
0193	57510		Cauterization of cervix					
0193	57513		Laser surgery of cervix					
0193	57520		Conization of cervix					
0193	57522		Conization of cervix					
0193	57558		D&c of cervical stump					
0193	57700		Revision of cervix					
0193	57720		Revision of cervix					
0193	57800		Dilation of cervical canal					
0193	58120		Dilation and curettage					
0193	58345		Reopen fallopian tube					
0193	58346		Insert heyman uteri capsule					
0193	58615		Occlude fallopian tube(s)					
0193	58800		Drainage of ovarian cyst(s)					
0193	58823		Drain pelvic abscess percut					
0193	58900		Biopsy of ovary(s)					
0193	59160		D & c after delivery					
0193	59300		Episiotomy or vaginal repai					
0193	59320		Revision of cervix					
0193	59409		Obstetrical care					
0193	59412		Antepartum manipulation					
0193	59414		Deliver placenta					
0193	59612		Vbac delivery only					
0193	59812		Treatment of miscarriage					
0193	59820		Care of miscarriage					
0193	59821		Treatment of miscarriage					
0193	59840		Abortion					
0193	59841		Abortion					
0193	59870		Evacuate mole of uterus					
0193	59871		Remove cerclage suture					
0195		Level VI Female Reproductive Procedures		T	41.1313	"$2,991.40"	.	$598.28
0195	57107		Remove vagina tissue part					
0195	57109		Vaginectomy partial w/nodes					
0195	57120		Closure of vagina					
0195	57230		Repair of urethral lesion					
0195	57240		Repair bladder & vagina					
0195	57250		Repair rectum & vagina					
0195	57260		Repair of vagina					
0195	57268		Repair of bowel bulge					
0195	57287		Revise/remove sling repair					
0195	57289		Repair bladder & vagina					
0195	57291		Construction of vagina					
0195	57292		Construct vagina with graft					
0195	57300		Repair rectum-vagina fistul					
0195	57320		Repair bladder-vagina lesio					
0195	57330		Repair bladder-vagina lesio					
0195	57335		Repair vagina					
0195	57530		Removal of cervix					
0195	57550		Removal of residual cervix					
0195	57555		Remove cervix/repair vagina					
0195	58145		Myomectomy vag method					
0195	58260		Vaginal hysterectomy					
0195	58262		Vag hyst including t/o					
0195	58263		Vag hyst w/t/o & vag repair					
0195	58270		Vag hyst w/enterocele repai					
0195	58350		Reopen fallopian tube					
0195	58353		Endometr ablate thermal					
0195	58600		Division of fallopian tube					
0195	58770		Create new tubal opening					
0195	58805		Drainage of ovarian cyst(s)					
0195	58820		Drain ovary abscess open					
0195	58920		Partial removal of ovary(s)					
0195	58925		Removal of ovarian cyst(s)					
0195	59100		Remove uterus lesion					
0202		Level VII Female Reproductive Procedures		J1	65.9172	"$4,794.03"	$981.50	$958.81
0202	51845		Repair bladder neck					
0202	57220		Revision of urethra					
0202	57265		Extensive repair of vagina					
0202	57282		Colpopexy extraperitoneal					
0202	57283		Colpopexy intraperitoneal					
0202	57284		Repair paravag defect open					
0202	57285		Repair paravag defect vag					
0202	57288		Repair bladder defect					
0202	57310		Repair urethrovaginal lesio					
0202	57423		Repair paravag defect lap					
0202	57556		Remove cervix repair bowel					
0202	58290		Vag hyst complex					
0202	58291		Vag hyst incl t/o complex					
0202	58292		Vag hyst t/o & repair compl					
0202	58294		Vag hyst w/enterocele compl					
0202	58356		Endometrial cryoablation					
0202	58565		Hysteroscopy sterilization					
0203		Level IV Nerve Injections		T	21.4264	"$1,558.30"	.	$311.66
0203	61050		Remove brain canal fluid					
0203	61791		Treat trigeminal tract					
0203	62194		Replace/irrigate catheter					
0203	62263		Epidural lysis mult session					
0203	62281		Treat spinal cord lesion					
0203	62282		Treat spinal canal lesion					
0203	62292		Injection into disk lesion					
0203	62355		Remove spinal canal cathete					
0203	63746		Removal of spinal shunt					
0203	64448		N block inj fem cont inf					
0203	64600		Injection treatment of nerv					
0203	64620		Injection treatment of nerv					
0203	64633		Destroy cerv/thor facet jnt					
0203	64635		Destroy lumb/sac facet jnt					
0203	64680		Injection treatment of nerv					
0204		Level I Nerve Injections		T	2.9890	$217.38	.	$43.48
0204	20526		Ther injection carp tunnel					
0204	20527		Inj dupuytren cord w/enzyme					
0204	20550		Inj tendon sheath/ligament					
0204	20551		Inj tendon origin/insertion					
0204	20552		Inj trigger point 1/2 muscl					
0204	20553		Inject trigger points 3/>					
0204	20600		Drain/inject joint/bursa					
0204	20605		Drain/inject joint/bursa					
0204	20610		Drain/inject joint/bursa					
0204	20612		Aspirate/inj ganglion cyst					
0204	64400		N block inj trigeminal					
0204	64402		N block inj facial					
0204	64408		N block inj vagus					
0204	64410		N block inj phrenic					
0204	64455		N block inj plantar digit					
0204	64505		N block spenopalatine gangl					
0204	64508		N block carotid sinus s/p					
0204	64566		Neuroeltrd stim post tibial					
0204	64611		Chemodenerv saliv glands					
0204	64612		Destroy nerve face muscle					
0204	64615		Chemodenerv musc migraine					
0204	64632		N block inj common digit					
0204	64650		Chemodenerv eccrine glands					
0204	64653		Chemodenerv eccrine glands					
0204	64999		Nervous system surgery					
0206		Level II Nerve Injections		T	4.9587	$360.64	.	$72.13
0206	62270		Spinal fluid tap diagnostic					
0206	62272		Drain cerebro spinal fluid					
0206	64405		N block inj occipital					
0206	64412		N block inj spinal accessor					
0206	64413		N block inj cervical plexus					
0206	64415		N block inj brachial plexus					
0206	64417		N block inj axillary					
0206	64418		N block inj suprascapular					
0206	64420		N block inj intercost sng					
0206	64425		N block inj ilio-ing/hypogi					
0206	64435		N block inj paracervical					
0206	64447		N block inj fem single					
0206	64450		N block other peripheral					
0206	64613		Destroy nerve neck muscle					
0206	64614		Destroy nerve extrem musc					
0207		Level III Nerve Injections		T	9.3493	$679.96	.	$136.00
0207	0213T		Njx paravert w/us cer/thor					
0207	0216T		Njx paravert w/us lumb/sac					
0207	0228T		Njx tfrml eprl w/us cer/tho					
0207	0230T		Njx tfrml eprl w/us lumb/sa					
0207	61000		Remove cranial cavity fluid					
0207	61001		Remove cranial cavity fluid					
0207	61020		Remove brain cavity fluid					
0207	61026		Injection into brain canal					
0207	61055		Injection into brain canal					
0207	62264		Epidural lysis on single da					
0207	62268		Drain spinal cord cyst					
0207	62273		Inject epidural patch					
0207	62280		Treat spinal cord lesion					
0207	62294		Injection into spinal arter					
0207	62310		Inject spine cerv/thoracic					
0207	62311		Inject spine lumbar/sacral					
0207	62318		Inject spine w/cath crv/thr					
0207	62319		Inject spine w/cath lmb/scr					
0207	64416		N block cont infuse b plex					
0207	64421		N block inj intercost mlt					
0207	64430		N block inj pudendal					
0207	64445		N block inj sciatic sng					
0207	64446		N blk inj sciatic cont inf					
0207	64449		N block inj lumbar plexus					
0207	64479		Inj foramen epidural c/t					
0207	64483		Inj foramen epidural l/s					
0207	64490		Inj paravert f jnt c/t 1 le					
0207	64493		Inj paravert f jnt l/s 1 le					
0207	64510		N block stellate ganglion					
0207	64517		N block inj hypogas plxs					
0207	64520		N block lumbar/thoracic					
0207	64530		N block inj celiac pelus					
0207	64630		Injection treatment of nerv					
0207	64640		Injection treatment of nerv					
0207	64681		Injection treatment of nerv					
0207	G0260		Inj for sacroiliac jt anest					
0208		Laminotomies and Laminectomies		T	57.3584	"$4,171.56"	.	$834.32
0208	0274T		Perq lamot/lam crv/thrc					
0208	0275T		Perq lamot/lam lumbar					
0208	22100		Remove part of neck vertebr					
0208	22101		Remove part thorax vertebra					
0208	22102		Remove part lumbar vertebra					
0208	22222		Incis w/discectomy thoracic					
0208	22551		Neck spine fuse&remov bel c					
0208	22554		Neck spine fusion					
0208	22612		Lumbar spine fusion					
0208	22856		Cerv artific diskectomy					
0208	62351		Implant spinal canal cath					
0208	63001		Remove spine lamina 1/2 crv					
0208	63003		Remove spine lamina 1/2 thr					
0208	63005		Remove spine lamina 1/2 lmb					
0208	63011		Remove spine lamina 1/2 scr					
0208	63012		Remove lamina/facets lumbar					
0208	63015		Remove spine lamina >2 crvc					
0208	63016		Remove spine lamina >2 thrc					
0208	63017		Remove spine lamina >2 lmbr					
0208	63020		Neck spine disk surgery					
0208	63030		Low back disk surgery					
0208	63040		Laminotomy single cervical					
0208	63042		Laminotomy single lumbar					
0208	63045		Remove spine lamina 1 crvl					
0208	63046		Remove spine lamina 1 thrc					
0208	63047		Remove spine lamina 1 lmbr					
0208	63055		Decompress spinal cord thrc					
0208	63056		Decompress spinal cord lmbr					
0208	63064		Decompress spinal cord thrc					
0208	63075		Neck spine disk surgery					
0209		"Level II Extended EEG, Sleep, and Cardiovascular Studies"		S	11.7723	$856.18	$268.73	$171.24
0209	93229		Remote 30 day ecg tech supp					
0209	95782		Polysom <6 yrs 4/> paramtrs					
0209	95783		Polysom <6 yrs cpap/bilvl					
0209	95805		Multiple sleep latency test					
0209	95807		Sleep study attended					
0209	95808		Polysom any age 1-3> param					
0209	95810		Polysom 6/> yrs 4/> param					
0209	95811		Polysom 6/>yrs cpap 4/> par					
0209	95827		Eeg all night recording					
0209	95950		Ambulatory eeg monitoring					
0209	95951		EEG monitoring/videorecord					
0209	95953		EEG monitoring/computer					
0209	95956		Eeg monitor technol attende					
0209	95958		EEG monitoring/function tes					
0209	G0302		Pre-op service LVRS complet					
0209	G0303		Pre-op service LVRS 10-15do					
0213		"Level I Extended EEG, Sleep, and Cardiovascular Studies"		S	2.9266	$212.85	$53.58	$42.57
0213	95800		Slp stdy unattended					
0213	95801		Slp stdy unatnd w/anal					
0213	95806		Sleep study unatt&resp efft					
0213	95812		Eeg 41-60 minutes					
0213	95813		Eeg over 1 hour					
0213	95816		Eeg awake and drowsy					
0213	95819		Eeg awake and asleep					
0213	95822		Eeg coma or sleep only					
0213	G0304		Pre-op service LVRS 1-9 dos					
0213	G0305		Post op service LVRS min 6					
0213	G0398		Home sleep test/type 2 Port					
0213	G0399		Home sleep test/type 3 Port					
0213	G0400		Home sleep test/type 4 Port					
0215		Level I Nerve and Muscle Services		S	0.9295	$67.60	.	$13.52
0215	0199T		Physiologic tremor record					
0215	0278T		Tempr					
0215	95803		Actigraphy testing					
0215	95866		Muscle test hemidiaphragm					
0215	95870		Muscle test nonparaspinal					
0215	95905		Motor &/ sens nrve cndj tes					
0215	95907		Nvr cndj tst 1-2 studies					
0215	95908		Nrv cndj tst 3-4 studies					
0215	95909		Nrv cndj tst 5-6 studies					
0215	95910		Nrv cndj test 7-8 studies					
0215	95921		Autonomic nrv parasym inerv					
0215	95929		C motor evoked lwr limbs					
0215	95933		Blink reflex test					
0215	95943		Parasymp&symp hrt rate test					
0215	95970		Analyze neurostim no prog					
0215	95981		Io anal gast n-stim subsq					
0215	95999		Neurological procedure					
0215	96003		Dynamic fine wire emg					
0216		Level III Nerve and Muscle Services		S	4.2842	$311.58	.	$62.32
0216	90867		Tcranial magn stim tx plan					
0216	90868		Tcranial magn stim tx deli					
0216	90869		Tcran magn stim redetemine					
0216	92584		Electrocochleography					
0216	92585		Auditor evoke potent compre					
0216	95824		Eeg cerebral death only					
0216	95922		Autonomic nrv adrenrg inerv					
0216	95925		Somatosensory testing					
0216	95926		Somatosensory testing					
0216	95927		Somatosensory testing					
0216	95938		Somatosensory testing					
0216	95961		Electrode stimulation brain					
0216	96000		Motion analysis video/3d					
0216	96001		Motion test w/ft press meas					
0218		Level II Nerve and Muscle Services		S	1.6755	$121.86	.	$24.38
0218	0272T		Interrogate crtd sns dev					
0218	0273T		Interrogate crtd sns w/pgrm					
0218	0285T		Periph field stimul analys					
0218	0310T		Motor function mapping ntms					
0218	92586		Auditor evoke potent limit					
0218	95857		Cholinesterase challenge					
0218	95860		Muscle test one limb					
0218	95861		Muscle test 2 limbs					
0218	95863		Muscle test 3 limbs					
0218	95864		Muscle test 4 limbs					
0218	95865		Muscle test larynx					
0218	95867		Muscle test cran nerv unila					
0218	95868		Muscle test cran nerve bila					
0218	95869		Muscle test thor paraspinal					
0218	95872		Muscle test one fiber					
0218	95875		Limb exercise test					
0218	95911		Nrv cndj test 9-10 studies					
0218	95912		Nrv cndj test 11-12 studies					
0218	95913		Nrv cndj test 13/>á studies					
0218	95923		Autonomic nrv syst funj tes					
0218	95924		Ans parasymp & symp w/tilt					
0218	95928		C motor evoked uppr limbs					
0218	95930		Visual evoked potential tes					
0218	95937		Neuromuscular junction test					
0218	95939		C motor evoked upr&lwr limb					
0218	95954		EEG monitoring/giving drugs					
0218	96002		Dynamic surface emg					
0220		Level I Nerve Procedures		T	19.2252	"$1,398.21"	.	$279.65
0220	27325		Neurectomy hamstring					
0220	27326		Neurectomy popliteal					
0220	28035		Decompression of tibia nerv					
0220	28055		Neurectomy foot					
0220	61790		Treat trigeminal nerve					
0220	63600		Remove spinal cord lesion					
0220	63610		Stimulation of spinal cord					
0220	63615		Remove lesion of spinal cor					
0220	64605		Injection treatment of nerv					
0220	64610		Injection treatment of nerv					
0220	64702		Revise finger/toe nerve					
0220	64704		Revise hand/foot nerve					
0220	64708		Revise arm/leg nerve					
0220	64712		Revision of sciatic nerve					
0220	64713		Revision of arm nerve(s)					
0220	64714		Revise low back nerve(s)					
0220	64716		Revision of cranial nerve					
0220	64718		Revise ulnar nerve at elbow					
0220	64719		Revise ulnar nerve at wrist					
0220	64721		Carpal tunnel surgery					
0220	64722		Relieve pressure on nerve(s					
0220	64726		Release foot/toe nerve					
0220	64732		Incision of brow nerve					
0220	64734		Incision of cheek nerve					
0220	64736		Incision of chin nerve					
0220	64738		Incision of jaw nerve					
0220	64740		Incision of tongue nerve					
0220	64742		Incision of facial nerve					
0220	64744		Incise nerve back of head					
0220	64746		Incise diaphragm nerve					
0220	64761		Incision of pelvis nerve					
0220	64763		Incise hip/thigh nerve					
0220	64771		Sever cranial nerve					
0220	64772		Incision of spinal nerve					
0220	64774		Remove skin nerve lesion					
0220	64776		Remove digit nerve lesion					
0220	64782		Remove limb nerve lesion					
0220	64784		Remove nerve lesion					
0220	64788		Remove skin nerve lesion					
0220	64790		Removal of nerve lesion					
0220	64795		Biopsy of nerve					
0220	64802		Sympathectomy cervical					
0220	64804		Remove sympathetic nerves					
0220	64820		Sympathectomy digital arter					
0221		Level II Nerve Procedures		T	36.8638	"$2,681.03"	.	$536.21
0221	0269T		Rev/remvl crtd sns dev tota					
0221	61720		Incise skull/brain surgery					
0221	61770		Incise skull for treatment					
0221	62287		Percutaneous diskectomy					
0221	62365		Remove spine infusion devic					
0221	64570		Remove vagus n eltrd					
0221	64766		Incise hip/thigh nerve					
0221	64786		Remove sciatic nerve lesion					
0221	64792		Removal of nerve lesion					
0221	64831		Repair of digit nerve					
0221	64834		Repair of hand or foot nerv					
0221	64835		Repair of hand or foot nerv					
0221	64836		Repair of hand or foot nerv					
0221	64840		Repair of leg nerve					
0221	64856		Repair/transpose nerve					
0221	64857		Repair arm/leg nerve					
0221	64858		Repair sciatic nerve					
0221	64861		Repair of arm nerves					
0221	64862		Repair of low back nerves					
0221	64864		Repair of facial nerve					
0221	64865		Repair of facial nerve					
0221	64870		Fusion of facial/other nerv					
0221	64885		Nerve graft head/neck </4 c					
0221	64886		Nerve graft head/neck >4 cm					
0221	64890		Nerve graft hand/foot </4 c					
0221	64891		Nerve graft hand/foot >4 cm					
0221	64892		Nerve graft arm/leg <4 cm					
0221	64893		Nerve graft arm/leg >4 cm					
0221	64895		Nerve graft hand/foot </4 c					
0221	64896		Nerve graft hand/foot >4 cm					
0221	64897		Nerve graft arm/leg </4 cm					
0221	64898		Nerve graft arm/leg >4 cm					
0221	64905		Nerve pedicle transfer					
0221	64907		Nerve pedicle transfer					
0221	64910		Nerve repair w/allograft					
0221	64911		Neurorraphy w/vein autograf					
0224		Implantation of Catheter/Reservoir/Shunt		T	49.3717	"$3,590.70"	.	$718.14
0224	61215		Insert brain-fluid device					
0224	62230		Replace/revise brain shunt					
0224	62350		Implant spinal canal cath					
0224	62360		Insert spine infusion devic					
0224	63741		Install spinal shunt					
0224	63744		Revision of spinal shunt					
0227		Implantation of Drug Infusion Device		J1	211.3856	"$15,373.65"	.	"$3,074.73"
0227	62361		Implant spine infusion pump					
0227	62362		Implant spine infusion pump					
0229		Level II Endovascular Revascularization of the Lower Extremity		J1	143.9720	"$10,470.80"	.	"$2,094.16"
0229	37183		Remove hepatic shunt (tips)					
0229	37205		Transcath iv stent percut					
0229	37207		Transcath iv stent open					
0229	37210		Embolization uterine fibroi					
0229	37221		Iliac revasc w/stent					
0229	37225		Fem/popl revas w/ather					
0229	37226		Fem/popl revasc w/stent					
0229	37229		Tib/per revasc w/ather					
0229	37230		Tib/per revasc w/stent					
0230		Level I Eye Tests & Treatments		S	0.7127	$51.83	.	$10.37
0230	0181T		Corneal hysteresis					
0230	0207T		Clear eyelid gland w/heat					
0230	76514		Echo exam of eye thickness					
0230	92020		Special eye evaluation					
0230	92025		Corneal topography					
0230	92060		Special eye evaluation					
0230	92065		Orthoptic/pleoptic training					
0230	92081		Visual field examination(s)					
0230	92082		Visual field examination(s)					
0230	92132		Cmptr ophth dx img ant segm					
0230	92133		Cmptr ophth img optic nerve					
0230	92134		Cptr ophth dx img post segm					
0230	92225		Special eye exam initial					
0230	92226		Special eye exam subsequent					
0230	92250		Eye exam with photos					
0230	92260		Ophthalmoscopy/dynamometry					
0230	92265		Eye muscle evaluation					
0230	92285		Eye photography					
0230	92312		Contact lens fitting					
0230	92326		Replacement of contact lens					
0230	92354		Fit spectacles single syste					
0230	92355		Fit spectacles compound len					
0230	92358		Aphakia prosth service temp					
0230	92499		Eye service or procedure					
0230	G0118		Glaucoma scrn hgh risk dire					
0231		Level III Eye Tests & Treatments		S	3.5799	$260.36	.	$52.08
0231	65450		Treatment of corneal lesion					
0231	67500		Inject/treat eye socket					
0231	67938		Remove eyelid foreign body					
0231	68840		Explore/irrigate tear ducts					
0231	92235		Eye exam with photos					
0231	92240		Icg angiography					
0231	92275		Electroretinography					
0232		Level I Anterior Segment Eye Procedures		T	2.5075	$182.37	.	$36.48
0232	0124T		Conjunctival drug placement					
0232	65900		Remove eye lesion					
0232	66500		Incision of iris					
0232	66999		Eye surgery procedure					
0232	76510		Ophth us b & quant a					
0233		Level III Anterior Segment Eye Procedures		T	16.0881	"$1,170.06"	.	$234.02
0233	65235		Remove foreign body from ey					
0233	65400		Removal of eye lesion					
0233	65410		Biopsy of cornea					
0233	65420		Removal of eye lesion					
0233	65436		Curette/treat cornea					
0233	65772		Correction of astigmatism					
0233	65775		Correction of astigmatism					
0233	65778		Cover eye w/membrane					
0233	65779		Cover eye w/membrane suture					
0233	65865		Incise inner eye adhesions					
0233	65880		Incise inner eye adhesions					
0233	66020		Injection treatment of eye					
0233	66030		Injection treatment of eye					
0233	66250		Follow-up surgery of eye					
0233	66700		Destruction ciliary body					
0233	66710		Ciliary transsleral therapy					
0233	66720		Destruction ciliary body					
0233	66840		Removal of lens material					
0233	67880		Revision of eyelid					
0233	68130		Remove eyelid lining lesion					
0234		Level IV Anterior Segment Eye Procedures		T	24.4195	"$1,775.98"	.	$355.20
0234	0099T		Implant corneal ring					
0234	0123T		Scleral fistulization					
0234	65272		Repair of eye wound					
0234	65275		Repair of eye wound					
0234	65426		Removal of eye lesion					
0234	65810		Drainage of eye					
0234	65815		Drainage of eye					
0234	65820		Relieve inner eye pressure					
0234	65850		Incision of eye					
0234	65870		Incise inner eye adhesions					
0234	65875		Incise inner eye adhesions					
0234	65920		Remove implant of eye					
0234	66130		Remove eye lesion					
0234	66150		Glaucoma surgery					
0234	66160		Glaucoma surgery					
0234	66165		Glaucoma surgery					
0234	66170		Glaucoma surgery					
0234	66172		Incision of eye					
0234	66600		Remove iris and lesion					
0234	66630		Removal of iris					
0234	66635		Removal of iris					
0234	66680		Repair iris & ciliary body					
0234	66682		Repair iris & ciliary body					
0234	66711		Ciliary endoscopic ablation					
0234	66740		Destruction ciliary body					
0234	66825		Reposition intraocular lens					
0234	68330		Revise eyelid lining					
0234	68360		Revise eyelid lining					
0234	68362		Revise eyelid lining					
0234	68371		Harvest eye tissue alograft					
0235		Level I Posterior Segment Eye Procedures		T	5.7861	$420.81	.	$84.17
0235	65260		Remove foreign body from ey					
0235	67141		Treatment of retina					
0235	67208		Treatment of retinal lesion					
0235	67221		Ocular photodynamic ther					
0235	67299		Eye surgery procedure					
0235	G0186		"Dstry eye lesn,fdr vssl tec"					
0237		Level II Posterior Segment Eye Procedures		T	21.1775	"$1,540.20"	.	$308.04
0237	0186T		Suprachoroidal drug deliver					
0237	65265		Remove foreign body from ey					
0237	65280		Repair of eye wound					
0237	67005		Partial removal of eye flui					
0237	67030		Incise inner eye strands					
0237	67101		Repair detached retina					
0237	67110		Repair detached retina					
0237	67115		Release encircling material					
0237	67120		Remove eye implant material					
0237	67218		Treatment of retinal lesion					
0237	67220		Treatment of choroid lesion					
0237	67227		Treatment of retinal lesion					
0237	67255		Reinforce/graft eye wall					
0238		Level I Repair and Plastic Eye Procedures		T	4.0745	$296.33	.	$59.27
0238	67028		Injection eye drug					
0238	67345		Destroy nerve of eye muscle					
0238	67505		Inject/treat eye socket					
0238	67515		Inject/treat eye socket					
0238	67599		Orbit surgery procedure					
0238	67700		Drainage of eyelid abscess					
0238	67800		Remove eyelid lesion					
0238	67805		Remove eyelid lesions					
0238	67810		Biopsy eyelid & lid margin					
0238	67825		Revise eyelashes					
0238	67999		Revision of eyelid					
0238	68020		Incise/drain eyelid lining					
0238	68399		Eyelid lining surgery					
0238	68400		Incise/drain tear gland					
0238	68440		Incise tear duct opening					
0238	68530		Clearance of tear duct					
0238	68705		Revise tear duct opening					
0238	68760		Close tear duct opening					
0238	68761		Close tear duct opening					
0238	68810		Probe nasolacrimal duct					
0238	68899		Tear duct system surgery					
0239		Level II Repair and Plastic Eye Procedures		T	9.5370	$693.61	.	$138.73
0239	65435		Curette/treat cornea					
0239	67710		Incision of eyelid					
0239	67801		Remove eyelid lesions					
0239	67830		Revise eyelashes					
0239	67840		Remove eyelid lesion					
0239	67850		Treat eyelid lesion					
0239	67875		Closure of eyelid by suture					
0239	68100		Biopsy of eyelid lining					
0239	68135		Remove eyelid lining lesion					
0240		Level III Repair and Plastic Eye Procedures		T	20.2712	"$1,474.28"	.	$294.86
0240	65175		Removal of ocular implant					
0240	65270		Repair of eye wound					
0240	65600		Revision of cornea					
0240	67250		Reinforce eye wall					
0240	67400		Explore/biopsy eye socket					
0240	67412		Explore/treat eye socket					
0240	67415		Aspiration orbital contents					
0240	67715		Incision of eyelid fold					
0240	67808		Remove eyelid lesion(s)					
0240	67835		Revise eyelashes					
0240	67882		Revision of eyelid					
0240	67901		Repair eyelid defect					
0240	67903		Repair eyelid defect					
0240	67904		Repair eyelid defect					
0240	67906		Repair eyelid defect					
0240	67908		Repair eyelid defect					
0240	67909		Revise eyelid defect					
0240	67911		Revise eyelid defect					
0240	67912		Correction eyelid w/implant					
0240	67914		Repair eyelid defect					
0240	67915		Repair eyelid defect					
0240	67916		Repair eyelid defect					
0240	67917		Repair eyelid defect					
0240	67921		Repair eyelid defect					
0240	67922		Repair eyelid defect					
0240	67923		Repair eyelid defect					
0240	67924		Repair eyelid defect					
0240	67930		Repair eyelid wound					
0240	67935		Repair eyelid wound					
0240	67950		Revision of eyelid					
0240	67961		Revision of eyelid					
0240	67966		Revision of eyelid					
0240	67971		Reconstruction of eyelid					
0240	67974		Reconstruction of eyelid					
0240	67975		Reconstruction of eyelid					
0240	68115		Remove eyelid lining lesion					
0240	68326		Revise/graft eyelid lining					
0240	68340		Separate eyelid adhesions					
0240	68420		Incise/drain tear sac					
0240	68510		Biopsy of tear gland					
0240	68525		Biopsy of tear sac					
0240	68540		Remove tear gland lesion					
0240	68700		Repair tear ducts					
0240	68811		Probe nasolacrimal duct					
0240	68815		Probe nasolacrimal duct					
0240	68816		Probe nl duct w/balloon					
0241		Level IV Repair and Plastic Eye Procedures		T	27.2387	"$1,981.02"	.	$396.21
0241	65125		Revise ocular implant					
0241	65130		Insert ocular implant					
0241	65135		Insert ocular implant					
0241	65150		Revise ocular implant					
0241	67405		Explore/drain eye socket					
0241	67413		Explore/treat eye socket					
0241	67560		Revise eye socket implant					
0241	67900		Repair brow defect					
0241	67902		Repair eyelid defect					
0241	67973		Reconstruction of eyelid					
0241	68320		Revise/graft eyelid lining					
0241	68325		Revise/graft eyelid lining					
0241	68328		Revise/graft eyelid lining					
0241	68335		Revise/graft eyelid lining					
0241	68500		Removal of tear gland					
0241	68505		Partial removal tear gland					
0241	68520		Removal of tear sac					
0241	68550		Remove tear gland lesion					
0241	68720		Create tear sac drain					
0241	68745		Create tear duct drain					
0241	68750		Create tear duct drain					
0241	68770		Close tear system fistula					
0242		Level V Repair and Plastic Eye Procedures		T	42.4552	"$3,087.68"	.	$617.54
0242	65091		Revise eye					
0242	65093		Revise eye with implant					
0242	65101		Removal of eye					
0242	65103		Remove eye/insert implant					
0242	65105		Remove eye/attach implant					
0242	65110		Removal of eye					
0242	65112		Remove eye/revise socket					
0242	65114		Remove eye/revise socket					
0242	65140		Attach ocular implant					
0242	65155		Reinsert ocular implant					
0242	67414		Explr/decompress eye socket					
0242	67420		Explore/treat eye socket					
0242	67430		Explore/treat eye socket					
0242	67440		Explore/drain eye socket					
0242	67445		Explr/decompress eye socket					
0242	67450		Explore/biopsy eye socket					
0242	67550		Insert eye socket implant					
0242	67570		Decompress optic nerve					
0243		Strabismus/Muscle Procedures		T	26.9106	"$1,957.15"	$412.25	$391.43
0243	65290		Repair of eye socket wound					
0243	67311		Revise eye muscle					
0243	67312		Revise two eye muscles					
0243	67314		Revise eye muscle					
0243	67316		Revise two eye muscles					
0243	67318		Revise eye muscle(s)					
0243	67343		Release eye tissue					
0243	67399		Eye muscle surgery procedur					
0244		Corneal and Amniotic Membrane Transplant		T	44.3190	"$3,223.23"	$794.86	$644.65
0244	65710		Corneal transplant					
0244	65730		Corneal transplant					
0244	65750		Corneal transplant					
0244	65755		Corneal transplant					
0244	65756		Corneal trnspl endothelial					
0244	65780		Ocular reconst transplant					
0244	65781		Ocular reconst transplant					
0244	65782		Ocular reconst transplant					
0246		Cataract Procedures with IOL Insert		T	24.2209	"$1,761.54"	$490.32	$352.31
0246	66982		Cataract surgery complex					
0246	66983		Cataract surg w/iol 1 stage					
0246	66984		Cataract surg w/iol 1 stage					
0246	66985		Insert lens prosthesis					
0246	66986		Exchange lens prosthesis					
0247		Laser Eye Procedures		T	5.8656	$426.59	$102.26	$85.32
0247	65855		Laser surgery of eye					
0247	65860		Incise inner eye adhesions					
0247	66761		Revision of iris					
0247	66762		Revision of iris					
0247	66770		Removal of inner eye lesion					
0247	66821		After cataract laser surger					
0247	67031		Laser surgery eye strands					
0247	67105		Repair detached retina					
0247	67145		Treatment of retina					
0247	67210		Treatment of retinal lesion					
0247	67228		Treatment of retinal lesion					
0247	67229		Tr retinal les preterm inf					
0249		Cataract Procedures without IOL Insert		T	29.8351	"$2,169.85"	$499.26	$433.97
0249	66850		Removal of lens material					
0249	66852		Removal of lens material					
0249	66920		Extraction of lens					
0249	66930		Extraction of lens					
0250		Level I ENT Procedures		T	1.1672	$84.89	$24.11	$16.98
0250	21089		Prepare face/oral prosthesi					
0250	21299		Cranio/maxillofacial surger					
0250	21310		Closed tx nose fx w/o manj					
0250	21480		Reset dislocated jaw					
0250	21499		Head surgery procedure					
0250	21899		Neck/chest surgery procedur					
0250	30901		Control of nosebleed					
0250	30903		Control of nosebleed					
0250	30905		Control of nosebleed					
0250	30906		Repeat control of nosebleed					
0250	30999		Nasal surgery procedure					
0250	31299		Sinus surgery procedure					
0250	31599		Larynx surgery procedure					
0250	40799		Lip surgery procedure					
0250	40899		Mouth surgery procedure					
0250	41250		Repair tongue laceration					
0250	41599		Tongue and mouth surgery					
0250	41899		Dental surgery procedure					
0250	42299		Palate/uvula surgery					
0250	42699		Salivary surgery procedure					
0250	42960		Control throat bleeding					
0250	42970		Control nose/throat bleedin					
0250	42999		Throat surgery procedure					
0250	69399		Outer ear surgery procedure					
0250	69799		Middle ear surgery procedur					
0250	69949		Inner ear surgery procedure					
0250	69979		Temporal bone surgery					
0251		Level II ENT Procedures		T	4.3174	$314.00	.	$62.80
0251	21450		Treat lower jaw fracture					
0251	30000		Drainage of nose lesion					
0251	30020		Drainage of nose lesion					
0251	30560		Release of nasal adhesions					
0251	31000		Irrigation maxillary sinus					
0251	40490		Biopsy of lip					
0251	40806		Incision of lip fold					
0251	40808		Biopsy of mouth lesion					
0251	40818		Excise oral mucosa for graf					
0251	40830		Repair mouth laceration					
0251	41005		Drainage of mouth lesion					
0251	41009		Drainage of mouth lesion					
0251	41015		Drainage of mouth lesion					
0251	41251		Repair tongue laceration					
0251	42000		Drainage mouth roof lesion					
0251	42180		Repair palate					
0251	42280		Preparation palate mold					
0251	42310		Drainage of salivary gland					
0251	42320		Drainage of salivary gland					
0251	42660		Dilation of salivary duct					
0251	42700		Drainage of tonsil abscess					
0251	69100		Biopsy of external ear					
0251	69400		Inflate middle ear canal					
0251	69401		Inflate middle ear canal					
0251	69420		Incision of eardrum					
0251	92502		Ear and throat examination					
0252		Level III ENT Procedures		T	7.7330	$562.41	.	$112.49
0252	20100		Explore wound neck					
0252	20500		Injection of sinus tract					
0252	21085		Prepare face/oral prosthesi					
0252	21110		Interdental fixation					
0252	21295		Revision of jaw muscle/bone					
0252	21400		Closed tx orbit w/o manipul					
0252	21401		Closed tx orbit w/ manipulj					
0252	21497		Interdental wiring					
0252	30100		Intranasal biopsy					
0252	30110		Removal of nose polyp(s)					
0252	30200		Injection treatment of nose					
0252	30210		Nasal sinus therapy					
0252	31002		Irrigation sphenoid sinus					
0252	31603		Incision of windpipe					
0252	31605		Incision of windpipe					
0252	31615		Visualization of windpipe					
0252	40650		Repair lip					
0252	40652		Repair lip					
0252	40654		Repair lip					
0252	40801		Drainage of mouth lesion					
0252	40831		Repair mouth laceration					
0252	41000		Drainage of mouth lesion					
0252	41010		Incision of tongue fold					
0252	41018		Drainage of mouth lesion					
0252	41100		Biopsy of tongue					
0252	41115		Excision of tongue fold					
0252	41252		Repair tongue laceration					
0252	41821		Excision of gum flap					
0252	42100		Biopsy roof of mouth					
0252	42300		Drainage of salivary gland					
0252	43020		Incision of esophagus					
0252	60000		Drain thyroid/tongue cyst					
0252	69222		Clean out mastoid cavity					
0252	69433		Create eardrum opening					
0252	C9727		Insert palate implants					
0253		Level IV ENT Procedures		T	17.5947	"$1,279.63"	.	$255.93
0253	21235		Ear cartilage graft					
0253	21282		Revision of eyelid					
0253	21315		Closed tx nose fx w/o stabl					
0253	21320		Closed tx nose fx w/ stablj					
0253	21337		Closed tx septal&nose fx					
0253	21451		Treat lower jaw fracture					
0253	21452		Treat lower jaw fracture					
0253	21495		Treat hyoid bone fracture					
0253	30117		Removal of intranasal lesio					
0253	30220		Insert nasal septal button					
0253	30310		Remove nasal foreign body					
0253	30801		Ablate inf turbinate superf					
0253	30802		Ablate inf turbinate submuc					
0253	40500		Partial excision of lip					
0253	40520		Partial excision of lip					
0253	40810		Excision of mouth lesion					
0253	40812		Excise/repair mouth lesion					
0253	40819		Excise lip or cheek fold					
0253	40820		Treatment of mouth lesion					
0253	41008		Drainage of mouth lesion					
0253	41017		Drainage of mouth lesion					
0253	41105		Biopsy of tongue					
0253	41110		Excision of tongue lesion					
0253	41112		Excision of tongue lesion					
0253	41113		Excision of tongue lesion					
0253	41500		Fixation of tongue					
0253	41510		Tongue to lip surgery					
0253	41806		Removal foreign body jawbon					
0253	41822		Excision of gum lesion					
0253	41825		Excision of gum lesion					
0253	42104		Excision lesion mouth roof					
0253	42106		Excision lesion mouth roof					
0253	42140		Excision of uvula					
0253	42160		Treatment mouth roof lesion					
0253	42281		Insertion palate prosthesis					
0253	42330		Removal of salivary stone					
0253	42340		Removal of salivary stone					
0253	42600		Closure of salivary fistula					
0253	42650		Dilation of salivary duct					
0253	42720		Drainage of throat abscess					
0253	42800		Biopsy of throat					
0253	42802		Biopsy of throat					
0253	42804		Biopsy of upper nose/throat					
0253	42972		Control nose/throat bleedin					
0253	69105		Biopsy of external ear cana					
0253	69405		Catheterize middle ear cana					
0253	69421		Incision of eardrum					
0253	69424		Remove ventilating tube					
0253	69436		Create eardrum opening					
0253	69540		Remove ear lesion					
0253	69801		Incise inner ear					
0254		Level V ENT Procedures		T	27.0108	"$1,964.44"	.	$392.89
0254	21026		Excision of facial bone(s)					
0254	21029		Contour of face bone lesion					
0254	21030		Excise max/zygoma b9 tumor					
0254	21031		Remove exostosis mandible					
0254	21032		Remove exostosis maxilla					
0254	21040		Excise mandible lesion					
0254	21073		Mnpj of tmj w/anesth					
0254	21076		Prepare face/oral prosthesi					
0254	21121		Reconstruction of chin					
0254	21122		Reconstruction of chin					
0254	21123		Reconstruction of chin					
0254	21125		Augmentation lower jaw bone					
0254	21137		Reduction of forehead					
0254	21198		Reconstr lwr jaw segment					
0254	21296		Revision of jaw muscle/bone					
0254	21325		Open tx nose fx uncomplicat					
0254	21330		Open tx nose fx w/skele fix					
0254	21335		Open tx nose & septal fx					
0254	21339		Open nasoethmoid fx w/ fixj					
0254	21345		Closed tx nose/jaw fx					
0254	21356		Opn tx dprsd zygomatic arch					
0254	21440		Treat dental ridge fracture					
0254	21485		Reset dislocated jaw					
0254	21685		Hyoid myotomy & suspension					
0254	30115		Removal of nose polyp(s)					
0254	30118		Removal of intranasal lesio					
0254	30120		Revision of nose					
0254	30124		Removal of nose lesion					
0254	30130		Excise inferior turbinate					
0254	30140		Resect inferior turbinate					
0254	30320		Remove nasal foreign body					
0254	30400		Reconstruction of nose					
0254	30430		Revision of nose					
0254	30520		Repair of nasal septum					
0254	30630		Repair nasal septum defect					
0254	30930		Ther fx nasal inf turbinate					
0254	31020		Exploration maxillary sinus					
0254	31040		Exploration behind upper ja					
0254	31201		Removal of ethmoid sinus					
0254	31205		Removal of ethmoid sinus					
0254	31300		Removal of larynx lesion					
0254	31600		Incision of windpipe					
0254	31601		Incision of windpipe					
0254	31611		Surgery/speech prosthesis					
0254	31613		Repair windpipe opening					
0254	31785		Remove windpipe lesion					
0254	31820		Closure of windpipe lesion					
0254	31825		Repair of windpipe defect					
0254	31830		Revise windpipe scar					
0254	40510		Partial excision of lip					
0254	40525		Reconstruct lip with flap					
0254	40530		Partial removal of lip					
0254	40805		Removal foreign body mouth					
0254	40814		Excise/repair mouth lesion					
0254	40816		Excision of mouth lesion					
0254	40840		Reconstruction of mouth					
0254	40843		Reconstruction of mouth					
0254	41006		Drainage of mouth lesion					
0254	41007		Drainage of mouth lesion					
0254	41016		Drainage of mouth lesion					
0254	41019		Place needles h&n for rt					
0254	41114		Excision of tongue lesion					
0254	41116		Excision of mouth lesion					
0254	41530		Tongue base vol reduction					
0254	41805		Removal foreign body gum					
0254	41820		Excision gum each quadrant					
0254	41826		Excision of gum lesion					
0254	41828		Excision of gum lesion					
0254	41830		Removal of gum tissue					
0254	41850		Treatment of gum lesion					
0254	41874		Repair tooth socket					
0254	42120		Remove palate/lesion					
0254	42182		Repair palate					
0254	42260		Repair nose to lip fistula					
0254	42305		Drainage of salivary gland					
0254	42335		Removal of salivary stone					
0254	42405		Biopsy of salivary gland					
0254	42408		Excision of salivary cyst					
0254	42409		Drainage of salivary cyst					
0254	42500		Repair salivary duct					
0254	42508		Parotid duct diversion					
0254	42806		Biopsy of upper nose/throat					
0254	42808		Excise pharynx lesion					
0254	42810		Excision of neck cyst					
0254	42820		Remove tonsils and adenoids					
0254	42821		Remove tonsils and adenoids					
0254	42826		Removal of tonsils					
0254	42831		Removal of adenoids					
0254	42835		Removal of adenoids					
0254	42836		Removal of adenoids					
0254	42870		Excision of lingual tonsil					
0254	42900		Repair throat wound					
0254	42955		Surgical opening of throat					
0254	42962		Control throat bleeding					
0254	43420		Repair esophagus opening					
0254	60502		Re-explore parathyroids					
0254	69120		Removal of external ear					
0254	69150		Extensive ear canal surgery					
0254	69300		Revise external ear					
0254	69610		Repair of eardrum					
0254	69620		Repair of eardrum					
0254	69666		Repair middle ear structure					
0254	69667		Repair middle ear structure					
0254	69676		Remove middle ear nerve					
0254	69700		Close mastoid fistula					
0255		Level II Anterior Segment Eye Procedures		T	10.3127	$750.02	.	$150.01
0255	65286		Repair of eye wound					
0255	65800		Drainage of eye					
0255	66505		Incision of iris					
0255	66625		Removal of iris					
0255	66820		Incision secondary cataract					
0255	66830		Removal of lens lesion					
0255	66940		Extraction of lens					
0256		Level VI ENT Procedures		T	50.5282	"$3,674.81"	.	$734.97
0256	21010		Incision of jaw joint					
0256	21025		Excision of bone lower jaw					
0256	21034		Excise max/zygoma mal tumor					
0256	21044		Removal of jaw bone lesion					
0256	21046		Remove mandible cyst comple					
0256	21047		Excise lwr jaw cyst w/repai					
0256	21048		Remove maxilla cyst complex					
0256	21049		Excis uppr jaw cyst w/repai					
0256	21050		Removal of jaw joint					
0256	21060		Remove jaw joint cartilage					
0256	21070		Remove coronoid process					
0256	21077		Prepare face/oral prosthesi					
0256	21079		Prepare face/oral prosthesi					
0256	21080		Prepare face/oral prosthesi					
0256	21081		Prepare face/oral prosthesi					
0256	21082		Prepare face/oral prosthesi					
0256	21083		Prepare face/oral prosthesi					
0256	21084		Prepare face/oral prosthesi					
0256	21086		Prepare face/oral prosthesi					
0256	21087		Prepare face/oral prosthesi					
0256	21088		Prepare face/oral prosthesi					
0256	21100		Maxillofacial fixation					
0256	21120		Reconstruction of chin					
0256	21127		Augmentation lower jaw bone					
0256	21138		Reduction of forehead					
0256	21139		Reduction of forehead					
0256	21150		Lefort ii anterior intrusio					
0256	21172		Reconstruct orbit/forehead					
0256	21175		Reconstruct orbit/forehead					
0256	21181		Contour cranial bone lesion					
0256	21193		Reconst lwr jaw w/o graft					
0256	21195		Reconst lwr jaw w/o fixatio					
0256	21199		Reconstr lwr jaw w/advance					
0256	21206		Reconstruct upper jaw bone					
0256	21208		Augmentation of facial bone					
0256	21209		Reduction of facial bones					
0256	21210		Face bone graft					
0256	21215		Lower jaw bone graft					
0256	21230		Rib cartilage graft					
0256	21240		Reconstruction of jaw joint					
0256	21242		Reconstruction of jaw joint					
0256	21243		Reconstruction of jaw joint					
0256	21244		Reconstruction of lower jaw					
0256	21245		Reconstruction of jaw					
0256	21246		Reconstruction of jaw					
0256	21248		Reconstruction of jaw					
0256	21249		Reconstruction of jaw					
0256	21256		Reconstruction of orbit					
0256	21260		Revise eye sockets					
0256	21261		Revise eye sockets					
0256	21263		Revise eye sockets					
0256	21267		Revise eye sockets					
0256	21270		Augmentation cheek bone					
0256	21275		Revision orbitofacial bones					
0256	21280		Revision of eyelid					
0256	21338		Open nasoethmoid fx w/o fix					
0256	21340		Perq tx nasoethmoid fx					
0256	21346		Opn tx nasomax fx w/fixj					
0256	21355		Perq tx malar fracture					
0256	21360		Opn tx dprsd malar fracture					
0256	21365		Opn tx complx malar fx					
0256	21385		Opn tx orbit fx transantral					
0256	21386		Opn tx orbit fx periorbital					
0256	21387		Opn tx orbit fx combined					
0256	21390		Opn tx orbit periorbtl impl					
0256	21395		Opn tx orbit periorbt w/grf					
0256	21406		Opn tx orbit fx w/o implant					
0256	21407		Opn tx orbit fx w/implant					
0256	21408		Opn tx orbit fx w/bone grft					
0256	21421		Treat mouth roof fracture					
0256	21445		Treat dental ridge fracture					
0256	21453		Treat lower jaw fracture					
0256	21454		Treat lower jaw fracture					
0256	21461		Treat lower jaw fracture					
0256	21462		Treat lower jaw fracture					
0256	21465		Treat lower jaw fracture					
0256	21470		Treat lower jaw fracture					
0256	21490		Repair dislocated jaw					
0256	30125		Removal of nose lesion					
0256	30150		Partial removal of nose					
0256	30160		Removal of nose					
0256	30410		Reconstruction of nose					
0256	30420		Reconstruction of nose					
0256	30435		Revision of nose					
0256	30450		Revision of nose					
0256	30460		Revision of nose					
0256	30462		Revision of nose					
0256	30465		Repair nasal stenosis					
0256	30540		Repair nasal defect					
0256	30545		Repair nasal defect					
0256	30580		Repair upper jaw fistula					
0256	30600		Repair mouth/nose fistula					
0256	30620		Intranasal reconstruction					
0256	31030		Exploration maxillary sinus					
0256	31032		Explore sinus remove polyps					
0256	31050		Exploration sphenoid sinus					
0256	31051		Sphenoid sinus surgery					
0256	31070		Exploration of frontal sinu					
0256	31075		Exploration of frontal sinu					
0256	31080		Removal of frontal sinus					
0256	31081		Removal of frontal sinus					
0256	31084		Removal of frontal sinus					
0256	31085		Removal of frontal sinus					
0256	31086		Removal of frontal sinus					
0256	31087		Removal of frontal sinus					
0256	31090		Exploration of sinuses					
0256	31200		Removal of ethmoid sinus					
0256	31320		Diagnostic incision larynx					
0256	31400		Revision of larynx					
0256	31420		Removal of epiglottis					
0256	31580		Revision of larynx					
0256	31582		Revision of larynx					
0256	31588		Revision of larynx					
0256	31590		Reinnervate larynx					
0256	31595		Larynx nerve surgery					
0256	31610		Incision of windpipe					
0256	31612		Puncture/clear windpipe					
0256	31614		Repair windpipe opening					
0256	31750		Repair of windpipe					
0256	31755		Repair of windpipe					
0256	40527		Reconstruct lip with flap					
0256	40700		Repair cleft lip/nasal					
0256	40701		Repair cleft lip/nasal					
0256	40702		Repair cleft lip/nasal					
0256	40720		Repair cleft lip/nasal					
0256	40761		Repair cleft lip/nasal					
0256	40842		Reconstruction of mouth					
0256	40844		Reconstruction of mouth					
0256	40845		Reconstruction of mouth					
0256	41120		Partial removal of tongue					
0256	41512		Tongue suspension					
0256	41520		Reconstruction tongue fold					
0256	41823		Excision of gum lesion					
0256	41827		Excision of gum lesion					
0256	41870		Gum graft					
0256	41872		Repair gum					
0256	42107		Excision lesion mouth roof					
0256	42145		Repair palate pharynx/uvula					
0256	42200		Reconstruct cleft palate					
0256	42205		Reconstruct cleft palate					
0256	42210		Reconstruct cleft palate					
0256	42215		Reconstruct cleft palate					
0256	42220		Reconstruct cleft palate					
0256	42225		Reconstruct cleft palate					
0256	42226		Lengthening of palate					
0256	42227		Lengthening of palate					
0256	42235		Repair palate					
0256	42410		Excise parotid gland/lesion					
0256	42415		Excise parotid gland/lesion					
0256	42420		Excise parotid gland/lesion					
0256	42425		Excise parotid gland/lesion					
0256	42440		Excise submaxillary gland					
0256	42450		Excise sublingual gland					
0256	42505		Repair salivary duct					
0256	42507		Parotid duct diversion					
0256	42509		Parotid duct diversion					
0256	42510		Parotid duct diversion					
0256	42665		Ligation of salivary duct					
0256	42725		Drainage of throat abscess					
0256	42815		Excision of neck cyst					
0256	42825		Removal of tonsils					
0256	42830		Removal of adenoids					
0256	42842		Extensive surgery of throat					
0256	42844		Extensive surgery of throat					
0256	42860		Excision of tonsil tags					
0256	42890		Partial removal of pharynx					
0256	42892		Revision of pharyngeal wall					
0256	42950		Reconstruction of throat					
0256	43030		Throat muscle surgery					
0256	43130		Removal of esophagus pouch					
0256	60252		Removal of thyroid					
0256	60260		Repeat thyroid surgery					
0256	60271		Removal of thyroid					
0256	60500		Explore parathyroid glands					
0256	60520		Removal of thymus gland					
0256	61330		Decompress eye socket					
0256	61334		Explore orbit/remove object					
0256	62000		Treat skull fracture					
0256	69140		Remove ear canal lesion(s)					
0256	69310		Rebuild outer ear canal					
0256	69320		Rebuild outer ear canal					
0256	69440		Exploration of middle ear					
0256	69450		Eardrum revision					
0256	69501		Mastoidectomy					
0256	69502		Mastoidectomy					
0256	69505		Remove mastoid structures					
0256	69511		Extensive mastoid surgery					
0256	69530		Extensive mastoid surgery					
0256	69550		Remove ear lesion					
0256	69552		Remove ear lesion					
0256	69601		Mastoid surgery revision					
0256	69602		Mastoid surgery revision					
0256	69603		Mastoid surgery revision					
0256	69604		Mastoid surgery revision					
0256	69605		Mastoid surgery revision					
0256	69631		Repair eardrum structures					
0256	69632		Rebuild eardrum structures					
0256	69633		Rebuild eardrum structures					
0256	69635		Repair eardrum structures					
0256	69636		Rebuild eardrum structures					
0256	69637		Rebuild eardrum structures					
0256	69641		Revise middle ear & mastoid					
0256	69642		Revise middle ear & mastoid					
0256	69643		Revise middle ear & mastoid					
0256	69644		Revise middle ear & mastoid					
0256	69645		Revise middle ear & mastoid					
0256	69646		Revise middle ear & mastoid					
0256	69650		Release middle ear bone					
0256	69660		Revise middle ear bone					
0256	69661		Revise middle ear bone					
0256	69662		Revise middle ear bone					
0256	69670		Remove mastoid air cells					
0256	69711		Remove/repair hearing aid					
0256	69720		Release facial nerve					
0256	69725		Release facial nerve					
0256	69740		Repair facial nerve					
0256	69745		Repair facial nerve					
0256	69805		Explore inner ear					
0256	69806		Explore inner ear					
0256	69820		Establish inner ear window					
0256	69840		Revise inner ear window					
0256	69905		Remove inner ear					
0256	69910		Remove inner ear & mastoid					
0256	69915		Incise inner ear nerve					
0256	69955		Release facial nerve					
0256	69960		Release inner ear canal					
0256	69970		Remove inner ear lesion					
0259		Level VII ENT Procedures		J1	411.6699	"$29,939.93"	"$7,820.67"	"$5,987.99"
0259	69930		Implant cochlear device					
0260		Level I Plain Film Except Teeth		S	0.8407	$61.14	.	$12.23
0260	70030		X-ray eye for foreign body					
0260	70100		X-ray exam of jaw <4views					
0260	70130		X-ray exam of mastoids					
0260	70140		X-ray exam of facial bones					
0260	70160		X-ray exam of nasal bones					
0260	70190		X-ray exam of eye sockets					
0260	70210		X-ray exam of sinuses					
0260	70240		X-ray exam pituitary saddle					
0260	70328		X-ray exam of jaw joint					
0260	70330		X-ray exam of jaw joints					
0260	70350		X-ray head for orthodontia					
0260	70360		X-ray exam of neck					
0260	70380		X-ray exam of salivary glan					
0260	71010		Chest x-ray 1 view frontal					
0260	71015		Chest x-ray stereo frontal					
0260	71020		Chest x-ray 2vw frontal&lat					
0260	71021		Chest x-ray frnt lat lordot					
0260	71022		Chest x-ray frnt lat obliqu					
0260	71035		Chest x-ray special views					
0260	71100		X-ray exam ribs uni 2 views					
0260	71120		X-ray exam breastbone 2/>vw					
0260	71130		X-ray strenoclavic jt 3/>vw					
0260	72020		X-ray exam of spine 1 view					
0260	72069		X-ray exam trunk spine stan					
0260	72080		X-ray exam trunk spine 2 vw					
0260	72220		X-ray exam sacrum tailbone					
0260	73000		X-ray exam of collar bone					
0260	73020		X-ray exam of shoulder					
0260	73030		X-ray exam of shoulder					
0260	73050		X-ray exam of shoulders					
0260	73060		X-ray exam of humerus					
0260	73070		X-ray exam of elbow					
0260	73080		X-ray exam of elbow					
0260	73100		X-ray exam of wrist					
0260	73110		X-ray exam of wrist					
0260	73130		X-ray exam of hand					
0260	73140		X-ray exam of finger(s)					
0260	73510		X-ray exam of hip					
0260	73540		X-ray exam of pelvis & hips					
0260	73550		X-ray exam of thigh					
0260	73560		X-ray exam of knee 1 or 2					
0260	73562		X-ray exam of knee 3					
0260	73565		X-ray exam of knees					
0260	73590		X-ray exam of lower leg					
0260	73592		X-ray exam of leg infant					
0260	73610		X-ray exam of ankle					
0260	73620		X-ray exam of foot					
0260	73630		X-ray exam of foot					
0260	73650		X-ray exam of heel					
0260	73660		X-ray exam of toe(s)					
0260	74000		X-ray exam of abdomen					
0260	74010		X-ray exam of abdomen					
0260	76010		X-ray nose to rectum					
0260	76499		Radiographic procedure					
0260	77071		X-ray stress view					
0260	77077		Joint survey single view					
0260	77082		Dxa bone density vert fx					
0261		Level II Plain Film Except Teeth Including Bone Density Measurement		S	1.4947	$108.71	.	$21.75
0261	70110		X-ray exam of jaw 4/> views					
0261	70120		X-ray exam of mastoids					
0261	70134		X-ray exam of middle ear					
0261	70150		X-ray exam of facial bones					
0261	70200		X-ray exam of eye sockets					
0261	70220		X-ray exam of sinuses					
0261	70250		X-ray exam of skull					
0261	70260		X-ray exam of skull					
0261	71030		Chest x-ray 4/> views					
0261	71101		X-ray exam unilat ribs/ches					
0261	71110		X-ray exam ribs bil 3 views					
0261	71111		X-ray exam ribs/chest4/> vw					
0261	72010		X-ray exam spine ap&lat					
0261	72040		X-ray exam neck spine 3/<vw					
0261	72050		X-ray exam neck spine 4/5vw					
0261	72052		X-ray exam neck spine 6/>vw					
0261	72070		X-ray exam thorac spine 2vw					
0261	72072		X-ray exam thorac spine 3vw					
0261	72074		X-ray exam thorac spine4/>v					
0261	72090		X-ray exam scloiosis erect					
0261	72100		X-ray exam l-s spine 2/3 vw					
0261	72110		X-ray exam l-2 spine 4/>vws					
0261	72114		X-ray exam l-s spine bendin					
0261	72120		X-ray bend only l-s spine					
0261	72170		X-ray exam of pelvis					
0261	72190		X-ray exam of pelvis					
0261	72200		X-ray exam si joints					
0261	72202		X-ray exam si joints 3/> vw					
0261	73010		X-ray exam of shoulder blad					
0261	73090		X-ray exam of forearm					
0261	73092		X-ray exam of arm infant					
0261	73120		X-ray exam of hand					
0261	73500		X-ray exam of hip					
0261	73520		X-ray exam of hips					
0261	73564		X-ray exam knee 4 or more					
0261	73600		X-ray exam of ankle					
0261	74020		X-ray exam of abdomen					
0261	74022		X-ray exam series abdomen					
0261	74710		X-ray measurement of pelvis					
0261	75809		Nonvascular shunt x-ray					
0261	76100		X-ray exam of body section					
0261	77072		X-rays for bone age					
0261	77073		X-rays bone length studies					
0261	77074		X-rays bone survey limited					
0261	77075		X-rays bone survey complete					
0261	77076		X-rays bone survey infant					
0261	G0130		Single energy x-ray study				$0.00	$0.00
0262		Plain Film of Teeth		S	0.6674	$48.54	.	$9.71
0262	70300		X-ray exam of teeth					
0262	70310		X-ray exam of teeth					
0262	70320		Full mouth x-ray of teeth					
0262	70355		Panoramic x-ray of jaws					
0263		Level I Miscellaneous Radiology Procedures		S	4.2658	$310.24	.	$62.05
0263	70170		X-ray exam of tear duct					
0263	70373		Contrast x-ray of larynx					
0263	70390		X-ray exam of salivary duct					
0263	74190		X-ray exam of peritoneum					
0263	74305		X-ray bile ducts/pancreas					
0263	74470		X-ray exam of kidney lesion					
0263	74740		X-ray female genital tract					
0263	76080		X-ray exam of fistula					
0263	76101		Complex body section x-ray					
0263	76102		Complex body section x-rays					
0263	77053		X-ray of mammary duct					
0263	77054		X-ray of mammary ducts					
0265		Level I Diagnostic and Screening Ultrasound		S	1.2805	$93.13	$22.26	$18.63
0265	76506		Echo exam of head					
0265	76516		Echo exam of eye					
0265	76519		Echo exam of eye					
0265	76529		Echo exam of eye					
0265	76604		Us exam chest					
0265	76645		Us exam breast(s)					
0265	76800		Us exam spinal canal					
0265	76813		Ob us nuchal meas 1 gest					
0265	76815		Ob us limited fetus(s)					
0265	76816		Ob us follow-up per fetus					
0265	76817		Transvaginal us obstetric					
0265	76820		Umbilical artery echo					
0265	76821		Middle cerebral artery echo					
0265	76827		Echo exam of fetal heart					
0265	76828		Echo exam of fetal heart					
0265	76857		Us exam pelvic limited					
0265	76882		Us xtr non-vasc lmtd					
0265	76885		Us exam infant hips dynamic					
0265	76886		Us exam infant hips static					
0265	76970		Ultrasound exam follow-up					
0265	76999		Echo examination procedure					
0265	93888		Intracranial limited study					
0266		Level II Diagnostic and Screening Ultrasound		S	2.0308	$147.70	$37.23	$29.54
0266	76511		Ophth us quant a only					
0266	76512		Ophth us b w/non-quant a					
0266	76513		Echo exam of eye water bath					
0266	76536		Us exam of head and neck					
0266	76700		Us exam abdom complete					
0266	76705		Echo exam of abdomen					
0266	76770		Us exam abdo back wall comp					
0266	76775		Us exam abdo back wall lim					
0266	76776		Us exam k transpl w/doppler					
0266	76801		Ob us < 14 wks single fetus					
0266	76805		Ob us >/= 14 wks sngl fetus					
0266	76818		Fetal biophys profile w/nst					
0266	76819		Fetal biophys profil w/o ns					
0266	76830		Transvaginal us non-ob					
0266	76856		Us exam pelvic complete					
0266	76870		Us exam scrotum					
0266	76872		Us transrectal					
0266	76881		Us xtr non-vasc complete					
0266	93890		Tcd vasoreactivity study					
0266	93892		Tcd emboli detect w/o inj					
0266	93893		Tcd emboli detect w/inj					
0266	93926		Lower extremity study					
0266	93931		Upper extremity study					
0266	93971		Extremity study					
0266	93979		Vascular study					
0266	93990		Doppler flow testing					
0266	G0389		Ultrasound exam AAA screen				$0.00	$0.00
0267		Level III Diagnostic and Screening Ultrasound		S	3.0275	$220.18	$59.55	$44.04
0267	36002		Pseudoaneurysm injection tr					
0267	75945		Intravascular us					
0267	76811		Ob us detailed sngl fetus					
0267	76831		Echo exam uterus					
0267	76873		Echograp trans r pros study					
0267	76975		GI endoscopic ultrasound					
0267	93880		Extracranial bilat study					
0267	93882		Extracranial uni/ltd study					
0267	93886		Intracranial complete study					
0267	93925		Lower extremity study					
0267	93930		Upper extremity study					
0267	93970		Extremity study					
0267	93975		Vascular study					
0267	93976		Vascular study					
0267	93978		Vascular study					
0267	93980		Penile vascular study					
0267	93981		Penile vascular study					
0267	G0365		Vessel mapping hemo access					
0269		Level II Echocardiogram Without Contrast		S	6.5205	$474.22	.	$94.85
0269	93304		Echo transthoracic					
0269	93306		Tte w/doppler complete					
0269	93307		Tte w/o doppler complete					
0269	93313		Echo transesophageal					
0269	93315		Echo transesophageal					
0269	93350		Stress tte only					
0270		Level III Echocardiogram Without Contrast		S	8.5124	$619.09	$128.73	$123.82
0270	93303		Echo transthoracic					
0270	93312		Echo transesophageal					
0270	93316		Echo transesophageal					
0270	93318		Echo transesophageal intrao					
0270	93351		Stress tte complete					
0272		Fluoroscopy		S	2.3237	$169.00	.	$33.80
0272	43756		Dx duod intub w/asp spec					
0272	43757		Dx duod intub w/asp specs					
0272	70370		Throat x-ray & fluoroscopy					
0272	70371		Speech evaluation complex					
0272	71023		Chest x-ray and fluoroscopy					
0272	71034		Chest x-ray&fluoro 4/> view					
0272	76000		Fluoroscope examination					
0272	76120		Cine/video x-rays					
0272	76496		Fluoroscopic procedure					
0274		Myelography		S	8.3878	$610.03	.	$122.01
0274	70010		Contrast x-ray of brain					
0274	70015		Contrast x-ray of brain					
0274	72240		Myelography neck spine					
0274	72255		Myelography thoracic spine					
0274	72265		Myelography l-s spine					
0274	72270		Myelogphy 2/> spine regions					
0275		Arthrography		S	4.7009	$341.89	$68.90	$68.38
0275	70332		X-ray exam of jaw joint					
0275	73040		Contrast x-ray of shoulder					
0275	73085		Contrast x-ray of elbow					
0275	73115		Contrast x-ray of wrist					
0275	73525		Contrast x-ray of hip					
0275	73580		Contrast x-ray of knee join					
0275	73615		Contrast x-ray of ankle					
0276		Level I Digestive Radiology		S	1.4362	$104.45	$32.84	$20.89
0276	74210		Contrst x-ray exam of throa					
0276	74220		Contrast x-ray esophagus					
0276	74230		Cine/vid x-ray throat/esoph					
0276	74250		X-ray exam of small bowel					
0276	74260		X-ray exam of small bowel					
0276	74290		Contrast x-ray gallbladder					
0276	74291		Contrast x-rays gallbladder					
0277		Level II Digestive Radiology		S	2.1550	$156.73	$46.51	$31.35
0277	43752		Nasal/orogastric w/stent					
0277	49465		Fluoro exam of g/colon tube					
0277	74240		X-ray upper gi delay w/o ku					
0277	74241		X-rayupper gi delay w/kub					
0277	74245		X-ray upper gi&small intest					
0277	74246		Contrst x-ray uppr gi tract					
0277	74247		Contrst x-ray uppr gi tract					
0277	74249		Contrst x-ray uppr gi tract					
0277	74251		X-ray exam of small bowel					
0277	74270		Contrast x-ray exam of colo					
0277	74280		Contrast x-ray exam of colo					
0277	74283		Contrast x-ray exam of colo					
0278		Diagnostic Urography		S	3.5682	$259.51	$58.44	$51.91
0278	74400		Contrst x-ray urinary tract					
0278	74410		Contrst x-ray urinary tract					
0278	74415		Contrst x-ray urinary tract					
0278	74420		Contrst x-ray urinary tract					
0278	74425		Contrst x-ray urinary tract					
0278	74430		Contrast x-ray bladder					
0278	74440		X-ray male genital tract					
0278	74445		X-ray exam of penis					
0278	74450		X-ray urethra/bladder					
0278	74455		X-ray urethra/bladder					
0278	74775		X-ray exam of perineum					
0279		Level II Angiography and Venography		S	36.7589	"$2,673.40"	.	$534.68
0279	36221		Place cath thoracic aorta					
0279	36222		Place cath carotid/inom art					
0279	36223		Place cath carotid/inom art					
0279	36225		Place cath subclavian art					
0279	36251		Ins cath ren art 1st unilat					
0279	36252		Ins cath ren art 1st bilat					
0279	36253		Ins cath ren art 2nd+ unila					
0279	36254		Ins cath ren art 2nd+ bilat					
0279	75600		Contrast exam thoracic aort					
0279	75605		Contrast exam thoracic aort					
0279	75625		Contrast exam abdominl aort					
0279	75630		X-ray aorta leg arteries					
0279	75658		Artery x-rays arm					
0279	75705		Artery x-rays spine					
0279	75710		Artery x-rays arm/leg					
0279	75716		Artery x-rays arms/legs					
0279	75726		Artery x-rays abdomen					
0279	75731		Artery x-rays adrenal gland					
0279	75733		Artery x-rays adrenals					
0279	75736		Artery x-rays pelvis					
0279	75741		Artery x-rays lung					
0279	75743		Artery x-rays lungs					
0279	75810		Vein x-ray spleen/liver					
0279	75825		Vein x-ray trunk					
0279	75831		Vein x-ray kidney					
0279	75833		Vein x-ray kidneys					
0279	75840		Vein x-ray adrenal gland					
0279	75842		Vein x-ray adrenal glands					
0279	75885		Vein x-ray liver w/hemodyna					
0279	75889		Vein x-ray liver w/hemodyna					
0279	75891		Vein x-ray liver					
0279	75893		Venous sampling by catheter					
0280		Level III Angiography and Venography		S	59.1125	"$4,299.13"	.	$859.83
0280	36224		Place cath carotd art					
0280	36226		Place cath vertebral art					
0282		Miscellaneous Computed Axial Tomography		S	1.0274	$74.72	$24.89	$14.95
0282	76380		CAT scan follow-up study					
0282	76497		Ct procedure					
0283		Computed Tomography with Contrast		S	3.2554	$236.76	$76.06	$47.36
0283	70460		Ct head/brain w/dye					
0283	70481		Ct orbit/ear/fossa w/dye					
0283	70487		Ct maxillofacial w/dye					
0283	70491		Ct soft tissue neck w/dye					
0283	71260		Ct thorax w/dye					
0283	72126		Ct neck spine w/dye					
0283	72129		Ct chest spine w/dye					
0283	72132		Ct lumbar spine w/dye					
0283	72193		Ct pelvis w/dye					
0283	73201		Ct upper extremity w/dye					
0283	73701		Ct lower extremity w/dye					
0283	74160		Ct abdomen w/dye					
0283	74262		Ct colonography dx w/dye					
0284		Magnetic Resonance Imaging and Magnetic Resonance Angiography with Contrast		S	5.8302	$424.02	$136.74	$84.81
0284	70542		Mri orbit/face/neck w/dye					
0284	70545		Mr angiography head w/dye					
0284	70548		Mr angiography neck w/dye					
0284	70552		Mri brain stem w/dye					
0284	70558		Mri brain w/dye					
0284	71551		Mri chest w/dye					
0284	72142		Mri neck spine w/dye					
0284	72147		Mri chest spine w/dye					
0284	72149		Mri lumbar spine w/dye					
0284	72196		Mri pelvis w/dye					
0284	73219		Mri upper extremity w/dye					
0284	73222		Mri joint upr extrem w/dye					
0284	73719		Mri lower extremity w/dye					
0284	73722		Mri joint of lwr extr w/dye					
0284	74182		Mri abdomen w/dye					
0284	C8900		"MRA w/cont, abd"					
0284	C8903		"MRI w/cont, breast,  uni"					
0284	C8906		"MRI w/cont, breast,  bi"					
0284	C8909		"MRA w/cont, chest"					
0284	C8912		"MRA w/cont, lwr ext"					
0284	C8918		"MRA w/cont, pelvis"					
0284	C8931		"MRA, w/dye, spinal canal"					
0284	C8934		"MRA, w/dye, upper extremity"					
0288		Bone Density:Axial Skeleton		S	1.2926	$94.01	$0.00	$0.00
0288	77078		Ct bone density axial				$0.00	$0.00
0288	77080		Dxa bone density axial				$0.00	$0.00
0293		Level VI Anterior Segment Eye Procedures		J1	117.1225	"$8,518.09"	.	"$1,703.62"
0293	65770		Revise cornea with implant					
0299		Hyperthermia and Radiation Treatment Procedures		S	15.3251	"$1,114.56"	.	$222.92
0299	77470		Special radiation treatment					
0299	77600		Hyperthermia treatment					
0299	77605		Hyperthermia treatment					
0299	77610		Hyperthermia treatment					
0299	77615		Hyperthermia treatment					
0299	77620		Hyperthermia treatment					
0300		Level I Radiation Therapy		S	1.6774	$121.99	.	$24.40
0300	77401		Radiation treatment deliver					
0300	77402		Radiation treatment deliver					
0300	77403		Radiation treatment deliver					
0300	77404		Radiation treatment deliver					
0300	77407		Radiation treatment deliver					
0301		Level II Radiation Therapy		S	3.1039	$225.74	.	$45.15
0301	77406		Radiation treatment deliver					
0301	77408		Radiation treatment deliver					
0301	77409		Radiation treatment deliver					
0301	77411		Radiation treatment deliver					
0301	77412		Radiation treatment deliver					
0301	77413		Radiation treatment deliver					
0301	77414		Radiation treatment deliver					
0301	77416		Radiation treatment deliver					
0301	77422		Neutron beam tx simple					
0301	77423		Neutron beam tx complex					
0301	77750		Infuse radioactive material					
0301	77789		Apply surface radiation					
0303		Treatment Device Construction		S	6.3339	$460.65	.	$92.13
0303	77332		Radiation treatment aid(s)					
0303	77333		Radiation treatment aid(s)					
0303	77334		Radiation treatment aid(s)					
0304		Level I Therapeutic Radiation Treatment Preparation		S	2.1149	$153.81	$34.63	$30.77
0304	77280		Set radiation therapy field					
0304	77299		Radiation therapy planning					
0304	77305		Teletx isodose plan simple					
0304	77310		Teletx isodose plan interme					
0304	77326		Brachytx isodose calc simp					
0304	77331		Special radiation dosimetry					
0304	77336		Radiation physics consult					
0304	77370		Radiation physics consult					
0304	77399		External radiation dosimetr					
0305		Level II Therapeutic Radiation Treatment Preparation		S	4.7122	$342.71	$88.78	$68.55
0305	77285		Set radiation therapy field					
0305	77300		Radiation therapy dose plan					
0305	77321		Special teletx port plan					
0305	77327		Brachytx isodose calc inter					
0305	77328		Brachytx isodose plan compl					
0308		Positron Emission Tomography (PET) imaging		S	18.0566	"$1,313.22"	.	$262.65
0308	78459		Heart muscle imaging (PET)					
0308	78491		Heart image (pet) single					
0308	78492		Heart image (pet) multiple					
0308	78608		Brain imaging (PET)					
0308	78811		Pet image ltd area					
0308	78812		Pet image skull-thigh					
0308	78813		Pet image full body					
0308	78814		Pet image w/ct lmtd					
0308	78815		Pet image w/ct skull-thigh					
0308	78816		Pet image w/ct full body					
0310		Level III Therapeutic Radiation Treatment Preparation		S	9.2388	$671.92	$205.00	$134.39
0310	32553		Ins mark thor for rt perq					
0310	49411		Ins mark abd/pel for rt per					
0310	55876		Place rt device/marker pros					
0310	77290		Set radiation therapy field					
0310	77315		Teletx isodose plan complex					
0310	77338		Design mlc device for imrt					
0310	C9728		"Place device/marker, non pr"					
0312		Radioelement Applications		S	15.1016	"$1,098.31"	.	$219.67
0312	77761		Apply intrcav radiat simple					
0312	77762		Apply intrcav radiat interm					
0312	77763		Apply intrcav radiat compl					
0312	77776		Apply interstit radiat simp					
0312	77777		Apply interstit radiat inte					
0312	77799		Radium/radioisotope therapy					
0313		Brachytherapy		S	14.7401	"$1,072.02"	$259.86	$214.41
0313	0182T		Hdr elect brachytherapy					
0313	77785		Hdr brachytx 1 channel					
0313	77786		Hdr brachytx 2-12 channel					
0313	77787		Hdr brachytx over 12 chan					
0315		Level II Implantation of Neurostimulator Generator		J1	319.1925	"$23,214.23"	.	"$4,642.85"
0315	61886		Implant neurostim arrays					
0316		Level IV Therapeutic Radiation Treatment Preparation		S	26.2305	"$1,907.69"	$630.29	$381.54
0316	77295		Set radiation therapy field					
0316	77301		Radiotherapy dose plan imrt					
0317		Level II Miscellaneous Radiology Procedures		S	6.4532	$469.33	.	$93.87
0317	74320		Contrast x-ray of bile duct					
0317	75801		Lymph vessel x-ray arm/leg					
0317	75803		Lymph vessel x-ray arms/leg					
0317	75805		Lymph vessel x-ray trunk					
0317	75807		Lymph vessel x-ray trunk					
0317	76098		X-ray exam breast specimen					
0317	78071		Parathyrd planar w/wo subtr					
0317	78072		Parathyrd planar w/spect&ct					
0318		Implantation of Neurostimulator Pulse Generator and Electrode		J1	370.6311	"$26,955.26"	"$9,121.76"	"$5,391.06"
0318	0283T		Periph field stimul perm					
0318	64568		Inc for vagus n elect impl					
0319		Level III Endovascular Revascularization of the Lower Extremity		J1	235.9584	"$17,160.78"	"$5,559.48"	"$3,432.16"
0319	37227		Fem/popl revasc stnt & athe					
0319	37231		Tib/per revasc stent & athe					
0320		Electroconvulsive Therapy		S	5.9669	$433.96	.	$86.80
0320	90870		Electroconvulsive therapy					
0322		Brief Individual Psychotherapy		S	1.1610	$84.44	.	$16.89
0322	90832		Psytx pt&/family 30 minutes					
0322	90899		Psychiatric service/therapy					
0323		Extended Individual Psychotherapy		S	1.5647	$113.80	.	$22.76
0323	90791		Psych diagnostic evaluation					
0323	90792		Psych diag eval w/med srvcs					
0323	90834		Psytx pt&/family 45 minutes					
0323	90837		Psytx pt&/family 60 minutes					
0323	90839		Psytx crisis initial 60 min					
0323	90845		Psychoanalysis					
0323	90865		Narcosynthesis					
0323	90880		Hypnotherapy					
0324		Family Psychotherapy		S	1.7711	$128.81	.	$25.77
0324	90846		Family psytx w/o patient					
0324	90847		Family psytx w/patient					
0325		Group Psychotherapy		S	1.0067	$73.22	.	$14.65
0325	90849		Multiple family group psytx					
0325	90853		Group psychotherapy					
0330		Dental Procedures		S	7.4649	$542.91	.	$108.59
0330	D0150		Comprehensve oral evaluatio					
0330	D0240		Intraoral occlusal film					
0330	D0250		Extraoral first film					
0330	D0260		Extraoral ea additional fil					
0330	D0270		Dental bitewing single imag					
0330	D0272		Dental bitewings two images					
0330	D0274		Bitewings four images					
0330	D0277		Vert bitewings 7 to 8 image					
0330	D0460		Pulp vitality test					
0330	D1510		Space maintainer fxd unilat					
0330	D1515		Fixed bilat space maintaine					
0330	D1520		Remove unilat space maintai					
0330	D1525		Remove bilat space maintain					
0330	D1550		Recement space maintainer					
0330	D2999		Dental unspec restorative p					
0330	D3460		Endodontic endosseous impla					
0330	D3999		Endodontic procedure					
0330	D4260		Osseous surgery 4 or more					
0330	D4263		Bone replce graft first sit					
0330	D4264		Bone replce graft each add					
0330	D4268		Surgical revision procedure					
0330	D4270		Pedicle soft tissue graft p					
0330	D4273		Subepithelial tissue graft					
0330	D4355		Full mouth debridement					
0330	D4381		Localized delivery antimicr					
0330	D5911		Facial moulage sectional					
0330	D5912		Facial moulage complete					
0330	D5983		Radiation applicator					
0330	D5984		Radiation shield					
0330	D5985		Radiation cone locator					
0330	D5987		Commissure splint					
0330	D6920		Dental connector bar					
0330	D7111		Extraction coronal remnants					
0330	D7140		Extraction erupted tooth/ex					
0330	D7210		Rem imp tooth w mucoper flp					
0330	D7220		Impact tooth remov soft tis					
0330	D7230		Impact tooth remov part bon					
0330	D7240		Impact tooth remov comp bon					
0330	D7241		Impact tooth rem bony w/com					
0330	D7250		Tooth root removal					
0330	D7260		Oral antral fistula closure					
0330	D7261		Primary closure sinus perf					
0330	D7291		Transseptal fiberotomy					
0330	D7940		Reshaping bone orthognathic					
0330	D9630		Other drugs/medicaments					
0330	D9930		Treatment of complications					
0330	D9940		Dental occlusal guard					
0330	D9950		Occlusion analysis					
0330	D9951		Limited occlusal adjustment					
0330	D9952		Complete occlusal adjustmen					
0331		Combined Abdomen and Pelvis CT without Contrast		S	3.1603	$229.84	$88.86	$45.97
0331	74176		Ct abd & pelvis					
0332		Computed Tomography without Contrast		S	1.5804	$114.94	$44.44	$22.99
0332	70450		Ct head/brain w/o dye					
0332	70480		Ct orbit/ear/fossa w/o dye					
0332	70486		Ct maxillofacial w/o dye					
0332	70490		Ct soft tissue neck w/o dye					
0332	71250		Ct thorax w/o dye					
0332	72125		Ct neck spine w/o dye					
0332	72128		Ct chest spine w/o dye					
0332	72131		Ct lumbar spine w/o dye					
0332	72192		Ct pelvis w/o dye					
0332	73200		Ct upper extremity w/o dye					
0332	73700		Ct lower extremity w/o dye					
0332	74150		Ct abdomen w/o dye					
0332	74261		Ct colonography dx					
0333		Computed Tomography without Contrast followed by Contrast		S	3.6369	$264.50	$91.86	$52.90
0333	70470		Ct head/brain w/o & w/dye					
0333	70482		Ct orbit/ear/fossa w/o&w/dy					
0333	70488		Ct maxillofacial w/o & w/dy					
0333	70492		Ct sft tsue nck w/o & w/dye					
0333	71270		Ct thorax w/o & w/dye					
0333	72127		Ct neck spine w/o & w/dye					
0333	72130		Ct chest spine w/o & w/dye					
0333	72133		Ct lumbar spine w/o & w/dye					
0333	72194		Ct pelvis w/o & w/dye					
0333	73202		Ct uppr extremity w/o&w/dye					
0333	73702		Ct lwr extremity w/o&w/dye					
0333	74170		Ct abdomen w/o & w/dye					
0334		Combined Abdomen and Pelvis CT with Contrast		S	5.0493	$367.23	$118.35	$73.45
0334	74174		Ct angio abd&pelv w/o&w/dye					
0334	74177		Ct abd & pelv w/contrast					
0334	74178		Ct abd & pelv 1/> regns					
0336		Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast		S	3.8938	$283.19	$111.59	$56.64
0336	70336		Magnetic image jaw joint					
0336	70540		Mri orbit/face/neck w/o dye					
0336	70544		Mr angiography head w/o dye					
0336	70547		Mr angiography neck w/o dye					
0336	70551		Mri brain stem w/o dye					
0336	70554		Fmri brain by tech					
0336	70555		Fmri brain by phys/psych					
0336	70557		Mri brain w/o dye					
0336	71550		Mri chest w/o dye					
0336	72141		Mri neck spine w/o dye					
0336	72146		Mri chest spine w/o dye					
0336	72148		Mri lumbar spine w/o dye					
0336	72195		Mri pelvis w/o dye					
0336	73218		Mri upper extremity w/o dye					
0336	73221		Mri joint upr extrem w/o dy					
0336	73718		Mri lower extremity w/o dye					
0336	73721		Mri jnt of lwr extre w/o dy					
0336	74181		Mri abdomen w/o dye					
0336	75557		Cardiac mri for morph					
0336	75559		Cardiac mri w/stress img					
0336	76498		Mri procedure					
0336	77084		Magnetic image bone marrow					
0336	C8901		"MRA w/o cont, abd"					
0336	C8904		"MRI w/o cont, breast, uni"					
0336	C8907		"MRI w/o cont, breast, bi"					
0336	C8910		"MRA w/o cont, chest"					
0336	C8913		"MRA w/o cont, lwr ext"					
0336	C8919		"MRA w/o cont, pelvis"					
0336	C8932		"MRA, w/o dye, spinal canal"					
0336	C8935		"MRA, w/o dye, upper extr"					
0337		Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast f		S	6.5643	$477.41	$171.72	$95.49
0337	70543		Mri orbt/fac/nck w/o &w/dye					
0337	70546		Mr angiograph head w/o&w/dy					
0337	70549		Mr angiograph neck w/o&w/dy					
0337	70553		Mri brain stem w/o & w/dye					
0337	70559		Mri brain w/o & w/dye					
0337	71552		Mri chest w/o & w/dye					
0337	72156		Mri neck spine w/o & w/dye					
0337	72157		Mri chest spine w/o & w/dye					
0337	72158		Mri lumbar spine w/o & w/dy					
0337	72197		Mri pelvis w/o & w/dye					
0337	73220		Mri uppr extremity w/o&w/dy					
0337	73223		Mri joint upr extr w/o&w/dy					
0337	73720		Mri lwr extremity w/o&w/dye					
0337	73723		Mri joint lwr extr w/o&w/dy					
0337	74183		Mri abdomen w/o & w/dye					
0337	75561		Cardiac mri for morph w/dye					
0337	75563		Card mri w/stress img & dye					
0337	C8902		"MRA w/o fol w/cont, abd"					
0337	C8905		"MRI w/o fol w/cont, brst, u"					
0337	C8908		"MRI w/o fol w/cont, breast,"					
0337	C8911		"MRA w/o fol w/cont, chest"					
0337	C8914		"MRA w/o fol w/cont, lwr ext"					
0337	C8920		"MRA w/o fol w/cont, pelvis"					
0337	C8933		"MRA, w/o&w/dye, spinal cana"					
0337	C8936		"MRA, w/o&w/dye, upper extr"					
0340		Level I Minor Procedures		S	1.0374	$75.45	.	$15.09
0340	0126T		Chd risk imt study					
0340	36600		Withdrawal of arterial bloo					
0340	69210		Remove impacted ear wax					
0340	76977		Us bone density measure				$0.00	$0.00
0340	93041		Rhythm ecg tracing					
0340	94780		Car seat/bed test 60 min					
0340	G0293		"Non-cov surg proc,clin tria"					
0340	G0294		"Non-cov proc, clinical tria"					
0340	G0455		Fecal microbiota prep insti					
0341		Skin Tests		S	0.1707	$12.41	.	$2.49
0341	0106T		Touch quant sensory test					
0341	0107T		Vibrate quant sensory test					
0341	0108T		Cool quant sensory test					
0341	0109T		Heat quant sensory test					
0341	0110T		Nos quant sensory test					
0341	86485		Skin test candida					
0341	86486		Skin test nos antigen					
0341	86490		Coccidioidomycosis skin tes					
0341	86510		Histoplasmosis skin test					
0341	86580		TB intradermal test					
0342		Level I Pathology		S	0.4805	$34.95	.	$6.99
0342	86077		Phys blood bank serv xmatch					
0342	86079		Phys blood bank serv authrj					
0342	88104		Cytopath fl nongyn smears					
0342	88106		Cytopath fl nongyn filter					
0342	88108		Cytopath concentrate tech					
0342	88112		Cytopath cell enhance tech					
0342	88160		Cytopath smear other source					
0342	88161		Cytopath smear other source					
0342	88162		Cytopath smear other source					
0342	88199		Cytopathology procedure					
0342	88299		Cytogenetic study					
0342	88300		Surgical path gross					
0342	88302		Tissue exam by pathologist					
0342	88304		Tissue exam by pathologist					
0342	88321		Microslide consultation					
0342	88329		Path consult introp					
0342	88333		Intraop cyto path consult 1					
0342	88363		Xm archive tissue molec ana					
0342	88399		Surgical pathology procedur					
0342	89049		Chct for mal hyperthermia					
0342	89240		Pathology lab procedure					
0342	89257		Sperm identification					
0342	89260		Sperm isolation simple					
0342	89335		Cryopreserve testicular tis					
0342	89398		Unlisted reprod med lab pro					
0343		Level III Pathology		S	1.9853	$144.39	.	$28.88
0343	80500		Lab pathology consultation					
0343	88120		Cytp urne 3-5 probes ea spe					
0343	88121		Cytp urine 3-5 probes cmptr					
0343	88187		Flowcytometry/read 2-8					
0343	88189		Flowcytometry/read 16 & >					
0343	88307		Tissue exam by pathologist					
0343	88323		Microslide consultation					
0343	88325		Comprehensive review of dat					
0343	88342		Immunohistochemistry					
0343	88347		Immunofluorescent study					
0343	88355		Analysis skeletal muscle					
0343	88358		Analysis tumor					
0343	88360		Tumor immunohistochem/manua					
0343	88361		Tumor immunohistochem/compu					
0343	88365		Insitu hybridization (fish)					
0343	89220		Sputum specimen collection					
0343	89344		Storage/year reprod tissue					
0343	G0416		Sat biopsy 10-20					
0344		Level IV Pathology		S	3.8164	$277.56	.	$55.52
0344	0058T		Cryopreservation ovary tiss					
0344	0059T		Cryopreservation oocyte					
0344	85097		Bone marrow interpretation					
0344	88182		Cell marker study					
0344	88184		Flowcytometry/ tc 1 marker					
0344	88346		Immunofluorescent study					
0344	88367		Insitu hybridization auto					
0344	88368		Insitu hybridization manual					
0344	89250		Cultr oocyte/embryo <4 days					
0344	89251		Cultr oocyte/embryo <4 days					
0344	89253		Embryo hatching					
0344	89254		Oocyte identification					
0344	89255		Prepare embryo for transfer					
0344	89258		Cryopreservation embryo(s)					
0344	89264		Identify sperm tissue					
0344	89268		Insemination of oocytes					
0344	89272		Extended culture of oocytes					
0344	89281		Assist oocyte fertilization					
0344	89290		Biopsy oocyte polar body					
0344	89291		Biopsy oocyte polar body					
0344	89342		Storage/year embryo(s)					
0344	89346		Storage/year oocyte(s)					
0344	89352		Thawing cryopresrved embryo					
0344	89354		Thaw cryoprsvrd reprod tiss					
0344	89356		Thawing cryopresrved oocyte					
0345		Level I Transfusion Laboratory Procedures		S	1.1590	$84.29	.	$16.86
0345	86850		RBC antibody screen					
0345	86880		Coombs test direct					
0345	86900		Blood typing abo					
0345	86901		Blood typing rh (d)					
0345	86904		Blood typing patient serum					
0345	86905		Blood typing rbc antigens					
0345	86920		Compatibility test spin					
0345	86923		Compatibility test electric					
0345	86932		Frozen blood freeze/thaw					
0345	86945		Blood product/irradiation					
0345	86950		Leukacyte transfusion					
0345	86960		Vol reduction of blood/prod					
0345	86970		Rbc pretx incubatj w/chemic					
0345	86971		Rbc pretx incubatj w/enzyme					
0345	86999		Transfusion procedure					
0346		Level II Transfusion Laboratory Procedures		S	1.9643	$142.86	.	$28.58
0346	86860		RBC antibody elution					
0346	86885		Coombs test indirect qual					
0346	86886		Coombs test indirect titer					
0346	86902		Blood type antigen donor ea					
0346	86906		Blood typing rh phenotype					
0346	86921		Compatibility test incubate					
0346	86927		Plasma fresh frozen					
0346	86965		Pooling blood platelets					
0346	86972		Rbc pretx incubatj w/densit					
0346	86976		Rbc serum pretx id dilution					
0346	86977		Rbc serum pretx incubj/inhi					
0346	86978		Rbc pretreatment serum					
0346	86985		Split blood or products					
0347		Level III Transfusion Laboratory Procedures		S	2.3215	$168.84	.	$33.77
0347	86870		RBC antibody identification					
0347	86890		Autologous blood process					
0347	86891		Autologous blood op salvage					
0347	86922		Compatibility test antiglob					
0347	86930		Frozen blood prep					
0347	86931		Frozen blood thaw					
0347	86975		Rbc serum pretx incubj drug					
0351		Level VII Anterior Segment Eye Procedures		T	207.5921	"$15,097.76"	"$3,132.26"	"$3,019.56"
0351	0308T		Insj ocular telescope prost					
0360		Level I Alimentary Tests		S	1.9915	$144.84	$33.59	$28.97
0360	91037		Esoph imped function test					
0360	91040		Esoph balloon distension ts					
0360	91065		Breath hydrogen test					
0360	91132		Electrogastrography					
0360	91133		Electrogastrography w/test					
0360	91299		Gastroenterology procedure					
0361		Level II Alimentary Tests		S	5.3531	$389.32	$83.23	$77.87
0361	0240T		Esoph motility 3d topograph					
0361	91010		Esophagus motility study					
0361	91020		Gastric motility studies					
0361	91022		Duodenal motility study					
0361	91030		Acid perfusion of esophagus					
0361	91034		Gastroesophageal reflux tes					
0361	91035		G-esoph reflx tst w/electro					
0361	91038		Esoph imped funct test > 1h					
0361	91112		Gi wireless capsule measure					
0361	95076		Ingest challenge ini 120 mi					
0363		Level I Otorhinolaryngologic Function Tests		S	1.4913	$108.46	.	$21.70
0363	92512		Nasal function studies					
0363	92516		Facial nerve function test					
0363	92520		Laryngeal function studies					
0363	92541		Spontaneous nystagmus test					
0363	92544		Optokinetic nystagmus test					
0363	92545		Oscillating tracking test					
0363	92548		Posturography					
0363	92587		Evoked auditory test limite					
0363	92588		Evoked auditory tst complet					
0364		Level I Audiometry		S	0.6084	$44.25	.	$8.85
0364	92550		Tympanometry & reflex thres					
0364	92555		Speech threshold audiometry					
0364	92556		Speech audiometry complete					
0364	92563		Tone decay hearing test					
0364	92564		Sisi hearing test					
0364	92565		Stenger test pure tone					
0364	92567		Tympanometry					
0364	92568		Acoustic refl threshold tst					
0364	92571		Filtered speech hearing tes					
0364	92575		Sensorineural acuity test					
0364	92576		Synthetic sentence test					
0364	92583		Select picture audiometry					
0364	92596		Ear protector evaluation					
0364	92700		Ent procedure/service					
0365		Level II Audiometry		S	1.6546	$120.34	.	$24.07
0365	0212T		Compre audiometry evaluatio					
0365	92552		Pure tone audiometry air					
0365	92553		Audiometry air & bone					
0365	92557		Comprehensive hearing test					
0365	92561		Bekesy audiometry diagnosis					
0365	92562		Loudness balance test					
0365	92570		Acoustic immitance testing					
0365	92579		Visual audiometry (vra)					
0365	92582		Conditioning play audiometr					
0365	92620		Auditory function 60 min					
0365	92625		Tinnitus assessment					
0365	92640		Aud brainstem implt program					
0366		Level III Audiometry		S	1.8349	$133.45	.	$26.69
0366	92572		Staggered spondaic word tes					
0366	92577		Stenger test speech					
0366	92601		Cochlear implt f/up exam <7					
0366	92602		Reprogram cochlear implt 7/					
0366	92603		Cochlear implt f/up exam 7/					
0366	92604		Reprogram cochlear implt 7/					
0366	92626		Eval aud rehab status					
0367		Level I Pulmonary Test		S	2.3191	$168.66	.	$33.74
0367	94011		Spirometry up to 2 yrs old					
0367	94012		Spirmtry w/brnchdil inf-2 y					
0367	94150		Vital capacity test					
0367	94200		Lung function test (MBC/MVV					
0367	94250		Expired gas collection					
0367	94375		Respiratory flow volume loo					
0367	94400		CO2 breathing response curv					
0367	94690		Exhaled air analysis					
0367	94726		Pulm funct tst plethysmogra					
0367	94727		Pulm function test by gas					
0367	94728		Pulm funct test oscillometr					
0367	94750		Pulmonary compliance study					
0367	94799		Pulmonary service/procedure					
0367	95012		Exhaled nitric oxide meas					
0368		Level II Pulmonary Tests		S	1.9747	$143.62	.	$28.73
0368	93740		Temperature gradient studie					
0368	94010		Breathing capacity test					
0368	94014		Patient recorded spirometry					
0368	94015		Patient recorded spirometry					
0368	94450		Hypoxia response curve					
0368	94452		Hast w/report					
0368	94453		Hast w/oxygen titrate					
0368	94620		Pulmonary stress test/simpl					
0368	95071		Bronchial allergy tests					
0369		Level III Pulmonary Tests		S	4.0326	$293.28	.	$58.66
0369	0244T		Cont msr bronchodil wheeze					
0369	94013		Meas lung vol thru 2 yrs					
0369	94070		Evaluation of wheezing					
0369	94621		Pulm stress test/complex					
0369	94680		Exhaled air analysis o2					
0369	94681		Exhaled air analysis o2/co2					
0369	94770		Exhaled carbon dioxide test					
0369	94772		Breath recording infant					
0369	95070		Bronchial allergy tests					
0370		Multiple Allergy Tests		S	11.1836	$813.36	.	$162.68
0370	95004		Percut allergy skin tests					
0370	95044		Allergy patch tests					
0370	95056		Photosensitivity tests					
0370	95060		Eye allergy tests					
0370	95180		Rapid desensitization					
0373		Level I Neuropsychological Testing		S	1.6008	$116.42	.	$23.29
0373	96102		Psycho testing by technicia					
0373	96103		Psycho testing admin by com					
0373	96111		Developmental test extend					
0373	96120		Neuropsych tst admin w/comp					
0377		Level II Cardiac Imaging		S	16.9776	"$1,234.75"	.	$246.95
0377	78451		Ht muscle image spect sing					
0377	78452		Ht muscle image spect mult					
0377	78453		Ht muscle image planar sing					
0377	78454		Ht musc image planar mult					
0378		Level II Pulmonary Imaging		S	6.6415	$483.02	$126.64	$96.61
0378	78582		Lung ventilat&perfus imagin					
0378	78598		Lung perf&ventilat diferent					
0381		Single Allergy Tests		S	1.6001	$116.37	.	$23.28
0381	95017		Perq & icut allg test venom					
0381	95018		Perq&ic allg test drugs/bio					
0381	95024		Icut allergy test drug/bug					
0381	95027		Icut allergy titrate-airbor					
0381	95028		Icut allergy test-delayed					
0381	95052		Photo patch test					
0381	95065		Nose allergy test					
0381	95199		Allergy immunology services					
0382		Level II Neuropsychological Testing		S	2.7486	$199.90	.	$39.98
0382	96101		Psycho testing by psych/phy					
0382	96116		Neurobehavioral status exam					
0382	96118		Neuropsych tst by psych/phy					
0382	96119		Neuropsych testing by tec					
0383		Cardiac Computed Tomographic Imaging		S	3.1890	$231.93	.	$46.39
0383	75572		Ct hrt w/3d image					
0383	75573		Ct hrt w/3d image congen					
0383	75574		Ct angio hrt w/3d image					
0384		GI Procedures with Stents		T	32.2743	"$2,347.25"	.	$469.45
0384	43219		Esophagus endoscopy					
0384	43256		Uppr gi endoscopy w/stent					
0384	43268		Endo cholangiopancreatograp					
0384	43269		Endo cholangiopancreatograp					
0384	44370		Small bowel endoscopy/stent					
0384	44379		S bowel endoscope w/stent					
0384	44383		Ileoscopy w/stent					
0384	44397		Colonoscopy w/stent					
0384	45327		Proctosigmoidoscopy w/stent					
0384	45345		Sigmoidoscopy w/stent					
0384	45387		Colonoscopy w/stent					
0385		Level I Prosthetic Urological Procedures		J1	113.7848	"$8,275.34"	.	"$1,655.07"
0385	53440		Male sling procedure					
0385	53444		Insert tandem cuff					
0385	54400		Insert semi-rigid prosthesi					
0386		Level II Prosthetic Urological Procedures		J1	188.7869	"$13,730.09"	.	"$2,746.02"
0386	53445		Insert uro/ves nck sphincte					
0386	53447		Remove/replace ur sphincter					
0386	54401		Insert self-contd prosthesi					
0386	54405		Insert multi-comp penis pro					
0386	54410		Remove/replace penis prosth					
0386	54416		Remv/repl penis contain pro					
0387		Level II Hysteroscopy		T	39.5270	"$2,874.72"	$654.35	$574.95
0387	58560		Hysteroscopy resect septum					
0387	58561		Hysteroscopy remove myoma					
0387	58563		Hysteroscopy ablation					
0388		Discography		S	39.1006	"$2,843.71"	.	$568.75
0388	72285		Discography cerv/thor spine					
0388	72295		X-ray of lower spine disk					
0389		Level I Non-imaging Nuclear Medicine		S	2.0160	$146.62	.	$29.33
0389	78012		Thyroid uptake measurement					
0389	78999		Nuclear diagnostic exam					
0390		Level I Endocrine Imaging		S	2.6786	$194.81	$47.69	$38.97
0390	78013		Thyroid imaging w/blood flo					
0390	78099		Endocrine nuclear procedure					
0391		Level II Endocrine Imaging		S	4.0890	$297.38	$65.46	$59.48
0391	78014		Thyroid imaging w/blood flo					
0391	78070		Parathyroid planar imaging					
0392		Level II Non-imaging Nuclear Medicine		S	3.8006	$276.41	.	$55.29
0392	38792		Ra tracer id of sentinl nod					
0392	78190		Platelet survival kinetics					
0392	78191		Platelet survival					
0392	78270		Vit B-12 absorption exam					
0392	78271		Vit b-12 absrp exam int fac					
0392	78272		Vit b-12 absorp combined					
0392	78725		Kidney function study					
0392	78808		Iv inj ra drug dx study					
0393		Hematologic Processing & Studies		S	8.0526	$585.65	.	$117.13
0393	38210		T-cell depletion of harvest					
0393	38211		Tumor cell deplete of harvs					
0393	38212		Rbc depletion of harvest					
0393	38213		Platelet deplete of harvest					
0393	38214		Volume deplete of harvest					
0393	38215		Harvest stem cell concentrt					
0393	78110		Plasma volume single					
0393	78111		Plasma volume multiple					
0393	78120		Red cell mass single					
0393	78121		Red cell mass multiple					
0393	78122		Blood volume					
0393	78130		Red cell survival study					
0393	78135		Red cell survival kinetics					
0393	78140		Red cell sequestration					
0394		Hepatobiliary Imaging		S	5.1576	$375.10	$90.78	$75.02
0394	78201		Liver imaging					
0394	78202		Liver imaging with flow					
0394	78205		Liver imaging (3D)					
0394	78206		Liver image (3d) with flow					
0394	78215		Liver and spleen imaging					
0394	78216		Liver & spleen image/flow					
0394	78226		Hepatobiliary system imagin					
0394	78227		Hepatobil syst image w/drug					
0395		GI Tract Imaging		S	4.4955	$326.95	$87.01	$65.39
0395	78230		Salivary gland imaging					
0395	78231		Serial salivary imaging					
0395	78232		Salivary gland function exa					
0395	78258		Esophageal motility study					
0395	78261		Gastric mucosa imaging					
0395	78262		Gastroesophageal reflux exa					
0395	78264		Gastric emptying study					
0395	78278		Acute GI blood loss imaging					
0395	78282		GI protein loss exam					
0395	78290		Meckels divert exam					
0395	78291		Leveen/shunt patency exam					
0395	78299		GI nuclear procedure					
0396		Bone Imaging		S	4.5955	$334.22	$94.20	$66.85
0396	78300		Bone imaging limited area					
0396	78305		Bone imaging multiple areas					
0396	78306		Bone imaging whole body					
0396	78315		Bone imaging 3 phase					
0396	78320		Bone imaging (3D)					
0396	78399		Musculoskeletal nuclear exa					
0397		Vascular Imaging		S	6.5941	$479.58	.	$95.92
0397	75898		Follow-up angiography					
0397	78445		Vascular flow imaging					
0397	78456		Acute venous thrombus image					
0397	78457		Venous thrombosis imaging					
0397	78458		Ven thrombosis images bilat					
0397	C9733		Non-ophthalmic FVA					
0398		Level I Cardiac Imaging		S	5.4631	$397.32	$93.33	$79.47
0398	78414		Non-imaging heart function					
0398	78428		Cardiac shunt imaging					
0398	78466		Heart infarct image					
0398	78468		Heart infarct image (ef)					
0398	78469		Heart infarct image (3D)					
0398	78472		Gated heart planar single					
0398	78473		Gated heart multiple					
0398	78481		Heart first pass single					
0398	78483		Heart first pass multiple					
0398	78494		Heart image spect					
0398	78499		Cardiovascular nuclear exam					
0400		Hematopoietic Imaging		S	5.0614	$368.11	$90.90	$73.63
0400	78102		Bone marrow imaging ltd					
0400	78103		Bone marrow imaging mult					
0400	78104		Bone marrow imaging body					
0400	78185		Spleen imaging					
0400	78195		Lymph system imaging					
0400	78199		Blood/lymph nuclear exam					
0401		Level I Pulmonary Imaging		S	4.8323	$351.44	$71.16	$70.29
0401	78579		Lung ventilation imaging					
0401	78580		Lung perfusion imaging					
0401	78597		Lung perfusion differential					
0401	78599		Respiratory nuclear exam					
0402		Level II Nervous System Imaging		S	14.0867	"$1,024.50"	.	$204.90
0402	78601		Brain image w/flow < 4 view					
0402	78605		Brain image 4+ views					
0402	78606		Brain image w/flow 4 + view					
0402	78607		Brain imaging (3D)					
0402	78610		Brain flow imaging only					
0402	78630		Cerebrospinal fluid scan					
0402	78635		CSF ventriculography					
0402	78645		CSF shunt evaluation					
0402	78650		Csf leakage imaging					
0403		Level I Nervous System Imaging		S	2.4922	$181.25	.	$36.25
0403	78600		Brain image < 4 views					
0403	78647		Cerebrospinal fluid scan					
0403	78660		Nuclear exam of tear flow					
0403	78699		Nervous system nuclear exam					
0404		Renal and Genitourinary Studies		S	5.8207	$423.33	.	$84.67
0404	78700		Kidney imaging morphol					
0404	78701		Kidney imaging with flow					
0404	78707		K flow/funct image w/o drug					
0404	78708		K flow/funct image w/drug					
0404	78709		K flow/funct image multiple					
0404	78710		Kidney imaging (3D)					
0404	78740		Ureteral reflux study					
0404	78761		Testicular imaging w/flow					
0404	78799		Genitourinary nuclear exam					
0406		Level I Tumor/Infection Imaging		S	5.3508	$389.15	$85.06	$77.83
0406	78015		Thyroid met imaging					
0406	78016		Thyroid met imaging/studies					
0406	78018		Thyroid met imaging body					
0406	78800		Tumor imaging limited area					
0406	78801		Tumor imaging mult areas					
0407		Level I Radionuclide Therapy		S	3.5688	$259.55	$78.13	$51.91
0407	79005		Nuclear rx oral admin					
0407	79101		Nuclear rx iv admin					
0407	79300		Nuclr rx interstit colloid					
0407	79445		Nuclear rx intra-arterial					
0407	79999		Nuclear medicine therapy					
0408		Level III Tumor/Infection Imaging		S	15.9467	"$1,159.77"	.	$231.96
0408	78075		Adrenal cortex & medulla im					
0408	78804		Tumor imaging whole body					
0412		Level III Radiation Therapy		S	7.3980	$538.04	.	$107.61
0412	0073T		Delivery comp imrt					
0412	77418		Radiation tx delivery imrt					
0413		Level II Radionuclide Therapy		S	5.9557	$433.15	.	$86.63
0413	79200		Nuclear rx intracav admin					
0413	79403		Hematopoietic nuclear tx					
0413	79440		Nuclear rx intra-articular					
0414		Level II Tumor/Infection Imaging		S	9.3222	$677.98	.	$135.60
0414	78802		Tumor imaging whole body					
0414	78803		Tumor imaging (3D)					
0414	78805		Abscess imaging ltd area					
0414	78806		Abscess imaging whole body					
0414	78807		Nuclear localization/absces					
0415		Level II Endoscopy Lower Airway		T	30.3947	"$2,210.55"	.	$442.11
0415	31626		Bronchoscopy w/markers					
0415	31629		Bronchoscopy/needle bx each					
0415	31630		Bronchoscopy dilate/fx repr					
0415	31631		Bronchoscopy dilate w/stent					
0415	31634		Bronch w/balloon occlusion					
0415	31636		Bronchoscopy bronch stents					
0415	31638		Bronchoscopy revise stent					
0415	31640		Bronchoscopy w/tumor excise					
0415	31641		Bronchoscopy treat blockage					
0415	31647		Bronchial valve init insert					
0415	31648		Bronchial valve remov init					
0415	31660		Bronch thermoplsty 1 lobe					
0415	31661		Bronch thermoplsty 2/> lobe					
0419		Level II Upper GI Procedures		T	14.2016	"$1,032.85"	$207.70	$206.57
0419	43201		Esoph scope w/submucous inj					
0419	43205		Esophagus endoscopy/ligatio					
0419	43206		Esoph optical endomicroscop					
0419	43215		Esophagus endoscopy					
0419	43217		Esophagus endoscopy					
0419	43220		Esoph endoscopy dilation					
0419	43226		Esoph endoscopy dilation					
0419	43227		Esoph endoscopy repair					
0419	43231		Esoph endoscopy w/us exam					
0419	43232		Esoph endoscopy w/us fn bx					
0419	43237		Endoscopic us exam esoph					
0419	43238		Uppr gi endoscopy w/us fn b					
0419	43240		Esoph endoscope w/drain cys					
0419	43242		Uppr gi endoscopy w/us fn b					
0419	43244		Upper GI endoscopy/ligation					
0419	43245		Uppr gi scope dilate strict					
0419	43246		Place gastrostomy tube					
0419	43249		Esoph endoscopy dilation					
0419	43250		Upper GI endoscopy/tumor					
0419	43251		Operative upper GI endoscop					
0419	43252		Uppr gi opticl endomicrscop					
0419	43255		Operative upper GI endoscop					
0419	43258		Operative upper GI endoscop					
0419	43259		Endoscopic ultrasound exam					
0419	43458		Dilate esophagus					
0419	44100		Biopsy of bowel					
0419	49440		Place gastrostomy tube perc					
0419	49441		Place duod/jej tube perc					
0419	49446		Change g-tube to g-j perc					
0419	91111		Esophageal capsule endoscop					
0420		Level II Minor Procedures		S	1.4381	$104.59	.	$20.92
0420	0206T		Cptr dbs alys car elec dta					
0420	0226T		Anoscopy hra w/spec collect					
0420	0232T		Njx platelet plasma					
0420	11980		Implant hormone pellet(s)					
0420	11981		Insert drug implant device					
0420	11982		Remove drug implant device					
0420	11983		Remove/insert drug implant					
0420	15852		Dressing change not for bur					
0420	15860		Test for blood flow in graf					
0420	19290		Place needle wire breast					
0420	19295		Place breast clip percut					
0420	20665		Removal of fixation device					
0420	20979		Us bone stimulation					
0420	30300		Remove nasal foreign body					
0420	36420		Vein access cutdown < 1 yr					
0420	36680		Insert needle bone cavity					
0420	40804		Removal foreign body mouth					
0420	42809		Remove pharynx foreign body					
0420	43753		Tx gastro intub w/asp					
0420	43754		Dx gastr intub w/asp spec					
0420	46600		Diagnostic anoscopy					
0420	51701		Insert bladder catheter					
0420	51702		Insert temp bladder cath					
0420	51736		Urine flow measurement					
0420	51798		Us urine capacity measure					
0420	69200		Clear outer ear canal					
0420	92227		Remote dx retinal imaging					
0420	92542		Positional nystagmus test					
0420	94644		Cbt 1st hour					
0422		Level III Upper GI Procedures		T	27.4631	"$1,997.34"	.	$399.47
0422	43216		Esophagus endoscopy/lesion					
0422	43228		Esoph endoscopy ablation					
0422	43257		Uppr gi scope w/thrml txmnt					
0422	43830		Place gastrostomy tube					
0422	43870		Repair stomach opening					
0422	C9724		EPS stomach plic					
0423		Level II Percutaneous Abdominal and Biliary Procedures		T	57.4309	"$4,176.83"	.	$835.37
0423	32998		Perq rf ablate tx pul tumor					
0423	47382		Percut ablate liver rf					
0423	47511		Insert bile duct drain					
0423	47553		Biliary endoscopy thru skin					
0423	47556		Biliary endoscopy thru skin					
0423	50592		Perc rf ablate renal tumor					
0423	50593		Perc cryo ablate renal tum					
0424		Level II Small Intestine Endoscopy		T	17.3826	"$1,264.20"	.	$252.84
0424	44364		Small bowel endoscopy					
0424	44365		Small bowel endoscopy					
0424	44366		Small bowel endoscopy					
0424	44369		Small bowel endoscopy					
0424	44372		Small bowel endoscopy					
0424	44373		Small bowel endoscopy					
0424	44377		Small bowel endoscopy/biops					
0424	44378		Small bowel endoscopy					
0425		Level II Arthroplasty or Implantation with Prosthesis		J1	138.7372	"$10,090.08"	.	"$2,018.02"
0425	23470		Reconstruct shoulder joint					
0425	23473		Revis reconst shoulder join					
0425	24361		Reconstruct elbow joint					
0425	24363		Replace elbow joint					
0425	24366		Reconstruct head of radius					
0425	24370		Revise reconst elbow joint					
0425	24371		Revise reconst elbow joint					
0425	25441		Reconstruct wrist joint					
0425	25442		Reconstruct wrist joint					
0425	25446		Wrist replacement					
0425	27446		Revision of knee joint					
0425	69714		Implant temple bone w/stimu					
0425	69715		Temple bne implnt w/stimula					
0425	69717		Temple bone implant revisio					
0425	69718		Revise temple bone implant					
0426		Level II Strapping and Cast Application		S	3.1429	$228.58	.	$45.72
0426	29010		Application of body cast					
0426	29015		Application of body cast					
0426	29035		Application of body cast					
0426	29044		Application of body cast					
0426	29046		Application of body cast					
0426	29055		Application of shoulder cas					
0426	29065		Application of long arm cas					
0426	29075		Application of forearm cast					
0426	29305		Application of hip cast					
0426	29325		Application of hip casts					
0426	29345		Application of long leg cas					
0426	29355		Application of long leg cas					
0426	29358		Apply long leg cast brace					
0426	29365		Application of long leg cas					
0426	29405		Apply short leg cast					
0426	29425		Apply short leg cast					
0426	29435		Apply short leg cast					
0426	29445		Apply rigid leg cast					
0426	29582		Apply multlay comprs upr le					
0426	29710		Removal/revision of cast					
0427		Level II Tube or Catheter Changes or Repositioning		T	17.9990	"$1,309.03"	.	$261.81
0427	47525		Change bile duct catheter					
0427	47530		Revise/reinsert bile tube					
0427	49423		Exchange drainage catheter					
0427	49436		Embedded ip cath exit-site					
0427	50387		Change ext/int ureter stent					
0427	50398		Change kidney tube					
0427	50688		Change of ureter tube/stent					
0427	62225		Replace/irrigate catheter					
0428		Level III Sigmoidoscopy and Anoscopy		T	23.9175	"$1,739.47"	.	$347.90
0428	45307		Proctosigmoidoscopy fb					
0428	45320		Proctosigmoidoscopy ablate					
0428	45321		Proctosigmoidoscopy volvul					
0428	46610		Anoscopy remove lesion					
0428	46612		Anoscopy remove lesions					
0428	46615		Anoscopy					
0429		Level V Cystourethroscopy and other Genitourinary Procedures		T	46.2268	"$3,361.98"	.	$672.40
0429	50080		Removal of kidney stone					
0429	50081		Removal of kidney stone					
0429	52647		Laser surgery of prostate					
0429	52648		Laser surgery of prostate					
0429	52649		Prostate laser enucleation					
0429	53850		Prostatic microwave thermot					
0429	53852		Prostatic rf thermotx					
0432		Level II Health and Behavior Services		S	0.6248	$45.44	.	$9.09
0432	96150		Assess hlth/behave init					
0432	96151		Assess hlth/behave subseq					
0432	96152		Intervene hlth/behave indiv					
0432	96153		Intervene hlth/behave group					
0432	96154		Interv hlth/behav fam w/pt					
0432	G0396		Alcohol/subs interv 15-30mn					
0432	G0397		Alcohol/subs interv >30 min					
0432	G0437		Tobacco-use counsel>10min				$0.00	$0.00
0432	G0442		Annual alcohol screen 15 mi				$0.00	$0.00
0432	G0443		Brief alcohol misuse counse				$0.00	$0.00
0432	G0447		Behavior counsel obesity 15				$0.00	$0.00
0432	G0451		Devlopment test interpt&rep					
0433		Level II Pathology		S	0.8035	$58.44	.	$11.69
0433	80502		Lab pathology consultation					
0433	86078		Phys blood bank serv reactj					
0433	88125		Forensic cytopathology					
0433	88172		Cytp dx eval fna 1st ea sit					
0433	88173		Cytopath eval fna report					
0433	88188		Flowcytometry/read 9-15					
0433	88305		Tissue exam by pathologist					
0433	88312		Special stains group 1					
0433	88313		Special stains group 2					
0433	88319		Enzyme histochemistry					
0433	88331		Path consult intraop 1 bloc					
0433	88356		Analysis nerve					
0433	89230		Collect sweat for test					
0433	89259		Cryopreservation sperm					
0433	89261		Sperm isolation complex					
0433	89280		Assist oocyte fertilization					
0433	89343		Storage/year sperm/semen					
0433	89353		Thawing cryopresrved sperm					
0434		Cardiac Defect Repair		T	177.4446	"$12,905.19"	.	"$2,581.04"
0434	93580		Transcath closure of asd					
0434	93581		Transcath closure of vsd					
0436		Level I Drug Administration		S	0.3387	$24.63	.	$4.93
0436	95115		Immunotherapy one injection					
0436	95117		Immunotherapy injections					
0436	95145		Antigen therapy services					
0436	95165		Antigen therapy services					
0436	96379		Ther/prop/diag inj/inf proc					
0436	96549		Chemotherapy unspecified					
0436	G0008		Admin influenza virus vac				$0.00	$0.00
0437		Level II Drug Administration		S	0.7439	$54.10	.	$10.82
0437	90471		Immunization admin					
0437	90473		Immune admin oral/nasal					
0437	95144		Antigen therapy services					
0437	95148		Antigen therapy services					
0437	95149		Antigen therapy services					
0437	95170		Antigen therapy services					
0437	96372		Ther/proph/diag inj sc/im					
0437	96373		Ther/proph/diag inj ia					
0437	96401		Chemo anti-neopl sq/im					
0437	96402		Chemo hormon antineopl sq/i					
0437	96405		Chemo intralesional up to 7					
0437	G0009		Admin pneumococcal vaccine				$0.00	$0.00
0437	G0010		Admin hepatitis b vaccine				$0.00	$0.00
0438		Level III Drug Administration		S	2.1432	$155.87	.	$31.18
0438	95146		Antigen therapy services					
0438	95147		Antigen therapy services					
0438	96360		Hydration iv infusion init					
0438	96374		Ther/proph/diag inj iv push					
0438	96420		Chemo ia push tecnique					
0438	96542		Chemotherapy injection					
0439		Level IV Drug Administration		S	2.7737	$201.73	.	$40.35
0439	95990		Spin/brain pump refil & mai					
0439	95991		Spin/brain pump refil & mai					
0439	96365		Ther/proph/diag iv inf init					
0439	96369		Sc ther infusion up to 1 hr					
0439	96406		Chemo intralesional over 7					
0439	96409		Chemo iv push sngl drug					
0439	96440		Chemotherapy intracavitary					
0439	96446		Chemotx admn prtl cavity					
0439	96521		Refill/maint portable pump					
0439	96522		Refill/maint pump/resvr sys					
0440		Level V Drug Administration		S	5.6373	$409.99	.	$82.00
0440	96413		Chemo iv infusion 1 hr					
0440	96416		Chemo prolong infuse w/pump					
0440	96422		Chemo ia infusion up to 1 h					
0440	96425		Chemotherapy infusion metho					
0440	96450		Chemotherapy into cns					
0440	C8957		"Prolonged IV inf, req pump"					
0442		Dosimetric Drug Administration		S	22.0575	"$1,604.20"	.	$320.84
0442	G3001		"Admin + supply, tositumomab"					
0617		Critical Care		S	9.5123	$691.81	.	$138.37
0617	99291		Critical care first hour					
0618		Trauma Response with Critical Care		S	13.0283	$947.52	.	$189.51
0618	G0390		Trauma Respons w/hosp criti					
0621		Level I Vascular Access Procedures		T	11.7861	$857.18	.	$171.44
0621	36555		Insert non-tunnel cv cath					
0621	36556		Insert non-tunnel cv cath					
0621	36568		Insert picc cath					
0621	36569		Insert picc cath					
0621	36576		Repair tunneled cv cath					
0621	36580		Replace cvad cath					
0621	36584		Replace picc cath					
0621	36590		Removal tunneled cv cath					
0621	36596		Mech remov tunneled cv cath					
0621	36597		Reposition venous catheter					
0621	37211		Thrombolytic art therapy					
0621	37212		Thrombolytic venous therapy					
0622		Level II Vascular Access Procedures		T	26.4974	"$1,927.10"	.	$385.42
0622	36557		Insert tunneled cv cath					
0622	36558		Insert tunneled cv cath					
0622	36570		Insert picvad cath					
0622	36571		Insert picvad cath					
0622	36578		Replace tunneled cv cath					
0622	36581		Replace tunneled cv cath					
0622	36585		Replace picvad cath					
0622	36595		Mech remov tunneled cv cath					
0622	37213		Thromblytic art/ven therapy					
0622	37214		Cessj therapy cath removal					
0623		Level III Vascular Access Procedures		T	32.5100	"$2,364.39"	.	$472.88
0623	36260		Insertion of infusion pump					
0623	36560		Insert tunneled cv cath					
0623	36561		Insert tunneled cv cath					
0623	36563		Insert tunneled cv cath					
0623	36565		Insert tunneled cv cath					
0623	36566		Insert tunneled cv cath					
0623	36582		Replace tunneled cv cath					
0623	36583		Replace tunneled cv cath					
0623	36640		Insertion catheter artery					
0623	37192		Redo endovas vena cava filt					
0623	37193		Rem endovas vena cava filte					
0623	37197		Remove intrvas foreign body					
0623	37200		Transcatheter biopsy					
0624		Phlebotomy and Minor Vascular Access Device Procedures		S	1.1093	$80.68	.	$16.14
0624	36591		Draw blood off venous devic					
0624	36592		Collect blood from picc					
0624	37799		Vascular surgery procedure					
0624	96523		Irrig drug delivery device					
0624	99195		Phlebotomy					
0631		Level 1 Examinations & Related Services		V	1.0269	$74.68	.	$14.94
0631	G0101		CA screen;pelvic/breast exa				$0.00	$0.00
0631	G0245		Initial foot exam pt lops					
0631	G0246		Followup eval of foot pt lo					
0632		Level 2 Examinations & Related Services		V	1.4907	$108.42	.	$21.69
0632	92002		Eye exam new patient					
0632	92004		Eye exam new patient					
0632	92012		Eye exam establish patient					
0632	92014		Eye exam&tx estab pt 1/>vst					
0632	95250		Glucose monitoring cont					
0632	99460		Init nb em per day hosp					
0632	99463		Same day nb discharge					
0632	99495		Trans care mgmt 14 day disc					
0632	99496		Trans care mgmt 7 day disch					
0632	G0248		Demonstrate use home inr mo					
0632	G0249		Provide INR test mater/equi					
0632	G0402		Initial preventive exam				$0.00	$0.00
0632	M0064		Visit for drug monitoring					
0633		Level 3 Examinations & Related Services		V	4.8910	$355.71	.	$71.15
0633	90945		Dialysis one evaluation					
0633	G0175		"OPPS Service,sched team con"					
0633	G0379		Direct refer hospital obser					
0648		Level IV Breast and Skin Surgery		J1	97.1933	"$7,068.67"	.	"$1,413.74"
0648	19296		Place po breast cath for ra					
0648	19298		Place breast rad tube/caths					
0648	19325		Enlarge breast with implant					
0648	19342		Delayed breast prosthesis					
0648	19357		Breast reconstruction					
0651		Complex Interstitial Radiation Source Application		S	28.4854	"$2,071.69"	.	$414.34
0651	77778		Apply interstit radiat comp					
0652		Insertion of Intraperitoneal and Pleural Catheters		T	33.7065	"$2,451.41"	.	$490.29
0652	32550		Insert pleural cath					
0652	49418		Insert tun ip cath perc					
0652	49421		Ins tun ip cath for dial op					
0653		Vascular Reconstruction/Fistula Repair with Device		T	44.5999	"$3,243.66"	.	$648.74
0653	35011		Repair defect of artery					
0653	35261		Repair blood vessel lesion					
0653	35266		Repair blood vessel lesion					
0653	35286		Repair blood vessel lesion					
0653	36870		Percut thrombect av fistula					
0654		Level II Insertion/Replacement of Permanent Pacemaker		J1	118.5822	"$8,624.25"	.	"$1,724.85"
0654	33213		Insert pulse gen dual leads					
0654	33221		Insert pulse gen mult leads					
0654	33228		Remv&replc pm gen dual lead					
0654	33229		Remv&replc pm gen mult lead					
0655		Insertion/Replacement/Conversion of a Permanent Dual Chamber Pacemaker or Pacing		J1	152.0137	"$11,055.65"	.	"$2,211.13"
0655	33208		Insrt heart pm atrial & ven					
0655	33214		Upgrade of pacemaker system					
0655	33224		Insert pacing lead & connec					
0656		Transcatheter Placement of Intracoronary Drug-Eluting Stents		J1	143.2895	"$10,421.16"	.	"$2,084.24"
0656	C9600		Perc drug-el cor stent sing					
0656	C9601		Perc drug-el cor stent bran					
0656	C9602		Perc d-e cor stent ather s					
0656	C9603		Perc d-e cor stent ather br					
0656	C9604		Perc d-e cor revasc t cabg					
0656	C9605		Perc d-e cor revasc t cabg					
0656	C9606		Perc d-e cor revasc w AMI s					
0656	C9607		Perc d-e cor revasc chro si					
0656	C9608		Perc d-e cor revasc chro ad					
0659		Hyperbaric Oxygen		S	1.5190	$110.47	.	$22.10
0659	C1300		HYPERBARIC Oxygen					
0660		Level II Otorhinolaryngologic Function Tests		S	6.6071	$480.52	.	$96.11
0660	92540		Basic vestibular evaluation					
0660	92543		Caloric vestibular test					
0660	92546		Sinusoidal rotational test					
0661		Level V Pathology		S	6.6794	$485.78	.	$97.16
0661	88309		Tissue exam by pathologist					
0661	88348		Electron microscopy					
0661	88349		Scanning electron microscop					
0661	88362		Nerve teasing preparations					
0661	G0417		Sat biopsy prostate 21-40					
0661	G0418		Sat biopsy prostate 41-60					
0661	G0419		Sat biopsy prostate: >60					
0662		CT Angiography		S	3.9019	$283.78	$95.67	$56.76
0662	70496		Ct angiography head					
0662	70498		Ct angiography neck					
0662	71275		Ct angiography chest					
0662	72191		Ct angiograph pelv w/o&w/dy					
0662	73206		Ct angio upr extrm w/o&w/dy					
0662	73706		Ct angio lwr extr w/o&w/dye					
0662	74175		Ct angio abdom w/o & w/dye					
0662	75635		Ct angio abdominal arteries					
0665		Bone Density:AppendicularSkeleton		S	0.7072	$51.43	$0.00	$0.00
0665	77081		Dxa bone density/peripheral				$0.00	$0.00
0667		Proton Beam Radiation Therapy		S	13.5881	$988.24	.	$197.65
0667	77520		Proton trmt simple w/o comp					
0667	77522		Proton trmt simple w/comp					
0667	77523		Proton trmt intermediate					
0667	77525		Proton treatment complex					
0668		Level I Angiography and Venography		T	11.3612	$826.28	.	$165.26
0668	36147		Access av dial grft for eva					
0668	75746		Artery x-rays lung					
0668	75756		Artery x-rays chest					
0668	75791		Av dialysis shunt imaging					
0668	75820		Vein x-ray arm/leg					
0668	75822		Vein x-ray arms/legs					
0668	75827		Vein x-ray chest					
0668	75860		Vein x-ray neck					
0668	75870		Vein x-ray skull					
0668	75872		Vein x-ray skull epidural					
0668	75880		Vein x-ray eye socket					
0668	75887		Vein x-ray liver w/o hemody					
0672		Level III Posterior Segment Eye Procedures		T	42.1395	"$3,064.72"	.	$612.95
0672	0100T		Prosth retina receive&gen					
0672	65285		Repair of eye wound					
0672	66220		Repair eye lesion					
0672	67010		Partial removal of eye flui					
0672	67015		Release of eye fluid					
0672	67025		Replace eye fluid					
0672	67027		Implant eye drug system					
0672	67036		Removal of inner eye fluid					
0672	67039		Laser treatment of retina					
0672	67040		Laser treatment of retina					
0672	67041		Vit for macular pucker					
0672	67042		Vit for macular hole					
0672	67043		Vit for membrane dissect					
0672	67107		Repair detached retina					
0672	67108		Repair detached retina					
0672	67112		Rerepair detached retina					
0672	67113		Repair retinal detach cplx					
0672	67121		Remove eye implant material					
0673		Level V Anterior Segment Eye Procedures		T	41.4847	"$3,017.10"	$635.64	$603.42
0673	0191T		Insert ant segment drain in					
0673	0192T		Insert ant segment drain ex					
0673	0253T		Insert aqueous drain device					
0673	65930		Remove blood clot from eye					
0673	66155		Glaucoma surgery					
0673	66174		Translum dil eye canal					
0673	66175		Trnslum dil eye canal w/stn					
0673	66180		Implant eye shunt					
0673	66185		Revise eye shunt					
0673	66225		Repair/graft eye lesion					
0673	66605		Removal of iris					
0674		Prostate Cryoablation		J1	109.3121	"$7,950.05"	.	"$1,590.01"
0674	55873		Cryoablate prostate					
0676		Thrombolysis and Other Device Revisions		T	2.7838	$202.46	.	$40.50
0676	36593		Declot vascular device					
0676	36598		Inj w/fluor eval cv device					
0676	36860		External cannula declotting					
0676	37195		Thrombolytic therapy stroke					
0676	43760		Change gastrostomy tube					
0676	92977		Dissolve clot heart vessel					
0678		External Counterpulsation		T	1.4842	$107.94	.	$21.59
0678	G0166		"Extrnl counterpulse, per tx"					
0679		Level II Resuscitation and Cardioversion		S	6.5253	$474.57	$95.30	$94.92
0679	92960		Cardioversion electric ext					
0679	92961		Cardioversion electric int					
0680		Insertion of Patient Activated Event Recorders		J1	93.4003	"$6,792.82"	.	"$1,358.57"
0680	33282		Implant pat-active ht recor					
0683		Level II Photochemotherapy		S	2.9228	$212.57	.	$42.52
0683	96913		Photochemotherapy uv-a or b					
0685		Level III Needle Biopsy/Aspiration Except Bone Marrow		T	13.0327	$947.84	.	$189.57
0685	32400		Needle biopsy chest lining					
0685	32405		Percut bx lung/mediastinum					
0685	47000		Needle biopsy of liver					
0685	48102		Needle biopsy pancreas					
0685	49180		Biopsy abdominal mass					
0685	50200		Renal biopsy perq					
0685	50390		Drainage of kidney lesion					
0685	62269		Needle biopsy spinal cord					
0687		Revision/Removal of Neurostimulator Electrodes		T	23.5971	"$1,716.17"	$389.48	$343.24
0687	0267T		Implt/rpl crtd sns dev lead					
0687	0270T		Rev/remvl crtd sns dev lead					
0687	0284T		Periph field stimul revise					
0687	0313T		Laps rmvl nstim array vagus					
0687	61880		Revise/remove neuroelectrod					
0687	63661		Remove spine eltrd perq ara					
0687	63662		Remove spine eltrd plate					
0687	64585		Revise/remove neuroelectrod					
0688		Revision/Removal of Neurostimulator Pulse Generator Receiver		T	30.7116	"$2,233.59"	$661.02	$446.72
0688	0271T		Rev/remvl crtd sns dev gen					
0688	0314T		Laps rmvl vgl arry & pls ge					
0688	0315T		Rmvl vagus nerve pls gen					
0688	61888		Revise/remove neuroreceiver					
0688	63688		Revise/remove neuroreceiver					
0688	64595		Revise/rmv pn/gastr stimul					
0690		Level I Electronic Analysis of Devices		S	0.5126	$37.28	.	$7.46
0690	0224T		Acoustic ecg 1+ analysis					
0690	0225T		Acoustic ecg analy & reprog					
0690	0305T		Icar ischm mntrng prgrm eva					
0690	0306T		icar ischm mntr interr eval					
0690	0317T		Elec alys vagus nrv pls gen					
0690	0327T		Implt subq defib interogat					
0690	0328T		Implt subq defib sys dev ev					
0690	93270		Remote 30 day ecg rev/repor					
0690	93279		Pm device progr eval sngl					
0690	93280		Pm device progr eval dual					
0690	93281		Pm device progr eval multi					
0690	93282		Icd device progr eval 1 sng					
0690	93283		Icd device progr eval dual					
0690	93284		Icd device progr eval mult					
0690	93285		Ilr device eval progr					
0690	93288		Pm device eval in person					
0690	93289		Icd device interrogate					
0690	93290		Icm device eval					
0690	93291		Ilr device interrogate					
0690	93292		Wcd device interrogate					
0690	93293		Pm phone r-strip device eva					
0690	93296		Pm/icd remote tech serv					
0690	93299		Icm/ilr remote tech serv					
0690	93724		Analyze pacemaker system					
0690	93745		Set-up cardiovert-defibrill					
0691		Level III Electronic Analysis of Devices		S	3.8235	$278.08	.	$55.62
0691	62367		Analyze spine infus pump					
0691	62368		Analyze sp inf pump w/repro					
0691	62369		Anal sp inf pmp w/reprg&fil					
0691	62370		Anl sp inf pmp w/mdreprg&fi					
0692		Level II Electronic Analysis of Devices		S	1.9459	$141.52	.	$28.31
0692	62252		Csf shunt reprogram					
0692	93271		Ecg/monitoring and analysis					
0692	93750		Interrogation vad in person					
0692	95971		Analyze neurostim simple					
0692	95972		Analyze neurostim complex					
0692	95974		Cranial neurostim complex					
0692	95978		Analyze neurostim brain/1h					
0692	95982		Io ga n-stim subsq w/reprog					
0694		Mohs Surgery		T	5.8788	$427.55	$88.07	$85.51
0694	17311		Mohs 1 stage h/n/hf/g					
0694	17313		Mohs 1 stage t/a/l					
0697		Level I Echocardiogram Without Contrast		S	3.6282	$263.87	.	$52.78
0697	76825		Echo exam of fetal heart					
0697	76826		Echo exam of fetal heart					
0697	93308		Tte f-up or lmtd					
0698		Level II Eye Tests & Treatments		S	1.2796	$93.06	.	$18.62
0698	0198T		Ocular blood flow measure					
0698	65205		Remove foreign body from ey					
0698	65210		Remove foreign body from ey					
0698	65220		Remove foreign body from ey					
0698	65222		Remove foreign body from ey					
0698	65430		Corneal smear					
0698	67820		Revise eyelashes					
0698	68040		Treatment of eyelid lesions					
0698	68200		Treat eyelid by injection					
0698	68801		Dilate tear duct opening					
0698	92083		Visual field examination(s)					
0698	92136		Ophthalmic biometry					
0698	92140		Glaucoma provocative tests					
0698	92230		Eye exam with photos					
0698	92270		Electro-oculography					
0698	92283		Color vision examination					
0698	92284		Dark adaptation eye exam					
0698	92286		Internal eye photography					
0698	92287		Internal eye photography					
0698	92311		Contact lens fitting					
0698	92313		Contact lens fitting					
0698	92315		Rx cntact lens aphakia 1 ey					
0698	92316		Rx cntact lens aphakia 2 ey					
0698	92317		Rx corneoscleral cntact len					
0698	92325		Modification of contact len					
0698	92352		Fit aphakia spectcl monofoc					
0698	92353		Fit aphakia spectcl multifo					
0698	92371		Repair & adjust spectacles					
0698	G0117		Glaucoma scrn hgh risk dire					
0699		Level IV Eye Tests & Treatments		T	17.7084	"$1,287.90"	.	$257.58
0699	67346		Biopsy eye muscle					
0699	68110		Remove eyelid lining lesion					
0699	92018		New eye exam & treatment					
0699	92019		Eye exam & treatment					
0701		Sr89 strontium		K		"$1,065.63"	.	$213.13
0701	A9600		Sr89 strontium					
0726		Dexrazoxane HCl injection		K		$153.07	.	$30.62
0726	J1190		Dexrazoxane HCl injection					
0728		Filgrastim 300 mcg injection		K		$277.25	.	$55.45
0728	J1440		Filgrastim 300 mcg injectio					
0731		Sargramostim injection		K		$26.90	.	$5.38
0731	J2820		Sargramostim injection					
0736		Amphotericin b liposome inj		K		$15.23	.	$3.05
0736	J0289		Amphotericin b liposome inj					
0738		Rasburicase		K		$208.17	.	$41.64
0738	J2783		Rasburicase					
0747		Chlorothiazide sodium inj		K		$205.85	.	$41.17
0747	J1205		Chlorothiazide sodium inj					
0751		Mechlorethamine hcl inj		K		$154.70	.	$30.94
0751	J9230		Mechlorethamine hcl inj					
0752		Dactinomycin injection		K		$592.43	.	$118.49
0752	J9120		Dactinomycin injection					
0759		"Naltrexone, depot form"		K		$2.83	.	$0.57
0759	J2315		"Naltrexone, depot form"					
0800		Leuprolide acetate		K		$680.67	.	$136.14
0800	J1950		Leuprolide acetate /3.75 MG					
0802		Etoposide oral		K		$52.29	.	$10.46
0802	J8560		Etoposide oral 50 MG					
0807		Aldesleukin injection		K		"$1,246.98"	.	$249.40
0807	J9015		Aldesleukin injection					
0809		Bcg live intravesical vac		K		$117.45	.	$23.49
0809	J9031		Bcg live intravesical vac					
0810		Goserelin acetate implant		K		$193.19	.	$38.64
0810	J9202		Goserelin acetate implant					
0812		Carmustine injection		K		$175.81	.	$35.17
0812	J9050		Carmustine injection					
0814		"Asparaginase, NOS"		K		$63.21	.	$12.65
0814	J9020		"Asparaginase, NOS"					
0820		Daunorubicin injection		K		$26.08	.	$5.22
0820	J9150		Daunorubicin injection					
0821		Daunorubicin citrate inj		K		$243.80	.	$48.76
0821	J9151		Daunorubicin citrate inj					
0823		Docetaxel injection		K		$6.15	.	$1.23
0823	J9171		Docetaxel injection					
0825		Nelarabine injection		K		$127.02	.	$25.41
0825	J9261		Nelarabine injection					
0827		Floxuridine injection		K		$57.68	.	$11.54
0827	J9200		Floxuridine injection					
0831		Ifosfamide injection		K		$29.83	.	$5.97
0831	J9208		Ifosfamide injection					
0832		Idarubicin hcl injection		K		$62.71	.	$12.55
0832	J9211		Idarubicin hcl injection					
0835		Cosyntropin injection NOS		K		$101.68	.	$20.34
0835	J0833		Cosyntropin injection NOS					
0836		Interferon alfa-2b inj		K		$17.39	.	$3.48
0836	J9214		Interferon alfa-2b inj					
0838		Interferon gamma 1-b inj		K		"$2,517.90"	.	$503.58
0838	J9216		Interferon gamma 1-b inj					
0840		Inj melphalan hydrochl		K		"$1,301.51"	.	$260.31
0840	J9245		Inj melphalan hydrochl 50 M					
0842		Fludarabine phosphate inj		K		$83.74	.	$16.75
0842	J9185		Fludarabine phosphate inj					
0843		Pegaspargase injection		K		"$5,890.00"	.	"$1,178.00"
0843	J9266		Pegaspargase injection					
0844		Pentostatin injection		K		"$1,390.65"	.	$278.13
0844	J9268		Pentostatin injection					
0849		Rituximab injection		K		$677.94	.	$135.59
0849	J9310		Rituximab injection					
0850		Streptozocin injection		K		$273.31	.	$54.67
0850	J9320		Streptozocin injection					
0851		Thiotepa injection		K		$265.00	.	$53.00
0851	J9340		Thiotepa injection					
0856		Porfimer sodium injection		K		"$19,325.78"	.	"$3,865.16"
0856	J9600		Porfimer sodium injection					
0858		Inj cladribine		K		$26.67	.	$5.34
0858	J9065		Inj cladribine per 1 MG					
0861		Leuprolide acetate injeciton		K		$8.87	.	$1.78
0861	J9218		Leuprolide acetate injecito					
0864		Mitoxantrone hydrochl		K		$37.32	.	$7.47
0864	J9293		Mitoxantrone hydrochl / 5 M					
0868		Oral aprepitant		K		$6.48	.	$1.30
0868	J8501		Oral aprepitant					
0873		Hyalgan/supartz inj per dose		K		$88.84	.	$17.77
0873	J7321		Hyalgan/supartz inj per dos					
0874		Synvisc or synvisc-one		K		$12.20	.	$2.44
0874	J7325		Synvisc or Synvisc-One					
0875		Euflexxa inj per dose		K		$163.96	.	$32.80
0875	J7323		Euflexxa inj per dose					
0877		Orthovisc inj per dose		K		$167.50	.	$33.50
0877	J7324		Orthovisc inj per dose					
0887		Azathioprine parenteral		K		$162.95	.	$32.59
0887	J7501		Azathioprine parenteral					
0890		Lymphocyte immune globulin		K		$705.82	.	$141.17
0890	J7504		Lymphocyte immune globulin					
0900		Alglucerase injection		K		$42.03	.	$8.41
0900	J0205		Alglucerase injection					
0901		Alpha 1 proteinase inhibitor		K		$3.92	.	$0.79
0901	J0256		Alpha 1 proteinase inhibito					
0902		"Injection,onabotulinumtoxinA"		K		$5.46	.	$1.10
0902	J0585		"Injection,onabotulinumtoxin"					
0903		Cytomegalovirus imm IV /vial		K		"$1,013.87"	.	$202.78
0903	J0850		Cytomegalovirus imm IV /via					
0910		Interferon beta-1b / .25 MG		K		$258.23	.	$51.65
0910	J1830		Interferon beta-1b / .25 MG					
0913		Ganciclovir long act implant		K		"$16,960.00"	.	"$3,392.00"
0913	J7310		Ganciclovir long act implan					
0925		Factor viii		K		$0.91	.	$0.19
0925	J7190		Factor viii					
0927		Factor viii recombinant		K		$1.13	.	$0.23
0927	J7192		Factor viii recombinant NOS					
0928		Factor ix complex		K		$1.09	.	$0.22
0928	J7194		Factor ix complex					
0929		Anti-inhibitor		K		$1.64	.	$0.33
0929	J7198		Anti-inhibitor					
0931		Factor IX non-recombinant		K		$0.95	.	$0.19
0931	J7193		Factor IX non-recombinant					
0932		Factor IX recombinant		K		$1.26	.	$0.26
0932	J7195		Factor IX recombinant					
0933		Gamma globulin > 10 CC inj		K		$238.62	.	$47.73
0933	J1560		Gamma globulin > 10 CC inj					
0934		"Capecitabine, oral"		K		$29.67	.	$5.94
0934	J8521		"Capecitabine, oral, 500 mg"					
0943		Octagam injection		K		$31.50	.	$6.30
0943	J1568		Octagam injection					
0944		Gammagard liquid injection		K		$37.83	.	$7.57
0944	J1569		Gammagard liquid injection					
0945		Rhophylac injection		K		$4.78	.	$0.96
0945	J2791		Rhophylac injection					
0946		Hepagam b im injection		K		$52.01	.	$10.41
0946	J1571		Hepagam b im injection					
0947		Flebogamma injection		K		$35.52	.	$7.11
0947	J1572		Flebogamma injection					
0948		Gamunex-C/Gammaked		K		$38.23	.	$7.65
0948	J1561		Gamunex-C/Gammaked					
0949		"Frozen plasma, pooled, sd"		R	1.0019	$72.87	.	$14.58
0949	P9023		"Frozen plasma, pooled, sd"					
0950		Whole blood for transfusion		R	1.9003	$138.21	.	$27.65
0950	P9010		Whole blood for transfusion					
0951		Reclast injection		K		$224.68	.	$44.94
0951	J3488		Reclast injection					
0952		Cryoprecipitate each unit		R	0.9053	$65.84	.	$13.17
0952	P9012		Cryoprecipitate each unit					
0954		RBC leukocytes reduced		R	2.6853	$195.30	.	$39.06
0954	P9016		RBC leukocytes reduced					
0955		"Plasma, frz between 8-24hour"		R	0.9853	$71.66	.	$14.34
0955	P9059		"Plasma, frz between 8-24hou"					
0956		"Plasma protein fract,5%,50ml"		R	0.2272	$16.52	.	$3.31
0956	P9043		"Plasma protein fract,5%,50m"					
0957		"Platelets, each unit"		R	1.6133	$117.33	.	$23.47
0957	P9019		"Platelets, each unit"					
0958		Plaelet rich plasma unit		R	2.4251	$176.37	.	$35.28
0958	P9020		Plaelet rich plasma unit					
0959		Red blood cells unit		R	2.1854	$158.94	.	$31.79
0959	P9021		Red blood cells unit					
0960		Washed red blood cells unit		R	3.8527	$280.20	.	$56.04
0960	P9022		Washed red blood cells unit					
0961		"Albumin (human),5%, 50ml"		K		$21.42	.	$4.29
0961	P9041		"Albumin (human),5%, 50ml"					
0963		"Albumin (human), 5%, 250 ml"		K		$68.75	.	$13.75
0963	P9045		"Albumin (human), 5%, 250 ml"					
0964		"Albumin (human), 25%, 20 ml"		K		$45.18	.	$9.04
0964	P9046		"Albumin (human), 25%, 20 ml"					
0965		"Albumin (human), 25%, 50ml"		K		$69.68	.	$13.94
0965	P9047		"Albumin (human), 25%, 50ml"					
0966		"Plasmaprotein fract,5%,250ml"		R	0.5475	$39.82	.	$7.97
0966	P9048		"Plasmaprotein fract,5%,250m"					
0967		Blood split unit		R	1.4234	$103.52	.	$20.71
0967	P9011		Blood split unit					
0968		Platelets leukoreduced irrad		R	2.2296	$162.15	.	$32.43
0968	P9033		Platelets leukoreduced irra					
0969		RBC leukoreduced irradiated		R	3.8095	$277.06	.	$55.42
0969	P9040		RBC leukoreduced irradiated					
1009		Cryoprecipitatereducedplasma		R	1.0959	$79.70	.	$15.94
1009	P9044		Cryoprecipitatereducedplasm					
1010		"Blood, l/r, cmv-neg"		R	2.4106	$175.32	.	$35.07
1010	P9051		"Blood, l/r, cmv-neg"					
1011		"Platelets, hla-m, l/r, unit"		R	10.4509	$760.07	.	$152.02
1011	P9052		"Platelets, hla-m, l/r, unit"					
1013		Platelets leukocytes reduced		R	1.6487	$119.91	.	$23.99
1013	P9031		Platelets leukocytes reduce					
1015		Injection glatiramer acetate		K		$136.50	.	$27.30
1015	J1595		Injection glatiramer acetat					
1016		"Blood, l/r, froz/degly/wash"		R	3.3920	$246.69	.	$49.34
1016	P9054		"Blood, l/r, froz/degly/wash"					
1017		"Plt, aph/pher, l/r, cmv-neg"		R	4.0076	$291.46	.	$58.30
1017	P9055		"Plt, aph/pher, l/r, cmv-neg"					
1018		"Blood, l/r, irradiated"		R	2.2182	$161.33	.	$32.27
1018	P9056		"Blood, l/r, irradiated"					
1019		Plate pheres leukoredu irrad		R	9.2452	$672.38	.	$134.48
1019	P9037		Plate pheres leukoredu irra					
1020		"Plt, pher, l/r cmv-neg, irr"		R	9.2735	$674.44	.	$134.89
1020	P9053		"Plt, pher, l/r cmv-neg, irr"					
1021		"RBC, frz/deg/wsh, l/r, irrad"		R	6.1850	$449.82	.	$89.97
1021	P9057		"RBC, frz/deg/wsh, l/r, irra"					
1022		"RBC, l/r, cmv-neg, irrad"		R	4.0509	$294.61	.	$58.93
1022	P9058		"RBC, l/r, cmv-neg, irrad"					
1023		Pralidoxime chloride inj		K		$89.52	.	$17.91
1023	J2730		Pralidoxime chloride inj					
1052		"Injection, voriconazole"		K		$4.87	.	$0.98
1052	J3465		"Injection, voriconazole"					
1064		"I131 iodide cap, rx"		K		$18.70	.	$3.74
1064	A9517		"I131 iodide cap, rx"					
1083		Adalimumab injection		K		$490.56	.	$98.12
1083	J0135		Adalimumab injection					
1084		Denileukin diftitox inj		K		"$1,646.18"	.	$329.24
1084	J9160		Denileukin diftitox inj					
1086		Temozolomide		K		$11.19	.	$2.24
1086	J8700		Temozolomide					
1138		"Hepagam b intravenous, inj"		K		$52.01	.	$10.41
1138	J1573		"Hepagam b intravenous, inj"					
1139		Protein c concentrate		K		$13.75	.	$2.75
1139	J2724		Protein c concentrate					
1142		Supprelin LA implant		K		"$16,417.13"	.	"$3,283.43"
1142	J9226		Supprelin LA implant					
1150		"I131 iodide sol, rx"		K		$10.83	.	$2.17
1150	A9530		"I131 iodide sol, rx"					
1166		Cytarabine liposome inj		K		$528.75	.	$105.75
1166	J9098		Cytarabine liposome inj					
1168		"Inj, temsirolimus"		K		$54.84	.	$10.97
1168	J9330		Temsirolimus injection					
1178		Busulfan injection		K		$21.92	.	$4.39
1178	J0594		Busulfan injection					
1203		Verteporfin injection		K		$10.30	.	$2.06
1203	J3396		Verteporfin injection					
1207		"Octreotide injection, depot"		K		$131.13	.	$26.23
1207	J2353		"Octreotide injection, depot"					
1213		Antihemophilic viii/vwf comp		K		$0.93	.	$0.19
1213	J7186		Antihemophilic viii/vwf com					
1214		Inj IVIG privigen 500 mg		K		$36.08	.	$7.22
1214	J1459		Inj IVIG privigen 500 mg					
1232		Mitomycin injection		K		$22.25	.	$4.45
1232	J9280		Mitomycin injection					
1235		Valrubicin injection		K		"$1,038.42"	.	$207.69
1235	J9357		Valrubicin injection					
1236		Levoleucovorin injection		K		$1.82	.	$0.37
1236	J0641		Levoleucovorin injection					
1237		Inj iron dextran		K		$12.15	.	$2.43
1237	J1750		Inj iron dextran					
1238		Topotecan oral		K		$86.58	.	$17.32
1238	J8705		Topotecan oral					
1239		Rotavirus vacc 2 dose oral		K		$102.50	.	$20.50
1239	90681		Rotavirus vacc 2 dose oral					
1253		Triamcinolone A inj PRS-free		K		$3.67	.	$0.74
1253	J3300		Triamcinolone A inj PRS-fre					
1263		Antithrombin iii injection		K		$3.04	.	$0.61
1263	J7197		Antithrombin iii injection					
1268		Xyntha inj		K		$1.06	.	$0.22
1268	J7185		Xyntha inj					
1272		Acetylcysteine injection		K		$3.20	.	$0.64
1272	J0132		Acetylcysteine injection					
1274		Edetate calcium disodium inj		K		$201.40	.	$40.28
1274	J0600		Edetate calcium disodium in					
1275		"Vivaglobin, inj"		K		$12.72	.	$2.55
1275	J1562		"Vivaglobin, inj"					
1280		Corticotropin injection		K		"$3,012.76"	.	$602.56
1280	J0800		Corticotropin injection					
1281		Bevacizumab injection		K		$1.59	.	$0.32
1281	C9257		Bevacizumab injection					
1289		AbobotulinumtoxinA		K		$6.89	.	$1.38
1289	J0586		AbobotulinumtoxinA					
1291		Rilonacept injection		K		$24.09	.	$4.82
1291	J2793		Rilonacept injection					
1295		Sm 153 lexidronam		K		"$7,919.26"	.	"$1,583.86"
1295	A9604		Sm 153 lexidronam					
1296		Degarelix injection		K		$2.87	.	$0.58
1296	J9155		Degarelix injection					
1297		"Ferumoxytol, non-esrd"		K		$0.64	.	$0.13
1297	Q0138		"Ferumoxytol, non-esrd"					
1311		Canakinumab injection		K		$90.24	.	$18.05
1311	J0638		Canakinumab injection					
1312		Hizentra injection		K		$7.29	.	$1.46
1312	J1559		Hizentra injection					
1327		Imiglucerase injection		K		$41.87	.	$8.38
1327	J1786		Imuglucerase injection					
1331		Olanzapine long-acting inj		K		$2.75	.	$0.55
1331	J2358		Olanzapine long-acting inj					
1332		Antithrombin recombinant		K		$103.35	.	$20.67
1332	J7196		Antithrombin recombinant					
1338		"Methyl aminolevulinate, top"		K		$78.68	.	$15.74
1338	J7309		"Methyl aminolevulinate, top"					
1340		"Collagenase, clost hist inj"		K		$37.51	.	$7.51
1340	J0775		"Collagenase, clost hist inj"					
1341		Amobarbital 125 MG inj		K		$152.43	.	$30.49
1341	J0300		Amobarbital 125 MG inj					
1350		Topotecan injection		K		$2.35	.	$0.47
1350	J9351		Topotecan injection					
1352		Wilate injection		K		$0.93	.	$0.19
1352	J7183		Wilate injection					
1353		Belimumab injection		K		$38.29	.	$7.66
1353	J0490		Belimumab injection					
1354		Hydroxyprogesterone caproate		K		$2.71	.	$0.55
1354	J1725		Hydroxyprogesterone caproat					
1357		Inj protirelin per 250 mcg		K		$29.74	.	$5.95
1357	J2725		Inj protirelin per 250 mcg					
1361		Enfuvirtide injection		K		$0.55	.	$0.11
1361	J1324		Enfuvirtide injection					
1408		Cyclophosphamide 100 MG inj		K		$35.42	.	$7.09
1408	J9070		Cyclophosphamide 100 MG inj					
1413		Lumizyme injection		K		$153.62	.	$30.73
1413	J0221		Lumizyme injection					
1415		Glassia injection		K		$3.93	.	$0.79
1415	J0257		Glassia injection					
1416		Factor XIII anti-hem factor		K		$6.42	.	$1.29
1416	J7180		Factor XIII anti-hem factor					
1417		Gel-one		K		$580.13	.	$116.03
1417	J7326		Gel-one					
1420		Aflibercept injection		G		$980.50	.	$196.10
1420	J0178		Aflibercept injection					
1421		Imported lipodox inj		K		$498.26	.	$99.66
1421	Q2049		Imported lipodox inj					
1422		Anthrax vaccine sc or im		K		$94.05	.	$18.81
1422	90581		Anthrax vaccine sc or im					
1424		Nabilone oral		K		$27.07	.	$5.42
1424	J8650		Nabilone oral					
1426		Eribulin mesylate injection		K		$95.56	.	$19.12
1426	J9179		Eribulin mesylate injection					
1431		Centruroides immune f(ab)		G		"$3,667.49"	.	$733.50
1431	J0716		Centruroides immune f(ab)					
1432		Arbutamine hcl injection		K		$86.37	.	$17.28
1432	J0395		Arbutamine hcl injection					
1435		Injection estrone per 1 MG		K		$1.54	.	$0.31
1435	J1435		Injection estrone per 1 MG					
1439		"Aprotonin, 10,000 kiu"		K		$2.65	.	$0.53
1439	J0365		"Aprotonin, 10,000 kiu"					
1440		Inj desmopressin acetate		K		$5.60	.	$1.12
1440	J2597		Inj desmopressin acetate					
1442		Non-HEU TC-99M add-on/dose		K		$10.00	.	$2.00
1442	Q9969		Non-HEU TC-99M add-on/dose					
1443		Icatibant injection		K		$234.77	.	$46.96
1443	J1744		Icatibant injection					
1445		Methylnaltrexone injection		K		$0.38	.	$0.08
1445	J2212		Methylnaltrexone injection					
1448		Opthalmic mitomycin		G		$380.54	.	$76.11
1448	J7315		Opthalmic mitomycin					
1449		Talymed		G		$0.55	$0.00	$0.00
1449	Q4127		Talymed				$0.00	$0.00
1454		Mumps vaccine sc		K		$162.79	.	$32.56
1454	90704		Mumps vaccine sc					
1455		Foscarnet sodium injection		K		$29.95	.	$5.99
1455	J1455		Foscarnet sodium injection					
1456		Pentobarbital sodium inj		K		$32.56	.	$6.52
1456	J2515		Pentobarbital sodium inj					
1457		Totazoline hcl injection		K		$41.54	.	$8.31
1457	J2670		Totazoline hcl injection					
1458		Phentolaine mesylate inj		K		$132.52	.	$26.51
1458	J2760		Phentolaine mesylate inj					
1459		Urea injection		K		$111.38	.	$22.28
1459	J3350		Urea injection					
1460		Interferon alfa-2a inj		K		$57.77	.	$11.56
1460	J9213		Interferon alfa-2a inj					
1605		Abciximab injection		K		$574.85	.	$114.97
1605	J0130		Abciximab injection					
1607		Eptifibatide injection		K		$25.95	.	$5.19
1607	J1327		Eptifibatide injection					
1608		Etanercept injection		K		$241.21	.	$48.25
1608	J1438		Etanercept injection					
1609		"Rho(D) immune globulin h, sd"		K		$18.59	.	$3.72
1609	J2792		"Rho(D) immune globulin h, s"					
1612		"Daclizumab, parenteral"		K		$526.34	.	$105.27
1612	J7513		"Daclizumab, parenteral"					
1613		Trastuzumab injection		K		$78.55	.	$15.71
1613	J9355		Trastuzumab injection					
1630		"Hep b ig, im"		K		$112.11	.	$22.43
1630	90371		Hep b ig im					
1631		Baclofen intrathecal trial		K		$75.91	.	$15.19
1631	J0476		Baclofen intrathecal trial					
1633		Alefacept		K		$41.64	.	$8.33
1633	J0215		Alefacept					
1643		"Y90 ibritumomab, rx"		K		"$40,314.39"	.	"$8,062.88"
1643	A9543		"Y90 ibritumomab, rx"					
1645		"I131 tositumomab, rx"		K		"$30,002.45"	.	"$6,000.49"
1645	A9545		"I131 tositumomab, rx"					
1670		Tetanus immune globulin inj		K		$276.72	.	$55.35
1670	J1670		Tetanus immune globulin inj					
1675		P32 Na phosphate		K		$232.40	.	$46.48
1675	A9563		P32 Na phosphate					
1676		P32 chromic phosphate		K		$302.72	.	$60.55
1676	A9564		P32 chromic phosphate					
1683		Basiliximab		K		"$2,321.25"	.	$464.25
1683	J0480		Basiliximab					
1684		Corticorelin ovine triflutal		K		$5.82	.	$1.17
1684	J0795		Corticorelin ovine trifluta					
1685		"Darbepoetin alfa, non-esrd"		K		$3.33	.	$0.67
1685	J0881		"Darbepoetin alfa, non-esrd"					
1686		"Epoetin alfa, non-esrd"		K		$10.39	.	$2.08
1686	J0885		"Epoetin alfa, non-esrd"					
1687		Digoxin immune fab (ovine)		K		"$1,045.83"	.	$209.17
1687	J1162		Digoxin immune fab (ovine)					
1688		Ethanolamine oleate		K		$299.94	.	$59.99
1688	J1430		Ethanolamine oleate 100 mg					
1689		Fomepizole		K		$6.23	.	$1.25
1689	J1451		"Fomepizole, 15 mg"					
1690		Hemin		K		$13.27	.	$2.66
1690	J1640		"Hemin, 1 mg"					
1693		Lepirudin		K		$570.54	.	$114.11
1693	J1945		Lepirudin					
1694		Ziconotide injection		K		$6.61	.	$1.33
1694	J2278		Ziconotide injection					
1695		Nesiritide injection		K		$54.68	.	$10.94
1695	J2325		Nesiritide injection					
1696		Palifermin injection		K		$13.26	.	$2.66
1696	J2425		Palifermin injection					
1697		Pegaptanib sodium injection		K		"$1,030.43"	.	$206.09
1697	J2503		Pegaptanib sodium injection					
1700		Inj secretin synthetic human		K		$27.49	.	$5.50
1700	J2850		Inj secretin synthetic huma					
1701		Treprostinil injection		K		$61.24	.	$12.25
1701	J3285		Treprostinil injection					
1704		"Humate-P, inj"		K		$0.90	.	$0.18
1704	J7187		"Humate-P, inj"					
1705		Factor viia		K		$1.62	.	$0.33
1705	J7189		Factor viia					
1709		Azacitidine injection		K		$5.72	.	$1.15
1709	J9025		Azacitidine injection					
1710		Clofarabine injection		K		$126.32	.	$25.27
1710	J9027		Clofarabine injection					
1711		Vantas implant		K		"$2,951.87"	.	$590.38
1711	J9225		Vantas implant					
1712		Paclitaxel protein bound		K		$9.54	.	$1.91
1712	J9264		Paclitaxel protein bound					
1716		"Brachytx, non-str, Gold-198"		U	0.6804	$49.48	.	$9.90
1716	C1716		"Brachytx, non-str, Gold-198"					
1717		"Brachytx, non-str, HDR Ir-192"		U	3.8243	$278.13	.	$55.63
1717	C1717		"Brachytx, non-str,HDR Ir-19"					
1719		"Brachytx, NS, Non-HDRIr-192"		U	0.9757	$70.96	.	$14.20
1719	C1719		"Brachytx, NS, Non-HDRIr-192"					
1738		Oxaliplatin		K		$1.06	.	$0.22
1738	J9263		Oxaliplatin					
1739		"Pegademase bovine, 25 iu"		K		$267.83	.	$53.57
1739	J2504		"Pegademase bovine, 25 iu"					
1741		"Urofollitropin, 75 iu"		K		$65.06	.	$13.02
1741	J3355		"Urofollitropin, 75 iu"					
2616		"Brachytx, non-str,Yttrium-90"		U	228.1532	"$16,593.13"	.	"$3,318.63"
2616	C2616		"Brachytx, non-str,Yttrium-9"					
2632		Iodine I-125 sodium iodide		U	0.2721	$19.79	.	$3.96
2632	A9527		Iodine I-125 sodium iodide					
2634		"Brachytx, non-str, HA, I-125"		U	1.0257	$74.60	.	$14.92
2634	C2634		"Brachytx, non-str, HA, I-12"					
2635		"Brachytx, non-str, HA, P-103"		U	0.3700	$26.91	.	$5.39
2635	C2635		"Brachytx, non-str, HA, P-10"					
2636		"Brachy linear, non-str,P-103"		U	0.5510	$40.07	.	$8.02
2636	C2636		"Brachy linear, non-str,P-10"					
2638		"Brachytx, stranded, I-125"		U	0.6254	$45.48	.	$9.10
2638	C2638		"Brachytx, stranded, I-125"					
2639		"Brachytx, non-stranded,I-125"		U	0.5513	$40.09	.	$8.02
2639	C2639		"Brachytx, non-stranded,I-12"					
2640		"Brachytx, stranded, P-103"		U	0.9516	$69.21	.	$13.85
2640	C2640		"Brachytx, stranded, P-103"					
2641		"Brachytx, non-stranded,P-103"		U	0.9251	$67.28	.	$13.46
2641	C2641		"Brachytx, non-stranded,P-10"					
2642		"Brachytx, stranded, C-131"		U	1.8442	$134.12	.	$26.83
2642	C2642		"Brachytx, stranded, C-131"					
2643		"Brachytx, non-stranded,C-131"		U	0.8453	$61.48	.	$12.30
2643	C2643		"Brachytx, non-stranded,C-13"					
2698		"Brachytx, stranded, NOS"		U	0.6254	$45.48	.	$9.10
2698	C2698		"Brachytx, stranded, NOS"					
2699		"Brachytx, non-stranded, NOS"		U	0.3700	$26.91	.	$5.39
2699	C2699		"Brachytx, non-stranded, NOS"					
2731		"Immune globulin, powder"		K		$33.12	.	$6.63
2731	J1566		"Immune globulin, powder"					
2770		Quinupristin/dalfopristin		K		$188.54	.	$37.71
2770	J2770		Quinupristin/dalfopristin					
3041		Bivalirudin		K		$2.99	.	$0.60
3041	J0583		Bivalirudin					
3043		Gamma globulin 1 CC inj		K		$23.86	.	$4.78
3043	J1460		Gamma globulin 1 CC inj					
3050		Sermorelin acetate injection		K		$1.80	.	$0.36
3050	Q0515		Sermorelin acetate injectio					
7000		Amifostine		K		$312.76	.	$62.56
7000	J0207		Amifostine					
7011		Oprelvekin injection		K		$256.80	.	$51.36
7011	J2355		Oprelvekin injection					
7035		Teniposide		K		$321.86	.	$64.38
7035	Q2017		"Teniposide, 50 mg"					
7036		"Urokinase 250,000 IU inj"		K		$457.73	.	$91.55
7036	J3365		"Urokinase 250,000 IU inj"					
7038		Monoclonal antibodies		K		"$1,156.08"	.	$231.22
7038	J7505		Monoclonal antibodies					
7041		Tirofiban HCl		K		$8.20	.	$1.64
7041	J3246		Tirofiban HCl					
7042		"Capecitabine, oral"		K		$8.92	.	$1.79
7042	J8520		"Capecitabine, oral, 150 mg"					
7043		Infliximab injection		K		$67.68	.	$13.54
7043	J1745		Infliximab injection					
7046		Doxil injection		K		$543.06	.	$108.62
7046	J9002		Doxil injection					
7048		Alteplase recombinant		K		$52.19	.	$10.44
7048	J2997		Alteplase recombinant					
7049		Filgrastim 480 mcg injection		K		$439.90	.	$87.98
7049	J1441		Filgrastim 480 mcg injectio					
7051		Leuprolide acetate implant		K		"$4,819.82"	.	$963.97
7051	J9219		Leuprolide acetate implant					
7308		Aminolevulinic acid hcl top		K		$160.03	.	$32.01
7308	J7308		Aminolevulinic acid hcl top					
8000		Cardiac Electrophysiologic Evaluation and Ablation Composite		T	182.4391	"$13,268.43"	.	"$2,653.69"
8000	93653		Ep & ablate supravent arrhy					
8000	93654		Ep & ablate ventric tachy					
8000	93656		Tx atrial fib pulm vein iso					
9001		Linezolid injection		K		$39.10	.	$7.82
9001	J2020		Linezolid injection					
9002		Tenecteplase injection		K		$72.44	.	$14.49
9002	J3101		Tenecteplase injection					
9003		Palivizumab		K		"$1,240.19"	.	$248.04
9003	90378		Rsv mab im 50mg					
9004		Gemtuzumab ozogamicin inj		K		"$2,742.59"	.	$548.52
9004	J9300		Gemtuzumab ozogamicin inj					
9005		Reteplase injection		K		"$2,301.90"	.	$460.38
9005	J2993		Reteplase injection					
9006		Tacrolimus injection		K		$138.00	.	$27.60
9006	J7525		Tacrolimus injection					
9012		Arsenic trioxide injection		K		$45.07	.	$9.02
9012	J9017		Arsenic trioxide injection					
9018		"Inj, rimabotulinumtoxinB"		K		$10.82	.	$2.17
9018	J0587		"Inj, rimabotulinumtoxinB"					
9019		Caspofungin acetate		K		$13.08	.	$2.62
9019	J0637		Caspofungin acetate					
9022		IM inj interferon beta 1-a		K		$305.42	.	$61.09
9022	Q3025		IM inj interferon beta 1-a					
9024		Amphotericin b lipid complex		K		$11.28	.	$2.26
9024	J0287		Amphotericin b lipid comple					
9032		Baclofen 10 MG injection		K		$175.16	.	$35.04
9032	J0475		Baclofen 10 MG injection					
9033		Cidofovir injection		K		$757.16	.	$151.44
9033	J0740		Cidofovir injection					
9038		Inj estrogen conjugate		K		$136.72	.	$27.35
9038	J1410		Inj estrogen conjugate 25 M					
9042		Glucagon hydrochloride		K		$115.04	.	$23.01
9042	J1610		Glucagon hydrochloride/1 MG					
9044		Ibutilide fumarate injection		K		$164.73	.	$32.95
9044	J1742		Ibutilide fumarate injectio					
9104		Antithymocyte globuln rabbit		K		$529.73	.	$105.95
9104	J7511		Antithymocyte globuln rabbi					
9108		Thyrotropin injection		K		"$1,053.98"	.	$210.80
9108	J3240		Thyrotropin injection					
9110		Alemtuzumab injection		K		$623.63	.	$124.73
9110	J9010		Alemtuzumab injection					
9115		Zoledronic acid		K		$220.95	.	$44.19
9115	J3487		Zoledronic acid					
9119		"Injection, pegfilgrastim 6mg"		K		"$2,940.20"	.	$588.04
9119	J2505		"Injection, pegfilgrastim 6m"					
9120		"Injection, Fulvestrant"		K		$88.33	.	$17.67
9120	J9395		"Injection, Fulvestrant"					
9121		"Injection, argatroban"		K		$17.12	.	$3.43
9121	C9121		"Injection, argatroban"					
9122		Triptorelin pamoate		K		$172.30	.	$34.46
9122	J3315		Triptorelin pamoate					
9124		Daptomycin injection		K		$0.57	.	$0.12
9124	J0878		Daptomycin injection					
9125		"Risperidone, long acting"		K		$5.62	.	$1.13
9125	J2794		"Risperidone, long acting"					
9126		Natalizumab injection		K		$12.29	.	$2.46
9126	J2323		Natalizumab injection					
9130		"Injection, IVIG Bivigam"		G		$63.58	.	$12.72
9130	C9130		"Injection, IVIG Bivigam"					
9133		"Rabies ig, im/sc"		K		$206.53	.	$41.31
9133	90375		Rabies ig im/sc					
9134		"Rabies ig, heat treated"		K		$202.72	.	$40.55
9134	90376		Rabies ig heat treated					
9135		"Varicella-zoster ig, im"		K		$141.38	.	$28.28
9135	90396		Varicella-zoster ig im					
9137		"Bcg vaccine, percut"		K		$117.45	.	$23.49
9137	90585		Bcg vaccine percut					
9139		"Rabies vaccine, im"		K		$221.98	.	$44.40
9139	90675		Rabies vaccine im					
9140		"Rabies vaccine, id"		K		$156.29	.	$31.26
9140	90676		Rabies vaccine id					
9143		"Meningococcal vaccine, sc"		K		$106.49	.	$21.30
9143	90733		Meningococcal vaccine sc					
9144		"Encephalitis vaccine, sc"		K		$102.08	.	$20.42
9144	90735		Encephalitis vaccine sc					
9207		Bortezomib injection		K		$44.31	.	$8.87
9207	J9041		Bortezomib injection					
9208		Agalsidase beta injection		K		$140.85	.	$28.17
9208	J0180		Agalsidase beta injection					
9209		Laronidase injection		K		$28.21	.	$5.65
9209	J1931		Laronidase injection					
9210		Palonosetron hcl		K		$19.45	.	$3.89
9210	J2469		Palonosetron hcl					
9213		Pemetrexed injection		K		$57.96	.	$11.60
9213	J9305		Pemetrexed injection					
9214		Bevacizumab injection		K		$63.56	.	$12.72
9214	J9035		Bevacizumab injection					
9215		Cetuximab injection		K		$51.81	.	$10.37
9215	J9055		Cetuximab injection					
9217		Leuprolide acetate suspnsion		K		$207.81	.	$41.57
9217	J9217		Leuprolide acetate suspnsio					
9224		Galsulfase injection		K		$355.39	.	$71.08
9224	J1458		Galsulfase injection					
9225		Fluocinolone acetonide implt		K		"$19,345.00"	.	"$3,869.00"
9225	J7311		Fluocinolone acetonide impl					
9227		Micafungin sodium injection		K		$0.95	.	$0.19
9227	J2248		Micafungin sodium injection					
9228		Tigecycline injection		K		$1.61	.	$0.33
9228	J3243		Tigecycline injection					
9229		Ibandronate sodium injection		K		$151.50	.	$30.30
9229	J1740		Ibandronate sodium injectio					
9230		Abatacept injection		K		$22.62	.	$4.53
9230	J0129		Abatacept injection					
9231		Decitabine injection		K		$34.09	.	$6.82
9231	J0894		Decitabine injection					
9232		Idursulfase injection		K		$470.35	.	$94.07
9232	J1743		Idursulfase injection					
9233		Ranibizumab injection		K		$397.72	.	$79.55
9233	J2778		Ranibizumab injection					
9234		Alglucosidase alfa injection		K		$205.87	.	$41.18
9234	J0220		Alglucosidase alfa injectio					
9235		Panitumumab injection		K		$89.25	.	$17.85
9235	J9303		Panitumumab injection					
9236		Eculizumab injection		K		$201.12	.	$40.23
9236	J1300		Eculizumab injection					
9237		"Inj, lanreotide acetate"		K		$35.65	.	$7.13
9237	J1930		Lanreotide injection					
9240		"Injection, ixabepilone"		K		$67.59	.	$13.52
9240	J9207		Ixabepilone injection					
9242		"Injection, fosaprepitant"		K		$1.72	.	$0.35
9242	J1453		Fosaprepitant injection					
9243		Bendamustine injection		K		$20.62	.	$4.13
9243	J9033		Bendamustine injection					
9245		Romiplostim injection		K		$49.84	.	$9.97
9245	J2796		Romiplostim injection					
9249		Certolizumab pegol inj		K		$5.15	.	$1.03
9249	J0718		Certolizumab pegol inj					
9250		Artiss fibrin sealant		K		$100.31	.	$20.07
9250	C9250		Artiss fibrin sealant					
9251		C1 esterase inhibitor inj		K		$47.26	.	$9.46
9251	J0598		"C-1 esterase, cinryze"					
9252		Plerixafor injection		K		$292.60	.	$58.52
9252	J2562		Plerixafor injection					
9253		Temozolomide injection		K		$4.83	.	$0.97
9253	J9328		Temozolomide injection					
9255		Paliperidone palmitate inj		K		$7.23	.	$1.45
9255	J2426		Paliperidone palmitate inj					
9256		Dexamethasone intra implant		K		$195.92	.	$39.19
9256	J7312		Dexamethasone intra implant					
9258		Telavancin injection		K		$2.66	.	$0.54
9258	J3095		Telavancin injection					
9259		Pralatrexate injection		K		$182.60	.	$36.52
9259	J9307		Pralatrexate injection					
9260		Ofatumumab injection		K		$45.33	.	$9.07
9260	J9302		Ofatumumab injection					
9261		Ustekinumab injection		K		$134.19	.	$26.84
9261	J3357		Ustekinumab injection					
9263		Ecallantide injection		K		$317.14	.	$63.43
9263	J1290		Ecallantide injection					
9264		Tocilizumab injection		K		$3.69	.	$0.74
9264	J3262		Tocilizumab injection					
9265		Romidepsin injection		K		$242.17	.	$48.44
9265	J9315		Romidepsin injection					
9268		Capsaicin 8% patch		K		$25.55	.	$5.11
9268	J7335		Capsaicin 8% patch					
9269		"C-1 esterase, berinert"		K		$31.14	.	$6.23
9269	J0597		"C-1 esterase, berinert"					
9270		Gammaplex IVIG		K		$37.22	.	$7.45
9270	J1557		Gammaplex injection					
9271		Velaglucerase alfa		K		$348.63	.	$69.73
9271	J3385		Velaglucerase alfa					
9272		"Inj, denosumab"		K		$14.22	.	$2.85
9272	J0897		Denosumab injection					
9273		Sipuleucel-T auto CD54+		K		"$32,769.42"	.	"$6,553.89"
9273	Q2043		Sipuleucel-T auto CD54+					
9274		Crotalidae Poly Immune Fab		K		"$2,220.92"	.	$444.19
9274	J0840		Crotalidae poly immune fab					
9276		Cabazitaxel injection		K		$140.58	.	$28.12
9276	J9043		Cabazitaxel injection					
9278		Incobotulinumtoxin A		K		$4.45	.	$0.89
9278	J0588		Incobotulinumtoxin a					
9281		"Injection, pegloticase"		K		$365.79	.	$73.16
9281	J2507		Pegloticase injection					
9284		Ipilimumab injection		K		$126.96	.	$25.40
9284	J9228		Ipilimumab injection					
9286		Belatacept injection		K		$3.81	.	$0.77
9286	J0485		Belatacept injection					
9287		Brentuximab vedotin inj		K		$98.77	.	$19.76
9287	J9042		Brentuximab vedotin inj					
9289		Erwinaze injection		G		$334.32	.	$66.87
9289	J9019		Erwinaze injection					
9290		"Inj, bupivacaine liposome"		G		$1.08	$0.00	$0.00
9290	C9290		"Inj, bupivacaine liposome"				$0.00	$0.00
9292		"Injection, pertuzumab"		G		$102.27	.	$20.46
9292	C9292		"Injection, pertuzumab"					
9293		"Injection, glucarpidase"		G		$233.73	.	$46.75
9293	C9293		"Injection, glucarpidase"					
9294		"Inj, taliglucerase alfa"		G		$30.90	.	$6.18
9294	C9294		"Inj, taliglucerase alfa"					
9295		"Injection, carfilzomib"		G		$29.29	.	$5.86
9295	C9295		"Injection, carfilzomib"					
9296		"Injection, ziv-aflibercept"		G		$15.57	.	$3.12
9296	C9296		"Injection, ziv-aflibercept"					
9297		Omacetaxine mepesuccinate		G		$25.29	.	$5.06
9297	C9297		Omacetaxine mepesuccinate					
9298		"Injection, ocriplasmin"		G		"$4,187.00"	.	$837.40
9298	C9298		"Injection, ocriplasmin"					
9300		Omalizumab injection		K		$24.47	.	$4.90
9300	J2357		Omalizumab injection					
9368		Grafix core		G		$163.68	$0.00	$0.00
9368	Q4132		Grafix core				$0.00	$0.00
9369		Grafix prime		G		$120.51	$0.00	$0.00
9369	Q4133		Grafix prime				$0.00	$0.00
9500		"Platelets, irradiated"		R	1.9517	$141.94	.	$28.39
9500	P9032		"Platelets, irradiated"					
9501		Platelet pheres leukoreduced		R	7.1485	$519.90	.	$103.98
9501	P9035		Platelet pheres leukoreduce					
9502		Platelet pheresis irradiated		R	8.2854	$602.58	.	$120.52
9502	P9036		Platelet pheresis irradiate					
9503		Fr frz plasma donor retested		R	0.8574	$62.36	.	$12.48
9503	P9060		Fr frz plasma donor reteste					
9504		RBC deglycerolized		R	5.0630	$368.22	.	$73.65
9504	P9039		RBC deglycerolized					
9505		RBC irradiated		R	2.8945	$210.51	.	$42.11
9505	P9038		RBC irradiated					
9506		"Granulocytes, pheresis unit"		R	24.4960	"$1,781.55"	.	$356.31
9506	P9050		"Granulocytes, pheresis unit"					
9507		"Platelets, pheresis"		R	5.7132	$415.51	.	$83.11
9507	P9034		"Platelets, pheresis"					
9508		Plasma 1 donor frz w/in 8 hr		R	1.1095	$80.69	.	$16.14
9508	P9017		Plasma 1 donor frz w/in 8 h					
								
