HCPCS	Short Descriptor	SI	APC	Device Offset Percentage  		
C9600	Perc drug-el cor stent sing	J1	5193	41.29%		
C9602	Perc d-e cor stent ather s	J1	5194	56.38%		
C9604	Perc d-e cor revasc t cabg s	J1	5193	42.03%		
C9607	Perc d-e cor revasc chro sin	J1	5194	57.22%		
C9739	Cystoscopy prostatic imp 1-3	J1	5375	59.38%		
C9740	Cysto impl 4 or more	J1	5376	67.48%		
C9741	Impl pressure sensor w/angio	J1	5200	92.32%		
0100T	Prosth retina receive&gen	T	1906	94.25%		
0101T	Extracorp shockwv tx hi enrg	J1	5113	46.62%		
0191T	Insert ant segment drain int	J1	5492	50.30%		
0236T	Trluml perip athrc abd aorta	J1	5193	56.40%		
0238T	Trluml perip athrc iliac art	J1	5194	49.38%		
0253T	Insert aqueous drain device	J1	5492	43.51%		
0268T	Implt/rpl crtd sns dev gen	J1	5463	89.89%		
0308T	Insj ocular telescope prosth	J1	5495	68.60%		
0316T	Replc vagus nerve pls gen	J1	5463	89.33%		
0317T	Elec alys vagus nrv pls gen	Q1	5741	68.65%		
0335T	Extraosseous joint stblztion	J1	5114	58.22%		
0387T	Leadless pm ins/rpl ventr	J1	5194	55.88%		
19296	Place po breast cath for rad	J1	5093	45.94%		
20692	Apply bone fixation device	J1	5115	41.76%		
21120	Reconstruction of chin	J1	5165	44.80%		
21243	Reconstruction of jaw joint	J1	5116	48.42%		
21275	Revision orbitofacial bones	J1	5165	60.39%		
21346	Opn tx nasomax fx w/fixj	J1	5165	43.17%		
21811	Optx of rib fx w/fixj scope	J1	5113	42.78%		
22551	Neck spine fuse&remov bel c2	J1	5115	47.15%		
22554	Neck spine fusion	J1	5115	45.48%		
22856	Cerv artific diskectomy	J1	5116	53.34%		
23406	Incise tendon(s) & muscle(s)	J1	5113	71.42%		
23470	Reconstruct shoulder joint	J1	5115	51.29%		
23473	Revis reconst shoulder joint	J1	5115	40.95%		
23485	Revision of collar bone	J1	5115	41.31%		
23615	Treat humerus fracture	J1	5115	42.42%		
23616	Treat humerus fracture	J1	5116	46.82%		
24361	Reconstruct elbow joint	J1	5116	62.90%		
24362	Reconstruct elbow joint	J1	5115	42.94%		
24363	Replace elbow joint	J1	5116	62.51%		
24365	Reconstruct head of radius	J1	5115	51.07%		
24366	Reconstruct head of radius	J1	5115	56.41%		
24370	Revise reconst elbow joint	J1	5115	47.24%		
24371	Revise reconst elbow joint	J1	5116	57.76%		
24430	Repair of humerus	J1	5115	40.96%		
24435	Repair humerus with graft	J1	5115	40.63%		
24545	Treat humerus fracture	J1	5115	44.40%		
24546	Treat humerus fracture	J1	5116	47.14%		
24587	Treat elbow fracture	J1	5115	47.40%		
24666	Treat radius fracture	J1	5115	54.60%		
25350	Revision of radius	J1	5114	42.37%		
25391	Lengthen radius or ulna	J1	5115	51.08%		
25415	Repair radius & ulna	J1	5114	42.85%		
25420	Repair/graft radius & ulna	J1	5114	40.17%		
25425	Repair/graft radius or ulna	J1	5114	52.69%		
25426	Repair/graft radius & ulna	J1	5113	41.69%		
25441	Reconstruct wrist joint	J1	5115	67.19%		
25442	Reconstruct wrist joint	J1	5116	65.76%		
25443	Reconstruct wrist joint	J1	5114	57.62%		
25444	Reconstruct wrist joint	J1	5115	67.12%		
25445	Reconstruct wrist joint	J1	5114	41.07%		
25446	Wrist replacement	J1	5116	68.32%		
25607	Treat fx rad extra-articul	J1	5114	43.11%		
25608	Treat fx rad intra-articul	J1	5114	42.55%		
25609	Treat fx radial 3+ frag	J1	5114	44.22%		
25800	Fusion of wrist joint	J1	5114	45.56%		
26531	Revise knuckle with implant	J1	5114	43.52%		
26568	Lengthen metacarpal/finger	J1	5114	50.86%		
27111	Transfer of iliopsoas muscle	J1	5113	40.62%		
27179	Revise head/neck of femur	J1	5114	58.74%		
27279	Arthrodesis sacroiliac joint	J1	5116	70.98%		
27356	Remove femur lesion/graft	J1	5115	51.20%		
27397	Transplants of thigh tendons	J1	5114	63.73%		
27407	Repair of knee ligament	J1	5114	40.24%		
27415	Osteochondral knee allograft	J1	5115	54.35%		
27416	Osteochondral knee autograft	J1	5114	44.47%		
27438	Revise kneecap with implant	J1	5115	42.23%		
27440	Revision of knee joint	J1	5115	42.39%		
27442	Revision of knee joint	J1	5115	47.04%		
27446	Revision of knee joint	J1	5115	49.38%		
27477	Surgery to stop leg growth	J1	5113	44.69%		
27479	Surgery to stop leg growth	J1	5114	46.41%		
27509	Treatment of thigh fracture	J1	5114	40.78%		
27709	Incision of tibia & fibula	J1	5115	42.03%		
27722	Repair/graft of tibia	J1	5114	49.84%		
27740	Repair of leg epiphyses	J1	5113	41.29%		
27745	Reinforce tibia	J1	5114	40.92%		
27870	Fusion of ankle joint open	J1	5115	41.83%		
27871	Fusion of tibiofibular joint	J1	5115	40.50%		
28305	Incise/graft midfoot bones	J1	5114	41.94%		
28420	Treat/graft heel fracture	J1	5115	41.34%		
28436	Treatment of ankle fracture	J1	5114	40.25%		
28545	Treat foot dislocation	J1	5113	43.99%		
28585	Repair foot dislocation	J1	5114	44.78%		
28705	Fusion of foot bones	J1	5116	49.18%		
28715	Fusion of foot bones	J1	5115	44.99%		
28730	Fusion of foot bones	J1	5115	46.47%		
28735	Fusion of foot bones	J1	5115	44.19%		
28737	Revision of foot bones	J1	5115	49.45%		
28740	Fusion of foot bones	J1	5114	41.57%		
28750	Fusion of big toe joint	J1	5114	42.30%		
29855	Tibial arthroscopy/surgery	J1	5114	48.53%		
29856	Tibial arthroscopy/surgery	J1	5115	54.99%		
29867	Allgrft implnt knee w/scope	J1	5115	51.87%		
31636	Bronchoscopy bronch stents	J1	5155	42.48%		
31660	Bronch thermoplsty 1 lobe	J1	5155	45.73%		
31661	Bronch thermoplsty 2/> lobes	J1	5155	44.02%		
33206	Insert heart pm atrial	J1	5223	62.66%		
33207	Insert heart pm ventricular	J1	5223	61.58%		
33208	Insrt heart pm atrial & vent	J1	5223	66.39%		
33211	Insert card electrodes dual	J1	5222	61.69%		
33212	Insert pulse gen sngl lead	J1	5222	63.76%		
33213	Insert pulse gen dual leads	J1	5223	64.84%		
33214	Upgrade of pacemaker system	J1	5223	63.96%		
33216	Insert 1 electrode pm-defib	J1	5222	42.37%		
33217	Insert 2 electrode pm-defib	J1	5222	49.42%		
33221	Insert pulse gen mult leads	J1	5224	68.99%		
33224	Insert pacing lead & connect	J1	5223	58.33%		
33227	Remove&replace pm gen singl	J1	5222	63.12%		
33228	Remv&replc pm gen dual lead	J1	5223	65.28%		
33229	Remv&replc pm gen mult leads	J1	5224	70.55%		
33230	Insrt pulse gen w/dual leads	J1	5231	76.84%		
33231	Insrt pulse gen w/mult leads	J1	5232	76.89%		
33240	Insrt pulse gen w/singl lead	J1	5231	73.12%		
33249	Insj/rplcmt defib w/lead(s)	J1	5232	77.50%		
33262	Rmvl& replc pulse gen 1 lead	J1	5231	74.94%		
33263	Rmvl & rplcmt dfb gen 2 lead	J1	5231	76.91%		
33264	Rmvl & rplcmt dfb gen mlt ld	J1	5232	79.96%		
33270	Ins/rep subq defibrillator	J1	5232	77.20%		
33271	Insj subq impltbl dfb elctrd	J1	5222	68.32%		
33282	Implant pat-active ht record	J1	5222	77.42%		
36260	Insertion of infusion pump	T	5183	84.04%		
36261	Revision of infusion pump	T	5221	65.40%		
36563	Insert tunneled cv cath	T	5183	71.94%		
36583	Replace tunneled cv cath	T	5183	82.06%		
37184	Prim art m-thrmbc 1st vsl	T	5183	46.86%		
37191	Ins endovas vena cava filtr	T	5183	43.78%		
37221	Iliac revasc w/stent	J1	5193	41.49%		
37224	Fem/popl revas w/tla	J1	5192	56.93%		
37225	Fem/popl revas w/ather	J1	5193	72.74%		
37226	Fem/popl revasc w/stent	J1	5193	53.12%		
37227	Fem/popl revasc stnt & ather	J1	5194	63.47%		
37229	Tib/per revasc w/ather	J1	5194	51.64%		
37230	Tib/per revasc w/stent	J1	5194	51.98%		
37231	Tib/per revasc stent & ather	J1	5194	49.72%		
37238	Open/perq place stent same	J1	5193	47.88%		
41822	Excision of gum lesion	T	5163	78.44%		
43212	Esophagoscop stent placement	J1	5331	51.17%		
43266	Egd endoscopic stent place	J1	5331	54.73%		
43647	Lap impl electrode antrum	J1	5462	57.09%		
43754	Dx gastr intub w/asp spec	Q1	5722	47.09%		
43770	Lap place gastr adj device	J1	5362	40.99%		
44370	Small bowel endoscopy/stent	J1	5331	47.54%		
44402	Colonoscopy w/stent plcmt	J1	5331	91.70%		
45347	Sigmoidoscopy w/plcmt stent	J1	5331	61.00%		
45389	Colonoscopy w/stent plcmt	J1	5331	54.89%		
46762	Implant artificial sphincter	J1	5331	64.31%		
47556	Biliary endoscopy thru skin	J1	5361	49.95%		
53440	Male sling procedure	J1	5376	61.85%		
53444	Insert tandem cuff	J1	5377	59.97%		
53445	Insert uro/ves nck sphincter	J1	5377	69.48%		
53447	Remove/replace ur sphincter	J1	5377	64.17%		
54400	Insert semi-rigid prosthesis	J1	5377	61.97%		
54401	Insert self-contd prosthesis	J1	5377	69.98%		
54405	Insert multi-comp penis pros	J1	5377	70.63%		
54410	Remove/replace penis prosth	J1	5377	67.99%		
54411	Remov/replc penis pros comp	J1	5377	56.08%		
54416	Remv/repl penis contain pros	J1	5377	64.31%		
54417	Remv/replc penis pros compl	J1	5377	55.63%		
55873	Cryoablate prostate	J1	5376	50.42%		
58356	Endometrial cryoablation	J1	5415	41.91%		
61623	Endovasc tempory vessel occl	J1	5193	40.58%		
61885	Insrt/redo neurostim 1 array	J1	5463	86.06%		
61886	Implant neurostim arrays	J1	5464	87.29%		
61888	Revise/remove neuroreceiver	J1	5462	62.41%		
62360	Insert spine infusion device	J1	5471	66.82%		
62361	Implant spine infusion pump	J1	5471	75.91%		
62362	Implant spine infusion pump	J1	5471	76.36%		
63650	Implant neuroelectrodes	J1	5462	53.55%		
63655	Implant neuroelectrodes	J1	5463	66.84%		
63663	Revise spine eltrd perq aray	J1	5462	56.06%		
63664	Revise spine eltrd plate	J1	5463	54.56%		
63685	Insrt/redo spine n generator	J1	5464	82.60%		
64553	Implant neuroelectrodes	J1	5462	62.23%		
64555	Implant neuroelectrodes	J1	5462	56.79%		
64561	Implant neuroelectrodes	J1	5462	53.52%		
64565	Implant neuroelectrodes	J1	5462	64.16%		
64568	Inc for vagus n elect impl	J1	5464	86.84%		
64569	Revise/repl vagus n eltrd	J1	5462	70.80%		
64575	Implant neuroelectrodes	J1	5463	70.80%		
64580	Implant neuroelectrodes	J1	5463	62.15%		
64581	Implant neuroelectrodes	J1	5462	66.19%		
64590	Insrt/redo pn/gastr stimul	J1	5463	85.22%		
64766	Incise hip/thigh nerve	J1	5432	40.94%		
64890	Nerve graft hand/foot </4 cm	J1	5432	41.60%		
64891	Nerve graft hand/foot >4 cm	J1	5432	53.99%		
64893	Nerve graft arm/leg >4 cm	J1	5432	40.47%		
64897	Nerve graft arm/leg </4 cm	J1	5432	60.08%		
65770	Revise cornea with implant	J1	5493	54.33%		
69714	Implant temple bone w/stimul	J1	5115	66.58%		
69715	Temple bne implnt w/stimulat	J1	5116	61.52%		
69717	Temple bone implant revision	J1	5114	48.38%		
69930	Implant cochlear device	J1	5166	83.08%		
75840	Vein x-ray adrenal gland	Q2	5182	73.34%		
75898	Follow-up angiography	Q2	5181	41.79%		
92924	Prq card angio/athrect 1 art	J1	5193	45.85%		
92933	Prq card stent/ath/angio	J1	5194	52.01%		
92943	Prq card revasc chronic 1vsl	J1	5193	41.54%		
93532	R & l heart cath congenital	J1	5191	51.89%		
93580	Transcath closure of asd	J1	5194	64.64%		
93581	Transcath closure of vsd	J1	5194	53.35%		
93582	Perq transcath closure pda	J1	5194	43.30%		
93650	Ablate heart dysrhythm focus	J1	5212	41.80%		
93656	Tx atrial fib pulm vein isol	J1	5213	44.08%		
95939	C motor evoked upr&lwr limbs	S	5724	52.54%		
