HCPCS	Description	SI	APC	Device Offset Percentage  
C9600	Perc drug-el cor stent sing	J1	5193	41.22%
C9602	Perc d-e cor stent ather s	J1	5194	56.13%
C9604	Perc d-e cor revasc t cabg s	J1	5193	42.28%
C9607	Perc d-e cor revasc chro sin	J1	5194	57.11%
C9737	Lap esoph augmentation	J1	5362	50.04%
C9739	Cystoscopy prostatic imp 1-3	J1	5375	60.15%
C9740	Cysto impl 4 or more	J1	5376	68.19%
C9741	Impl pressure sensor w/angio	J1	5200	92.16%
0100T	Prosth retina receive&gen	T	1906	94.38%
0101T	Extracorp shockwv tx hi enrg	J1	5113	41.99%
0171T	Lumbar spine proces distract	J1	5116	60.19%
0191T	Insert ant segment drain int	J1	5492	49.73%
0237T	Trluml perip athrc brchiocph	J1	5193	46.30%
0238T	Trluml perip athrc iliac art	J1	5194	49.57%
0268T	Implt/rpl crtd sns dev gen	J1	5463	89.29%
0282T	Periph field stimul trial	J1	5462	56.09%
0283T	Periph field stimul perm	J1	5463	81.41%
0308T	Insj ocular telescope prosth	J1	5495	67.68%
0316T	Replc vagus nerve pls gen	J1	5463	89.32%
0335T	Extraosseous joint stblztion	J1	5114	54.51%
0387T	Leadless c pm ins/rpl ventr	J1	5194	58.80%
0392T	Lap es sph augment dev place	J1	5362	40.52%
19296	Place po breast cath for rad	J1	5093	47.24%
20696	Comp multiplane ext fixation	J1	5116	41.45%
21150	Lefort ii anterior intrusion	J1	5165	41.35%
21242	Reconstruction of jaw joint	J1	5165	42.13%
21243	Reconstruction of jaw joint	J1	5116	49.60%
21275	Revision orbitofacial bones	J1	5165	59.70%
21346	Opn tx nasomax fx w/fixj	J1	5165	45.56%
21811	Optx of rib fx w/fixj scope	J1	5113	42.78%
22551	Neck spine fuse&remov bel c2	J1	5115	45.35%
22554	Neck spine fusion	J1	5115	41.21%
22612	Lumbar spine fusion	J1	5115	40.12%
22856	Cerv artific diskectomy	J1	5116	52.87%
23406	Incise tendon(s) & muscle(s)	J1	5113	69.72%
23470	Reconstruct shoulder joint	J1	5115	50.47%
23473	Revis reconst shoulder joint	J1	5115	40.51%
23485	Revision of collar bone	J1	5115	41.26%
23615	Treat humerus fracture	J1	5115	42.15%
23616	Treat humerus fracture	J1	5116	46.76%
24361	Reconstruct elbow joint	J1	5116	64.75%
24362	Reconstruct elbow joint	J1	5115	43.27%
24363	Replace elbow joint	J1	5116	62.43%
24365	Reconstruct head of radius	J1	5115	50.34%
24366	Reconstruct head of radius	J1	5115	56.37%
24370	Revise reconst elbow joint	J1	5116	45.48%
24371	Revise reconst elbow joint	J1	5116	57.59%
24430	Repair of humerus	J1	5115	40.51%
24545	Treat humerus fracture	J1	5115	44.55%
24546	Treat humerus fracture	J1	5116	46.91%
24587	Treat elbow fracture	J1	5115	49.43%
24666	Treat radius fracture	J1	5115	54.13%
25350	Revision of radius	J1	5114	41.51%
25391	Lengthen radius or ulna	J1	5115	44.90%
25415	Repair radius & ulna	J1	5114	42.87%
25425	Repair/graft radius or ulna	J1	5114	52.99%
25426	Repair/graft radius & ulna	J1	5113	44.01%
25441	Reconstruct wrist joint	J1	5116	65.91%
25442	Reconstruct wrist joint	J1	5116	66.98%
25443	Reconstruct wrist joint	J1	5114	58.73%
25444	Reconstruct wrist joint	J1	5115	68.97%
25445	Reconstruct wrist joint	J1	5114	44.76%
25446	Wrist replacement	J1	5116	68.35%
25607	Treat fx rad extra-articul	J1	5114	43.04%
25608	Treat fx rad intra-articul	J1	5114	42.49%
25609	Treat fx radial 3+ frag	J1	5114	44.02%
25800	Fusion of wrist joint	J1	5114	45.47%
2653A	CPX 26531 Revise knuckle wit	J1	5115	51.86%
26531	Revise knuckle with implant	J1	5114	43.67%
26568	Lengthen metacarpal/finger	J1	5114	51.21%
27179	Revise head/neck of femur	J1	5114	58.74%
27279	Arthrodesis sacroiliac joint	J1	5116	70.89%
27356	Remove femur lesion/graft	J1	5115	55.46%
27397	Transplants of thigh tendons	J1	5114	63.46%
27407	Repair of knee ligament	J1	5114	49.47%
27415	Osteochondral knee allograft	J1	5115	54.21%
27416	Osteochondral knee autograft	J1	5114	42.68%
27438	Revise kneecap with implant	J1	5115	41.89%
27440	Revision of knee joint	J1	5115	40.97%
27442	Revision of knee joint	J1	5115	46.09%
27446	Revision of knee joint	J1	5115	49.27%
27475	Surgery to stop leg growth	J1	5114	45.92%
27479	Surgery to stop leg growth	J1	5114	46.41%
27509	Treatment of thigh fracture	J1	5114	40.29%
27722	Repair/graft of tibia	J1	5114	45.09%
27828	Treat lower leg fracture	J1	5115	41.43%
27870	Fusion of ankle joint open	J1	5115	41.82%
27871	Fusion of tibiofibular joint	J1	5115	41.59%
28293	Correction of bunion	J1	5114	41.77%
28305	Incise/graft midfoot bones	J1	5114	43.28%
28420	Treat/graft heel fracture	J1	5115	41.55%
28436	Treatment of ankle fracture	J1	5114	42.15%
28545	Treat foot dislocation	J1	5113	44.00%
28585	Repair foot dislocation	J1	5114	44.39%
28705	Fusion of foot bones	J1	5116	47.89%
28715	Fusion of foot bones	J1	5115	44.41%
28730	Fusion of foot bones	J1	5115	46.28%
28735	Fusion of foot bones	J1	5115	43.94%
28737	Revision of foot bones	J1	5115	48.47%
28740	Fusion of foot bones	J1	5114	41.17%
28750	Fusion of big toe joint	J1	5114	42.51%
29855	Tibial arthroscopy/surgery	J1	5114	50.92%
29856	Tibial arthroscopy/surgery	J1	5115	53.56%
29867	Allgrft implnt knee w/scope	J1	5115	51.24%
31636	Bronchoscopy bronch stents	J1	5155	42.80%
31660	Bronch thermoplsty 1 lobe	J1	5155	44.20%
31661	Bronch thermoplsty 2/> lobes	J1	5155	42.80%
33206	Insert heart pm atrial	J1	5223	61.86%
33207	Insert heart pm ventricular	J1	5223	61.35%
33208	Insrt heart pm atrial & vent	J1	5223	66.16%
33211	Insert card electrodes dual	J1	5222	59.19%
33212	Insert pulse gen sngl lead	J1	5222	62.97%
33213	Insert pulse gen dual leads	J1	5223	64.91%
33214	Upgrade of pacemaker system	J1	5223	64.75%
33216	Insert 1 electrode pm-defib	J1	5222	42.34%
33217	Insert 2 electrode pm-defib	J1	5222	51.54%
33221	Insert pulse gen mult leads	J1	5224	69.21%
33224	Insert pacing lead & connect	J1	5223	57.63%
33227	Remove&replace pm gen singl	J1	5222	62.97%
33228	Remv&replc pm gen dual lead	J1	5223	65.01%
33229	Remv&replc pm gen mult leads	J1	5224	70.38%
33230	Insrt pulse gen w/dual leads	J1	5231	76.33%
33231	Insrt pulse gen w/mult leads	J1	5232	76.91%
33240	Insrt pulse gen w/singl lead	J1	5231	74.87%
33249	Insj/rplcmt defib w/lead(s)	J1	5232	77.26%
33262	Rmvl& replc pulse gen 1 lead	J1	5231	74.83%
33263	Rmvl & rplcmt dfb gen 2 lead	J1	5231	76.69%
33264	Rmvl & rplcmt dfb gen mlt ld	J1	5232	79.93%
33270	Ins/rep subq defibrillator	J1	5232	76.96%
33271	Insj subq impltbl dfb elctrd	J1	5222	67.92%
33282	Implant pat-active ht record	J1	5222	76.46%
36260	Insertion of infusion pump	T	5183	87.09%
36261	Revision of infusion pump	T	5221	64.43%
36563	Insert tunneled cv cath	T	5183	69.48%
36583	Replace tunneled cv cath	T	5183	81.75%
37184	Prim art m-thrmbc 1st vsl	T	5183	49.81%
37191	Ins endovas vena cava filtr	T	5183	43.76%
37221	Iliac revasc w/stent	J1	5193	40.75%
37224	Fem/popl revas w/tla	J1	5192	53.67%
37225	Fem/popl revas w/ather	J1	5193	70.69%
37226	Fem/popl revasc w/stent	J1	5193	51.92%
37227	Fem/popl revasc stnt & ather	J1	5194	63.15%
37229	Tib/per revasc w/ather	J1	5194	50.60%
37230	Tib/per revasc w/stent	J1	5194	52.53%
37231	Tib/per revasc stent & ather	J1	5194	49.58%
37238	Open/perq place stent same	J1	5193	47.52%
41822	Excision of gum lesion	T	5163	75.92%
43212	Esophagoscop stent placement	J1	5331	51.72%
43266	Egd endoscopic stent place	J1	5331	54.40%
43647	Lap impl electrode antrum	J1	5462	51.84%
43754	Dx gastr intub w/asp spec	Q1	5722	69.46%
43770	Lap place gastr adj device	J1	5362	40.63%
44370	Small bowel endoscopy/stent	J1	5331	49.93%
44402	Colonoscopy w/stent plcmt	J1	5331	88.91%
45347	Sigmoidoscopy w/plcmt stent	J1	5331	62.45%
45389	Colonoscopy w/stent plcmt	J1	5331	55.17%
46762	Implant artificial sphincter	J1	5331	68.07%
47556	Biliary endoscopy thru skin	J1	5361	49.61%
53440	Male sling procedure	J1	5376	61.45%
53444	Insert tandem cuff	J1	5377	60.65%
53445	Insert uro/ves nck sphincter	J1	5377	69.43%
53447	Remove/replace ur sphincter	J1	5377	64.15%
54352	Reconstruct urethra/penis	J1	5376	70.05%
54400	Insert semi-rigid prosthesis	J1	5377	60.76%
54401	Insert self-contd prosthesis	J1	5377	69.85%
54405	Insert multi-comp penis pros	J1	5377	70.40%
54410	Remove/replace penis prosth	J1	5377	67.80%
54416	Remv/repl penis contain pros	J1	5377	64.05%
55873	Cryoablate prostate	J1	5376	49.56%
61885	Insrt/redo neurostim 1 array	J1	5463	85.66%
61886	Implant neurostim arrays	J1	5464	87.28%
61888	Revise/remove neuroreceiver	J1	5462	65.00%
62360	Insert spine infusion device	J1	5471	67.30%
62361	Implant spine infusion pump	J1	5471	76.12%
62362	Implant spine infusion pump	J1	5471	76.63%
63650	Implant neuroelectrodes	J1	5462	53.16%
63655	Implant neuroelectrodes	J1	5463	67.96%
63663	Revise spine eltrd perq aray	J1	5462	56.13%
63664	Revise spine eltrd plate	J1	5463	53.91%
63685	Insrt/redo spine n generator	J1	5464	82.42%
64553	Implant neuroelectrodes	J1	5462	63.46%
64555	Implant neuroelectrodes	J1	5462	52.01%
64561	Implant neuroelectrodes	J1	5462	54.29%
64565	Implant neuroelectrodes	J1	5462	64.21%
64568	Inc for vagus n elect impl	J1	5464	86.89%
64569	Revise/repl vagus n eltrd	J1	5462	69.92%
64575	Implant neuroelectrodes	J1	5463	71.00%
64580	Implant neuroelectrodes	J1	5463	64.05%
64581	Implant neuroelectrodes	J1	5462	66.14%
64590	Insrt/redo pn/gastr stimul	J1	5463	85.07%
64858	Repair sciatic nerve	J1	5432	46.56%
64890	Nerve graft hand/foot </4 cm	J1	5432	42.08%
64897	Nerve graft arm/leg </4 cm	J1	5432	59.19%
65770	Revise cornea with implant	J1	5493	53.88%
69714	Implant temple bone w/stimul	J1	5115	66.38%
69715	Temple bne implnt w/stimulat	J1	5116	60.74%
69717	Temple bone implant revision	J1	5114	45.64%
69930	Implant cochlear device	J1	5166	82.73%
92924	Prq card angio/athrect 1 art	J1	5193	45.78%
92933	Prq card stent/ath/angio	J1	5194	52.43%
92943	Prq card revasc chronic 1vsl	J1	5193	41.10%
93532	R & l heart cath congenital	J1	5191	52.25%
93580	Transcath closure of asd	J1	5194	64.70%
93581	Transcath closure of vsd	J1	5194	56.04%
93582	Perq transcath closure pda	J1	5194	43.69%
93650	Ablate heart dysrhythm focus	J1	5212	41.75%
93656	Tx atrial fib pulm vein isol	J1	5213	43.68%
