		Addendum C. - Proposed HCPCS Codes Payable Under the 2018 OPPS by APC						
		CPT codes and descriptions only are copyright 2016 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS Apply. Dental codes (D codes) are copyright 2015/6 American Dental Association.  All Rights Reserved.						
APC	HCPCS	Group Title	Short Descriptor	SI	Relative Weight	Payment Rate	National Unadjusted Copayment	Minimum Unadjusted Copayment
0701		Sr89 strontium		K		"$1,275.107"	.	$255.03
0701	A9600		Sr89 strontium					
0726		Dexrazoxane HCl injection		K		$206.330	.	$41.27
0726	J1190		Dexrazoxane hcl injection					
0731		Sargramostim injection		K		$37.085	.	$7.42
0731	J2820		Sargramostim injection					
0736		Amphotericin b liposome inj		K		$19.533	.	$3.91
0736	J0289		Amphotericin b liposome inj					
0738		Rasburicase		K		$259.153	.	$51.84
0738	J2783		Rasburicase					
0751		Mechlorethamine hcl inj		K		$265.888	.	$53.18
0751	J9230		Mechlorethamine hcl inj					
0752		Dactinomycin injection		K		"$1,276.378"	.	$255.28
0752	J9120		Dactinomycin injection					
0759		"Naltrexone, depot form"		K		$3.248	.	$0.65
0759	J2315		"Naltrexone, depot form"					
0800		Leuprolide acetate		K		"$1,024.549"	.	$204.91
0800	J1950		Leuprolide acetate /3.75 mg					
0802		Etoposide oral		K		$74.254	.	$14.86
0802	J8560		Etoposide oral 50 mg					
0807		Aldesleukin injection		K		"$3,067.640"	.	$613.53
0807	J9015		Aldesleukin injection					
0809		Bcg live intravesical vac		K		$128.383	.	$25.68
0809	J9031		Bcg live intravesical vac					
0810		Goserelin acetate implant		K		$349.915	.	$69.99
0810	J9202		Goserelin acetate implant					
0812		Carmustine injection		K		"$3,846.964"	.	$769.40
0812	J9050		Carmustine injection					
0820		Daunorubicin injection		K		$39.242	.	$7.85
0820	J9150		Daunorubicin injection					
0823		Docetaxel injection		K		$1.888	.	$0.38
0823	J9171		Docetaxel injection					
0825		Nelarabine injection		K		$152.029	.	$30.41
0825	J9261		Nelarabine injection					
0832		Idarubicin hcl injection		K		$41.537	.	$8.31
0832	J9211		Idarubicin hcl injection					
0836		Interferon alfa-2b inj		K		$28.522	.	$5.71
0836	J9214		Interferon alfa-2b inj					
0838		Interferon gamma 1-b inj		K		"$6,308.134"	.	"$1,261.63"
0838	J9216		Interferon gamma 1-b inj					
0840		Inj melphalan hydrochl		K		"$1,804.125"	.	$360.83
0840	J9245		Inj melphalan hydrochl 50 m					
0843		Pegaspargase injection		K		"$13,912.195"	.	"$2,782.44"
0843	J9266		Pegaspargase injection					
0844		Pentostatin injection		K		"$1,883.124"	.	$376.63
0844	J9268		Pentostatin injection					
0849		Rituximab injection		K		$818.308	.	$163.67
0849	J9310		Rituximab injection					
0850		Streptozocin injection		K		$320.212	.	$64.05
0850	J9320		Streptozocin injection					
0851		Thiotepa injection		K		$872.144	.	$174.43
0851	J9340		Thiotepa injection					
0856		Porfimer sodium injection		K		"$21,219.568"	.	"$4,243.92"
0856	J9600		Porfimer sodium injection					
0858		Inj cladribine		K		$20.032	.	$4.01
0858	J9065		Inj cladribine per 1 mg					
0864		Mitoxantrone hydrochl		K		$32.849	.	$6.57
0864	J9293		Mitoxantrone hydrochl / 5 m					
0868		Oral aprepitant		K		$11.783	.	$2.36
0868	J8501		Oral aprepitant					
0873		Hyalgan/supartz inj per dose		K		$87.159	.	$17.44
0873	J7321		Hyalgan/supartz inj per dos					
0874		Synvisc or synvisc-one		K		$12.539	.	$2.51
0874	J7325		Synvisc or synvisc-one					
0875		Euflexxa inj per dose		K		$153.837	.	$30.77
0875	J7323		Euflexxa inj per dose					
0877		Orthovisc inj per dose		K		$153.554	.	$30.72
0877	J7324		Orthovisc inj per dose					
0887		Azathioprine parenteral		K		$250.448	.	$50.09
0887	J7501		Azathioprine parenteral					
0890		Lymphocyte immune globulin		K		"$1,478.800"	.	$295.76
0890	J7504		Lymphocyte immune globulin					
0901		Alpha 1 proteinase inhibitor		K		$4.817	.	$0.97
0901	J0256		Alpha 1 proteinase inhibito					
0902		"Injection,onabotulinumtoxinA"		K		$5.941	.	$1.19
0902	J0585		"Injection,onabotulinumtoxin"					
0903		Cytomegalovirus imm IV /vial		K		"$1,127.740"	.	$225.55
0903	J0850		Cytomegalovirus imm iv /via					
0910		Interferon beta-1b / .25 MG		K		$376.299	.	$75.26
0910	J1830		Interferon beta-1b / .25 mg					
0925		Factor viii		K		$1.012	.	$0.21
0925	J7190		Factor viii					
0927		Factor viii recombinant		K		$1.199	.	$0.24
0927	J7192		Factor viii recombinant nos					
0928		Factor ix complex		K		$1.339	.	$0.27
0928	J7194		Factor ix complex					
0929		Anti-inhibitor		K		$1.932	.	$0.39
0929	J7198		Anti-inhibitor					
0931		Factor IX non-recombinant		K		$1.157	.	$0.24
0931	J7193		Factor ix non-recombinant					
0932		Factor ix recombinant nos		K		$1.506	.	$0.31
0932	J7195		Factor ix recombinant nos					
0943		Octagam injection		K		$36.087	.	$7.22
0943	J1568		Octagam injection					
0944		Gammagard liquid injection		K		$40.431	.	$8.09
0944	J1569		Gammagard liquid injection					
0946		Hepagam b im injection		K		$58.645	.	$11.73
0946	J1571		Hepagam b im injection					
0947		Flebogamma injection		K		$30.175	.	$6.04
0947	J1572		Flebogamma injection					
0948		Gamunex-C/Gammaked		K		$33.930	.	$6.79
0948	J1561		Gamunex-c/gammaked					
0961		"Albumin (human),5%, 50ml"		K		$11.799	.	$2.36
0961	P9041		"Albumin (human),5%, 50ml"					
0963		"Albumin (human), 5%, 250 ml"		K		$54.720	.	$10.95
0963	P9045		"Albumin (human), 5%, 250 ml"					
0964		"Albumin (human), 25%, 20 ml"		K		$22.488	.	$4.50
0964	P9046		"Albumin (human), 25%, 20 ml"					
0965		"Albumin (human), 25%, 50ml"		K		$53.438	.	$10.69
0965	P9047		"Albumin (human), 25%, 50ml"					
1015		Injection glatiramer acetate		K		$197.901	.	$39.59
1015	J1595		Injection glatiramer acetat					
1052		"Injection, voriconazole"		K		$3.643	.	$0.73
1052	J3465		"Injection, voriconazole"					
1064		"I131 iodide cap, rx"		K		$40.698	.	$8.14
1064	A9517		"I131 iodide cap, rx"					
1083		Adalimumab injection		K		"$1,176.926"	.	$235.39
1083	J0135		Adalimumab injection					
1138		"Hepagam b intravenous, inj"		K		$58.645	.	$11.73
1138	J1573		"Hepagam b intravenous, inj"					
1139		Protein c concentrate		K		$15.197	.	$3.04
1139	J2724		Protein c concentrate					
1142		Supprelin LA implant		K		"$27,736.926"	.	"$5,547.39"
1142	J9226		Supprelin la implant					
1150		"I131 iodide sol, rx"		K		$12.560	.	$2.52
1150	A9530		"I131 iodide sol, rx"					
1166		Cytarabine liposome inj		K		$593.988	.	$118.80
1166	J9098		Cytarabine liposome inj					
1168		"Inj, temsirolimus"		K		$67.302	.	$13.47
1168	J9330		Temsirolimus injection					
1178		Busulfan injection		K		$36.501	.	$7.31
1178	J0594		Busulfan injection					
1203		Verteporfin injection		K		$10.758	.	$2.16
1203	J3396		Verteporfin injection					
1207		"Octreotide injection, depot"		K		$175.550	.	$35.11
1207	J2353		"Octreotide injection, depot"					
1213		Antihemophilic viii/vwf comp		K		$0.986	.	$0.20
1213	J7186		Antihemophilic viii/vwf com					
1214		Inj IVIG privigen 500 mg		K		$38.867	.	$7.78
1214	J1459		Inj ivig privigen 500 mg					
1232		Mitomycin injection		K		$115.681	.	$23.14
1232	J9280		Mitomycin injection					
1235		Valrubicin injection		K		"$1,158.108"	.	$231.63
1235	J9357		Valrubicin injection					
1236		Levoleucovorin injection		K		$0.707	.	$0.15
1236	J0641		Levoleucovorin injection					
1237		Inj iron dextran		K		$12.455	.	$2.50
1237	J1750		Inj iron dextran					
1238		Topotecan oral		K		$103.786	.	$20.76
1238	J8705		Topotecan oral					
1253		Triamcinolone A inj PRS-free		K		$3.738	.	$0.75
1253	J3300		Triamcinolone a inj prs-fre					
1263		Antithrombin iii injection		K		$3.222	.	$0.65
1263	J7197		Antithrombin iii injection					
1268		Xyntha inj		K		$1.222	.	$0.25
1268	J7185		Xyntha inj					
1274		Edetate calcium disodium inj		K		"$5,594.422"	.	"$1,118.89"
1274	J0600		Edetate calcium disodium in					
1280		Corticotropin injection		K		"$3,537.092"	.	$707.42
1280	J0800		Corticotropin injection					
1281		Bevacizumab injection		K		$1.840	.	$0.37
1281	C9257		Bevacizumab injection					
1289		AbobotulinumtoxinA		K		$7.965	.	$1.60
1289	J0586		Abobotulinumtoxina					
1291		Rilonacept injection		K		$24.091	.	$4.82
1291	J2793		Rilonacept injection					
1295		Sm 153 lexidronam		K		"$12,055.906"	.	"$2,411.19"
1295	A9604		Sm 153 lexidronam					
1296		Degarelix injection		K		$3.634	.	$0.73
1296	J9155		Degarelix injection					
1297		"Ferumoxytol, non-esrd"		K		$0.892	.	$0.18
1297	Q0138		"Ferumoxytol, non-esrd"					
1311		Canakinumab injection		K		$92.506	.	$18.51
1311	J0638		Canakinumab injection					
1312		Hizentra injection		K		$9.826	.	$1.97
1312	J1559		Hizentra injection					
1327		Imiglucerase injection		K		$41.798	.	$8.36
1327	J1786		Imuglucerase injection					
1340		"Collagenase, clost hist inj"		K		$40.692	.	$8.14
1340	J0775		"Collagenase, clost hist inj"					
1341		Amobarbital 125 MG inj		K		$194.258	.	$38.86
1341	J0300		Amobarbital 125 mg inj					
1352		Wilate injection		K		$1.010	.	$0.21
1352	J7183		Wilate injection					
1353		Belimumab injection		K		$42.581	.	$8.52
1353	J0490		Belimumab injection					
1408		Cyclophosphamide 100 MG inj		K		$42.306	.	$8.47
1408	J9070		Cyclophosphamide 100 mg inj					
1413		Lumizyme injection		K		$159.736	.	$31.95
1413	J0221		Lumizyme injection					
1415		Glassia injection		K		$4.357	.	$0.88
1415	J0257		Glassia injection					
1416		Factor xiii anti-hem factor		K		$8.192	.	$1.64
1416	J7180		Factor xiii anti-hem factor					
1417		Gel-one		K		$543.610	.	$108.73
1417	J7326		Gel-one					
1420		Aflibercept injection		K		$980.144	.	$196.03
1420	J0178		Aflibercept injection					
1421		Imported lipodox inj		K		$508.429	.	$101.69
1421	Q2049		Imported lipodox inj					
1426		Eribulin mesylate injection		K		$108.310	.	$21.67
1426	J9179		Eribulin mesylate injection					
1431		Centruroides immune f(ab)		K		"$4,246.689"	.	$849.34
1431	J0716		Centruroides immune f(ab)					
1433		Calcitonin salmon injection		K		"$2,267.891"	.	$453.58
1433	J0630		Calcitonin salmon injection					
1440		Inj desmopressin acetate		K		$13.154	.	$2.64
1440	J2597		Inj desmopressin acetate					
1442		Non-HEU TC-99M add-on/dose		K		$10.000	.	$2.00
1442	Q9969		Non-heu tc-99m add-on/dose					
1443		Icatibant injection		K		$325.607	.	$65.13
1443	J1744		Icatibant injection					
1458		Phentolaine mesylate inj		K		$334.922	.	$66.99
1458	J2760		Phentolaine mesylate inj					
1466		"Inj, vincristine sul lip 1mg"		K		"$2,600.362"	.	$520.08
1466	J9371		"Inj, vincristine sul lip 1m"					
1467		Factor ix recombinan rixubis		K		$1.250	.	$0.25
1467	J7200		Factor ix recombinan rixubi					
1468		Inj Aripiprazole Ext Rel 1mg		K		$4.584	.	$0.92
1468	J0401		Inj aripiprazole ext rel 1m					
1469		Inj filgrastim excl biosimil		K		$1.009	.	$0.21
1469	J1442		Inj filgrastim excl biosimi					
1471		"Injection, Pertuzumab, 1 mg"		K		$10.882	.	$2.18
1471	J9306		"Injection, pertuzumab, 1 mg"					
1472		Inj beta interferon im 1 mcg		K		$46.206	.	$9.25
1472	Q3027		Inj beta interferon im 1 mc					
1474		Certolizumab pegol inj 1mg		K		$7.344	.	$1.47
1474	J0717		Certolizumab pegol inj 1mg					
1475		Golimumab for iv use 1mg		K		$24.990	.	$5.00
1475	J1602		Golimumab for iv use 1mg					
1476		Obinutuzumab inj		K		$57.361	.	$11.48
1476	J9301		Obinutuzumab inj					
1478		Human fibrinogen conc inj		K		$1.151	.	$0.24
1478	J7178		Human fibrinogen conc inj					
1480		"Elosulfase alfa, injection"		K		$224.372	.	$44.88
1480	J1322		"Elosulfase alfa, injection"					
1482		"Darbepoetin alfa, esrd use"		K		$3.854	.	$0.78
1482	J0882		"Darbepoetin alfa, esrd use"					
1484		Pentazocine injection		K		$136.714	.	$27.35
1484	J3070		Pentazocine injection					
1485		"Ferumoxytol, esrd use"		K		$0.892	.	$0.18
1485	Q0139		"Ferumoxytol, esrd use"					
1486		Factor ix fc fusion recomb		K		$2.926	.	$0.59
1486	J7201		Factor ix alprolix recomb					
1488		"Injection, ramucirumab"		K		$56.271	.	$11.26
1488	J9308		"Injection, ramucirumab"					
1489		"Injection, vedolizumab"		K		$18.127	.	$3.63
1489	J3380		"Injection, vedolizumab"					
1490		Inj pembrolizumab		K		$47.300	.	$9.46
1490	J9271		Inj pembrolizumab					
1493		New Technology  - Level 1C ($21-$30)		S		$25.50	.	$5.10
1493	Q9987		Pathogen test for platelets					
1537		New Technology - Level 37 ($9501-$10000)		S		"$9,750.50"	.	"$1,950.10"
1537	0398T		Mrgfus strtctc les abltj					
1607		Eptifibatide injection		K		$23.608	.	$4.73
1607	J1327		Eptifibatide injection					
1608		Etanercept injection		K		$437.584	.	$87.52
1608	J1438		Etanercept injection					
1609		"Rho(D) immune globulin h, sd"		K		$22.699	.	$4.54
1609	J2792		"Rho(d) immune globulin h, s"					
1613		Trastuzumab injection		K		$94.494	.	$18.90
1613	J9355		Trastuzumab injection					
1630		"Hep b ig, im"		K		$111.956	.	$22.40
1630	90371		Hep b ig im					
1631		Baclofen intrathecal trial		K		$76.836	.	$15.37
1631	J0476		Baclofen intrathecal trial					
1643		"Y90 ibritumomab, rx"		K		"$47,111.897"	.	"$9,422.38"
1643	A9543		"Y90 ibritumomab, rx"					
1656		Factor viii fc fusion recomb		K		$1.977	.	$0.40
1656	J7205		Factor viii fc fusion recom					
1658		"Injection, belinostat, 10mg"		K		$34.392	.	$6.88
1658	J9032		"Injection, belinostat, 10mg"					
1660		"Injection, oritavancin"		K		$24.562	.	$4.92
1660	J2407		"Injection, oritavancin"					
1662		Inj tedizolid phosphate		K		$1.270	.	$0.26
1662	J3090		Inj tedizolid phosphate					
1669		Erythro lactobionate /500 mg		K		$59.443	.	$11.89
1669	J1364		Erythro lactobionate /500 m					
1670		Tetanus immune globulin inj		K		$365.149	.	$73.03
1670	J1670		Tetanus immune globulin inj					
1675		P32 Na phosphate		K		$56.640	.	$11.33
1675	A9563		P32 na phosphate					
1683		Basiliximab		K		"$3,357.342"	.	$671.47
1683	J0480		Basiliximab					
1684		Corticorelin ovine triflutal		K		$8.121	.	$1.63
1684	J0795		Corticorelin ovine trifluta					
1685		"Darbepoetin alfa, non-esrd"		K		$3.854	.	$0.78
1685	J0881		"Darbepoetin alfa, non-esrd"					
1686		"Epoetin alfa, non-esrd"		K		$13.618	.	$2.73
1686	J0885		"Epoetin alfa, non-esrd"					
1687		Digoxin immune fab (ovine)		K		"$3,267.538"	.	$653.51
1687	J1162		Digoxin immune fab (ovine)					
1688		Ethanolamine oleate		K		$422.372	.	$84.48
1688	J1430		Ethanolamine oleate 100 mg					
1689		Fomepizole		K		$7.778	.	$1.56
1689	J1451		"Fomepizole, 15 mg"					
1690		Hemin		K		$22.858	.	$4.58
1690	J1640		"Hemin, 1 mg"					
1694		Ziconotide injection		K		$7.328	.	$1.47
1694	J2278		Ziconotide injection					
1695		Nesiritide injection		K		$73.181	.	$14.64
1695	J2325		Nesiritide injection					
1696		Palifermin injection		K		$17.679	.	$3.54
1696	J2425		Palifermin injection					
1697		Pegaptanib sodium injection		K		"$1,054.700"	.	$210.94
1697	J2503		Pegaptanib sodium injection					
1700		Inj secretin synthetic human		K		$34.781	.	$6.96
1700	J2850		Inj secretin synthetic huma					
1701		Treprostinil injection		K		$61.237	.	$12.25
1701	J3285		Treprostinil injection					
1704		"Humate-P, inj"		K		$1.086	.	$0.22
1704	J7187		"Humate-p, inj"					
1705		Factor viia		K		$1.925	.	$0.39
1705	J7189		Factor viia					
1709		Azacitidine injection		K		$2.112	.	$0.43
1709	J9025		Azacitidine injection					
1710		Clofarabine injection		K		$152.368	.	$30.48
1710	J9027		Clofarabine injection					
1711		Vantas implant		K		"$3,128.806"	.	$625.77
1711	J9225		Vantas implant					
1712		Paclitaxel protein bound		K		$10.447	.	$2.09
1712	J9264		Paclitaxel protein bound					
1739		"Pegademase bovine, 25 iu"		K		$345.228	.	$69.05
1739	J2504		"Pegademase bovine, 25 iu"					
1743		Nandrolone decanoate 50 mg		K		$133.360	.	$26.68
1743	J2320		Nandrolone decanoate 50 mg					
1745		Radium ra223 dichloride ther		K		$128.745	.	$25.75
1745	A9606		Radium ra223 dichloride the					
1746		Factor xiii recomb a-subunit		K		$14.742	.	$2.95
1746	J7181		Factor xiii recomb a-subuni					
1747		Monovisc inj per dose		K		$895.154	.	$179.04
1747	J7327		Monovisc inj per dose					
1748		Inj tbo filgrastim 1 microg		K		$0.665	.	$0.14
1748	J1447		Inj tbo filgrastim 1 microg					
1761		"Rolapitant, oral, 1mg"		K		$2.148	.	$0.43
1761	J8670		"Rolapitant, oral, 1mg"					
1809		"Injection, alemtuzumab"		K		"$1,753.020"	.	$350.61
1809	J0202		"Injection, alemtuzumab"					
1822		Inj filgrastim gcsf biosimil		G		$0.755	.	$0.16
1822	Q5101		Inj filgrastim gcsf biosimi					
1823		"Injection, dalbavancin"		K		$14.728	.	$2.95
1823	J0875		"Injection, dalbavancin"					
1824		Ceftaroline fosamil inj		K		$2.465	.	$0.50
1824	J0712		Ceftaroline fosamil inj					
1825		Ceftazidime and avibactam		K		$77.131	.	$15.43
1825	J0714		Ceftazidime and avibactam					
1826		Hyqvia 100mg immuneglobulin		K		$12.956	.	$2.60
1826	J1575		Hyqvia 100mg immuneglobulin					
1827		Factor viii recomb obizur		K		$3.964	.	$0.80
1827	J7188		Factor viii recomb obizur					
1828		Carbidopa levodopa ent 100ml		K		$2.244	.	$0.45
1828	J7340		Carbidopa levodopa ent 100m					
1829		Penicillin g benzathine inj		K		$10.746	.	$2.15
1829	J0561		Penicillin g benzathine inj					
1832		Dimethyl sulfoxide 50% 50 ml		K		$533.721	.	$106.75
1832	J1212		Dimethyl sulfoxide 50% 50 m					
1844		Factor viii pegylated recomb		G		$1.710	.	$0.35
1844	J7207		Factor viii pegylated recom					
1845		Tacrol envarsus ex rel oral		G		$1.231	.	$0.25
1845	J7503		Tacrol envarsus ex rel oral					
1846		Factor viii nuwiq recomb 1iu		G		$1.630	.	$0.33
1846	J7209		Factor viii nuwiq recomb 1i					
1847		"Inj., infliximab biosimilar"		G		$100.306	.	$20.07
1847	Q5102		"Inj., infliximab biosimilar"					
1848		Artiss fibrin sealant		K		$111.683	.	$22.34
1848	C9250		Artiss fibrin sealant					
1849		Foscarnet sodium injection		K		$75.172	.	$15.04
1849	J1455		Foscarnet sodium injection					
1850		Gamma globulin 1 cc inj		K		$35.738	.	$7.15
1850	J1460		Gamma globulin 1 cc inj					
1851		Gamma globulin > 10 cc inj		K		$357.381	.	$71.48
1851	J1560		Gamma globulin > 10 cc inj					
1852		Interferon beta-1a inj		K		$482.210	.	$96.45
1852	J1826		Interferon beta-1a inj					
1853		Minocycline hydrochloride		K		$1.505	.	$0.31
1853	J2265		Minocycline hydrochloride					
1854		Pentobarbital sodium inj		K		$47.343	.	$9.47
1854	J2515		Pentobarbital sodium inj					
1856		Factor viii recomb novoeight		K		$1.287	.	$0.26
1856	J7182		Factor viii recomb novoeigh					
1857		"Inj, factor x, (human), 1iu"		K		$6.516	.	$1.31
1857	J7175		"Inj, factor x, (human), 1iu"					
1859		Argatroban nonesrd use 1mg		K		$1.619	.	$0.33
1859	J0883		Argatroban nonesrd use 1mg					
1860		Monoclonal antibodies		K		$231.220	.	$46.25
1860	J7505		Monoclonal antibodies					
1861		"Inj., bendeka 1 mg"		G		$23.457	.	$4.70
1861	J9034		"Inj., bendeka 1 mg"					
1862		Gel-syn injection 0.1 mg		G		$2.177	.	$0.44
1862	J7328		Gel-syn injection 0.1 mg					
1863		Inj diclofenac sodium 0.5mg		K		$0.164	.	$0.04
1863	J1130		Inj diclofenac sodium 0.5mg					
1904		"New Technology - Level 50 ($120,001-$140,000)"		T		"$122,500.50"	.	"$24,500.10"
1904	0100T		Prosth retina receive&gen					
2616		"Brachytx, non-str,Yttrium-90"		U	216.2687	"$16,540.88"	.	"$3,308.18"
2616	C2616		"Brachytx, non-str,yttrium-9"					
2632		Iodine I-125 sodium iodide		U	0.3410	$26.08	.	$5.22
2632	A9527		Iodine i-125 sodium iodide					
2634		"Brachytx, non-str, HA, I-125"		U	1.5006	$114.77	.	$22.96
2634	C2634		"Brachytx, non-str, ha, i-12"					
2635		"Brachytx, non-str, HA, P-103"		U	0.3336	$25.51	.	$5.11
2635	C2635		"Brachytx, non-str, ha, p-10"					
2636		"Brachy linear, non-str,P-103"		U	0.3864	$29.55	.	$5.91
2636	C2636		"Brachy linear, non-str,p-10"					
2638		"Brachytx, stranded, I-125"		U	0.4810	$36.79	.	$7.36
2638	C2638		"Brachytx, stranded, i-125"					
2639		"Brachytx, non-stranded,I-125"		U	0.4545	$34.76	.	$6.96
2639	C2639		"Brachytx, non-stranded,i-12"					
2640		"Brachytx, stranded, P-103"		U	0.9872	$75.50	.	$15.10
2640	C2640		"Brachytx, stranded, p-103"					
2641		"Brachytx, non-stranded,P-103"		U	0.8710	$66.62	.	$13.33
2641	C2641		"Brachytx, non-stranded,p-10"					
2642		"Brachytx, stranded, C-131"		U	1.1167	$85.41	.	$17.09
2642	C2642		"Brachytx, stranded, c-131"					
2643		"Brachytx, non-stranded,C-131"		U	1.1014	$84.24	.	$16.85
2643	C2643		"Brachytx, non-stranded,c-13"					
2644		Brachytx cesium-131 chloride		U	1.3202	$100.97	.	$20.20
2644	C2644		Brachytx cesium-131 chlorid					
2645		"Brachytx, non-str, Gold-198"		U	1.6098	$123.12	.	$24.63
2645	C1716		"Brachytx, non-str, gold-198"					
2646		"Brachytx, non-str, HDR Ir-192"		U	3.7356	$285.71	.	$57.15
2646	C1717		"Brachytx, non-str,hdr ir-19"					
2647		"Brachytx, NS, Non-HDRIr-192"		U	0.2613	$19.99	.	$4.00
2647	C1719		"Brachytx, ns, non-hdrir-192"					
2698		"Brachytx, stranded, NOS"		U	0.4810	$36.79	.	$7.36
2698	C2698		"Brachytx, stranded, nos"					
2699		"Brachytx, non-stranded, NOS"		U	0.2613	$19.99	.	$4.00
2699	C2699		"Brachytx, non-stranded, nos"					
2731		"Immune globulin, powder"		K		$32.638	.	$6.53
2731	J1566		"Immune globulin, powder"					
2770		Quinupristin/dalfopristin		K		$436.772	.	$87.36
2770	J2770		Quinupristin/dalfopristin					
5012		Clinic Visits and Related Services		V	1.4328	$109.58	.	$21.92
5012	G0402		Initial preventive exam				$0.00	$0.00
5012	92002		Eye exam new patient					
5012	92004		Eye exam new patient					
5012	92012		Eye exam establish patient					
5012	92014		Eye exam&tx estab pt 1/>vst					
5012	95250		Cont gluc mntr phys/qhp eqp					
5012	99460		Init nb em per day hosp					
5012	99463		Same day nb discharge					
5012	99495		Trans care mgmt 14 day disc					
5012	99496		Trans care mgmt 7 day disch					
5012	G0245		Initial foot exam pt lops					
5012	G0246		Followup eval of foot pt lo					
5012	G0248		Demonstrate use home inr mo					
5012	G0249		Provide inr test mater/equi					
5012	G0463		Hospital outpt clinic visit					
5021		Level 1 Type A ED Visits		V	0.8792	$67.24	.	$13.45
5021	99281		Emergency dept visit					
5022		Level 2 Type A ED Visits		V	1.5913	$121.71	.	$24.35
5022	99282		Emergency dept visit					
5023		Level 3 Type A ED Visits		V	2.7981	$214.01	.	$42.81
5023	99283		Emergency dept visit					
5024		Level 4 Type A ED Visits		V	4.5291	$346.40	.	$69.28
5024	90945		Dialysis one evaluation					
5024	99284		Emergency dept visit					
5024	G0175		"Opps service,sched team con"					
5025		Level 5 Type A ED Visits		V	6.6139	$505.85	.	$101.17
5025	99285		Emergency dept visit					
5025	G0379		Direct refer hospital obser					
5031		Level 1 Type B ED Visits		V	1.3268	$101.48	.	$20.30
5031	G0380		Lev 1 hosp type b ed visit					
5032		Level 2 Type B ED Visits		V	1.1696	$89.45	.	$17.89
5032	G0381		Lev 2 hosp type b ed visit					
5033		Level 3 Type B ED Visits		V	2.0213	$154.60	.	$30.92
5033	G0382		Lev 3 hosp type b ed visit					
5034		Level 4 Type B ED Visits		V	2.6050	$199.24	.	$39.85
5034	G0383		Lev 4 hosp type b ed visit					
5035		Level 5 Type B ED Visits		V	3.6042	$275.66	.	$55.14
5035	G0384		Lev 5 hosp type b ed visit					
5041		Critical Care		S	9.3555	$715.54	.	$143.11
5041	99291		Critical care first hour					
5045		Trauma Response with Critical Care		S	12.1681	$930.65	.	$186.13
5045	G0390		Trauma respons w/hosp criti					
5051		Level 1 Skin Procedures		T	2.1546	$164.79	.	$32.96
5051	0447T		Rmvl impltbl glucose sensor					
5051	10040		Acne surgery					
5051	10060		Drainage of skin abscess					
5051	11055		Trim skin lesion					
5051	11056		Trim skin lesions 2 to 4					
5051	11057		Trim skin lesions over 4					
5051	11200		Removal of skin tags <w/15					
5051	11300		Shave skin lesion 0.5 cm/<					
5051	11301		Shave skin lesion 0.6-1.0 c					
5051	11302		Shave skin lesion 1.1-2.0 c					
5051	11305		Shave skin lesion 0.5 cm/<					
5051	11306		Shave skin lesion 0.6-1.0 c					
5051	11307		Shave skin lesion 1.1-2.0 c					
5051	11310		Shave skin lesion 0.5 cm/<					
5051	11311		Shave skin lesion 0.6-1.0 c					
5051	11730		Removal of nail plate					
5051	11900		Inject skin lesions </w 7					
5051	11901		Inject skin lesions >7					
5051	11950		Tx contour defects 1 cc/<					
5051	12001		Rpr s/n/ax/gen/trnk 2.5cm/<					
5051	12002		Rpr s/n/ax/gen/trnk2.6-7.5c					
5051	12004		Rpr s/n/ax/gen/trk7.6-12.5c					
5051	12007		Rpr s/n/ax/gen/trnk >30.0 c					
5051	12011		Rpr f/e/e/n/l/m 2.5 cm/<					
5051	12013		Rpr f/e/e/n/l/m 2.6-5.0 cm					
5051	12014		Rpr f/e/e/n/l/m 5.1-7.5 cm					
5051	12015		Rpr f/e/e/n/l/m 7.6-12.5 cm					
5051	12018		Rpr f/e/e/n/l/m >30.0 cm					
5051	15786		Abrasion lesion single					
5051	15788		Chemical peel face epiderm					
5051	16000		Initial treatment of burn(s					
5051	16020		Dress/debrid p-thick burn s					
5051	16025		Dress/debrid p-thick burn m					
5051	17000		Destruct premalg lesion					
5051	17110		Destruct b9 lesion 1-14					
5051	17111		Destruct lesion 15 or more					
5051	17250		Chemical cautery tissue					
5051	17260		Destruction of skin lesions					
5051	17261		Destruction of skin lesions					
5051	17262		Destruction of skin lesions					
5051	17263		Destruction of skin lesions					
5051	17270		Destruction of skin lesions					
5051	17271		Destruction of skin lesions					
5051	17272		Destruction of skin lesions					
5051	17280		Destruction of skin lesions					
5051	17360		Skin peel therapy					
5051	17999		Skin tissue procedure					
5051	26010		Drainage of finger abscess					
5051	36468		Injection(s) spider veins					
5051	46916		Cryosurgery anal lesion(s)					
5051	54056		Cryosurgery penis lesion(s)					
5051	69220		Clean out mastoid cavity					
5051	96567		Photodynamic tx skin					
5051	96920		Laser tx skin < 250 sq cm					
5051	96921		Laser tx skin 250-500 sq cm					
5051	96999		Dermatological procedure					
5051	96X73		Pdt dstr prmlg les phys/qhp					
5051	96X74		Dbrdmt prmlg les w/pdt					
5051	97597		Rmvl devital tis 20 cm/<					
5051	97602		Wound(s) care non-selective					
5051	97605		Neg press wound tx </=50 cm					
5051	97610		Low frequency non-thermal u					
5051	G0247		Routine footcare pt w lops					
5052		Level 2 Skin Procedures		T	4.0190	$307.39	.	$61.48
5052	01XXT		Fxjl abl lsr 1st 100 sq cm					
5052	09X9T		Abl lsr opn wnd 1st 20 sqcm					
5052	10021		Fna w/o image					
5052	10061		Drainage of skin abscess					
5052	10120		Remove foreign body					
5052	10160		Puncture drainage of lesion					
5052	11042		Deb subq tissue 20 sq cm/<					
5052	11100		Biopsy skin lesion					
5052	11303		Shave skin lesion >2.0 cm					
5052	11308		Shave skin lesion >2.0 cm					
5052	11312		Shave skin lesion 1.1-2.0 c					
5052	11313		Shave skin lesion >2.0 cm					
5052	11401		Exc tr-ext b9+marg 0.6-1 cm					
5052	11602		Exc tr-ext mal+marg 1.1-2 c					
5052	11750		Removal of nail bed					
5052	11765		Excision of nail fold toe					
5052	11954		Tx contour defects >10.0 cc					
5052	12005		Rpr s/n/a/gen/trk12.6-20.0c					
5052	12006		Rpr s/n/a/gen/trk20.1-30.0c					
5052	12016		Rpr fe/e/en/l/m 12.6-20.0 c					
5052	12017		Rpr fe/e/en/l/m 20.1-30.0 c					
5052	12021		Closure of split wound					
5052	12031		Intmd rpr s/a/t/ext 2.5 cm/					
5052	12032		Intmd rpr s/a/t/ext 2.6-7.5					
5052	12034		Intmd rpr s/tr/ext 7.6-12.5					
5052	12035		Intmd rpr s/a/t/ext 12.6-20					
5052	12041		Intmd rpr n-hf/genit 2.5cm/					
5052	12042		Intmd rpr n-hf/genit2.6-7.5					
5052	12046		Intmd rpr n-hf/genit20.1-30					
5052	12051		Intmd rpr face/mm 2.5 cm/<					
5052	12052		Intmd rpr face/mm 2.6-5.0 c					
5052	12053		Intmd rpr face/mm 5.1-7.5 c					
5052	12054		Intmd rpr face/mm 7.6-12.5c					
5052	12055		Intmd rpr face/mm 12.6-20 c					
5052	12056		Intmd rpr face/mm 20.1-30.0					
5052	12057		Intmd rpr face/mm >30.0 cm					
5052	13131		Cmplx rpr f/c/c/m/n/ax/g/h/					
5052	15775		Hair trnspl 1-15 punch grft					
5052	15776		Hair trnspl >15 punch graft					
5052	15783		Dermabrasion suprfl any sit					
5052	15792		Chemical peel nonfacial					
5052	15793		Chemical peel nonfacial					
5052	16030		Dress/debrid p-thick burn l					
5052	16035		Incision of burn scab initi					
5052	17004		Destroy premal lesions 15/>					
5052	17106		Destruction of skin lesions					
5052	17264		Destruction of skin lesions					
5052	17266		Destruction of skin lesions					
5052	17273		Destruction of skin lesions					
5052	17274		Destruction of skin lesions					
5052	17276		Destruction of skin lesions					
5052	17281		Destruction of skin lesions					
5052	17282		Destruction of skin lesions					
5052	17283		Destruction of skin lesions					
5052	36470		Injection therapy of vein					
5052	36471		Injection therapy of veins					
5052	46900		Destruction anal lesion(s)					
5052	54050		Destruction penis lesion(s)					
5052	96913		Photochemotherapy uv-a or b					
5052	96922		Laser tx skin >500 sq cm					
5052	97606		Neg press wound tx >50 cm					
5052	97607		Neg press wnd tx </=50 sq c					
5052	97608		Neg press wound tx >50 cm					
5053		Level 3 Skin Procedures		T	6.1297	$468.82	.	$93.77
5053	0419T		Dstrj neurofibroma xtnsv					
5053	0420T		Dstrj neurofibroma xtnsv					
5053	0446T		Insj impltbl glucose sensor					
5053	0448T		Remvl insj impltbl gluc sen					
5053	11000		Debride infected skin					
5053	11043		Deb musc/fascia 20 sq cm/<					
5053	11760		Repair of nail bed					
5053	11920		Correct skin color 6.0 cm/<					
5053	11921		Correct skn color 6.1-20.0c					
5053	11951		Tx contour defects 1.1-5.0c					
5053	11952		Tx contour defects 5.1-10cc					
5053	12020		Closure of split wound					
5053	12036		Intmd rpr s/a/t/ext 20.1-30					
5053	12044		Intmd rpr n-hf/genit7.6-12.					
5053	12045		Intmd rpr n-hf/genit12.6-20					
5053	13100		Cmplx rpr trunk 1.1-2.5 cm					
5053	13101		Cmplx rpr trunk 2.6-7.5 cm					
5053	13120		Cmplx rpr s/a/l 1.1-2.5 cm					
5053	13121		Cmplx rpr s/a/l 2.6-7.5 cm					
5053	13132		Cmplx rpr f/c/c/m/n/ax/g/h/					
5053	13151		Cmplx rpr e/n/e/l 1.1-2.5 c					
5053	13152		Cmplx rpr e/n/e/l 2.6-7.5 c					
5053	15004		Wound prep f/n/hf/g					
5053	15050		Skin pinch graft					
5053	15789		Chemical peel face dermal					
5053	15850		Remove sutures same surgeon					
5053	17107		Destruction of skin lesions					
5053	17284		Destruction of skin lesions					
5053	17286		Destruction of skin lesions					
5053	17311		Mohs 1 stage h/n/hf/g					
5053	17313		Mohs 1 stage t/a/l					
5053	17380		Hair removal by electrolysi					
5053	20910		Remove cartilage for graft					
5053	364X5		Njx noncmpnd sclrsnt 1 vein					
5053	364X6		Njx noncmpnd sclrsnt mlt vn					
5053	C5271		Low cost skin substitute ap					
5053	C5275		Low cost skin substitute ap					
5053	C5277		Low cost skin substitute ap					
5054		Level 4 Skin Procedures		T	19.8886	"$1,521.14"	.	$304.23
5054	0416T		Reloc skin pocket pls gen					
5054	11762		Reconstruction of nail bed					
5054	12037		Intmd rpr s/tr/ext >30.0 cm					
5054	12047		Intmd rpr n-hf/genit >30.0c					
5054	13160		Late closure of wound					
5054	14000		Tis trnfr trunk 10 sq cm/<					
5054	14001		Tis trnfr trunk 10.1-30sqcm					
5054	14020		Tis trnfr s/a/l 10 sq cm/<					
5054	14021		Tis trnfr s/a/l 10.1-30 sqc					
5054	14040		Tis trnfr f/c/c/m/n/a/g/h/f					
5054	14041		Tis trnfr f/c/c/m/n/a/g/h/f					
5054	14060		Tis trnfr e/n/e/l 10 sq cm/					
5054	14061		Tis trnfr e/n/e/l10.1-30sqc					
5054	14350		Filleted finger/toe flap					
5054	15002		Wound prep trk/arm/leg					
5054	15040		Harvest cultured skin graft					
5054	15100		Skin splt grft trnk/arm/leg					
5054	15110		Epidrm autogrft trnk/arm/le					
5054	15115		Epidrm a-grft face/nck/hf/g					
5054	15130		Derm autograft trnk/arm/leg					
5054	15150		Cult skin grft t/arm/leg					
5054	15200		Skin full graft trunk					
5054	15220		Skin full graft sclp/arm/le					
5054	15240		Skin full grft face/genit/h					
5054	15260		Skin full graft een & lips					
5054	15271		Skin sub graft trnk/arm/leg					
5054	15275		Skin sub graft face/nk/hf/g					
5054	15277		Skn sub grft f/n/hf/g child					
5054	15570		Skin pedicle flap trunk					
5054	15574		Pedcle fh/ch/ch/m/n/ax/g/h/					
5054	15576		Pedicle e/n/e/l/ntroral					
5054	15610		Delay flap arms/legs					
5054	15620		Delay flap f/c/c/n/ax/g/h/f					
5054	15630		Delay flap eye/nos/ear/lip					
5054	15650		Transfer skin pedicle flap					
5054	15736		Muscle-skin graft arm					
5054	15740		Island pedicle flap graft					
5054	15760		Composite skin graft					
5054	15819		Plastic surgery neck					
5054	15820		Revision of lower eyelid					
5054	15821		Revision of lower eyelid					
5054	15822		Revision of upper eyelid					
5054	15823		Revision of upper eyelid					
5054	15824		Removal of forehead wrinkle					
5054	15842		Nerve palsy microsurg graft					
5054	15851		Remove sutures diff surgeon					
5054	15878		Suction lipectomy upr extre					
5054	15936		Remove sacrum pressure sore					
5054	15937		Remove sacrum pressure sore					
5054	15945		Remove hip pressure sore					
5054	15946		Remove hip pressure sore					
5054	15952		Remove thigh pressure sore					
5054	15956		Remove thigh pressure sore					
5054	17108		Destruction of skin lesions					
5054	20101		Explore wound chest					
5054	20102		Explore wound abdomen					
5054	20920		Removal of fascia for graft					
5054	20922		Removal of fascia for graft					
5054	23921		Amputation follow-up surger					
5054	25929		Amputation follow-up surger					
5054	33222		Relocation pocket pacemaker					
5054	33223		Relocate pocket for defib					
5054	43887		Remove gastric port open					
5054	46910		Destruction anal lesion(s)					
5054	54055		Destruction penis lesion(s)					
5054	54057		Laser surg penis lesion(s)					
5054	54060		Excision of penis lesion(s)					
5054	54065		Destruction penis lesion(s)					
5054	56501		Destroy vulva lesions sim					
5054	56515		Destroy vulva lesion/s comp					
5054	C5273		Low cost skin substitute ap					
5054	G0429		Dermal filler injection(s)					
5054	G0460		Autologous prp for ulcers					
5055		Level 5 Skin Procedures		T	33.5328	"$2,564.69"	.	$512.94
5055	11960		Insert tissue expander(s)					
5055	14301		Tis trnfr any 30.1-60 sq cm					
5055	15120		Skn splt a-grft fac/nck/hf/					
5055	15135		Derm autograft face/nck/hf/					
5055	15155		Cult skin graft f/n/hf/g					
5055	15273		Skin sub grft t/arm/lg chil					
5055	15572		Skin pedicle flap arms/legs					
5055	15600		Delay flap trunk					
5055	15731		Forehead flap w/vasc pedicl					
5055	15734		Muscle-skin graft trunk					
5055	15738		Muscle-skin graft leg					
5055	15750		Neurovascular pedicle flap					
5055	15770		Derma-fat-fascia graft					
5055	157X1		Mdfc flap w/prsrv vasc pedc					
5055	157X2		Musc myoq/fscq flp h&n pedc					
5055	15825		Removal of neck wrinkles					
5055	15826		Removal of brow wrinkles					
5055	15828		Removal of face wrinkles					
5055	15829		Removal of skin wrinkles					
5055	15840		Nerve palsy fascial graft					
5055	15841		Nerve palsy muscle graft					
5055	15845		Skin and muscle repair face					
5055	15876		Suction lipectomy head&neck					
5055	15877		Suction lipectomy trunk					
5055	15879		Suction lipectomy lwr extre					
5055	15922		Removal of tail bone ulcer					
5055	15934		Remove sacrum pressure sore					
5055	15935		Remove sacrum pressure sore					
5055	15944		Remove hip pressure sore					
5055	15953		Remove thigh pressure sore					
5055	15958		Remove thigh pressure sore					
5055	20912		Remove cartilage for graft					
5055	20926		Removal of tissue for graft					
5055	43886		Revise gastric port open					
5055	43888		Change gastric port open					
5055	44312		Revision of ileostomy					
5055	44340		Revision of colostomy					
5061		Hyperbaric Oxygen		S	1.4632	$111.91	.	$22.39
5061	G0277		"Hbot, full body chamber, 30"					
5071		Level 1 Excision/ Biopsy/ Incision and Drainage		T	7.2217	$552.34	.	$110.47
5071	10022		Fna w/image					
5071	10030		Guide cathet fluid drainage					
5071	10035		Perq dev soft tiss 1st imag					
5071	10080		Drainage of pilonidal cyst					
5071	10081		Drainage of pilonidal cyst					
5071	11010		Debride skin at fx site					
5071	11011		Debride skin musc at fx sit					
5071	11400		Exc tr-ext b9+marg 0.5 cm<					
5071	11402		Exc tr-ext b9+marg 1.1-2 cm					
5071	11403		Exc tr-ext b9+marg 2.1-3cm/					
5071	11421		Exc h-f-nk-sp b9+marg 0.6-1					
5071	11440		Exc face-mm b9+marg 0.5 cm/					
5071	11441		Exc face-mm b9+marg 0.6-1 c					
5071	11442		Exc face-mm b9+marg 1.1-2 c					
5071	11600		Exc tr-ext mal+marg 0.5 cm/					
5071	11601		Exc tr-ext mal+marg 0.6-1 c					
5071	11603		Exc tr-ext mal+marg 2.1-3 c					
5071	11604		Exc tr-ext mal+marg 3.1-4 c					
5071	11621		Exc s/n/h/f/g mal+mrg 0.6-1					
5071	11622		Exc s/n/h/f/g mal+mrg 1.1-2					
5071	11640		Exc f/e/e/n/l mal+mrg 0.5cm					
5071	11641		Exc f/e/e/n/l mal+mrg 0.6-1					
5071	11642		Exc f/e/e/n/l mal+mrg 1.1-2					
5071	11755		Biopsy nail unit					
5071	11976		Remove contraceptive capsul					
5071	15781		Dermabrasion segmental face					
5071	15999		Removal of pressure sore					
5071	19000		Drainage of breast lesion					
5071	19281		Perq device breast 1st imag					
5071	19283		Perq dev breast 1st strtctc					
5071	19285		Perq dev breast 1st us imag					
5071	19287		Perq dev breast 1st mr guid					
5071	20103		Explore wound extremity					
5071	20615		Treatment of bone cyst					
5071	20950		Fluid pressure muscle					
5071	21725		Revision of neck muscle					
5071	23330		Remove shoulder foreign bod					
5071	28190		Removal of foot foreign bod					
5071	33284		Remove pat-active ht record					
5071	35226		Repair blood vessel lesion					
5071	40800		Drainage of mouth lesion					
5071	42400		Biopsy of salivary gland					
5071	47399		Liver surgery procedure					
5071	48999		Pancreas surgery procedure					
5071	49185		Sclerotx fluid collection					
5071	50390		Drainage of kidney lesion					
5071	55000		Drainage of hydrocele					
5071	60100		Biopsy of thyroid					
5071	60300		Aspir/inj thyroid cyst					
5071	62267		Interdiscal perq aspir dx					
5071	69000		Drain external ear lesion					
5071	69020		Drain outer ear canal lesio					
5072		Level 2 Excision/ Biopsy/ Incision and Drainage		J1	16.5858	"$1,268.53"	.	$253.71
5072	10121		Remove foreign body					
5072	10140		Drainage of hematoma/fluid					
5072	11044		Deb bone 20 sq cm/<					
5072	11404		Exc tr-ext b9+marg 3.1-4 cm					
5072	11406		Exc tr-ext b9+marg >4.0 cm					
5072	11420		Exc h-f-nk-sp b9+marg 0.5/<					
5072	11422		Exc h-f-nk-sp b9+marg 1.1-2					
5072	11423		Exc h-f-nk-sp b9+marg 2.1-3					
5072	11424		Exc h-f-nk-sp b9+marg 3.1-4					
5072	11443		Exc face-mm b9+marg 2.1-3 c					
5072	11444		Exc face-mm b9+marg 3.1-4 c					
5072	11606		Exc tr-ext mal+marg >4 cm					
5072	11620		Exc h-f-nk-sp mal+marg 0.5/					
5072	11623		Exc s/n/h/f/g mal+mrg 2.1-3					
5072	11624		Exc s/n/h/f/g mal+mrg 3.1-4					
5072	11643		Exc f/e/e/n/l mal+mrg 2.1-3					
5072	11644		Exc f/e/e/n/l mal+mrg 3.1-4					
5072	15782		Dermabrasion other than fac					
5072	15931		Remove sacrum pressure sore					
5072	15950		Remove thigh pressure sore					
5072	19020		Incision of breast lesion					
5072	19081		Bx breast 1st lesion strtct					
5072	19083		Bx breast 1st lesion us ima					
5072	19085		Bx breast 1st lesion mr ima					
5072	19100		Bx breast percut w/o image					
5072	20005		I&d abscess subfascial					
5072	20200		Muscle biopsy					
5072	20206		Needle biopsy muscle					
5072	20220		Bone biopsy trocar/needle					
5072	20225		Bone biopsy trocar/needle					
5072	20520		Removal of foreign body					
5072	20670		Removal of support implant					
5072	21011		Exc face les sc <2 cm					
5072	21012		Exc face les sbq 2 cm/>					
5072	21013		Exc face tum deep < 2 cm					
5072	21550		Biopsy of neck/chest					
5072	21555		Exc neck les sc < 3 cm					
5072	21920		Biopsy soft tissue of back					
5072	21925		Biopsy soft tissue of back					
5072	21930		Exc back les sc < 3 cm					
5072	21931		Exc back les sc 3 cm/>					
5072	22902		Exc abd les sc < 3 cm					
5072	23031		Drain shoulder bursa					
5072	23065		Biopsy shoulder tissues					
5072	23071		Exc shoulder les sc 3 cm/>					
5072	23075		Exc shoulder les sc < 3 cm					
5072	23333		Remove shoulder fb deep					
5072	23930		Drainage of arm lesion					
5072	23931		Drainage of arm bursa					
5072	24065		Biopsy arm/elbow soft tissu					
5072	24075		Exc arm/elbow les sc < 3 cm					
5072	24200		Removal of arm foreign body					
5072	25065		Biopsy forearm soft tissues					
5072	25071		Exc forearm les sc 3 cm/>					
5072	25075		Exc forearm les sc < 3 cm					
5072	25076		Exc forearm tum deep < 3 cm					
5072	25077		Resect forearm/wrist tum<3c					
5072	26011		Drainage of finger abscess					
5072	26111		Exc hand les sc 1.5 cm/>					
5072	26113		Exc hand tum deep 1.5 cm/>					
5072	26115		Exc hand les sc < 1.5 cm					
5072	26116		Exc hand tum deep < 1.5 cm					
5072	26320		Removal of implant from han					
5072	27040		Biopsy of soft tissues					
5072	27041		Biopsy of soft tissues					
5072	27086		Remove hip foreign body					
5072	27323		Biopsy thigh soft tissues					
5072	27327		Exc thigh/knee les sc < 3 c					
5072	27613		Biopsy lower leg soft tissu					
5072	27618		Exc leg/ankle tum < 3 cm					
5072	28001		Drainage of bursa of foot					
5072	28043		Exc foot/toe tum sc < 1.5 c					
5072	28192		Removal of foot foreign bod					
5072	28193		Removal of foot foreign bod					
5072	32400		Needle biopsy chest lining					
5072	32405		Percut bx lung/mediastinum					
5072	37609		Temporal artery procedure					
5072	38220		Bone marrow aspiration					
5072	38221		Bone marrow biopsy					
5072	382X3		Dx bone marrow bx & aspir					
5072	38300		Drainage lymph node lesion					
5072	38305		Drainage lymph node lesion					
5072	38505		Needle biopsy lymph nodes					
5072	41108		Biopsy of floor of mouth					
5072	47000		Needle biopsy of liver					
5072	48102		Needle biopsy pancreas					
5072	49180		Biopsy abdominal mass					
5072	49405		Image cath fluid colxn visc					
5072	49406		Image cath fluid peri/retro					
5072	49407		Image cath fluid trns/vgnl					
5072	50200		Renal biopsy perq					
5072	54015		Drain penis lesion					
5072	54100		Biopsy of penis					
5072	54800		Biopsy of epididymis					
5072	55100		Drainage of scrotum abscess					
5072	57022		I & d vaginal hematoma pp					
5072	62269		Needle biopsy spinal cord					
5072	69005		Drain external ear lesion					
5072	69205		Clear outer ear canal					
5073		Level 3 Excision/ Biopsy/ Incision and Drainage		J1	29.0583	"$2,222.47"	.	$444.50
5073	10180		Complex drainage wound					
5073	11012		Deb skin bone at fx site					
5073	11426		Exc h-f-nk-sp b9+marg >4 cm					
5073	11446		Exc face-mm b9+marg >4 cm					
5073	11450		Removal sweat gland lesion					
5073	11451		Removal sweat gland lesion					
5073	11462		Removal sweat gland lesion					
5073	11463		Removal sweat gland lesion					
5073	11470		Removal sweat gland lesion					
5073	11471		Removal sweat gland lesion					
5073	11626		Exc s/n/h/f/g mal+mrg >4 cm					
5073	11646		Exc f/e/e/n/l mal+mrg >4 cm					
5073	11770		Remove pilonidal cyst simpl					
5073	11771		Remove pilonidal cyst exten					
5073	11772		Remove pilonidal cyst compl					
5073	11971		Remove tissue expander(s)					
5073	15780		Dermabrasion total face					
5073	15832		Excise excessive skin thigh					
5073	15833		Excise excessive skin leg					
5073	15834		Excise excessive skin hip					
5073	15835		Excise excessive skin buttc					
5073	15836		Excise excessive skin arm					
5073	15837		Excise excess skin arm/hand					
5073	15838		Excise excess skin fat pad					
5073	15839		Excise excess skin & tissue					
5073	15920		Removal of tail bone ulcer					
5073	15933		Remove sacrum pressure sore					
5073	15940		Remove hip pressure sore					
5073	15941		Remove hip pressure sore					
5073	15951		Remove thigh pressure sore					
5073	19260		Removal of chest wall lesio					
5073	20205		Deep muscle biopsy					
5073	20240		Bone biopsy open superficia					
5073	20245		Bone biopsy open deep					
5073	20525		Removal of foreign body					
5073	20680		Removal of support implant					
5073	21014		Exc face tum deep 2 cm/>					
5073	21015		Resect face/scalp tum < 2 c					
5073	21016		Resect face/scalp tum 2 cm/					
5073	21501		Drain neck/chest lesion					
5073	21552		Exc neck les sc 3 cm/>					
5073	21554		Exc neck tum deep 5 cm/>					
5073	21556		Exc neck tum deep < 5 cm					
5073	21557		Resect neck thorax tumor<5c					
5073	21558		Resect neck tumor 5 cm/>					
5073	21932		Exc back tum deep < 5 cm					
5073	21933		Exc back tum deep 5 cm/>					
5073	21935		Resect back tum < 5 cm					
5073	21936		Resect back tum 5 cm/>					
5073	22900		Exc abdl tum deep < 5 cm					
5073	22901		Exc abdl tum deep 5 cm/>					
5073	22903		Exc abd les sc 3 cm/>					
5073	22904		Radical resect abd tumor<5c					
5073	22905		Rad resect abd tumor 5 cm/>					
5073	23000		Removal of calcium deposits					
5073	23030		Drain shoulder lesion					
5073	23066		Biopsy shoulder tissues					
5073	23073		Exc shoulder tum deep 5 cm/					
5073	23076		Exc shoulder tum deep < 5 c					
5073	23077		Resect shoulder tumor < 5 c					
5073	23078		Resect shoulder tumor 5 cm/					
5073	23334		Shoulder prosthesis removal					
5073	24066		Biopsy arm/elbow soft tissu					
5073	24071		Exc arm/elbow les sc 3 cm/>					
5073	24073		Ex arm/elbow tum deep 5 cm/					
5073	24076		Ex arm/elbow tum deep < 5 c					
5073	24077		Resect arm/elbow tum < 5 cm					
5073	24079		Resect arm/elbow tum 5 cm/>					
5073	24201		Removal of arm foreign body					
5073	25066		Biopsy forearm soft tissues					
5073	25073		Exc forearm tum deep 3 cm/>					
5073	25078		Resect forarm/wrist tum 3cm					
5073	26117		Rad resect hand tumor < 3 c					
5073	26118		Rad resect hand tumor 3 cm/					
5073	27043		Exc hip pelvis les sc 3 cm/					
5073	27045		Exc hip/pelv tum deep 5 cm/					
5073	27047		Exc hip/pelvis les sc < 3 c					
5073	27048		Exc hip/pelv tum deep < 5 c					
5073	27049		Resect hip/pelv tum < 5 cm					
5073	27059		Resect hip/pelv tum 5 cm/>					
5073	27301		Drain thigh/knee lesion					
5073	27324		Biopsy thigh soft tissues					
5073	27328		Exc thigh/knee tum deep <5c					
5073	27329		Resect thigh/knee tum < 5 c					
5073	27337		Exc thigh/knee les sc 3 cm/					
5073	27339		Exc thigh/knee tum dep 5cm/					
5073	27364		Resect thigh/knee tum 5 cm/					
5073	27372		Removal of foreign body					
5073	27603		Drain lower leg lesion					
5073	27614		Biopsy lower leg soft tissu					
5073	27615		Resect leg/ankle tum < 5 cm					
5073	27616		Resect leg/ankle tum 5 cm/>					
5073	27619		Exc leg/ankle tum deep <5 c					
5073	27632		Exc leg/ankle les sc 3 cm/>					
5073	27634		Exc leg/ankle tum dep 5 cm/					
5073	28039		Exc foot/toe tum sc 1.5 cm/					
5073	28041		Exc foot/toe tum dep 1.5cm/					
5073	28045		Exc foot/toe tum deep <1.5c					
5073	28046		Resect foot/toe tumor < 3 c					
5073	28047		Resect foot/toe tumor 3 cm/					
5073	51080		Drainage of bladder abscess					
5073	54105		Biopsy of penis					
5073	54115		Treatment of penis lesion					
5073	54500		Biopsy of testis					
5073	57023		I & d vag hematoma non-ob					
5073	69110		Remove external ear partial					
5073	69145		Remove ear canal lesion(s)					
5091		Level 1 Breast/Lymphatic Surgery and Related Procedures		J1	34.3661	"$2,628.42"	.	$525.69
5091	19101		Biopsy of breast open					
5091	19105		Cryosurg ablate fa each					
5091	19110		Nipple exploration					
5091	19112		Excise breast duct fistula					
5091	19120		Removal of breast lesion					
5091	19125		Excision breast lesion					
5091	19300		Removal of breast tissue					
5091	19301		Partial mastectomy					
5091	19304		Mast subq					
5091	19328		Removal of breast implant					
5091	19330		Removal of implant material					
5091	19350		Breast reconstruction					
5091	19355		Correct inverted nipple(s)					
5091	19370		Surgery of breast capsule					
5091	19371		Removal of breast capsule					
5091	19396		Design custom breast implan					
5091	19499		Breast surgery procedure					
5091	38308		Incision of lymph channels					
5091	38500		Biopsy/removal lymph nodes					
5091	38510		Biopsy/removal lymph nodes					
5091	38520		Biopsy/removal lymph nodes					
5091	38525		Biopsy/removal lymph nodes					
5091	38530		Biopsy/removal lymph nodes					
5091	38550		Removal neck/armpit lesion					
5092		Level 2 Breast/Lymphatic Surgery and Related Procedures		J1	60.3596	"$4,616.48"	.	$923.30
5092	15830		Exc skin abd					
5092	19298		Place breast rad tube/caths					
5092	19302		P-mastectomy w/ln removal					
5092	19303		Mast simple complete					
5092	19307		Mast mod rad					
5092	19316		Suspension of breast					
5092	19318		Reduction of large breast					
5092	19340		Immediate breast prosthesis					
5092	19366		Breast reconstruction					
5092	19380		Revise breast reconstructio					
5092	38555		Removal neck/armpit lesion					
5092	38700		Removal of lymph nodes neck					
5092	38760		Remove groin lymph nodes					
5093		Level 3 Breast/Lymphatic Surgery and Related Procedures		J1	91.8336	"$7,023.71"	.	"$1,404.75"
5093	19296		Place po breast cath for ra					
5093	19324		Enlarge breast					
5093	19325		Enlarge breast with implant					
5093	19342		Delayed breast prosthesis					
5093	38720		Removal of lymph nodes neck					
5094		Level 4 Breast/Lymphatic Surgery and Related Procedures		J1	136.0714	"$10,407.15"	.	"$2,081.43"
5094	19357		Breast reconstruction					
5101		Level 1 Strapping and Cast Application		T	1.7149	$131.16	.	$26.24
5101	29044		Application of body cast					
5101	29085		Apply hand/wrist cast					
5101	29086		Apply finger cast					
5101	29105		Apply long arm splint					
5101	29200		Strapping of chest					
5101	29440		Addition of walker to cast					
5101	29450		Application of leg cast					
5101	29505		Application long leg splint					
5101	29515		Application lower leg splin					
5101	29540		Strapping of ankle and/or f					
5101	29580		Application of paste boot					
5101	29581		Apply multlay comprs lwr le					
5101	29584		Appl multlay comprs arm/han					
5101	29720		Repair of body cast					
5101	29730		Windowing of cast					
5101	29799		Casting/strapping procedure					
5102		Level 2 Strapping and Cast Application		T	3.0689	$234.72	.	$46.95
5102	26775		Treat finger dislocation					
5102	28665		Treat toe dislocation					
5102	29000		Application of body cast					
5102	29010		Application of body cast					
5102	29015		Application of body cast					
5102	29035		Application of body cast					
5102	29040		Application of body cast					
5102	29046		Application of body cast					
5102	29049		Application of figure eight					
5102	29055		Application of shoulder cas					
5102	29058		Application of shoulder cas					
5102	29065		Application of long arm cas					
5102	29075		Application of forearm cast					
5102	29305		Application of hip cast					
5102	29325		Application of hip casts					
5102	29345		Application of long leg cas					
5102	29355		Application of long leg cas					
5102	29358		Apply long leg cast brace					
5102	29365		Application of long leg cas					
5102	29405		Apply short leg cast					
5102	29425		Apply short leg cast					
5102	29435		Apply short leg cast					
5102	29445		Apply rigid leg cast					
5102	29700		Removal/revision of cast					
5102	29705		Removal/revision of cast					
5102	29710		Removal/revision of cast					
5102	29740		Wedging of cast					
5102	29750		Wedging of clubfoot cast					
5111		Level 1 Musculoskeletal Procedures		T	2.7924	$213.57	.	$42.72
5111	20999		Musculoskeletal surgery					
5111	21310		Closed tx nose fx w/o manj					
5111	21480		Reset dislocated jaw					
5111	21820		Treat sternum fracture					
5111	22310		Closed tx vert fx w/o manj					
5111	22899		Spine surgery procedure					
5111	22999		Abdomen surgery procedure					
5111	23500		Treat clavicle fracture					
5111	23525		Treat clavicle dislocation					
5111	23540		Treat clavicle dislocation					
5111	23545		Treat clavicle dislocation					
5111	23570		Treat shoulder blade fx					
5111	23600		Treat humerus fracture					
5111	23620		Treat humerus fracture					
5111	23650		Treat shoulder dislocation					
5111	23929		Shoulder surgery procedure					
5111	24500		Treat humerus fracture					
5111	24530		Treat humerus fracture					
5111	24560		Treat humerus fracture					
5111	24576		Treat humerus fracture					
5111	24600		Treat elbow dislocation					
5111	24640		Treat elbow dislocation					
5111	24650		Treat radius fracture					
5111	24670		Treat ulnar fracture					
5111	24999		Upper arm/elbow surgery					
5111	25500		Treat fracture of radius					
5111	25530		Treat fracture of ulna					
5111	25535		Treat fracture of ulna					
5111	25560		Treat fracture radius & uln					
5111	25600		Treat fracture radius/ulna					
5111	25622		Treat wrist bone fracture					
5111	25630		Treat wrist bone fracture					
5111	25650		Treat wrist bone fracture					
5111	25660		Treat wrist dislocation					
5111	25675		Treat wrist dislocation					
5111	25680		Treat wrist fracture					
5111	25999		Forearm or wrist surgery					
5111	26341		Manipulat palm cord post in					
5111	26600		Treat metacarpal fracture					
5111	26605		Treat metacarpal fracture					
5111	26641		Treat thumb dislocation					
5111	26670		Treat hand dislocation					
5111	26700		Treat knuckle dislocation					
5111	26720		Treat finger fracture each					
5111	26725		Treat finger fracture each					
5111	26740		Treat finger fracture each					
5111	26750		Treat finger fracture each					
5111	26755		Treat finger fracture each					
5111	26770		Treat finger dislocation					
5111	26989		Hand/finger surgery					
5111	27197		Clsd tx pelvic ring fx					
5111	27198		Clsd tx pelvic ring fx					
5111	27200		Treat tail bone fracture					
5111	27220		Treat hip socket fracture					
5111	27230		Treat thigh fracture					
5111	27246		Treat thigh fracture					
5111	27250		Treat hip dislocation					
5111	27256		Treat hip dislocation					
5111	27265		Treat hip dislocation					
5111	27299		Pelvis/hip joint surgery					
5111	27500		Treatment of thigh fracture					
5111	27501		Treatment of thigh fracture					
5111	27508		Treatment of thigh fracture					
5111	27516		Treat thigh fx growth plate					
5111	27520		Treat kneecap fracture					
5111	27530		Treat knee fracture					
5111	27538		Treat knee fracture(s)					
5111	27550		Treat knee dislocation					
5111	27560		Treat kneecap dislocation					
5111	27562		Treat kneecap dislocation					
5111	27599		Leg surgery procedure					
5111	27750		Treatment of tibia fracture					
5111	27760		Cltx medial ankle fx					
5111	27767		Cltx post ankle fx					
5111	27780		Treatment of fibula fractur					
5111	27786		Treatment of ankle fracture					
5111	27788		Treatment of ankle fracture					
5111	27808		Treatment of ankle fracture					
5111	27816		Treatment of ankle fracture					
5111	27824		Treat lower leg fracture					
5111	27830		Treat lower leg dislocation					
5111	27840		Treat ankle dislocation					
5111	27899		Leg/ankle surgery procedure					
5111	28400		Treatment of heel fracture					
5111	28405		Treatment of heel fracture					
5111	28430		Treatment of ankle fracture					
5111	28450		Treat midfoot fracture each					
5111	28470		Treat metatarsal fracture					
5111	28475		Treat metatarsal fracture					
5111	28490		Treat big toe fracture					
5111	28495		Treat big toe fracture					
5111	28510		Treatment of toe fracture					
5111	28515		Treatment of toe fracture					
5111	28530		Treat sesamoid bone fractur					
5111	28540		Treat foot dislocation					
5111	28570		Treat foot dislocation					
5111	28600		Treat foot dislocation					
5111	28605		Treat foot dislocation					
5111	28630		Treat toe dislocation					
5111	28660		Treat toe dislocation					
5111	28899		Foot/toes surgery procedure					
5111	29999		Arthroscopy of joint					
5112		Level 2 Musculoskeletal Procedures		J1	16.4859	"$1,260.89"	.	$252.18
5112	20660		Apply rem fixation device					
5112	20662		Application of pelvis brace					
5112	20694		Remove bone fixation device					
5112	20697		Comp ext fixate strut chang					
5112	21812		Treatment of rib fracture					
5112	21813		Treatment of rib fracture					
5112	22315		Closed tx vert fx w/manj					
5112	22505		Manipulation of spine					
5112	23035		Drain shoulder bone lesion					
5112	23100		Biopsy of shoulder joint					
5112	23170		Remove collar bone lesion					
5112	23505		Treat clavicle fracture					
5112	23520		Treat clavicle dislocation					
5112	23575		Treat shoulder blade fx					
5112	23605		Treat humerus fracture					
5112	23625		Treat humerus fracture					
5112	23655		Treat shoulder dislocation					
5112	23665		Treat dislocation/fracture					
5112	23675		Treat dislocation/fracture					
5112	23700		Fixation of shoulder					
5112	24300		Manipulate elbow w/anesth					
5112	24505		Treat humerus fracture					
5112	24535		Treat humerus fracture					
5112	24565		Treat humerus fracture					
5112	24577		Treat humerus fracture					
5112	24605		Treat elbow dislocation					
5112	24620		Treat elbow fracture					
5112	24655		Treat radius fracture					
5112	24675		Treat ulnar fracture					
5112	25000		Incision of tendon sheath					
5112	25001		Incise flexor carpi radiali					
5112	25020		Decompress forearm 1 space					
5112	25031		Drainage of forearm bursa					
5112	25110		Remove wrist tendon lesion					
5112	25111		Remove wrist tendon lesion					
5112	25115		Remove wrist/forearm lesion					
5112	25250		Removal of wrist prosthesis					
5112	25259		Manipulate wrist w/anesthes					
5112	25505		Treat fracture of radius					
5112	25520		Treat fracture of radius					
5112	25565		Treat fracture radius & uln					
5112	25605		Treat fracture radius/ulna					
5112	25624		Treat wrist bone fracture					
5112	25635		Treat wrist bone fracture					
5112	25690		Treat wrist dislocation					
5112	25922		Amputate hand at wrist					
5112	26034		Treat hand bone lesion					
5112	26040		Release palm contracture					
5112	26055		Incise finger tendon sheath					
5112	26060		Incision of finger tendon					
5112	26070		Explore/treat hand joint					
5112	26080		Explore/treat finger joint					
5112	26110		Biopsy finger joint lining					
5112	26140		Revise finger joint each					
5112	26145		Tendon excision palm/finger					
5112	26160		Remove tendon sheath lesion					
5112	26170		Removal of palm tendon each					
5112	26180		Removal of finger tendon					
5112	26185		Remove finger bone					
5112	26210		Removal of finger lesion					
5112	26235		Partial removal finger bone					
5112	26236		Partial removal finger bone					
5112	26340		Manipulate finger w/anesth					
5112	26415		Excision hand/finger tendon					
5112	26432		Repair finger tendon					
5112	26440		Release palm/finger tendon					
5112	26455		Incision of finger tendon					
5112	26460		Incise hand/finger tendon					
5112	26479		Shortening of hand tendon					
5112	26560		Repair of web finger					
5112	26590		Repair finger deformity					
5112	26645		Treat thumb fracture					
5112	26675		Treat hand dislocation					
5112	26705		Treat knuckle dislocation					
5112	26742		Treat finger fracture each					
5112	27050		Biopsy of sacroiliac joint					
5112	27052		Biopsy of hip joint					
5112	27057		Buttock fasciotomy w/dbrdmt					
5112	27238		Treat thigh fracture					
5112	27252		Treat hip dislocation					
5112	27257		Treat hip dislocation					
5112	27266		Treat hip dislocation					
5112	27275		Manipulation of hip joint					
5112	27306		Incision of thigh tendon					
5112	27498		Decompression of thigh/knee					
5112	27502		Treatment of thigh fracture					
5112	27503		Treatment of thigh fracture					
5112	27510		Treatment of thigh fracture					
5112	27517		Treat thigh fx growth plate					
5112	27552		Treat knee dislocation					
5112	27570		Fixation of knee joint					
5112	27605		Incision of achilles tendon					
5112	27752		Treatment of tibia fracture					
5112	27762		Cltx med ankle fx w/mnpj					
5112	27768		Cltx post ankle fx w/mnpj					
5112	27781		Treatment of fibula fractur					
5112	27810		Treatment of ankle fracture					
5112	27818		Treatment of ankle fracture					
5112	27825		Treat lower leg fracture					
5112	27842		Treat ankle dislocation					
5112	27894		Decompression of leg					
5112	28010		Incision of toe tendon					
5112	28011		Incision of toe tendons					
5112	28080		Removal of foot lesion					
5112	28088		Excise foot tendon sheath					
5112	28092		Removal of toe lesions					
5112	28108		Removal of toe lesions					
5112	28153		Partial removal of toe					
5112	28175		Resect phalanx of toe tumor					
5112	28226		Release of foot tendons					
5112	28230		Incision of foot tendon(s)					
5112	28232		Incision of toe tendon					
5112	28234		Incision of foot tendon					
5112	28260		Release of midfoot joint					
5112	28264		Release of midfoot joint					
5112	28272		Release of toe joint each					
5112	28435		Treatment of ankle fracture					
5112	28546		Treat foot dislocation					
5112	28576		Treat foot dislocation					
5112	28635		Treat toe dislocation					
5112	28890		Hi enrgy eswt plantar fasci					
5112	29848		Wrist endoscopy/surgery					
5112	29850		Knee arthroscopy/surgery					
5112	29851		Knee arthroscopy/surgery					
5112	29902		Mcp joint arthroscopy surg					
5112	64823		Sympathectomy supfc palmar					
5112	G0413		Pelvic ring fracture uni/bi					
5113		Level 3 Musculoskeletal Procedures		J1	32.6955	"$2,500.65"	.	$500.13
5113	0101T		Extracorp shockwv tx hi enr					
5113	0102T		Extracorp shockwv tx anesth					
5113	20150		Excise epiphyseal bar					
5113	20250		Open bone biopsy					
5113	20555		Place ndl musc/tis for rt					
5113	20650		Insert and remove bone pin					
5113	20663		Application of thigh brace					
5113	20822		Replantation digit complete					
5113	21336		Open tx septal fx w/wo stab					
5113	21502		Drain chest lesion					
5113	21610		Partial removal of rib					
5113	21700		Revision of neck muscle					
5113	21720		Revision of neck muscle					
5113	21742		Repair stern/nuss w/o scope					
5113	21743		Repair sternum/nuss w/scope					
5113	21811		Optx of rib fx w/fixj scope					
5113	22101		Remove part thorax vertebra					
5113	22510		Perq cervicothoracic inject					
5113	22511		Perq lumbosacral injection					
5113	23020		Release shoulder joint					
5113	23040		Exploratory shoulder surger					
5113	23044		Exploratory shoulder surger					
5113	23101		Shoulder joint surgery					
5113	23106		Incision of collarbone join					
5113	23120		Partial removal collar bone					
5113	23125		Removal of collar bone					
5113	23130		Remove shoulder bone part					
5113	23140		Removal of bone lesion					
5113	23145		Removal of bone lesion					
5113	23150		Removal of humerus lesion					
5113	23172		Remove shoulder blade lesio					
5113	23174		Remove humerus lesion					
5113	23180		Remove collar bone lesion					
5113	23182		Remove shoulder blade lesio					
5113	23190		Partial removal of scapula					
5113	23406		Incise tendon(s) & muscle(s					
5113	23440		Remove/transplant tendon					
5113	23935		Drain arm/elbow bone lesion					
5113	24000		Exploratory elbow surgery					
5113	24006		Release elbow joint					
5113	24100		Biopsy elbow joint lining					
5113	24101		Explore/treat elbow joint					
5113	24102		Remove elbow joint lining					
5113	24105		Removal of elbow bursa					
5113	24110		Remove humerus lesion					
5113	24120		Remove elbow lesion					
5113	24125		Remove/graft bone lesion					
5113	24130		Removal of head of radius					
5113	24136		Remove radius bone lesion					
5113	24140		Partial removal of arm bone					
5113	24147		Partial removal of elbow					
5113	24155		Removal of elbow joint					
5113	24160		Remove elbow joint implant					
5113	24164		Remove radius head implant					
5113	24305		Arm tendon lengthening					
5113	24310		Revision of arm tendon					
5113	24330		Revision of arm muscles					
5113	24332		Tenolysis triceps					
5113	24343		Repr elbow lat ligmnt w/tis					
5113	24357		Repair elbow perc					
5113	24358		Repair elbow w/deb open					
5113	24359		Repair elbow deb/attch open					
5113	24470		Revision of elbow joint					
5113	24566		Treat humerus fracture					
5113	24582		Treat humerus fracture					
5113	24925		Amputation follow-up surger					
5113	25023		Decompress forearm 1 space					
5113	25024		Decompress forearm 2 spaces					
5113	25025		Decompress forearm 2 spaces					
5113	25028		Drainage of forearm lesion					
5113	25040		Explore/treat wrist joint					
5113	25085		Incision of wrist capsule					
5113	25100		Biopsy of wrist joint					
5113	25101		Explore/treat wrist joint					
5113	25105		Remove wrist joint lining					
5113	25107		Remove wrist joint cartilag					
5113	25109		Excise tendon forearm/wrist					
5113	25112		Reremove wrist tendon lesio					
5113	25116		Remove wrist/forearm lesion					
5113	25118		Excise wrist tendon sheath					
5113	25119		Partial removal of ulna					
5113	25120		Removal of forearm lesion					
5113	25125		Remove/graft forearm lesion					
5113	25126		Remove/graft forearm lesion					
5113	25130		Removal of wrist lesion					
5113	25135		Remove & graft wrist lesion					
5113	25145		Remove forearm bone lesion					
5113	25150		Partial removal of ulna					
5113	25151		Partial removal of radius					
5113	25210		Removal of wrist bone					
5113	25215		Removal of wrist bones					
5113	25230		Partial removal of radius					
5113	25240		Partial removal of ulna					
5113	25248		Remove forearm foreign body					
5113	25251		Removal of wrist prosthesis					
5113	25260		Repair forearm tendon/muscl					
5113	25263		Repair forearm tendon/muscl					
5113	25265		Repair forearm tendon/muscl					
5113	25270		Repair forearm tendon/muscl					
5113	25272		Repair forearm tendon/muscl					
5113	25274		Repair forearm tendon/muscl					
5113	25275		Repair forearm tendon sheat					
5113	25280		Revise wrist/forearm tendon					
5113	25290		Incise wrist/forearm tendon					
5113	25295		Release wrist/forearm tendo					
5113	25300		Fusion of tendons at wrist					
5113	25301		Fusion of tendons at wrist					
5113	25310		Transplant forearm tendon					
5113	25312		Transplant forearm tendon					
5113	25332		Revise wrist joint					
5113	25335		Realignment of hand					
5113	25355		Revision of radius					
5113	25370		Revise radius or ulna					
5113	25375		Revise radius & ulna					
5113	25392		Shorten radius & ulna					
5113	25393		Lengthen radius & ulna					
5113	25394		Repair carpal bone shorten					
5113	25426		Repair/graft radius & ulna					
5113	25430		Vasc graft into carpal bone					
5113	25447		Repair wrist joints					
5113	25450		Revision of wrist joint					
5113	25455		Revision of wrist joint					
5113	25492		Reinforce radius and ulna					
5113	25606		Treat fx distal radial					
5113	25645		Treat wrist bone fracture					
5113	25651		Pin ulnar styloid fracture					
5113	25670		Treat wrist dislocation					
5113	25671		Pin radioulnar dislocation					
5113	25685		Treat wrist fracture					
5113	25907		Amputation follow-up surger					
5113	25909		Amputation follow-up surger					
5113	25931		Amputation follow-up surger					
5113	26020		Drain hand tendon sheath					
5113	26025		Drainage of palm bursa					
5113	26030		Drainage of palm bursas					
5113	26035		Decompress fingers/hand					
5113	26037		Decompress fingers/hand					
5113	26045		Release palm contracture					
5113	26075		Explore/treat finger joint					
5113	26100		Biopsy hand joint lining					
5113	26105		Biopsy finger joint lining					
5113	26121		Release palm contracture					
5113	26123		Release palm contracture					
5113	26130		Remove wrist joint lining					
5113	26135		Revise finger joint each					
5113	26200		Remove hand bone lesion					
5113	26215		Remove/graft finger lesion					
5113	26230		Partial removal of hand bon					
5113	26250		Extensive hand surgery					
5113	26260		Resect prox finger tumor					
5113	26262		Resect distal finger tumor					
5113	26350		Repair finger/hand tendon					
5113	26352		Repair/graft hand tendon					
5113	26356		Repair finger/hand tendon					
5113	26357		Repair finger/hand tendon					
5113	26358		Repair/graft hand tendon					
5113	26370		Repair finger/hand tendon					
5113	26373		Repair finger/hand tendon					
5113	26410		Repair hand tendon					
5113	26412		Repair/graft hand tendon					
5113	26416		Graft hand or finger tendon					
5113	26418		Repair finger tendon					
5113	26420		Repair/graft finger tendon					
5113	26426		Repair finger/hand tendon					
5113	26428		Repair/graft finger tendon					
5113	26433		Repair finger tendon					
5113	26434		Repair/graft finger tendon					
5113	26437		Realignment of tendons					
5113	26442		Release palm & finger tendo					
5113	26445		Release hand/finger tendon					
5113	26449		Release forearm/hand tendon					
5113	26450		Incision of palm tendon					
5113	26471		Fusion of finger tendons					
5113	26474		Fusion of finger tendons					
5113	26476		Tendon lengthening					
5113	26477		Tendon shortening					
5113	26478		Lengthening of hand tendon					
5113	26480		Transplant hand tendon					
5113	26483		Transplant/graft hand tendo					
5113	26485		Transplant palm tendon					
5113	26489		Transplant/graft palm tendo					
5113	26490		Revise thumb tendon					
5113	26492		Tendon transfer with graft					
5113	26494		Hand tendon/muscle transfer					
5113	26496		Revise thumb tendon					
5113	26497		Finger tendon transfer					
5113	26498		Finger tendon transfer					
5113	26499		Revision of finger					
5113	26502		Hand tendon reconstruction					
5113	26508		Release thumb contracture					
5113	26510		Thumb tendon transfer					
5113	26516		Fusion of knuckle joint					
5113	26517		Fusion of knuckle joints					
5113	26518		Fusion of knuckle joints					
5113	26520		Release knuckle contracture					
5113	26525		Release finger contracture					
5113	26530		Revise knuckle joint					
5113	26535		Revise finger joint					
5113	26540		Repair hand joint					
5113	26541		Repair hand joint with graf					
5113	26542		Repair hand joint with graf					
5113	26545		Reconstruct finger joint					
5113	26548		Reconstruct finger joint					
5113	26550		Construct thumb replacement					
5113	26561		Repair of web finger					
5113	26562		Repair of web finger					
5113	26565		Correct metacarpal flaw					
5113	26567		Correct finger deformity					
5113	26580		Repair hand deformity					
5113	26587		Reconstruct extra finger					
5113	26591		Repair muscles of hand					
5113	26593		Release muscles of hand					
5113	26596		Excision constricting tissu					
5113	26607		Treat metacarpal fracture					
5113	26608		Treat metacarpal fracture					
5113	26615		Treat metacarpal fracture					
5113	26650		Treat thumb fracture					
5113	26665		Treat thumb fracture					
5113	26676		Pin hand dislocation					
5113	26685		Treat hand dislocation					
5113	26686		Treat hand dislocation					
5113	26706		Pin knuckle dislocation					
5113	26715		Treat knuckle dislocation					
5113	26727		Treat finger fracture each					
5113	26735		Treat finger fracture each					
5113	26746		Treat finger fracture each					
5113	26756		Pin finger fracture each					
5113	26765		Treat finger fracture each					
5113	26776		Pin finger dislocation					
5113	26785		Treat finger dislocation					
5113	26860		Fusion of finger joint					
5113	26862		Fusion/graft of finger join					
5113	26910		Amputate metacarpal bone					
5113	26951		Amputation of finger/thumb					
5113	26952		Amputation of finger/thumb					
5113	26990		Drainage of pelvis lesion					
5113	26991		Drainage of pelvis bursa					
5113	27000		Incision of hip tendon					
5113	27001		Incision of hip tendon					
5113	27006		Incision of hip tendons					
5113	27033		Exploration of hip joint					
5113	27035		Denervation of hip joint					
5113	27060		Removal of ischial bursa					
5113	27062		Remove femur lesion/bursa					
5113	27065		Remove hip bone les super					
5113	27066		Remove hip bone les deep					
5113	27080		Removal of tail bone					
5113	27087		Remove hip foreign body					
5113	27097		Revision of hip tendon					
5113	27098		Transfer tendon to pelvis					
5113	27105		Transfer of spinal muscle					
5113	27111		Transfer of iliopsoas muscl					
5113	27202		Treat tail bone fracture					
5113	27267		Cltx thigh fx					
5113	27305		Incise thigh tendon & fasci					
5113	27307		Incision of thigh tendons					
5113	27310		Exploration of knee joint					
5113	27330		Biopsy knee joint lining					
5113	27331		Explore/treat knee joint					
5113	27332		Removal of knee cartilage					
5113	27333		Removal of knee cartilage					
5113	27334		Remove knee joint lining					
5113	27340		Removal of kneecap bursa					
5113	27345		Removal of knee cyst					
5113	27347		Remove knee cyst					
5113	27350		Removal of kneecap					
5113	27355		Remove femur lesion					
5113	27360		Partial removal leg bone(s)					
5113	27390		Incision of thigh tendon					
5113	27391		Incision of thigh tendons					
5113	27392		Incision of thigh tendons					
5113	27393		Lengthening of thigh tendon					
5113	27395		Lengthening of thigh tendon					
5113	27403		Repair of knee cartilage					
5113	27425		Lat retinacular release ope					
5113	27435		Incision of knee joint					
5113	27477		Surgery to stop leg growth					
5113	27485		Surgery to stop leg growth					
5113	27496		Decompression of thigh/knee					
5113	27497		Decompression of thigh/knee					
5113	27499		Decompression of thigh/knee					
5113	27532		Treat knee fracture					
5113	27594		Amputation follow-up surger					
5113	27600		Decompression of lower leg					
5113	27601		Decompression of lower leg					
5113	27602		Decompression of lower leg					
5113	27604		Drain lower leg bursa					
5113	27606		Incision of achilles tendon					
5113	27607		Treat lower leg bone lesion					
5113	27610		Explore/treat ankle joint					
5113	27612		Exploration of ankle joint					
5113	27620		Explore/treat ankle joint					
5113	27625		Remove ankle joint lining					
5113	27626		Remove ankle joint lining					
5113	27630		Removal of tendon lesion					
5113	27635		Remove lower leg bone lesio					
5113	27640		Partial removal of tibia					
5113	27641		Partial removal of fibula					
5113	27647		Resect talus/calcaneus tum					
5113	27650		Repair achilles tendon					
5113	27656		Repair leg fascia defect					
5113	27658		Repair of leg tendon each					
5113	27675		Repair lower leg tendons					
5113	27680		Release of lower leg tendon					
5113	27681		Release of lower leg tendon					
5113	27685		Revision of lower leg tendo					
5113	27686		Revise lower leg tendons					
5113	27687		Revision of calf tendon					
5113	27704		Removal of ankle implant					
5113	27707		Incision of fibula					
5113	27730		Repair of tibia epiphysis					
5113	27732		Repair of fibula epiphysis					
5113	27734		Repair lower leg epiphyses					
5113	27740		Repair of leg epiphyses					
5113	27742		Repair of leg epiphyses					
5113	27831		Treat lower leg dislocation					
5113	27860		Fixation of ankle joint					
5113	27884		Amputation follow-up surger					
5113	27892		Decompression of leg					
5113	28002		Treatment of foot infection					
5113	28003		Treatment of foot infection					
5113	28005		Treat foot bone lesion					
5113	28008		Incision of foot fascia					
5113	28020		Exploration of foot joint					
5113	28022		Exploration of foot joint					
5113	28024		Exploration of toe joint					
5113	28050		Biopsy of foot joint lining					
5113	28052		Biopsy of foot joint lining					
5113	28054		Biopsy of toe joint lining					
5113	28060		Partial removal foot fascia					
5113	28062		Removal of foot fascia					
5113	28070		Removal of foot joint linin					
5113	28072		Removal of foot joint linin					
5113	28086		Excise foot tendon sheath					
5113	28090		Removal of foot lesion					
5113	28100		Removal of ankle/heel lesio					
5113	28104		Removal of foot lesion					
5113	28110		Part removal of metatarsal					
5113	28111		Part removal of metatarsal					
5113	28112		Part removal of metatarsal					
5113	28113		Part removal of metatarsal					
5113	28114		Removal of metatarsal heads					
5113	28116		Revision of foot					
5113	28118		Removal of heel bone					
5113	28119		Removal of heel spur					
5113	28120		Part removal of ankle/heel					
5113	28122		Partial removal of foot bon					
5113	28124		Partial removal of toe					
5113	28126		Partial removal of toe					
5113	28130		Removal of ankle bone					
5113	28140		Removal of metatarsal					
5113	28150		Removal of toe					
5113	28160		Partial removal of toe					
5113	28171		Resect tarsal tumor					
5113	28173		Resect metatarsal tumor					
5113	28200		Repair of foot tendon					
5113	28208		Repair of foot tendon					
5113	28220		Release of foot tendon					
5113	28222		Release of foot tendons					
5113	28225		Release of foot tendon					
5113	28240		Release of big toe					
5113	28250		Revision of foot fascia					
5113	28261		Revision of foot tendon					
5113	28270		Release of foot contracture					
5113	28280		Fusion of toes					
5113	28285		Repair of hammertoe					
5113	28286		Repair of hammertoe					
5113	28288		Partial removal of foot bon					
5113	28289		Corrj halux rigdus w/o impl					
5113	28292		Correction hallux valgus					
5113	28295		Correction hallux valgus					
5113	28296		Correction hallux valgus					
5113	28299		Correction hallux valgus					
5113	28307		Incision of metatarsal					
5113	28308		Incision of metatarsal					
5113	28310		Revision of big toe					
5113	28312		Revision of toe					
5113	28313		Repair deformity of toe					
5113	28315		Removal of sesamoid bone					
5113	28340		Resect enlarged toe tissue					
5113	28341		Resect enlarged toe					
5113	28344		Repair extra toe(s)					
5113	28345		Repair webbed toe(s)					
5113	28455		Treat midfoot fracture each					
5113	28476		Treat metatarsal fracture					
5113	28496		Treat big toe fracture					
5113	28505		Treat big toe fracture					
5113	28525		Treat toe fracture					
5113	28545		Treat foot dislocation					
5113	28575		Treat foot dislocation					
5113	28606		Treat foot dislocation					
5113	28636		Treat toe dislocation					
5113	28645		Repair toe dislocation					
5113	28666		Treat toe dislocation					
5113	28675		Repair of toe dislocation					
5113	28805		Amputation thru metatarsal					
5113	28810		Amputation toe & metatarsal					
5113	28820		Amputation of toe					
5113	28825		Partial amputation of toe					
5113	29800		Jaw arthroscopy/surgery					
5113	29804		Jaw arthroscopy/surgery					
5113	29805		Shoulder arthroscopy dx					
5113	29819		Shoulder arthroscopy/surger					
5113	29821		Shoulder arthroscopy/surger					
5113	29822		Shoulder arthroscopy/surger					
5113	29823		Shoulder arthroscopy/surger					
5113	29824		Shoulder arthroscopy/surger					
5113	29825		Shoulder arthroscopy/surger					
5113	29830		Elbow arthroscopy					
5113	29834		Elbow arthroscopy/surgery					
5113	29835		Elbow arthroscopy/surgery					
5113	29837		Elbow arthroscopy/surgery					
5113	29838		Elbow arthroscopy/surgery					
5113	29840		Wrist arthroscopy					
5113	29843		Wrist arthroscopy/surgery					
5113	29844		Wrist arthroscopy/surgery					
5113	29845		Wrist arthroscopy/surgery					
5113	29846		Wrist arthroscopy/surgery					
5113	29861		Hip arthro w/fb removal					
5113	29863		Hip arthr0 w/synovectomy					
5113	29870		Knee arthroscopy dx					
5113	29871		Knee arthroscopy/drainage					
5113	29873		Knee arthroscopy/surgery					
5113	29874		Knee arthroscopy/surgery					
5113	29875		Knee arthroscopy/surgery					
5113	29876		Knee arthroscopy/surgery					
5113	29877		Knee arthroscopy/surgery					
5113	29879		Knee arthroscopy/surgery					
5113	29880		Knee arthroscopy/surgery					
5113	29881		Knee arthroscopy/surgery					
5113	29882		Knee arthroscopy/surgery					
5113	29883		Knee arthroscopy/surgery					
5113	29884		Knee arthroscopy/surgery					
5113	29886		Knee arthroscopy/surgery					
5113	29891		Ankle arthroscopy/surgery					
5113	29893		Scope plantar fasciotomy					
5113	29894		Ankle arthroscopy/surgery					
5113	29895		Ankle arthroscopy/surgery					
5113	29897		Ankle arthroscopy/surgery					
5113	29898		Ankle arthroscopy/surgery					
5113	29900		Mcp joint arthroscopy dx					
5113	29901		Mcp joint arthroscopy surg					
5113	29904		Subtalar arthro w/fb rmvl					
5113	29905		Subtalar arthro w/exc					
5113	29906		Subtalar arthro w/deb					
5113	64821		Remove sympathetic nerves					
5113	64822		Remove sympathetic nerves					
5114		Level 4 Musculoskeletal Procedures		J1	70.4108	"$5,385.23"	.	"$1,077.05"
5114	0200T		Perq sacral augmt unilat in					
5114	0201T		Perq sacral augmt bilat inj					
5114	0221T		Plmt post facet implt lumb					
5114	0274T		Perq lamot/lam crv/thrc					
5114	0275T		Perq lamot/lam lumbar					
5114	0335T		Extraosseous joint stblztio					
5114	11970		Replace tissue expander					
5114	20251		Open bone biopsy					
5114	20690		Apply bone fixation device					
5114	20693		Adjust bone fixation device					
5114	20900		Removal of bone for graft					
5114	20902		Removal of bone for graft					
5114	20924		Removal of tendon for graft					
5114	20972		Bone/skin graft metatarsal					
5114	20973		Bone/skin graft great toe					
5114	20982		Ablate bone tumor(s) perq					
5114	20983		Ablate bone tumor(s) perq					
5114	21600		Partial removal of rib					
5114	22100		Remove part of neck vertebr					
5114	22102		Remove part lumbar vertebra					
5114	22513		Perq vertebral augmentation					
5114	22514		Perq vertebral augmentation					
5114	23105		Remove shoulder joint linin					
5114	23107		Explore treat shoulder join					
5114	23146		Removal of bone lesion					
5114	23155		Removal of humerus lesion					
5114	23156		Removal of humerus lesion					
5114	23184		Remove humerus lesion					
5114	23195		Removal of head of humerus					
5114	23395		Muscle transfer shoulder/ar					
5114	23397		Muscle transfers					
5114	23400		Fixation of shoulder blade					
5114	23405		Incision of tendon & muscle					
5114	23410		Repair rotator cuff acute					
5114	23412		Repair rotator cuff chronic					
5114	23415		Release of shoulder ligamen					
5114	23420		Repair of shoulder					
5114	23430		Repair biceps tendon					
5114	23450		Repair shoulder capsule					
5114	23455		Repair shoulder capsule					
5114	23460		Repair shoulder capsule					
5114	23462		Repair shoulder capsule					
5114	23465		Repair shoulder capsule					
5114	23466		Repair shoulder capsule					
5114	23480		Revision of collar bone					
5114	23490		Reinforce clavicle					
5114	23515		Treat clavicle fracture					
5114	23530		Treat clavicle dislocation					
5114	23532		Treat clavicle dislocation					
5114	23550		Treat clavicle dislocation					
5114	23552		Treat clavicle dislocation					
5114	23585		Treat scapula fracture					
5114	23630		Treat humerus fracture					
5114	23660		Treat shoulder dislocation					
5114	23670		Treat dislocation/fracture					
5114	23800		Fusion of shoulder joint					
5114	24115		Remove/graft bone lesion					
5114	24116		Remove/graft bone lesion					
5114	24126		Remove/graft bone lesion					
5114	24134		Removal of arm bone lesion					
5114	24138		Remove elbow bone lesion					
5114	24145		Partial removal of radius					
5114	24149		Radical resection of elbow					
5114	24150		Resect distal humerus tumor					
5114	24152		Resect radius tumor					
5114	24301		Muscle/tendon transfer					
5114	24320		Repair of arm tendon					
5114	24331		Revision of arm muscles					
5114	24340		Repair of biceps tendon					
5114	24341		Repair arm tendon/muscle					
5114	24342		Repair of ruptured tendon					
5114	24344		Reconstruct elbow lat ligmn					
5114	24345		Repr elbw med ligmnt w/tiss					
5114	24360		Reconstruct elbow joint					
5114	24400		Revision of humerus					
5114	24420		Revision of humerus					
5114	24495		Decompression of forearm					
5114	24538		Treat humerus fracture					
5114	24615		Treat elbow dislocation					
5114	24635		Treat elbow fracture					
5114	24665		Treat radius fracture					
5114	24685		Treat ulnar fracture					
5114	24800		Fusion of elbow joint					
5114	24935		Revision of amputation					
5114	25035		Treat forearm bone lesion					
5114	25136		Remove & graft wrist lesion					
5114	25170		Resect radius/ulnar tumor					
5114	25315		Revise palsy hand tendon(s)					
5114	25316		Revise palsy hand tendon(s)					
5114	25320		Repair/revise wrist joint					
5114	25337		Reconstruct ulna/radioulnar					
5114	25350		Revision of radius					
5114	25360		Revision of ulna					
5114	25390		Shorten radius or ulna					
5114	25400		Repair radius or ulna					
5114	25405		Repair/graft radius or ulna					
5114	25415		Repair radius & ulna					
5114	25420		Repair/graft radius & ulna					
5114	25425		Repair/graft radius or ulna					
5114	25431		Repair nonunion carpal bone					
5114	25440		Repair/graft wrist bone					
5114	25443		Reconstruct wrist joint					
5114	25445		Reconstruct wrist joint					
5114	25449		Remove wrist joint implant					
5114	25490		Reinforce radius					
5114	25515		Treat fracture of radius					
5114	25525		Treat fracture of radius					
5114	25526		Treat fracture of radius					
5114	25545		Treat fracture of ulna					
5114	25574		Treat fracture radius & uln					
5114	25575		Treat fracture radius/ulna					
5114	25607		Treat fx rad extra-articul					
5114	25608		Treat fx rad intra-articul					
5114	25609		Treat fx radial 3+ frag					
5114	25628		Treat wrist bone fracture					
5114	25652		Treat fracture ulnar styloi					
5114	25676		Treat wrist dislocation					
5114	25695		Treat wrist dislocation					
5114	25800		Fusion of wrist joint					
5114	25805		Fusion/graft of wrist joint					
5114	25820		Fusion of hand bones					
5114	25825		Fuse hand bones with graft					
5114	25830		Fusion radioulnar jnt/ulna					
5114	26205		Remove/graft bone lesion					
5114	26372		Repair/graft hand tendon					
5114	26390		Revise hand/finger tendon					
5114	26392		Repair/graft hand tendon					
5114	26500		Hand tendon reconstruction					
5114	26531		Revise knuckle with implant					
5114	26536		Revise/implant finger joint					
5114	26546		Repair nonunion hand					
5114	26555		Positional change of finger					
5114	26568		Lengthen metacarpal/finger					
5114	26820		Thumb fusion with graft					
5114	26841		Fusion of thumb					
5114	26842		Thumb fusion with graft					
5114	26843		Fusion of hand joint					
5114	26844		Fusion/graft of hand joint					
5114	26850		Fusion of knuckle					
5114	26852		Fusion of knuckle with graf					
5114	27003		Incision of hip tendon					
5114	27027		Buttock fasciotomy					
5114	27067		Remove/graft hip bone lesio					
5114	27100		Transfer of abdominal muscl					
5114	27110		Transfer of iliopsoas muscl					
5114	27179		Revise head/neck of femur					
5114	27235		Treat thigh fracture					
5114	27335		Remove knee joint lining					
5114	27357		Remove femur lesion/graft					
5114	27380		Repair of kneecap tendon					
5114	27381		Repair/graft kneecap tendon					
5114	27385		Repair of thigh muscle					
5114	27386		Repair/graft of thigh muscl					
5114	27394		Lengthening of thigh tendon					
5114	27396		Transplant of thigh tendon					
5114	27397		Transplants of thigh tendon					
5114	27400		Revise thigh muscles/tendon					
5114	27405		Repair of knee ligament					
5114	27407		Repair of knee ligament					
5114	27409		Repair of knee ligaments					
5114	27412		Autochondrocyte implant kne					
5114	27416		Osteochondral knee autograf					
5114	27418		Repair degenerated kneecap					
5114	27420		Revision of unstable kneeca					
5114	27422		Revision of unstable kneeca					
5114	27424		Revision/removal of kneecap					
5114	27427		Reconstruction knee					
5114	27430		Revision of thigh muscles					
5114	27437		Revise kneecap					
5114	27475		Surgery to stop leg growth					
5114	27479		Surgery to stop leg growth					
5114	27509		Treatment of thigh fracture					
5114	27524		Treat kneecap fracture					
5114	27566		Treat kneecap dislocation					
5114	27637		Remove/graft leg bone lesio					
5114	27638		Remove/graft leg bone lesio					
5114	27652		Repair/graft achilles tendo					
5114	27654		Repair of achilles tendon					
5114	27659		Repair of leg tendon each					
5114	27664		Repair of leg tendon each					
5114	27665		Repair of leg tendon each					
5114	27676		Repair lower leg tendons					
5114	27690		Revise lower leg tendon					
5114	27691		Revise lower leg tendon					
5114	27695		Repair of ankle ligament					
5114	27696		Repair of ankle ligaments					
5114	27698		Repair of ankle ligament					
5114	27700		Revision of ankle joint					
5114	27705		Incision of tibia					
5114	27720		Repair of tibia					
5114	27722		Repair/graft of tibia					
5114	27726		Repair fibula nonunion					
5114	27745		Reinforce tibia					
5114	27756		Treatment of tibia fracture					
5114	27766		Optx medial ankle fx					
5114	27769		Optx post ankle fx					
5114	27784		Treatment of fibula fractur					
5114	27792		Treatment of ankle fracture					
5114	27814		Treatment of ankle fracture					
5114	27822		Treatment of ankle fracture					
5114	27823		Treatment of ankle fracture					
5114	27826		Treat lower leg fracture					
5114	27829		Treat lower leg joint					
5114	27832		Treat lower leg dislocation					
5114	27846		Treat ankle dislocation					
5114	27848		Treat ankle dislocation					
5114	27889		Amputation of foot at ankle					
5114	27893		Decompression of leg					
5114	28102		Remove/graft foot lesion					
5114	28103		Remove/graft foot lesion					
5114	28106		Remove/graft foot lesion					
5114	28107		Remove/graft foot lesion					
5114	28202		Repair/graft of foot tendon					
5114	28210		Repair/graft of foot tendon					
5114	28238		Revision of foot tendon					
5114	28262		Revision of foot and ankle					
5114	28291		Corrj halux rigdus w/implt					
5114	28297		Correction hallux valgus					
5114	28298		Correction hallux valgus					
5114	28300		Incision of heel bone					
5114	28302		Incision of ankle bone					
5114	28304		Incision of midfoot bones					
5114	28305		Incise/graft midfoot bones					
5114	28306		Incision of metatarsal					
5114	28309		Incision of metatarsals					
5114	28322		Repair of metatarsals					
5114	28360		Reconstruct cleft foot					
5114	28406		Treatment of heel fracture					
5114	28415		Treat heel fracture					
5114	28436		Treatment of ankle fracture					
5114	28445		Treat ankle fracture					
5114	28446		Osteochondral talus autogrf					
5114	28456		Treat midfoot fracture					
5114	28465		Treat midfoot fracture each					
5114	28485		Treat metatarsal fracture					
5114	28531		Treat sesamoid bone fractur					
5114	28555		Repair foot dislocation					
5114	28585		Repair foot dislocation					
5114	28615		Repair foot dislocation					
5114	28740		Fusion of foot bones					
5114	28750		Fusion of big toe joint					
5114	28755		Fusion of big toe joint					
5114	28760		Fusion of big toe joint					
5114	29806		Shoulder arthroscopy/surger					
5114	29807		Shoulder arthroscopy/surger					
5114	29820		Shoulder arthroscopy/surger					
5114	29827		Arthroscop rotator cuff rep					
5114	29828		Arthroscopy biceps tenodesi					
5114	29836		Elbow arthroscopy/surgery					
5114	29847		Wrist arthroscopy/surgery					
5114	29855		Tibial arthroscopy/surgery					
5114	29860		Hip arthroscopy dx					
5114	29862		Hip arthr0 w/debridement					
5114	29866		Autgrft implnt knee w/scope					
5114	29868		Meniscal trnspl knee w/scpe					
5114	29885		Knee arthroscopy/surgery					
5114	29887		Knee arthroscopy/surgery					
5114	29888		Knee arthroscopy/surgery					
5114	29892		Ankle arthroscopy/surgery					
5114	29899		Ankle arthroscopy/surgery					
5114	29914		Hip arthro w/femoroplasty					
5114	29915		Hip arthro acetabuloplasty					
5114	29916		Hip arthro w/labral repair					
5114	62351		Implant spinal canal cath					
5114	62380		Ndsc dcmprn 1 ntrspc lumbar					
5114	63001		Remove spine lamina 1/2 crv					
5114	63003		Remove spine lamina 1/2 thr					
5114	63005		Remove spine lamina 1/2 lmb					
5114	63011		Remove spine lamina 1/2 scr					
5114	63012		Remove lamina/facets lumbar					
5114	63015		Remove spine lamina >2 crvc					
5114	63016		Remove spine lamina >2 thrc					
5114	63017		Remove spine lamina >2 lmbr					
5114	63020		Neck spine disk surgery					
5114	63030		Low back disk surgery					
5114	63040		Laminotomy single cervical					
5114	63042		Laminotomy single lumbar					
5114	63045		Remove spine lamina 1 crvl					
5114	63046		Remove spine lamina 1 thrc					
5114	63047		Remove spine lamina 1 lmbr					
5114	63055		Decompress spinal cord thrc					
5114	63056		Decompress spinal cord lmbr					
5114	63064		Decompress spinal cord thrc					
5114	63075		Neck spine disk surgery					
5114	69717		Temple bone implant revisio					
5114	C9734		"U/s trtmt, not leiomyomata"					
5114	G0276		Pild/placebo control clin t					
5115		Level 5 Musculoskeletal Procedures		J1	129.6065	"$9,912.69"	.	"$1,982.54"
5115	20692		Apply bone fixation device					
5115	22551		Neck spine fuse&remov bel c					
5115	22554		Neck spine fusion					
5115	22612		Lumbar spine fusion					
5115	23470		Reconstruct shoulder joint					
5115	23473		Revis reconst shoulder join					
5115	23485		Revision of collar bone					
5115	23491		Reinforce shoulder bones					
5115	23615		Treat humerus fracture					
5115	23680		Treat dislocation/fracture					
5115	23802		Fusion of shoulder joint					
5115	24346		Reconstruct elbow med ligmn					
5115	24362		Reconstruct elbow joint					
5115	24365		Reconstruct head of radius					
5115	24366		Reconstruct head of radius					
5115	24370		Revise reconst elbow joint					
5115	24410		Revision of humerus					
5115	24430		Repair of humerus					
5115	24435		Repair humerus with graft					
5115	24498		Reinforce humerus					
5115	24515		Treat humerus fracture					
5115	24516		Treat humerus fracture					
5115	24545		Treat humerus fracture					
5115	24575		Treat humerus fracture					
5115	24579		Treat humerus fracture					
5115	24586		Treat elbow fracture					
5115	24587		Treat elbow fracture					
5115	24666		Treat radius fracture					
5115	24802		Fusion/graft of elbow joint					
5115	25365		Revise radius & ulna					
5115	25391		Lengthen radius or ulna					
5115	25441		Reconstruct wrist joint					
5115	25444		Reconstruct wrist joint					
5115	25491		Reinforce ulna					
5115	25810		Fusion/graft of wrist joint					
5115	27356		Remove femur lesion/graft					
5115	27415		Osteochondral knee allograf					
5115	27428		Reconstruction knee					
5115	27429		Reconstruction knee					
5115	27438		Revise kneecap with implant					
5115	27440		Revision of knee joint					
5115	27441		Revision of knee joint					
5115	27442		Revision of knee joint					
5115	27443		Revision of knee joint					
5115	27446		Revision of knee joint					
5115	27447		Total knee arthroplasty					
5115	27709		Incision of tibia & fibula					
5115	27758		Treatment of tibia fracture					
5115	27759		Treatment of tibia fracture					
5115	27827		Treat lower leg fracture					
5115	27828		Treat lower leg fracture					
5115	27870		Fusion of ankle joint open					
5115	27871		Fusion of tibiofibular join					
5115	28320		Repair of foot bones					
5115	28420		Treat/graft heel fracture					
5115	28715		Fusion of foot bones					
5115	28725		Fusion of foot bones					
5115	28730		Fusion of foot bones					
5115	28735		Fusion of foot bones					
5115	28737		Revision of foot bones					
5115	29856		Tibial arthroscopy/surgery					
5115	29867		Allgrft implnt knee w/scope					
5115	29889		Knee arthroscopy/surgery					
5115	29907		Subtalar arthro w/fusion					
5115	69714		Implant temple bone w/stimu					
5115	69718		Revise temple bone implant					
5116		Level 6 Musculoskeletal Procedures		J1	198.4094	"$15,174.95"	.	"$3,034.99"
5116	20696		Comp multiplane ext fixatio					
5116	21243		Reconstruction of jaw joint					
5116	22856		Cerv artific diskectomy					
5116	22867		Insj stablj dev w/dcmprn					
5116	22869		Insj stablj dev w/o dcmprn					
5116	23616		Treat humerus fracture					
5116	24361		Reconstruct elbow joint					
5116	24363		Replace elbow joint					
5116	24371		Revise reconst elbow joint					
5116	24546		Treat humerus fracture					
5116	25442		Reconstruct wrist joint					
5116	25446		Wrist replacement					
5116	27279		Arthrodesis sacroiliac join					
5116	28705		Fusion of foot bones					
5116	69715		Temple bne implnt w/stimula					
5151		Level 1 Airway Endoscopy		T	1.9712	$150.76	.	$30.16
5151	31231		Nasal endoscopy dx					
5151	31505		Diagnostic laryngoscopy					
5151	31511		Remove foreign body larynx					
5151	31575		Diagnostic laryngoscopy					
5151	31899		Airways surgical procedure					
5151	92511		Nasopharyngoscopy					
5152		Level 2 Airway Endoscopy		T	4.6437	$355.16	.	$71.04
5152	31233		Nasal/sinus endoscopy dx					
5152	31513		Injection into vocal cord					
5152	31515		Laryngoscopy for aspiration					
5152	31520		Dx laryngoscopy newborn					
5152	31577		Largsc w/rmvl foreign bdy(s					
5152	31579		Laryngoscopy telescopic					
5152	31646		Bronchoscopy reclear airway					
5152	31717		Bronchial brush biopsy					
5153		Level 3 Airway Endoscopy		J1	16.5216	"$1,263.62"	.	$252.73
5153	0406T		Sin ndsc plmt drg elut mpln					
5153	0407T		Sin ndsc plmt drg elut mpln					
5153	31235		Nasal/sinus endoscopy dx					
5153	31237		Nasal/sinus endoscopy surg					
5153	31238		Nasal/sinus endoscopy surg					
5153	31240		Nasal/sinus endoscopy surg					
5153	31525		Dx laryngoscopy excl nb					
5153	31526		Dx laryngoscopy w/oper scop					
5153	31530		Laryngoscopy w/fb removal					
5153	31573		Largsc w/ther injection					
5153	31574		Largsc w/njx augmentation					
5153	31576		Laryngoscopy with biopsy					
5153	31622		Dx bronchoscope/wash					
5153	31623		Dx bronchoscope/brush					
5153	31624		Dx bronchoscope/lavage					
5153	31625		Bronchoscopy w/biopsy(s)					
5153	31635		Bronchoscopy w/fb removal					
5153	31643		Diag bronchoscope/catheter					
5153	31645		Bronchoscopy clear airways					
5153	31649		Bronchial valve remov addl					
5153	31730		Intro windpipe wire/tube					
5154		Level 4 Airway Endoscopy		J1	32.3758	"$2,476.20"	.	$495.24
5154	31239		Nasal/sinus endoscopy surg					
5154	31256		Exploration maxillary sinus					
5154	31510		Laryngoscopy with biopsy					
5154	31512		Removal of larynx lesion					
5154	31527		Laryngoscopy for treatment					
5154	31528		Laryngoscopy and dilation					
5154	31529		Laryngoscopy and dilation					
5154	31531		Laryngoscopy w/fb & op scop					
5154	31535		Laryngoscopy w/biopsy					
5154	31536		Laryngoscopy w/bx & op scop					
5154	31540		Laryngoscopy w/exc of tumor					
5154	31541		Larynscop w/tumr exc + scop					
5154	31545		Remove vc lesion w/scope					
5154	31570		Laryngoscope w/vc inj					
5154	31571		Laryngoscop w/vc inj + scop					
5154	31572		Largsc w/laser dstrj les					
5154	31578		Largsc w/removal lesion					
5154	31628		Bronchoscopy/lung bx each					
5154	31629		Bronchoscopy/needle bx each					
5154	31630		Bronchoscopy dilate/fx repr					
5154	31640		Bronchoscopy w/tumor excise					
5154	31641		Bronchoscopy treat blockage					
5154	31648		Bronchial valve remov init					
5154	31652		Bronch ebus samplng 1/2 nod					
5154	31653		Bronch ebus samplng 3/> nod					
5155		Level 5 Airway Endoscopy		J1	60.5218	"$4,628.89"	.	$925.78
5155	31254		Revision of ethmoid sinus					
5155	31255		Removal of ethmoid sinus					
5155	31267		Endoscopy maxillary sinus					
5155	31276		Sinus endoscopy surgical					
5155	31287		Nasal/sinus endoscopy surg					
5155	31288		Nasal/sinus endoscopy surg					
5155	31292		Nasal/sinus endoscopy surg					
5155	31293		Nasal/sinus endoscopy surg					
5155	31294		Nasal/sinus endoscopy surg					
5155	31295		Sinus endo w/balloon dil					
5155	31296		Sinus endo w/balloon dil					
5155	31297		Sinus endo w/balloon dil					
5155	31546		Remove vc lesion scope/graf					
5155	31560		Laryngoscop w/arytenoidecto					
5155	31561		Larynscop remve cart + scop					
5155	31626		Bronchoscopy w/markers					
5155	31631		Bronchoscopy dilate w/stent					
5155	31634		Bronch w/balloon occlusion					
5155	31636		Bronchoscopy bronch stents					
5155	31638		Bronchoscopy revise stent					
5155	31647		Bronchial valve init insert					
5155	31660		Bronch thermoplsty 1 lobe					
5155	31661		Bronch thermoplsty 2/> lobe					
5155	31XX2		Nsl/sins ndsc total					
5155	31XX3		Nsl/sins ndsc tot w/sphendt					
5155	31XX4		Nsl/sins ndsc sphn tiss rmv					
5155	31XX5		Nsl/sins ndsc w/sins dilat					
5161		Level 1 ENT Procedures		T	2.4889	$190.36	.	$38.08
5161	21089		Prepare face/oral prosthesi					
5161	21299		Cranio/maxillofacial surger					
5161	21499		Head surgery procedure					
5161	21899		Neck/chest surgery procedur					
5161	30000		Drainage of nose lesion					
5161	30906		Repeat control of nosebleed					
5161	30999		Nasal surgery procedure					
5161	31000		Irrigation maxillary sinus					
5161	31299		Sinus surgery procedure					
5161	31500		Insert emergency airway					
5161	31502		Change of windpipe airway					
5161	31599		Larynx surgery procedure					
5161	40490		Biopsy of lip					
5161	40799		Lip surgery procedure					
5161	40830		Repair mouth laceration					
5161	40899		Mouth surgery procedure					
5161	41005		Drainage of mouth lesion					
5161	41251		Repair tongue laceration					
5161	41599		Tongue and mouth surgery					
5161	41899		Dental surgery procedure					
5161	42000		Drainage mouth roof lesion					
5161	42299		Palate/uvula surgery					
5161	42699		Salivary surgery procedure					
5161	42700		Drainage of tonsil abscess					
5161	42960		Control throat bleeding					
5161	42970		Control nose/throat bleedin					
5161	42999		Throat surgery procedure					
5161	69100		Biopsy of external ear					
5161	69399		Outer ear surgery procedure					
5161	69420		Incision of eardrum					
5161	69799		Middle ear surgery procedur					
5161	69949		Inner ear surgery procedure					
5161	69979		Temporal bone surgery					
5162		Level 2 ENT Procedures		T	5.9355	$453.96	.	$90.80
5162	20100		Explore wound neck					
5162	21085		Prepare face/oral prosthesi					
5162	21400		Closed tx orbit w/o manipul					
5162	21450		Treat lower jaw fracture					
5162	30020		Drainage of nose lesion					
5162	30200		Injection treatment of nose					
5162	30560		Release of nasal adhesions					
5162	31605		Incision of windpipe					
5162	31615		Visualization of windpipe					
5162	40650		Repair lip					
5162	40652		Repair lip					
5162	40801		Drainage of mouth lesion					
5162	40805		Removal foreign body mouth					
5162	40806		Incision of lip fold					
5162	40808		Biopsy of mouth lesion					
5162	40818		Excise oral mucosa for graf					
5162	40831		Repair mouth laceration					
5162	41000		Drainage of mouth lesion					
5162	41009		Drainage of mouth lesion					
5162	41015		Drainage of mouth lesion					
5162	41100		Biopsy of tongue					
5162	41252		Repair tongue laceration					
5162	42180		Repair palate					
5162	42280		Preparation palate mold					
5162	42310		Drainage of salivary gland					
5162	42320		Drainage of salivary gland					
5162	42660		Dilation of salivary duct					
5162	69222		Clean out mastoid cavity					
5162	69433		Create eardrum opening					
5162	92502		Ear and throat examination					
5163		Level 3 ENT Procedures		T	14.4241	"$1,103.20"	.	$220.64
5163	20500		Injection of sinus tract					
5163	21073		Mnpj of tmj w/anesth					
5163	21076		Prepare face/oral prosthesi					
5163	21110		Interdental fixation					
5163	21295		Revision of jaw muscle/bone					
5163	21315		Closed tx nose fx w/o stabl					
5163	21345		Closed tx nose/jaw fx					
5163	21401		Closed tx orbit w/manipulj					
5163	21451		Treat lower jaw fracture					
5163	21485		Reset dislocated jaw					
5163	21497		Interdental wiring					
5163	30100		Intranasal biopsy					
5163	30110		Removal of nose polyp(s)					
5163	30124		Removal of nose lesion					
5163	30210		Nasal sinus therapy					
5163	30220		Insert nasal septal button					
5163	30320		Remove nasal foreign body					
5163	30801		Ablate inf turbinate superf					
5163	30802		Ablate inf turbinate submuc					
5163	31002		Irrigation sphenoid sinus					
5163	31603		Incision of windpipe					
5163	40654		Repair lip					
5163	40819		Excise lip or cheek fold					
5163	41006		Drainage of mouth lesion					
5163	41007		Drainage of mouth lesion					
5163	41010		Incision of tongue fold					
5163	41018		Drainage of mouth lesion					
5163	41115		Excision of tongue fold					
5163	41805		Removal foreign body gum					
5163	41806		Removal foreign body jawbon					
5163	41821		Excision of gum flap					
5163	41822		Excision of gum lesion					
5163	41850		Treatment of gum lesion					
5163	42100		Biopsy roof of mouth					
5163	42300		Drainage of salivary gland					
5163	42650		Dilation of salivary duct					
5163	42900		Repair throat wound					
5163	42955		Surgical opening of throat					
5163	43020		Incision of esophagus					
5163	60000		Drain thyroid/tongue cyst					
5163	69105		Biopsy of external ear cana					
5163	69436		Create eardrum opening					
5163	69540		Remove ear lesion					
5163	69700		Close mastoid fistula					
5163	69801		Incise inner ear					
5163	C9727		Insert palate implants					
5164		Level 4 ENT Procedures		J1	27.6624	"$2,115.70"	.	$423.14
5164	21010		Incision of jaw joint					
5164	21029		Contour of face bone lesion					
5164	21031		Remove exostosis mandible					
5164	21032		Remove exostosis maxilla					
5164	21040		Excise mandible lesion					
5164	21079		Prepare face/oral prosthesi					
5164	21080		Prepare face/oral prosthesi					
5164	21082		Prepare face/oral prosthesi					
5164	21083		Prepare face/oral prosthesi					
5164	21084		Prepare face/oral prosthesi					
5164	21086		Prepare face/oral prosthesi					
5164	21088		Prepare face/oral prosthesi					
5164	21121		Reconstruction of chin					
5164	21123		Reconstruction of chin					
5164	21137		Reduction of forehead					
5164	21280		Revision of eyelid					
5164	21282		Revision of eyelid					
5164	21296		Revision of jaw muscle/bone					
5164	21320		Closed tx nose fx w/ stablj					
5164	21325		Open tx nose fx uncomplicat					
5164	21335		Open tx nose & septal fx					
5164	21337		Closed tx septal&nose fx					
5164	21340		Perq tx nasoethmoid fx					
5164	21355		Perq tx malar fracture					
5164	21421		Treat mouth roof fracture					
5164	21440		Treat dental ridge fracture					
5164	21490		Repair dislocated jaw					
5164	30115		Removal of nose polyp(s)					
5164	30117		Removal of intranasal lesio					
5164	30118		Removal of intranasal lesio					
5164	30120		Revision of nose					
5164	30130		Excise inferior turbinate					
5164	30140		Resect inferior turbinate					
5164	30310		Remove nasal foreign body					
5164	30520		Repair of nasal septum					
5164	30630		Repair nasal septum defect					
5164	30930		Ther fx nasal inf turbinate					
5164	31020		Exploration maxillary sinus					
5164	31201		Removal of ethmoid sinus					
5164	31205		Removal of ethmoid sinus					
5164	31300		Removal of larynx lesion					
5164	31595		Larynx nerve surgery					
5164	31600		Incision of windpipe					
5164	31611		Surgery/speech prosthesis					
5164	31612		Puncture/clear windpipe					
5164	31613		Repair windpipe opening					
5164	31820		Closure of windpipe lesion					
5164	31825		Repair of windpipe defect					
5164	31830		Revise windpipe scar					
5164	40500		Partial excision of lip					
5164	40510		Partial excision of lip					
5164	40520		Partial excision of lip					
5164	40525		Reconstruct lip with flap					
5164	40530		Partial removal of lip					
5164	40720		Repair cleft lip/nasal					
5164	40810		Excision of mouth lesion					
5164	40812		Excise/repair mouth lesion					
5164	40814		Excise/repair mouth lesion					
5164	40816		Excision of mouth lesion					
5164	40820		Treatment of mouth lesion					
5164	41008		Drainage of mouth lesion					
5164	41017		Drainage of mouth lesion					
5164	41105		Biopsy of tongue					
5164	41110		Excision of tongue lesion					
5164	41112		Excision of tongue lesion					
5164	41113		Excision of tongue lesion					
5164	41114		Excision of tongue lesion					
5164	41116		Excision of mouth lesion					
5164	41500		Fixation of tongue					
5164	41510		Tongue to lip surgery					
5164	41520		Reconstruction tongue fold					
5164	41530		Tongue base vol reduction					
5164	41820		Excision gum each quadrant					
5164	41825		Excision of gum lesion					
5164	41826		Excision of gum lesion					
5164	41828		Excision of gum lesion					
5164	41830		Removal of gum tissue					
5164	41870		Gum graft					
5164	41872		Repair gum					
5164	41874		Repair tooth socket					
5164	42104		Excision lesion mouth roof					
5164	42106		Excision lesion mouth roof					
5164	42140		Excision of uvula					
5164	42160		Treatment mouth roof lesion					
5164	42205		Reconstruct cleft palate					
5164	42305		Drainage of salivary gland					
5164	42330		Removal of salivary stone					
5164	42335		Removal of salivary stone					
5164	42340		Removal of salivary stone					
5164	42405		Biopsy of salivary gland					
5164	42408		Excision of salivary cyst					
5164	42409		Drainage of salivary cyst					
5164	42510		Parotid duct diversion					
5164	42600		Closure of salivary fistula					
5164	42665		Ligation of salivary duct					
5164	42720		Drainage of throat abscess					
5164	42800		Biopsy of throat					
5164	42804		Biopsy of upper nose/throat					
5164	42806		Biopsy of upper nose/throat					
5164	42808		Excise pharynx lesion					
5164	42810		Excision of neck cyst					
5164	42821		Remove tonsils and adenoids					
5164	42826		Removal of tonsils					
5164	42830		Removal of adenoids					
5164	42831		Removal of adenoids					
5164	42835		Removal of adenoids					
5164	42836		Removal of adenoids					
5164	42860		Excision of tonsil tags					
5164	42962		Control throat bleeding					
5164	42972		Control nose/throat bleedin					
5164	43420		Repair esophagus opening					
5164	61330		Decompress eye socket					
5164	62000		Treat skull fracture					
5164	69300		Revise external ear					
5164	69421		Incision of eardrum					
5164	69424		Remove ventilating tube					
5164	69440		Exploration of middle ear					
5164	69450		Eardrum revision					
5164	69610		Repair of eardrum					
5164	69620		Repair of eardrum					
5164	69650		Release middle ear bone					
5164	69666		Repair middle ear structure					
5164	69667		Repair middle ear structure					
5164	69676		Remove middle ear nerve					
5164	69711		Remove/repair hearing aid					
5164	69915		Incise inner ear nerve					
5165		Level 5 ENT Procedures		J1	53.4884	"$4,090.95"	.	$818.19
5165	21025		Excision of bone lower jaw					
5165	21026		Excision of facial bone(s)					
5165	21030		Excise max/zygoma b9 tumor					
5165	21034		Excise max/zygoma mal tumor					
5165	21044		Removal of jaw bone lesion					
5165	21046		Remove mandible cyst comple					
5165	21047		Excise lwr jaw cyst w/repai					
5165	21048		Remove maxilla cyst complex					
5165	21049		Excis uppr jaw cyst w/repai					
5165	21050		Removal of jaw joint					
5165	21060		Remove jaw joint cartilage					
5165	21070		Remove coronoid process					
5165	21077		Prepare face/oral prosthesi					
5165	21081		Prepare face/oral prosthesi					
5165	21087		Prepare face/oral prosthesi					
5165	21100		Maxillofacial fixation					
5165	21120		Reconstruction of chin					
5165	21122		Reconstruction of chin					
5165	21125		Augmentation lower jaw bone					
5165	21127		Augmentation lower jaw bone					
5165	21138		Reduction of forehead					
5165	21139		Reduction of forehead					
5165	21150		Lefort ii anterior intrusio					
5165	21172		Reconstruct orbit/forehead					
5165	21175		Reconstruct orbit/forehead					
5165	21181		Contour cranial bone lesion					
5165	21193		Reconst lwr jaw w/o graft					
5165	21195		Reconst lwr jaw w/o fixatio					
5165	21198		Reconstr lwr jaw segment					
5165	21199		Reconstr lwr jaw w/advance					
5165	21206		Reconstruct upper jaw bone					
5165	21208		Augmentation of facial bone					
5165	21209		Reduction of facial bones					
5165	21210		Face bone graft					
5165	21215		Lower jaw bone graft					
5165	21230		Rib cartilage graft					
5165	21235		Ear cartilage graft					
5165	21240		Reconstruction of jaw joint					
5165	21242		Reconstruction of jaw joint					
5165	21244		Reconstruction of lower jaw					
5165	21245		Reconstruction of jaw					
5165	21246		Reconstruction of jaw					
5165	21248		Reconstruction of jaw					
5165	21249		Reconstruction of jaw					
5165	21256		Reconstruction of orbit					
5165	21260		Revise eye sockets					
5165	21261		Revise eye sockets					
5165	21263		Revise eye sockets					
5165	21267		Revise eye sockets					
5165	21270		Augmentation cheek bone					
5165	21275		Revision orbitofacial bones					
5165	21330		Open tx nose fx w/skele fix					
5165	21338		Open nasoethmoid fx w/o fix					
5165	21339		Open nasoethmoid fx w/ fixj					
5165	21346		Opn tx nasomax fx w/fixj					
5165	21356		Opn tx dprsd zygomatic arch					
5165	21360		Opn tx dprsd malar fracture					
5165	21365		Opn tx complx malar fx					
5165	21385		Opn tx orbit fx transantral					
5165	21386		Opn tx orbit fx periorbital					
5165	21387		Opn tx orbit fx combined					
5165	21390		Opn tx orbit periorbtl impl					
5165	21395		Opn tx orbit periorbt w/grf					
5165	21406		Opn tx orbit fx w/o implant					
5165	21407		Opn tx orbit fx w/implant					
5165	21408		Opn tx orbit fx w/bone grft					
5165	21445		Treat dental ridge fracture					
5165	21452		Treat lower jaw fracture					
5165	21453		Treat lower jaw fracture					
5165	21454		Treat lower jaw fracture					
5165	21461		Treat lower jaw fracture					
5165	21462		Treat lower jaw fracture					
5165	21465		Treat lower jaw fracture					
5165	21470		Treat lower jaw fracture					
5165	21685		Hyoid myotomy & suspension					
5165	30125		Removal of nose lesion					
5165	30150		Partial removal of nose					
5165	30160		Removal of nose					
5165	30400		Reconstruction of nose					
5165	30410		Reconstruction of nose					
5165	30420		Reconstruction of nose					
5165	30430		Revision of nose					
5165	30435		Revision of nose					
5165	30450		Revision of nose					
5165	30460		Revision of nose					
5165	30462		Revision of nose					
5165	30465		Repair nasal stenosis					
5165	30540		Repair nasal defect					
5165	30545		Repair nasal defect					
5165	30580		Repair upper jaw fistula					
5165	30600		Repair mouth/nose fistula					
5165	30620		Intranasal reconstruction					
5165	31030		Exploration maxillary sinus					
5165	31032		Explore sinus remove polyps					
5165	31040		Exploration behind upper ja					
5165	31050		Exploration sphenoid sinus					
5165	31051		Sphenoid sinus surgery					
5165	31070		Exploration of frontal sinu					
5165	31075		Exploration of frontal sinu					
5165	31080		Removal of frontal sinus					
5165	31081		Removal of frontal sinus					
5165	31084		Removal of frontal sinus					
5165	31085		Removal of frontal sinus					
5165	31086		Removal of frontal sinus					
5165	31087		Removal of frontal sinus					
5165	31090		Exploration of sinuses					
5165	31200		Removal of ethmoid sinus					
5165	31400		Revision of larynx					
5165	31420		Removal of epiglottis					
5165	31551		Laryngoplasty laryngeal ste					
5165	31552		Laryngoplasty laryngeal ste					
5165	31553		Laryngoplasty laryngeal ste					
5165	31554		Laryngoplasty laryngeal ste					
5165	31580		Laryngoplasty laryngeal web					
5165	31584		Laryngoplasty fx rdctj fixj					
5165	31587		Laryngoplasty cricoid split					
5165	31590		Reinnervate larynx					
5165	31591		Laryngoplasty medialization					
5165	31592		Cricotracheal resection					
5165	31601		Incision of windpipe					
5165	31610		Incision of windpipe					
5165	31614		Repair windpipe opening					
5165	31750		Repair of windpipe					
5165	31755		Repair of windpipe					
5165	31785		Remove windpipe lesion					
5165	40527		Reconstruct lip with flap					
5165	40700		Repair cleft lip/nasal					
5165	40701		Repair cleft lip/nasal					
5165	40702		Repair cleft lip/nasal					
5165	40761		Repair cleft lip/nasal					
5165	40840		Reconstruction of mouth					
5165	40842		Reconstruction of mouth					
5165	40843		Reconstruction of mouth					
5165	40844		Reconstruction of mouth					
5165	40845		Reconstruction of mouth					
5165	41016		Drainage of mouth lesion					
5165	41019		Place needles h&n for rt					
5165	41120		Partial removal of tongue					
5165	41512		Tongue suspension					
5165	41823		Excision of gum lesion					
5165	41827		Excision of gum lesion					
5165	42107		Excision lesion mouth roof					
5165	42120		Remove palate/lesion					
5165	42145		Repair palate pharynx/uvula					
5165	42182		Repair palate					
5165	42200		Reconstruct cleft palate					
5165	42210		Reconstruct cleft palate					
5165	42215		Reconstruct cleft palate					
5165	42220		Reconstruct cleft palate					
5165	42225		Reconstruct cleft palate					
5165	42226		Lengthening of palate					
5165	42227		Lengthening of palate					
5165	42235		Repair palate					
5165	42260		Repair nose to lip fistula					
5165	42281		Insertion palate prosthesis					
5165	42410		Excise parotid gland/lesion					
5165	42415		Excise parotid gland/lesion					
5165	42420		Excise parotid gland/lesion					
5165	42425		Excise parotid gland/lesion					
5165	42440		Excise submaxillary gland					
5165	42450		Excise sublingual gland					
5165	42500		Repair salivary duct					
5165	42505		Repair salivary duct					
5165	42507		Parotid duct diversion					
5165	42509		Parotid duct diversion					
5165	42725		Drainage of throat abscess					
5165	42815		Excision of neck cyst					
5165	42820		Remove tonsils and adenoids					
5165	42825		Removal of tonsils					
5165	42842		Extensive surgery of throat					
5165	42844		Extensive surgery of throat					
5165	42870		Excision of lingual tonsil					
5165	42890		Partial removal of pharynx					
5165	42892		Revision of pharyngeal wall					
5165	42950		Reconstruction of throat					
5165	43030		Throat muscle surgery					
5165	43130		Removal of esophagus pouch					
5165	43180		Esophagoscopy rigid trnso					
5165	60252		Removal of thyroid					
5165	60260		Repeat thyroid surgery					
5165	60271		Removal of thyroid					
5165	60500		Explore parathyroid glands					
5165	60502		Re-explore parathyroids					
5165	60520		Removal of thymus gland					
5165	69120		Removal of external ear					
5165	69140		Remove ear canal lesion(s)					
5165	69150		Extensive ear canal surgery					
5165	69310		Rebuild outer ear canal					
5165	69320		Rebuild outer ear canal					
5165	69501		Mastoidectomy					
5165	69502		Mastoidectomy					
5165	69505		Remove mastoid structures					
5165	69511		Extensive mastoid surgery					
5165	69530		Extensive mastoid surgery					
5165	69550		Remove ear lesion					
5165	69552		Remove ear lesion					
5165	69601		Mastoid surgery revision					
5165	69602		Mastoid surgery revision					
5165	69603		Mastoid surgery revision					
5165	69604		Mastoid surgery revision					
5165	69605		Mastoid surgery revision					
5165	69631		Repair eardrum structures					
5165	69632		Rebuild eardrum structures					
5165	69633		Rebuild eardrum structures					
5165	69635		Repair eardrum structures					
5165	69636		Rebuild eardrum structures					
5165	69637		Rebuild eardrum structures					
5165	69641		Revise middle ear & mastoid					
5165	69642		Revise middle ear & mastoid					
5165	69643		Revise middle ear & mastoid					
5165	69644		Revise middle ear & mastoid					
5165	69645		Revise middle ear & mastoid					
5165	69646		Revise middle ear & mastoid					
5165	69660		Revise middle ear bone					
5165	69661		Revise middle ear bone					
5165	69662		Revise middle ear bone					
5165	69670		Remove mastoid air cells					
5165	69720		Release facial nerve					
5165	69725		Release facial nerve					
5165	69740		Repair facial nerve					
5165	69745		Repair facial nerve					
5165	69805		Explore inner ear					
5165	69806		Explore inner ear					
5165	69905		Remove inner ear					
5165	69910		Remove inner ear & mastoid					
5165	69955		Release facial nerve					
5165	69960		Release inner ear canal					
5165	69970		Remove inner ear lesion					
5165	C9745		Nasal endo eustachian tube					
5166		Cochlear Implant Procedure		J1	417.9354	"$31,964.95"	"$7,835.75"	"$6,392.99"
5166	69930		Implant cochlear device					
5181		Level 1 Vascular Procedures		T	7.6630	$586.09	.	$117.22
5181	0415T		Repos car modulj tranvns el					
5181	32552		Remove lung catheter					
5181	32554		Aspirate pleura w/o imaging					
5181	32555		Aspirate pleura w/ imaging					
5181	32560		Treat pleurodesis w/agent					
5181	32561		Lyse chest fibrin init day					
5181	32562		Lyse chest fibrin subq day					
5181	32960		Therapeutic pneumothorax					
5181	32999		Chest surgery procedure					
5181	33999		Cardiac surgery procedure					
5181	34471		Removal of vein clot					
5181	35180		Repair blood vessel lesion					
5181	36002		Pseudoaneurysm injection tr					
5181	36568		Insert picc cath					
5181	36575		Repair tunneled cv cath					
5181	36589		Removal tunneled cv cath					
5181	36590		Removal tunneled cv cath					
5181	36860		External cannula declotting					
5181	36901		Intro cath dialysis circuit					
5181	37501		Vascular endoscopy procedur					
5181	37799		Vascular surgery procedure					
5181	75731		Artery x-rays adrenal gland					
5181	75801		Lymph vessel x-ray arm/leg					
5181	75803		Lymph vessel x-ray arms/leg					
5181	75820		Vein x-ray arm/leg					
5181	75827		Vein x-ray chest					
5181	75870		Vein x-ray skull					
5181	75872		Vein x-ray skull epidural					
5181	75880		Vein x-ray eye socket					
5182		Level 2 Vascular Procedures		T	12.3600	$945.33	.	$189.07
5182	32551		Insertion of chest tube					
5182	32557		Insert cath pleura w/ image					
5182	33010		Drainage of heart sac					
5182	33011		Repeat drainage of heart sa					
5182	36555		Insert non-tunnel cv cath					
5182	36556		Insert non-tunnel cv cath					
5182	36569		Insert picc cath					
5182	36576		Repair tunneled cv cath					
5182	36580		Replace cvad cath					
5182	36584		Replace picc cath					
5182	36596		Mech remov tunneled cv cath					
5182	36597		Reposition venous catheter					
5182	37213		Thromblytic art/ven therapy					
5182	37214		Cessj therapy cath removal					
5182	37565		Ligation of neck vein					
5182	37615		Ligation of neck artery					
5182	37761		Ligate leg veins open					
5182	37780		Revision of leg vein					
5182	75746		Artery x-rays lung					
5182	75805		Lymph vessel x-ray trunk					
5182	75810		Vein x-ray spleen/liver					
5182	75822		Vein x-ray arms/legs					
5182	75887		Vein x-ray liver w/o hemody					
5182	75898		Follow-up angiography					
5182	93503		Insert/place heart catheter					
5183		Level 3 Vascular Procedures		T	31.5066	"$2,409.72"	.	$481.95
5183	0388T		Leadless c pm remove ventr					
5183	30915		Ligation nasal sinus artery					
5183	30920		Ligation upper jaw artery					
5183	33215		Reposition pacing-defib lea					
5183	33226		Reposition l ventric lead					
5183	34421		Removal of vein clot					
5183	34490		Removal of vein clot					
5183	34530		Leg vein fusion					
5183	35184		Repair blood vessel lesion					
5183	35206		Repair blood vessel lesion					
5183	35207		Repair blood vessel lesion					
5183	35231		Repair blood vessel lesion					
5183	35261		Repair blood vessel lesion					
5183	35761		Exploration of artery/vein					
5183	35860		Explore limb vessels					
5183	35903		Excision graft extremity					
5183	36221		Place cath thoracic aorta					
5183	36222		Place cath carotid/inom art					
5183	36225		Place cath subclavian art					
5183	36251		Ins cath ren art 1st unilat					
5183	36252		Ins cath ren art 1st bilat					
5183	36254		Ins cath ren art 2nd+ bilat					
5183	36473		Endovenous mchnchem 1st vei					
5183	36475		Endovenous rf 1st vein					
5183	36478		Endovenous laser 1st vein					
5183	36558		Insert tunneled cv cath					
5183	36560		Insert tunneled cv cath					
5183	36561		Insert tunneled cv cath					
5183	36565		Insert tunneled cv cath					
5183	36570		Insert picvad cath					
5183	36571		Insert picvad cath					
5183	36578		Replace tunneled cv cath					
5183	36581		Replace tunneled cv cath					
5183	36582		Replace tunneled cv cath					
5183	36585		Replace picvad cath					
5183	36595		Mech remov tunneled cv cath					
5183	36640		Insertion catheter artery					
5183	36810		Insertion of cannula					
5183	36821		Av fusion direct any site					
5183	36835		Artery to vein shunt					
5183	37188		Venous m-thrombectomy add-o					
5183	37192		Redo endovas vena cava filt					
5183	37193		Rem endovas vena cava filte					
5183	37197		Remove intrvas foreign body					
5183	37212		Thrombolytic venous therapy					
5183	37600		Ligation of neck artery					
5183	37605		Ligation of neck artery					
5183	37606		Ligation of neck artery					
5183	37607		Ligation of a-v fistula					
5183	37650		Revision of major vein					
5183	37700		Revise leg vein					
5183	37718		Ligate/strip short leg vein					
5183	37722		Ligate/strip long leg vein					
5183	37735		Removal of leg veins/lesion					
5183	37760		Ligate leg veins radical					
5183	37765		Stab phleb veins xtr 10-20					
5183	37766		Phleb veins - extrem 20+					
5183	37785		Ligate/divide/excise vein					
5183	49422		Remove tunneled ip cath					
5183	49429		Removal of shunt					
5183	75600		Contrast exam thoracic aort					
5183	75625		Contrast exam abdominl aort					
5183	75630		X-ray aorta leg arteries					
5183	75710		Artery x-rays arm/leg					
5183	75716		Artery x-rays arms/legs					
5183	75733		Artery x-rays adrenals					
5183	75741		Artery x-rays lung					
5183	75743		Artery x-rays lungs					
5183	75756		Artery x-rays chest					
5183	75807		Lymph vessel x-ray trunk					
5183	75825		Vein x-ray trunk					
5183	75831		Vein x-ray kidney					
5183	75833		Vein x-ray kidneys					
5183	75840		Vein x-ray adrenal gland					
5183	75860		Vein x-ray neck					
5183	75885		Vein x-ray liver w/hemodyna					
5183	75889		Vein x-ray liver w/hemodyna					
5183	75891		Vein x-ray liver					
5183	93505		Biopsy of heart lining					
5184		Level 4 Vascular Procedures		T	53.4007	"$4,084.25"	.	$816.85
5184	34101		Removal of artery clot					
5184	34111		Removal of arm artery clot					
5184	34201		Removal of artery clot					
5184	34203		Removal of leg artery clot					
5184	34501		Repair valve femoral vein					
5184	34510		Transposition of vein valve					
5184	34520		Cross-over vein graft					
5184	35011		Repair defect of artery					
5184	35045		Repair defect of arm artery					
5184	35188		Repair blood vessel lesion					
5184	35190		Repair blood vessel lesion					
5184	35201		Repair blood vessel lesion					
5184	35236		Repair blood vessel lesion					
5184	35256		Repair blood vessel lesion					
5184	35266		Repair blood vessel lesion					
5184	35286		Repair blood vessel lesion					
5184	35321		Rechanneling of artery					
5184	35875		Removal of clot in graft					
5184	35876		Removal of clot in graft					
5184	35879		Revise graft w/vein					
5184	35881		Revise graft w/vein					
5184	35883		Revise graft w/nonauto graf					
5184	35884		Revise graft w/vein					
5184	36223		Place cath carotid/inom art					
5184	36224		Place cath carotd art					
5184	36226		Place cath vertebral art					
5184	36253		Ins cath ren art 2nd+ unila					
5184	36260		Insertion of infusion pump					
5184	364X3		Endoven ther chem adhes 1st					
5184	36557		Insert tunneled cv cath					
5184	36563		Insert tunneled cv cath					
5184	36566		Insert tunneled cv cath					
5184	36583		Replace tunneled cv cath					
5184	36800		Insertion of cannula					
5184	36815		Insertion of cannula					
5184	36818		Av fuse uppr arm cephalic					
5184	36819		Av fuse uppr arm basilic					
5184	36820		Av fusion/forearm vein					
5184	36825		Artery-vein autograft					
5184	36830		Artery-vein nonautograft					
5184	36831		Open thrombect av fistula					
5184	36832		Av fistula revision open					
5184	36833		Av fistula revision					
5184	36838		Dist revas ligation hemo					
5184	36861		Cannula declotting					
5184	37184		Prim art m-thrmbc 1st vsl					
5184	37187		Venous mech thrombectomy					
5184	37191		Ins endovas vena cava filtr					
5184	37200		Transcatheter biopsy					
5184	37211		Thrombolytic art therapy					
5184	37500		Endoscopy ligate perf veins					
5184	37619		Ligation of inf vena cava					
5184	49419		Insert tun ip cath w/port					
5184	75605		Contrast exam thoracic aort					
5184	75705		Artery x-rays spine					
5184	75726		Artery x-rays abdomen					
5184	75736		Artery x-rays pelvis					
5184	75842		Vein x-ray adrenal glands					
5184	75893		Venous sampling by catheter					
5191		Level 1 Endovascular Procedures		J1	37.1951	"$2,844.79"	$871.76	$568.96
5191	93451		Right heart cath					
5191	93452		Left hrt cath w/ventrclgrph					
5191	93453		R&l hrt cath w/ventriclgrph					
5191	93454		Coronary artery angio s&i					
5191	93455		Coronary art/grft angio s&i					
5191	93456		R hrt coronary artery angio					
5191	93457		R hrt art/grft angio					
5191	93458		L hrt artery/ventricle angi					
5191	93459		L hrt art/grft angio					
5191	93460		R&l hrt art/ventricle angio					
5191	93461		R&l hrt art/ventricle angio					
5191	93530		Rt heart cath congenital					
5191	93531		R & l heart cath congenital					
5191	93532		R & l heart cath congenital					
5191	93533		R & l heart cath congenital					
5192		Level 2 Endovascular Procedures		J1	65.3656	"$4,999.36"	.	$999.88
5192	0338T		Trnscth renal symp denrv un					
5192	0339T		Trnscth renal symp denrv bi					
5192	36902		Intro cath dialysis circuit					
5192	36904		Thrmbc/nfs dialysis circuit					
5192	37183		Remove hepatic shunt (tips)					
5192	37220		Iliac revasc					
5192	37224		Fem/popl revas w/tla					
5192	37246		Trluml balo angiop 1st art					
5192	37248		Trluml balo angiop 1st vein					
5192	92920		Prq cardiac angioplast 1 ar					
5192	92986		Revision of aortic valve					
5193		Level 3 Endovascular Procedures		J1	133.5989	"$10,218.04"	.	"$2,043.61"
5193	0234T		Trluml perip athrc renal ar					
5193	0236T		Trluml perip athrc abd aort					
5193	0237T		Trluml perip athrc brchiocp					
5193	36903		Intro cath dialysis circuit					
5193	36905		Thrmbc/nfs dialysis circuit					
5193	37221		Iliac revasc w/stent					
5193	37225		Fem/popl revas w/ather					
5193	37226		Fem/popl revasc w/stent					
5193	37228		Tib/per revasc w/tla					
5193	37236		Open/perq place stent 1st					
5193	37238		Open/perq place stent same					
5193	37241		Vasc embolize/occlude venou					
5193	37242		Vasc embolize/occlude arter					
5193	37243		Vasc embolize/occlude organ					
5193	37244		Vasc embolize/occlude bleed					
5193	61623		Endovasc tempory vessel occ					
5193	61626		Transcath occlusion non-cns					
5193	92924		Prq card angio/athrect 1 ar					
5193	92928		Prq card stent w/angio 1 vs					
5193	92937		Prq revasc byp graft 1 vsl					
5193	92941		Prq card revasc mi 1 vsl					
5193	92943		Prq card revasc chronic 1vs					
5193	92987		Revision of mitral valve					
5193	92990		Revision of pulmonary valve					
5193	92997		Pul art balloon repr percut					
5193	C9600		Perc drug-el cor stent sing					
5193	C9604		Perc d-e cor revasc t cabg					
5194		Level 4 Endovascular Procedures		J1	203.6133	"$15,572.96"	.	"$3,114.60"
5194	0238T		Trluml perip athrc iliac ar					
5194	0387T		Leadless c pm ins/rpl ventr					
5194	36906		Thrmbc/nfs dialysis circuit					
5194	37227		Fem/popl revasc stnt & athe					
5194	37229		Tib/per revasc w/ather					
5194	37230		Tib/per revasc w/stent					
5194	37231		Tib/per revasc stent & athe					
5194	92933		Prq card stent/ath/angio					
5194	93580		Transcath closure of asd					
5194	93581		Transcath closure of vsd					
5194	93582		Perq transcath closure pda					
5194	93590		Perq transcath cls mitral					
5194	93591		Perq transcath cls aortic					
5194	C9602		Perc d-e cor stent ather s					
5194	C9606		Perc d-e cor revasc w ami s					
5194	C9607		Perc d-e cor revasc chro si					
5200		Implantation Wireless PA Pressure Monitor		J1	425.6711	"$32,556.60"	"$9,081.23"	"$6,511.32"
5200	C9741		Impl pressure sensor w/angi					
5211		Level 1 Electrophysiologic Procedures		J1	11.3373	$867.11	.	$173.43
5211	93603		Right ventricular recording					
5211	93615		Esophageal recording					
5211	93616		Esophageal recording					
5211	93618		Heart rhythm pacing					
5211	93642		Electrophysiology evaluatio					
5212		Level 2 Electrophysiologic Procedures		J1	67.2824	"$5,145.96"	.	"$1,029.20"
5212	93600		Bundle of his recording					
5212	93602		Intra-atrial recording					
5212	93610		Intra-atrial pacing					
5212	93612		Intraventricular pacing					
5212	93619		Electrophysiology evaluatio					
5212	93620		Electrophysiology evaluatio					
5212	93624		Electrophysiologic study					
5212	93650		Ablate heart dysrhythm focu					
5213		Level 3 Electrophysiologic Procedures		J1	233.6145	"$17,867.54"	.	"$3,573.51"
5213	93653		Ep & ablate supravent arrhy					
5213	93654		Ep & ablate ventric tachy					
5213	93656		Tx atrial fib pulm vein iso					
5221		Level1 Pacemaker and Similar Procedures		T	34.3896	"$2,630.22"	.	$526.05
5221	0412T		Rmvl cardiac modulj pls gen					
5221	0413T		Rmvl car modulj tranvns elt					
5221	0457T		Remvl mech-elec skin ntrfce					
5221	0458T		Remvl subq electrode					
5221	0460T		Repos aortic ventr dev eltr					
5221	33218		Repair lead pace-defib one					
5221	33220		Repair lead pace-defib dual					
5221	33234		Removal of pacemaker system					
5221	33235		Removal pacemaker electrode					
5221	33241		Remove pulse generator					
5221	33244		Remove elctrd transvenously					
5221	33272		Rmvl of subq defibrillator					
5221	33273		Repos prev impltbl subq dfb					
5221	36261		Revision of infusion pump					
5221	36262		Removal of infusion pump					
5222		Level 2 Pacemaker and Similar Procedures		J1	93.9371	"$7,184.59"	.	"$1,436.92"
5222	0410T		Insj/rplc car modulj atr el					
5222	0411T		Insj/rplc car modulj vnt el					
5222	0453T		Insj/rplcmt mech-elec ntrfc					
5222	0454T		Insj/rplcmt subq electrode					
5222	33210		Insert electrd/pm cath sngl					
5222	33211		Insert card electrodes dual					
5222	33212		Insert pulse gen sngl lead					
5222	33216		Insert 1 electrode pm-defib					
5222	33217		Insert 2 electrode pm-defib					
5222	33227		Remove&replace pm gen singl					
5222	33233		Removal of pm generator					
5222	33271		Insj subq impltbl dfb elctr					
5222	33282		Implant pat-active ht recor					
5223		Level 3 Pacemaker and Similar Procedures		J1	123.9975	"$9,483.70"	.	"$1,896.74"
5223	33206		Insert heart pm atrial					
5223	33207		Insert heart pm ventricular					
5223	33208		Insrt heart pm atrial & ven					
5223	33213		Insert pulse gen dual leads					
5223	33214		Upgrade of pacemaker system					
5223	33224		Insert pacing lead & connec					
5223	33228		Remv&replc pm gen dual lead					
5224		Level 4 Pacemaker and Similar Procedures		J1	222.7640	"$17,037.66"	.	"$3,407.54"
5224	33221		Insert pulse gen mult leads					
5224	33229		Remv&replc pm gen mult lead					
5231		Level 1 ICD and Similar Procedures		J1	285.7050	"$21,851.58"	.	"$4,370.32"
5231	0408T		Insj/rplc cardiac modulj sy					
5231	0409T		Insj/rplc car modulj pls gn					
5231	0414T		Rmvl & rpl car modulj pls g					
5231	33230		Insrt pulse gen w/dual lead					
5231	33240		Insrt pulse gen w/singl lea					
5231	33262		Rmvl& replc pulse gen 1 lea					
5231	33263		Rmvl & rplcmt dfb gen 2 lea					
5232		Level 2 ICD and Similar Procedures		J1	399.5516	"$30,558.91"	.	"$6,111.79"
5232	33231		Insrt pulse gen w/mult lead					
5232	33249		Insj/rplcmt defib w/lead(s)					
5232	33264		Rmvl & rplcmt dfb gen mlt l					
5232	33270		Ins/rep subq defibrillator					
5241		Level 1 Blood Product Exchange and Related Services		S	4.7964	$366.84	.	$73.37
5241	36430		Blood transfusion service					
5241	36440		Bl push transfuse 2 yr/<					
5241	36450		Bl exchange/transfuse nb					
5241	36455		Bl exchange/transfuse non-n					
5241	36456		Prtl exchange transfuse nb					
5241	36460		Transfusion service fetal					
5241	36513		Apheresis platelets					
5241	38207		Cryopreserve stem cells					
5241	38208		Thaw preserved stem cells					
5241	38209		Wash harvest stem cells					
5241	38210		T-cell depletion of harvest					
5241	38211		Tumor cell deplete of harvs					
5241	38212		Rbc depletion of harvest					
5241	38213		Platelet deplete of harvest					
5241	38214		Volume deplete of harvest					
5241	38215		Harvest stem cell concentrt					
5241	38999		Blood/lymph system procedur					
5242		Level 2 Blood Product Exchange and Related Services		S	15.6035	"$1,193.40"	.	$238.68
5242	36511		Apheresis wbc					
5242	36512		Apheresis rbc					
5242	36514		Apheresis plasma					
5242	38205		Harvest allogeneic stem cel					
5242	38206		Harvest auto stem cells					
5242	38230		Bone marrow harvest allogen					
5242	38241		Transplt autol hct/donor					
5242	38242		Transplt allo lymphocytes					
5242	38243		Transplj hematopoietic boos					
5243		Level 3 Blood Product Exchange and Related Services		S	41.0024	"$3,135.99"	.	$627.20
5243	0263T		Im b1 mrw cel ther cmpl					
5243	0264T		Im b1 mrw cel ther xcl hrvs					
5243	0265T		Im b1 mrw cel ther hrvst on					
5243	0342T		Thxp apheresis w/hdl delip					
5243	36516		Apheresis selective					
5243	36522		Photopheresis					
5243	38232		Bone marrow harvest autolog					
5244		Level 4 Blood Product Exchange and Related Services		J1	340.5946	"$26,049.70"	.	"$5,209.94"
5244	38240		Transplt allo hct/donor					
5301		Level 1 Upper GI Procedures		T	9.3916	$718.30	.	$143.66
5301	43197		Esophagoscopy flex dx brush					
5301	43198		Esophagosc flex trnsn biops					
5301	43200		Esophagoscopy flexible brus					
5301	43235		Egd diagnostic brush wash					
5301	43236		Uppr gi scope w/submuc inj					
5301	43239		Egd biopsy single/multiple					
5301	43247		Egd remove foreign body					
5301	43248		Egd guide wire insertion					
5301	43450		Dilate esophagus 1/mult pas					
5301	43499		Esophagus surgery procedure					
5301	43510		Surgical opening of stomach					
5301	43756		Dx duod intub w/asp spec					
5301	43757		Dx duod intub w/asp specs					
5301	43831		Place gastrostomy tube					
5301	43999		Stomach surgery procedure					
5301	44100		Biopsy of bowel					
5301	44380		Small bowel endoscopy br/wa					
5301	44382		Small bowel endoscopy					
5301	44500		Intro gastrointestinal tube					
5301	44799		Unlisted px small intestine					
5301	47537		Removal biliary drg cath					
5301	47999		Bile tract surgery procedur					
5301	49082		Abd paracentesis					
5301	49083		Abd paracentesis w/imaging					
5301	49084		Peritoneal lavage					
5301	49450		Replace g/c tube perc					
5301	49451		Replace duod/jej tube perc					
5301	49452		Replace g-j tube perc					
5301	49460		Fix g/colon tube w/device					
5301	49999		Abdomen surgery procedure					
5301	91110		Gi tract capsule endoscopy					
5301	91111		Esophageal capsule endoscop					
5301	91112		Gi wireless capsule measure					
5302		Level 2 Upper GI Procedures		J1	17.9783	"$1,375.03"	.	$275.01
5302	0355T		Gi tract capsule endoscopy					
5302	32556		Insert cath pleura w/o imag					
5302	43191		Esophagoscopy rigid trnso d					
5302	43192		Esophagoscp rig trnso injec					
5302	43193		Esophagoscp rig trnso biops					
5302	43194		Esophagoscp rig trnso rem f					
5302	43201		Esoph scope w/submucous inj					
5302	43202		Esophagoscopy flex biopsy					
5302	43204		Esoph scope w/sclerosis inj					
5302	43205		Esophagus endoscopy/ligatio					
5302	43206		Esoph optical endomicroscop					
5302	43211		Esophagoscop mucosal resect					
5302	43213		Esophagoscopy retro balloon					
5302	43214		Esophagosc dilate balloon 3					
5302	43215		Esophagoscopy flex remove f					
5302	43216		Esophagoscopy lesion remova					
5302	43217		Esophagoscopy snare les rem					
5302	43220		Esophagoscopy balloon <30mm					
5302	43226		Esoph endoscopy dilation					
5302	43227		Esophagoscopy control bleed					
5302	43231		Esophagoscop ultrasound exa					
5302	43232		Esophagoscopy w/us needle b					
5302	43233		Egd balloon dil esoph30 mm/					
5302	43237		Endoscopic us exam esoph					
5302	43238		Egd us fine needle bx/aspir					
5302	43241		Egd tube/cath insertion					
5302	43242		Egd us fine needle bx/aspir					
5302	43243		Egd injection varices					
5302	43244		Egd varices ligation					
5302	43245		Egd dilate stricture					
5302	43246		Egd place gastrostomy tube					
5302	43249		Esoph egd dilation <30 mm					
5302	43250		Egd cautery tumor polyp					
5302	43251		Egd remove lesion snare					
5302	43253		Egd us transmural injxn/mar					
5302	43254		Egd endo mucosal resection					
5302	43255		Egd control bleeding any					
5302	43259		Egd us exam duodenum/jejunu					
5302	43270		Egd lesion ablation					
5302	43453		Dilate esophagus					
5302	43830		Place gastrostomy tube					
5302	44360		Small bowel endoscopy					
5302	44361		Small bowel endoscopy/biops					
5302	44363		Small bowel endoscopy					
5302	44364		Small bowel endoscopy					
5302	44365		Small bowel endoscopy					
5302	44366		Small bowel endoscopy					
5302	44369		Small bowel endoscopy					
5302	44372		Small bowel endoscopy					
5302	44373		Small bowel endoscopy					
5302	44376		Small bowel endoscopy					
5302	44377		Small bowel endoscopy/biops					
5302	44378		Small bowel endoscopy					
5302	44381		Small bowel endoscopy br/wa					
5302	49423		Exchange drainage catheter					
5302	49436		Embedded ip cath exit-site					
5302	49440		Place gastrostomy tube perc					
5302	49441		Place duod/jej tube perc					
5302	49446		Change g-tube to g-j perc					
5303		Level 3 Upper GI Procedures		J1	34.3989	"$2,630.93"	.	$526.19
5303	43195		Esophagoscopy rigid balloon					
5303	43196		Esophagoscp guide wire dila					
5303	43229		Esophagoscopy lesion ablate					
5303	43240		Egd w/transmural drain cyst					
5303	43252		Egd optical endomicroscopy					
5303	43257		Egd w/thrml txmnt gerd					
5303	43260		Ercp w/specimen collection					
5303	43261		Endo cholangiopancreatograp					
5303	43262		Endo cholangiopancreatograp					
5303	43263		Ercp sphincter pressure mea					
5303	43264		Ercp remove duct calculi					
5303	43275		Ercp remove forgn body duct					
5303	43277		Ercp ea duct/ampulla dilate					
5303	43278		Ercp lesion ablate w/dilate					
5303	43870		Repair stomach opening					
5303	44384		Small bowel endoscopy					
5311		Level 1 Lower GI Procedures		T	9.0264	$690.37	.	$138.08
5311	G0104		Ca screen;flexi sigmoidscop				$0.00	$0.00
5311	G0105		Colorectal scrn; hi risk in				$0.00	$0.00
5311	G0121		Colon ca scrn not hi rsk in				$0.00	$0.00
5311	44385		Endoscopy of bowel pouch					
5311	44386		Endoscopy bowel pouch/biop					
5311	44388		Colonoscopy thru stoma spx					
5311	44408		Colonoscopy w/decompression					
5311	45300		Proctosigmoidoscopy dx					
5311	45330		Diagnostic sigmoidoscopy					
5311	45331		Sigmoidoscopy and biopsy					
5311	45333		Sigmoidoscopy & polypectomy					
5311	45335		Sigmoidoscopy w/submuc inj					
5311	45378		Diagnostic colonoscopy					
5311	45399		Unlisted procedure colon					
5311	45520		Treatment of rectal prolaps					
5311	45900		Reduction of rectal prolaps					
5311	45999		Rectum surgery procedure					
5311	46050		Incision of anal abscess					
5311	46221		Ligation of hemorrhoid(s)					
5311	46500		Injection into hemorrhoid(s					
5311	46608		Anoscopy remove for body					
5311	46611		Anoscopy					
5311	46930		Destroy internal hemorrhoid					
5311	46942		Treatment of anal fissure					
5311	46999		Anus surgery procedure					
5311	C9725		Place endorectal app					
5312		Level 2 Lower GI Procedures		T	11.8594	$907.04	.	$181.41
5312	44389		Colonoscopy with biopsy					
5312	44390		Colonoscopy for foreign bod					
5312	44391		Colonoscopy for bleeding					
5312	44392		Colonoscopy & polypectomy					
5312	44394		Colonoscopy w/snare					
5312	44401		Colonoscopy with ablation					
5312	44403		Colonoscopy w/resection					
5312	44404		Colonoscopy w/injection					
5312	44405		Colonoscopy w/dilation					
5312	44406		Colonoscopy w/ultrasound					
5312	44407		Colonoscopy w/ndl aspir/bx					
5312	45000		Drainage of pelvic abscess					
5312	45005		Drainage of rectal abscess					
5312	45150		Excision of rectal strictur					
5312	45303		Proctosigmoidoscopy dilate					
5312	45305		Proctosigmoidoscopy w/bx					
5312	45309		Proctosigmoidoscopy removal					
5312	45315		Proctosigmoidoscopy removal					
5312	45317		Proctosigmoidoscopy bleed					
5312	45332		Sigmoidoscopy w/fb removal					
5312	45334		Sigmoidoscopy for bleeding					
5312	45337		Sigmoidoscopy & decompress					
5312	45338		Sigmoidoscopy w/tumr remove					
5312	45340		Sig w/tndsc balloon dilatio					
5312	45341		Sigmoidoscopy w/ultrasound					
5312	45342		Sigmoidoscopy w/us guide bx					
5312	45346		Sigmoidoscopy w/ablation					
5312	45349		Sigmoidoscopy w/resection					
5312	45350		Sgmdsc w/band ligation					
5312	45379		Colonoscopy w/fb removal					
5312	45380		Colonoscopy and biopsy					
5312	45381		Colonoscopy submucous njx					
5312	45382		Colonoscopy w/control bleed					
5312	45384		Colonoscopy w/lesion remova					
5312	45385		Colonoscopy w/lesion remova					
5312	45386		Colonoscopy w/balloon dilat					
5312	45388		Colonoscopy w/ablation					
5312	45390		Colonoscopy w/resection					
5312	45391		Colonoscopy w/endoscope us					
5312	45392		Colonoscopy w/endoscopic fn					
5312	45393		Colonoscopy w/decompression					
5312	45398		Colonoscopy w/band ligation					
5312	45905		Dilation of anal sphincter					
5312	45910		Dilation of rectal narrowin					
5312	45915		Remove rectal obstruction					
5312	46030		Removal of rectal marker					
5312	46040		Incision of rectal abscess					
5312	46220		Excise anal ext tag/papilla					
5312	46320		Removal of hemorrhoid clot					
5312	46505		Chemodenervation anal musc					
5312	46604		Anoscopy and dilation					
5312	46606		Anoscopy and biopsy					
5312	46607		Diagnostic anoscopy & biops					
5312	46614		Anoscopy control bleeding					
5312	49442		Place cecostomy tube perc					
5313		Level 3 Lower GI Procedures		J1	29.2304	"$2,235.63"	.	$447.13
5313	0249T		Ligation hemorrhoid w/us					
5313	0377T		Anoscpy inj agent for incon					
5313	45020		Drainage of rectal abscess					
5313	45100		Biopsy of rectum					
5313	45108		Removal of anorectal lesion					
5313	45160		Excision of rectal lesion					
5313	45171		Exc rect tum transanal part					
5313	45172		Exc rect tum transanal full					
5313	45190		Destruction rectal tumor					
5313	45307		Proctosigmoidoscopy fb					
5313	45308		Proctosigmoidoscopy removal					
5313	45320		Proctosigmoidoscopy ablate					
5313	45321		Proctosigmoidoscopy volvul					
5313	45500		Repair of rectum					
5313	45505		Repair of rectum					
5313	45541		Correct rectal prolapse					
5313	45560		Repair of rectocele					
5313	45990		Surg dx exam anorectal					
5313	46020		Placement of seton					
5313	46045		Incision of rectal abscess					
5313	46060		Incision of rectal abscess					
5313	46070		Incision of anal septum					
5313	46080		Incision of anal sphincter					
5313	46200		Removal of anal fissure					
5313	46230		Removal of anal tags					
5313	46250		Remove ext hem groups 2+					
5313	46255		Remove int/ext hem 1 group					
5313	46257		Remove in/ex hem grp & fiss					
5313	46258		Remove in/ex hem grp w/fist					
5313	46260		Remove in/ex hem groups 2+					
5313	46261		Remove in/ex hem grps & fis					
5313	46262		Remove in/ex hem grps w/fis					
5313	46270		Remove anal fist subq					
5313	46275		Remove anal fist inter					
5313	46280		Remove anal fist complex					
5313	46285		Remove anal fist 2 stage					
5313	46288		Repair anal fistula					
5313	46610		Anoscopy remove lesion					
5313	46612		Anoscopy remove lesions					
5313	46615		Anoscopy					
5313	46700		Repair of anal stricture					
5313	46706		Repr of anal fistula w/glue					
5313	46707		Repair anorectal fist w/plu					
5313	46750		Repair of anal sphincter					
5313	46753		Reconstruction of anus					
5313	46754		Removal of suture from anus					
5313	46760		Repair of anal sphincter					
5313	46761		Repair of anal sphincter					
5313	46917		Laser surgery anal lesions					
5313	46922		Excision of anal lesion(s)					
5313	46924		Destruction anal lesion(s)					
5313	46940		Treatment of anal fissure					
5313	46945		Remove by ligat int hem grp					
5313	46946		Remove by ligat int hem grp					
5313	46947		Hemorrhoidopexy by stapling					
5331		Complex GI Procedures		J1	53.8587	"$4,119.27"	.	$823.86
5331	0184T		Exc rectal tumor endoscopic					
5331	43210		Egd esophagogastrc fndoplst					
5331	43212		Esophagoscop stent placemen					
5331	43265		Ercp lithotripsy calculi					
5331	43266		Egd endoscopic stent place					
5331	43274		Ercp duct stent placement					
5331	43276		Ercp stent exchange w/dilat					
5331	44370		Small bowel endoscopy/stent					
5331	44379		S bowel endoscope w/stent					
5331	44402		Colonoscopy w/stent plcmt					
5331	45327		Proctosigmoidoscopy w/stent					
5331	45347		Sigmoidoscopy w/plcmt stent					
5331	45389		Colonoscopy w/stent plcmt					
5331	46762		Implant artificial sphincte					
5341		Abdominal/Peritoneal/Biliary and Related Procedures		J1	36.4560	"$2,788.26"	.	$557.66
5341	32550		Insert pleural cath					
5341	44950		Appendectomy					
5341	47490		Incision of gallbladder					
5341	47531		Injection for cholangiogram					
5341	47532		Injection for cholangiogram					
5341	47533		Plmt biliary drainage cath					
5341	47534		Plmt biliary drainage cath					
5341	47535		Conversion ext bil drg cath					
5341	47536		Exchange biliary drg cath					
5341	47541		Plmt access bil tree sm bwl					
5341	47552		Biliary endo perq dx w/spec					
5341	47553		Biliary endoscopy thru skin					
5341	47555		Biliary endoscopy thru skin					
5341	49250		Excision of umbilicus					
5341	49402		Remove foreign body adbomen					
5341	49418		Insert tun ip cath perc					
5341	49421		Ins tun ip cath for dial op					
5341	49426		Revise abdomen-venous shunt					
5341	49492		Rpr ing hern premie blocked					
5341	49495		Rpr ing hernia baby reduc					
5341	49496		Rpr ing hernia baby blocked					
5341	49500		Rpr ing hernia init reduce					
5341	49501		Rpr ing hernia init blocked					
5341	49505		Prp i/hern init reduc >5 yr					
5341	49507		Prp i/hern init block >5 yr					
5341	49520		Rerepair ing hernia reduce					
5341	49521		Rerepair ing hernia blocked					
5341	49525		Repair ing hernia sliding					
5341	49550		Rpr rem hernia init reduce					
5341	49553		Rpr fem hernia init blocked					
5341	49555		Rerepair fem hernia reduce					
5341	49557		Rerepair fem hernia blocked					
5341	49560		Rpr ventral hern init reduc					
5341	49561		Rpr ventral hern init block					
5341	49570		Rpr epigastric hern reduce					
5341	49572		Rpr epigastric hern blocked					
5341	49580		Rpr umbil hern reduc < 5 yr					
5341	49582		Rpr umbil hern block < 5 yr					
5341	49585		Rpr umbil hern reduc > 5 yr					
5341	49587		Rpr umbil hern block > 5 yr					
5341	49590		Repair spigelian hernia					
5341	49600		Repair umbilical lesion					
5341	54530		Removal of testis					
5341	54550		Exploration for testis					
5341	54640		Suspension of testis					
5341	54650		Orchiopexy (fowler-stephens					
5341	55040		Removal of hydrocele					
5341	55041		Removal of hydroceles					
5341	55535		Revise spermatic cord veins					
5341	55540		Revise hernia & sperm veins					
5341	55920		Place needles pelvic for rt					
5361		Level 1 Laparoscopy and Related Services		J1	56.7532	"$4,340.65"	.	$868.13
5361	32601		Thoracoscopy diagnostic					
5361	32604		Thoracoscopy wbx sac					
5361	32606		Thoracoscopy w/bx med space					
5361	32607		Thoracoscopy w/bx infiltrat					
5361	32608		Thoracoscopy w/bx nodule					
5361	32609		Thoracoscopy w/bx pleura					
5361	32998		Perq rf ablate tx pul tumor					
5361	32X99		Ablate pulm tumor perq cryb					
5361	38129		Laparoscope proc spleen					
5361	38542		Explore deep node(s) neck					
5361	38570		Laparoscopy lymph node biop					
5361	38589		Laparoscope proc lymphatic					
5361	38740		Remove armpit lymph nodes					
5361	38745		Remove armpit lymph nodes					
5361	39401		Mediastinoscpy w/medstnl bx					
5361	39402		Mediastinoscpy w/lmph nod b					
5361	43285		Rmvl esophgl sphnctr dev					
5361	43289		Laparoscope proc esoph					
5361	43648		Lap revise/remv eltrd antru					
5361	43651		Laparoscopy vagus nerve					
5361	43652		Laparoscopy vagus nerve					
5361	43653		Laparoscopy gastrostomy					
5361	43659		Laparoscope proc stom					
5361	44180		Lap enterolysis					
5361	44186		Lap jejunostomy					
5361	44238		Laparoscope proc intestine					
5361	44970		Laparoscopy appendectomy					
5361	44979		Laparoscope proc app					
5361	45499		Laparoscope proc rectum					
5361	47379		Laparoscope procedure liver					
5361	47382		Percut ablate liver rf					
5361	47383		Perq abltj lvr cryoablation					
5361	47538		Perq plmt bile duct stent					
5361	47539		Perq plmt bile duct stent					
5361	47540		Perq plmt bile duct stent					
5361	47554		Biliary endoscopy thru skin					
5361	47556		Biliary endoscopy thru skin					
5361	47562		Laparoscopic cholecystectom					
5361	47563		Laparo cholecystectomy/grap					
5361	47564		Laparo cholecystectomy/expl					
5361	47579		Laparoscope proc biliary					
5361	49320		Diag laparo separate proc					
5361	49321		Laparoscopy biopsy					
5361	49322		Laparoscopy aspiration					
5361	49323		Laparo drain lymphocele					
5361	49324		Lap insert tunnel ip cath					
5361	49325		Lap revision perm ip cath					
5361	49329		Laparo proc abdm/per/oment					
5361	49491		Rpr hern preemie reduc					
5361	49540		Repair lumbar hernia					
5361	49565		Rerepair ventrl hern reduce					
5361	49566		Rerepair ventrl hern block					
5361	49650		Lap ing hernia repair init					
5361	49651		Lap ing hernia repair recur					
5361	49652		Lap vent/abd hernia repair					
5361	49653		Lap vent/abd hern proc comp					
5361	49659		Laparo proc hernia repair					
5361	50541		Laparo ablate renal cyst					
5361	50549		Laparoscope proc renal					
5361	50592		Perc rf ablate renal tumor					
5361	50945		Laparoscopy ureterolithotom					
5361	50947		Laparo new ureter/bladder					
5361	50949		Laparoscope proc ureter					
5361	51500		Removal of bladder cyst					
5361	51990		Laparo urethral suspension					
5361	51992		Laparo sling operation					
5361	51999		Laparoscope proc bla					
5361	54690		Laparoscopy orchiectomy					
5361	54692		Laparoscopy orchiopexy					
5361	54699		Laparoscope proc testis					
5361	55550		Laparo ligate spermatic vei					
5361	55559		Laparo proc spermatic cord					
5361	58541		Lsh uterus 250 g or less					
5361	58545		Laparoscopic myomectomy					
5361	58550		Laparo-asst vag hysterectom					
5361	58578		Laparo proc uterus					
5361	58660		Laparoscopy lysis					
5361	58661		Laparoscopy remove adnexa					
5361	58662		Laparoscopy excise lesions					
5361	58670		Laparoscopy tubal cautery					
5361	58671		Laparoscopy tubal block					
5361	58672		Laparoscopy fimbrioplasty					
5361	58673		Laparoscopy salpingostomy					
5361	58679		Laparo proc oviduct-ovary					
5361	59150		Treat ectopic pregnancy					
5361	59151		Treat ectopic pregnancy					
5361	59898		Laparo proc ob care/deliver					
5361	60200		Remove thyroid lesion					
5361	60210		Partial thyroid excision					
5361	60212		Partial thyroid excision					
5361	60220		Partial removal of thyroid					
5361	60225		Partial removal of thyroid					
5361	60240		Removal of thyroid					
5361	60280		Remove thyroid duct lesion					
5361	60281		Remove thyroid duct lesion					
5361	60659		Laparo proc endocrine					
5361	60699		Endocrine surgery procedure					
5362		Level 2 Laparoscopy and Related Services		J1	94.3155	"$7,213.53"	"$1,526.22"	"$1,442.71"
5362	38120		Laparoscopy splenectomy					
5362	38571		Laparoscopy lymphadenectomy					
5362	38572		Laparoscopy lymphadenectomy					
5362	3857X		Laps pelvic lymphadec					
5362	43280		Laparoscopy fundoplasty					
5362	43281		Lap paraesophag hern repair					
5362	43284		Laps esophgl sphnctr agmntj					
5362	43770		Lap place gastr adj device					
5362	47370		Laparo ablate liver tumor r					
5362	47371		Laparo ablate liver cryosur					
5362	49654		Lap inc hernia repair					
5362	49655		Lap inc hern repair comp					
5362	49656		Lap inc hernia repair recur					
5362	49657		Lap inc hern recur comp					
5362	50542		Laparo ablate renal mass					
5362	50543		Laparo partial nephrectomy					
5362	50544		Laparoscopy pyeloplasty					
5362	50593		Perc cryo ablate renal tum					
5362	50948		Laparo new ureter/bladder					
5362	55866		Laparo radical prostatectom					
5362	57423		Repair paravag defect lap					
5362	57425		Laparoscopy surg colpopexy					
5362	58542		Lsh w/t/o ut 250 g or less					
5362	58543		Lsh uterus above 250 g					
5362	58544		Lsh w/t/o uterus above 250					
5362	58546		Laparo-myomectomy complex					
5362	58552		Laparo-vag hyst incl t/o					
5362	58553		Laparo-vag hyst complex					
5362	58554		Laparo-vag hyst w/t/o compl					
5362	58570		Tlh uterus 250 g or less					
5362	58571		Tlh w/t/o 250 g or less					
5362	58572		Tlh uterus over 250 g					
5362	58573		Tlh w/t/o uterus over 250 g					
5362	58674		Laps abltj uterine fibroids					
5371		Level 1 Urology and Related Services		T	2.9104	$222.60	.	$44.52
5371	43760		Change gastrostomy tube					
5371	43761		Reposition gastrostomy tube					
5371	46083		Incise external hemorrhoid					
5371	50391		Instll rx agnt into rnal tu					
5371	51700		Irrigation of bladder					
5371	51705		Change of bladder tube					
5371	51720		Treatment of bladder lesion					
5371	51725		Simple cystometrogram					
5371	51785		Anal/urinary muscle study					
5371	53600		Dilate urethra stricture					
5371	53621		Dilate urethra stricture					
5371	53899		Urology surgery procedure					
5371	54200		Treatment of penis lesion					
5371	54220		Treatment of penis lesion					
5371	54235		Penile injection					
5371	54250		Penis study					
5371	54450		Preputial stretching					
5371	55899		Genital surgery procedure					
5371	91117		Colon motility 6 hr study					
5371	91122		Anal pressure record					
5372		Level 2 Urology and Related Services		T	7.1555	$547.27	.	$109.46
5372	50389		Remove renal tube w/fluoro					
5372	50430		Njx px nfrosgrm &/urtrgrm					
5372	50431		Njx px nfrosgrm &/urtrgrm					
5372	50572		Kidney endoscopy					
5372	51100		Drain bladder by needle					
5372	51710		Change of bladder tube					
5372	51726		Complex cystometrogram					
5372	51727		Cystometrogram w/up					
5372	51728		Cystometrogram w/vp					
5372	51729		Cystometrogram w/vp&up					
5372	52000		Cystoscopy					
5372	52010		Cystoscopy & duct catheter					
5372	53620		Dilate urethra stricture					
5373		Level 3 Urology and Related Services		J1	21.4515	"$1,640.68"	.	$328.14
5373	50382		Change ureter stent percut					
5373	50384		Remove ureter stent percut					
5373	50385		Change stent via transureth					
5373	50386		Remove stent via transureth					
5373	50387		Change nephroureteral cath					
5373	50396		Measure kidney pressure					
5373	50432		Plmt nephrostomy catheter					
5373	50433		Plmt nephroureteral cathete					
5373	50434		Convert nephrostomy cathete					
5373	50435		Exchange nephrostomy cath					
5373	50570		Kidney endoscopy					
5373	50574		Kidney endoscopy & biopsy					
5373	50688		Change of ureter tube/stent					
5373	50951		Endoscopy of ureter					
5373	50970		Ureter endoscopy					
5373	50972		Ureter endoscopy & catheter					
5373	51040		Incise & drain bladder					
5373	51045		Incise bladder/drain ureter					
5373	51060		Removal of ureter stone					
5373	51102		Drain bl w/cath insertion					
5373	51520		Removal of bladder lesion					
5373	51535		Repair of ureter lesion					
5373	52005		Cystoscopy & ureter cathete					
5373	52204		Cystoscopy w/biopsy(s)					
5373	52214		Cystoscopy and treatment					
5373	52224		Cystoscopy and treatment					
5373	52260		Cystoscopy and treatment					
5373	52265		Cystoscopy and treatment					
5373	52270		Cystoscopy & revise urethra					
5373	52275		Cystoscopy & revise urethra					
5373	52276		Cystoscopy and treatment					
5373	52281		Cystoscopy and treatment					
5373	52283		Cystoscopy and treatment					
5373	52285		Cystoscopy and treatment					
5373	52287		Cystoscopy chemodenervation					
5373	52290		Cystoscopy and treatment					
5373	52310		Cystoscopy and treatment					
5373	52315		Cystoscopy and treatment					
5373	52341		Cysto w/ureter stricture tx					
5373	52343		Cysto w/renal stricture tx					
5373	52351		Cystouretero & or pyeloscop					
5373	52400		Cystouretero w/congen repr					
5373	53000		Incision of urethra					
5373	53020		Incision of urethra					
5373	53025		Incision of urethra					
5373	53060		Drainage of urethra abscess					
5373	53080		Drainage of urinary leakage					
5373	53085		Drainage of urinary leakage					
5373	53250		Removal of urethra gland					
5373	53260		Treatment of urethra lesion					
5373	53265		Treatment of urethra lesion					
5373	53275		Repair of urethra defect					
5373	53450		Revision of urethra					
5373	53605		Dilate urethra stricture					
5373	53665		Dilation of urethra					
5373	53855		Insert prost urethral stent					
5373	53860		Transurethral rf treatment					
5373	54000		Slitting of prepuce					
5373	54001		Slitting of prepuce					
5373	54150		Circumcision w/regionl bloc					
5373	54160		Circumcision neonate					
5373	54161		Circum 28 days or older					
5373	54162		Lysis penil circumic lesion					
5373	54163		Repair of circumcision					
5373	54164		Frenulotomy of penis					
5373	54231		Dynamic cavernosometry					
5373	54304		Revision of penis					
5373	54322		Reconstruction of urethra					
5373	54332		Revise penis/urethra					
5373	54385		Repair penis					
5373	54420		Revision of penis					
5373	54435		Revision of penis					
5373	54437		Repair corporeal tear					
5373	54512		Excise lesion testis					
5373	54560		Exploration for testis					
5373	54670		Repair testis injury					
5373	54680		Relocation of testis(es)					
5373	54700		Drainage of scrotum					
5373	54830		Remove epididymis lesion					
5373	54840		Remove epididymis lesion					
5373	54860		Removal of epididymis					
5373	54900		Fusion of spermatic ducts					
5373	55060		Repair of hydrocele					
5373	55110		Explore scrotum					
5373	55120		Removal of scrotum lesion					
5373	55200		Incision of sperm duct					
5373	55250		Removal of sperm duct(s)					
5373	55600		Incise sperm duct pouch					
5373	55680		Remove sperm pouch lesion					
5373	55700		Biopsy of prostate					
5373	55705		Biopsy of prostate					
5373	55720		Drainage of prostate absces					
5373	55725		Drainage of prostate absces					
5373	74485		X-ray guide gu dilation					
5374		Level 4 Urology and Related Services		J1	34.1200	"$2,609.60"	.	$521.92
5374	0421T		Waterjet prostate abltj cmp					
5374	37790		Penile venous occlusion					
5374	50020		Renal abscess open drain					
5374	50395		Create passage to kidney					
5374	50693		Plmt ureteral stent prq					
5374	50694		Plmt ureteral stent prq					
5374	50695		Plmt ureteral stent prq					
5374	50727		Revise ureter					
5374	51020		Incise & treat bladder					
5374	51030		Incise & treat bladder					
5374	51715		Endoscopic injection/implan					
5374	51880		Repair of bladder opening					
5374	52001		Cystoscopy removal of clots					
5374	52007		Cystoscopy and biopsy					
5374	52234		Cystoscopy and treatment					
5374	52235		Cystoscopy and treatment					
5374	52277		Cystoscopy and treatment					
5374	52282		Cystoscopy implant stent					
5374	52300		Cystoscopy and treatment					
5374	52301		Cystoscopy and treatment					
5374	52317		Remove bladder stone					
5374	52330		Cystoscopy and treatment					
5374	52332		Cystoscopy and treatment					
5374	52334		Create passage to kidney					
5374	52344		Cysto/uretero stricture tx					
5374	52402		Cystourethro cut ejacul duc					
5374	52450		Incision of prostate					
5374	52500		Revision of bladder neck					
5374	52640		Relieve bladder contracture					
5374	53200		Biopsy of urethra					
5374	53270		Removal of urethra gland					
5374	53500		Urethrlys transvag w/ scope					
5374	53502		Repair of urethra injury					
5374	53850		Prostatic microwave thermot					
5374	54300		Revision of penis					
5374	54312		Reconstruction of urethra					
5374	54318		Reconstruction of urethra					
5374	54328		Revise penis/urethra					
5374	54336		Revise penis/urethra					
5374	54340		Secondary urethral surgery					
5374	54360		Penis plastic surgery					
5374	54380		Repair penis					
5374	54406		Remove muti-comp penis pros					
5374	54415		Remove self-contd penis pro					
5374	54505		Biopsy of testis					
5374	54520		Removal of testis					
5374	54522		Orchiectomy partial					
5374	54600		Reduce testis torsion					
5374	54620		Suspension of testis					
5374	54861		Removal of epididymis					
5374	54865		Explore epididymis					
5374	54901		Fusion of spermatic ducts					
5374	55150		Removal of scrotum					
5374	55175		Revision of scrotum					
5374	55400		Repair of sperm duct					
5374	55500		Removal of hydrocele					
5374	55520		Removal of sperm cord lesio					
5374	55530		Revise spermatic cord veins					
5374	55706		Prostate saturation samplin					
5374	55980		Sex transformation f to m					
5375		Level 5 Urology and Related Services		J1	47.0385	"$3,597.65"	.	$719.53
5375	50551		Kidney endoscopy					
5375	50553		Kidney endoscopy					
5375	50555		Kidney endoscopy & biopsy					
5375	50561		Kidney endoscopy & treatmen					
5375	50575		Kidney endoscopy					
5375	50576		Kidney endoscopy & treatmen					
5375	50580		Kidney endoscopy & treatmen					
5375	50590		Fragmenting of kidney stone					
5375	50953		Endoscopy of ureter					
5375	50955		Ureter endoscopy & biopsy					
5375	50957		Ureter endoscopy & treatmen					
5375	50961		Ureter endoscopy & treatmen					
5375	50974		Ureter endoscopy & biopsy					
5375	50976		Ureter endoscopy & treatmen					
5375	50980		Ureter endoscopy & treatmen					
5375	51050		Removal of bladder stone					
5375	51065		Remove ureter calculus					
5375	51860		Repair of bladder wound					
5375	52240		Cystoscopy and treatment					
5375	52250		Cystoscopy and radiotracer					
5375	52305		Cystoscopy and treatment					
5375	52318		Remove bladder stone					
5375	52320		Cystoscopy and treatment					
5375	52325		Cystoscopy stone removal					
5375	52327		Cystoscopy inject material					
5375	52342		Cysto w/up stricture tx					
5375	52345		Cysto/uretero w/up strictur					
5375	52346		Cystouretero w/renal strict					
5375	52352		Cystouretero w/stone remove					
5375	52353		Cystouretero w/lithotripsy					
5375	52354		Cystouretero w/biopsy					
5375	52355		Cystouretero w/excise tumor					
5375	52356		Cysto/uretero w/lithotripsy					
5375	52601		Prostatectomy (turp)					
5375	52630		Remove prostate regrowth					
5375	52647		Laser surgery of prostate					
5375	52648		Laser surgery of prostate					
5375	52649		Prostate laser enucleation					
5375	52700		Drainage of prostate absces					
5375	53010		Incision of urethra					
5375	53040		Drainage of urethra abscess					
5375	53210		Removal of urethra					
5375	53215		Removal of urethra					
5375	53220		Treatment of urethra lesion					
5375	53230		Removal of urethra lesion					
5375	53235		Removal of urethra lesion					
5375	53240		Surgery for urethra pouch					
5375	53400		Revise urethra stage 1					
5375	53405		Revise urethra stage 2					
5375	53410		Reconstruction of urethra					
5375	53420		Reconstruct urethra stage 1					
5375	53425		Reconstruct urethra stage 2					
5375	53430		Reconstruction of urethra					
5375	53431		Reconstruct urethra/bladder					
5375	53442		Remove/revise male sling					
5375	53446		Remove uro sphincter					
5375	53449		Repair uro sphincter					
5375	53460		Revision of urethra					
5375	53505		Repair of urethra injury					
5375	53510		Repair of urethra injury					
5375	53515		Repair of urethra injury					
5375	53520		Repair of urethra defect					
5375	53852		Prostatic rf thermotx					
5375	54110		Treatment of penis lesion					
5375	54111		Treat penis lesion graft					
5375	54120		Partial removal of penis					
5375	54205		Treatment of penis lesion					
5375	54308		Reconstruction of urethra					
5375	54316		Reconstruction of urethra					
5375	54324		Reconstruction of urethra					
5375	54326		Reconstruction of urethra					
5375	54344		Secondary urethral surgery					
5375	54348		Secondary urethral surgery					
5375	54408		Repair multi-comp penis pro					
5375	54440		Repair of penis					
5375	54535		Extensive testis surgery					
5375	54660		Revision of testis					
5375	55180		Revision of scrotum					
5375	55860		Surgical exposure prostate					
5375	55875		Transperi needle place pros					
5375	55X87		Tprnl plmt biodegrdabl matr					
5375	C9739		Cystoscopy prostatic imp 1-					
5376		Level 6 Urology and Related Services		J1	97.3825	"$7,448.11"	.	"$1,489.63"
5376	50080		Removal of kidney stone					
5376	50081		Removal of kidney stone					
5376	50557		Kidney endoscopy & treatmen					
5376	50562		Renal scope w/tumor resect					
5376	53440		Male sling procedure					
5376	54112		Treat penis lesion graft					
5376	54352		Reconstruct urethra/penis					
5376	55873		Cryoablate prostate					
5376	C9740		Cysto impl 4 or more					
5376	C9747		"Ablation, HIFU, prostate"					
5377		Level 7 Urology and Related Services		J1	199.0093	"$15,220.83"	.	"$3,044.17"
5377	53444		Insert tandem cuff					
5377	53445		Insert uro/ves nck sphincte					
5377	53447		Remove/replace ur sphincter					
5377	54400		Insert semi-rigid prosthesi					
5377	54401		Insert self-contd prosthesi					
5377	54405		Insert multi-comp penis pro					
5377	54410		Remove/replace penis prosth					
5377	54411		Remov/replc penis pros comp					
5377	54416		Remv/repl penis contain pro					
5377	54417		Remv/replc penis pros compl					
5377	C9746		Trans imp balloon cont					
5401		Dialysis		S	7.5533	$577.70	.	$115.54
5401	90935		Hemodialysis one evaluation					
5401	G0257		Unsched dialysis esrd pt ho					
5411		Level 1 Gynecologic Procedures		T	2.0159	$154.18	.	$30.84
5411	56420		Drainage of gland abscess					
5411	56820		Exam of vulva w/scope					
5411	57160		Insert pessary/other device					
5411	57170		Fitting of diaphragm/cap					
5411	57180		Treat vaginal bleeding					
5411	57452		Exam of cervix w/scope					
5411	58100		Biopsy of uterus lining					
5411	58301		Remove intrauterine device					
5411	58322		Artificial insemination					
5411	58323		Sperm washing					
5411	58579		Hysteroscope procedure					
5411	58999		Genital surgery procedure					
5411	59020		Fetal contract stress test					
5411	59025		Fetal non-stress test					
5411	59897		Fetal invas px w/us					
5411	59899		Maternity care procedure					
5411	99170		Anogenital exam child w ima					
5412		Level 2 Gynecologic Procedures		T	3.6317	$277.76	.	$55.56
5412	56405		I & d of vulva/perineum					
5412	56605		Biopsy of vulva/perineum					
5412	56821		Exam/biopsy of vulva w/scop					
5412	57156		Ins vag brachytx device					
5412	57420		Exam of vagina w/scope					
5412	57454		Bx/curett of cervix w/scope					
5412	57455		Biopsy of cervix w/scope					
5412	57456		Endocerv curettage w/scope					
5412	57511		Cryocautery of cervix					
5412	58321		Artificial insemination					
5412	58974		Transfer of embryo					
5412	58976		Transfer of embryo					
5412	59001		Amniocentesis therapeutic					
5412	59012		Fetal cord puncture prenata					
5412	59030		Fetal scalp blood sample					
5412	59070		Transabdom amnioinfus w/us					
5412	59072		Umbilical cord occlud w/us					
5412	59074		Fetal fluid drainage w/us					
5412	59076		Fetal shunt placement w/us					
5412	59200		Insert cervical dilator					
5412	59866		Abortion (mpr)					
5413		Level 3 Gynecologic Procedures		T	8.8930	$680.16	.	$136.04
5413	55870		Electroejaculation					
5413	57100		Biopsy of vagina					
5413	57421		Exam/biopsy of vag w/scope					
5413	57500		Biopsy of cervix					
5413	57505		Endocervical curettage					
5413	58970		Retrieval of oocyte					
5413	59000		Amniocentesis diagnostic					
5413	59015		Chorion biopsy					
5414		Level 4 Gynecologic Procedures		J1	28.6203	"$2,188.97"	.	$437.80
5414	0071T		Us leiomyomata ablate <200					
5414	0072T		Us leiomyomata ablate >200					
5414	55970		Sex transformation m to f					
5414	56440		Surgery for vulva lesion					
5414	56441		Lysis of labial lesion(s)					
5414	56442		Hymenotomy					
5414	56620		Partial removal of vulva					
5414	56625		Complete removal of vulva					
5414	56700		Partial removal of hymen					
5414	56740		Remove vagina gland lesion					
5414	56800		Repair of vagina					
5414	56805		Repair clitoris					
5414	56810		Repair of perineum					
5414	57000		Exploration of vagina					
5414	57010		Drainage of pelvic abscess					
5414	57020		Drainage of pelvic fluid					
5414	57061		Destroy vag lesions simple					
5414	57065		Destroy vag lesions complex					
5414	57105		Biopsy of vagina					
5414	57106		Remove vagina wall partial					
5414	57107		Remove vagina tissue part					
5414	57109		Vaginectomy partial w/nodes					
5414	57130		Remove vagina lesion					
5414	57135		Remove vagina lesion					
5414	57155		Insert uteri tandem/ovoids					
5414	57200		Repair of vagina					
5414	57210		Repair vagina/perineum					
5414	57230		Repair of urethral lesion					
5414	57268		Repair of bowel bulge					
5414	57287		Revise/remove sling repair					
5414	57291		Construction of vagina					
5414	57295		Revise vag graft via vagina					
5414	57300		Repair rectum-vagina fistul					
5414	57335		Repair vagina					
5414	57400		Dilation of vagina					
5414	57410		Pelvic examination					
5414	57415		Remove vaginal foreign body					
5414	57460		Bx of cervix w/scope leep					
5414	57461		Conz of cervix w/scope leep					
5414	57510		Cauterization of cervix					
5414	57513		Laser surgery of cervix					
5414	57520		Conization of cervix					
5414	57522		Conization of cervix					
5414	57530		Removal of cervix					
5414	57550		Removal of residual cervix					
5414	57558		D&c of cervical stump					
5414	57700		Revision of cervix					
5414	57720		Revision of cervix					
5414	57800		Dilation of cervical canal					
5414	58120		Dilation and curettage					
5414	58145		Myomectomy vag method					
5414	58345		Reopen fallopian tube					
5414	58346		Insert heyman uteri capsule					
5414	58555		Hysteroscopy dx sep proc					
5414	58558		Hysteroscopy biopsy					
5414	58562		Hysteroscopy remove fb					
5414	58600		Division of fallopian tube					
5414	58615		Occlude fallopian tube(s)					
5414	58770		Create new tubal opening					
5414	58800		Drainage of ovarian cyst(s)					
5414	58805		Drainage of ovarian cyst(s)					
5414	58820		Drain ovary abscess open					
5414	58900		Biopsy of ovary(s)					
5414	59100		Remove uterus lesion					
5414	59160		D & c after delivery					
5414	59300		Episiotomy or vaginal repai					
5414	59320		Revision of cervix					
5414	59409		Obstetrical care					
5414	59412		Antepartum manipulation					
5414	59414		Deliver placenta					
5414	59612		Vbac delivery only					
5414	59812		Treatment of miscarriage					
5414	59820		Care of miscarriage					
5414	59821		Treatment of miscarriage					
5414	59840		Abortion					
5414	59841		Abortion					
5414	59870		Evacuate mole of uterus					
5414	59871		Remove cerclage suture					
5415		Level 5 Gynecologic Procedures		J1	51.3414	"$3,926.74"	$902.82	$785.35
5415	51845		Repair bladder neck					
5415	57120		Closure of vagina					
5415	57220		Revision of urethra					
5415	57240		Repair bladder & vagina					
5415	57250		Repair rectum & vagina					
5415	57260		Repair of vagina					
5415	57265		Extensive repair of vagina					
5415	57284		Repair paravag defect open					
5415	57288		Repair bladder defect					
5415	57292		Construct vagina with graft					
5415	57320		Repair bladder-vagina lesio					
5415	57555		Remove cervix/repair vagina					
5415	57556		Remove cervix repair bowel					
5415	58260		Vaginal hysterectomy					
5415	58262		Vag hyst including t/o					
5415	58263		Vag hyst w/t/o & vag repair					
5415	58270		Vag hyst w/enterocele repai					
5415	58291		Vag hyst incl t/o complex					
5415	58294		Vag hyst w/enterocele compl					
5415	58350		Reopen fallopian tube					
5415	58353		Endometr ablate thermal					
5415	58356		Endometrial cryoablation					
5415	58559		Hysteroscopy lysis					
5415	58560		Hysteroscopy resect septum					
5415	58561		Hysteroscopy remove myoma					
5415	58563		Hysteroscopy ablation					
5415	58565		Hysteroscopy sterilization					
5415	58925		Removal of ovarian cyst(s)					
5416		Level 6 Gynecologic Procedures		J1	78.2379	"$5,983.87"	"$1,405.70"	"$1,196.78"
5416	0404T		Trnscrv uterin fibroid ablt					
5416	57282		Colpopexy extraperitoneal					
5416	57283		Colpopexy intraperitoneal					
5416	57285		Repair paravag defect vag					
5416	57289		Repair bladder & vagina					
5416	57310		Repair urethrovaginal lesio					
5416	57330		Repair bladder-vagina lesio					
5416	57426		Revise prosth vag graft lap					
5416	58290		Vag hyst complex					
5416	58292		Vag hyst t/o & repair compl					
5416	58920		Partial removal of ovary(s)					
5431		Level 1 Nerve Procedures		J1	20.9349	"$1,601.16"	.	$320.24
5431	27325		Neurectomy hamstring					
5431	27326		Neurectomy popliteal					
5431	28035		Decompression of tibia nerv					
5431	28055		Neurectomy foot					
5431	61790		Treat trigeminal nerve					
5431	61791		Treat trigeminal tract					
5431	62194		Replace/irrigate catheter					
5431	62292		Injection into disk lesion					
5431	62355		Remove spinal canal cathete					
5431	63600		Remove spinal cord lesion					
5431	63610		Stimulation of spinal cord					
5431	63615		Remove lesion of spinal cor					
5431	63661		Remove spine eltrd perq ara					
5431	63746		Removal of spinal shunt					
5431	64605		Injection treatment of nerv					
5431	64610		Injection treatment of nerv					
5431	64633		Destroy cerv/thor facet jnt					
5431	64635		Destroy lumb/sac facet jnt					
5431	64702		Revise finger/toe nerve					
5431	64704		Revise hand/foot nerve					
5431	64708		Revise arm/leg nerve					
5431	64712		Revision of sciatic nerve					
5431	64713		Revision of arm nerve(s)					
5431	64714		Revise low back nerve(s)					
5431	64716		Revision of cranial nerve					
5431	64718		Revise ulnar nerve at elbow					
5431	64719		Revise ulnar nerve at wrist					
5431	64721		Carpal tunnel surgery					
5431	64722		Relieve pressure on nerve(s					
5431	64726		Release foot/toe nerve					
5431	64732		Incision of brow nerve					
5431	64734		Incision of cheek nerve					
5431	64736		Incision of chin nerve					
5431	64738		Incision of jaw nerve					
5431	64740		Incision of tongue nerve					
5431	64742		Incision of facial nerve					
5431	64744		Incise nerve back of head					
5431	64746		Incise diaphragm nerve					
5431	64763		Incise hip/thigh nerve					
5431	64771		Sever cranial nerve					
5431	64772		Incision of spinal nerve					
5431	64774		Remove skin nerve lesion					
5431	64776		Remove digit nerve lesion					
5431	64782		Remove limb nerve lesion					
5431	64784		Remove nerve lesion					
5431	64788		Remove skin nerve lesion					
5431	64790		Removal of nerve lesion					
5431	64795		Biopsy of nerve					
5431	64802		Sympathectomy cervical					
5431	64804		Remove sympathetic nerves					
5431	64820		Sympathectomy digital arter					
5431	72285		Discography cerv/thor spine					
5431	72295		X-ray of lower spine disk					
5432		Level 2 Nerve Procedures		J1	58.9083	"$4,505.48"	.	$901.10
5432	0269T		Rev/remvl crtd sns dev tota					
5432	0440T		Abltj perc uxtr/perph nrv					
5432	0441T		Abltj perc lxtr/perph nrv					
5432	0442T		Abltj perc plex/trncl nrv					
5432	61215		Insert brain-fluid device					
5432	61720		Incise skull/brain surgery					
5432	61770		Incise skull for treatment					
5432	62225		Replace/irrigate catheter					
5432	62230		Replace/revise brain shunt					
5432	62287		Percutaneous diskectomy					
5432	62350		Implant spinal canal cath					
5432	62365		Remove spine infusion devic					
5432	63741		Install spinal shunt					
5432	63744		Revision of spinal shunt					
5432	64570		Remove vagus n eltrd					
5432	64766		Incise hip/thigh nerve					
5432	64786		Remove sciatic nerve lesion					
5432	64792		Removal of nerve lesion					
5432	64831		Repair of digit nerve					
5432	64834		Repair of hand or foot nerv					
5432	64835		Repair of hand or foot nerv					
5432	64836		Repair of hand or foot nerv					
5432	64840		Repair of leg nerve					
5432	64856		Repair/transpose nerve					
5432	64857		Repair arm/leg nerve					
5432	64858		Repair sciatic nerve					
5432	64861		Repair of arm nerves					
5432	64862		Repair of low back nerves					
5432	64864		Repair of facial nerve					
5432	64865		Repair of facial nerve					
5432	64885		Nerve graft head/neck </4 c					
5432	64886		Nerve graft head/neck >4 cm					
5432	64890		Nerve graft hand/foot </4 c					
5432	64891		Nerve graft hand/foot >4 cm					
5432	64892		Nerve graft arm/leg <4 cm					
5432	64893		Nerve graft arm/leg >4 cm					
5432	64895		Nerve graft hand/foot </4 c					
5432	64896		Nerve graft hand/foot >4 cm					
5432	64897		Nerve graft arm/leg </4 cm					
5432	64898		Nerve graft arm/leg >4 cm					
5432	64905		Nerve pedicle transfer					
5432	64907		Nerve pedicle transfer					
5432	64910		Nerve repair w/allograft					
5432	64911		Neurorraphy w/vein autograf					
5432	64X91		Nrv rpr w/nrv algrft 1st					
5441		Level 1 Nerve Injections		T	3.1764	$242.94	.	$48.59
5441	20526		Ther injection carp tunnel					
5441	20527		Inj dupuytren cord w/enzyme					
5441	20550		Inj tendon sheath/ligament					
5441	20551		Inj tendon origin/insertion					
5441	20552		Inj trigger point 1/2 muscl					
5441	20553		Inject trigger points 3/>					
5441	20600		Drain/inj joint/bursa w/o u					
5441	20604		Drain/inj joint/bursa w/us					
5441	20605		Drain/inj joint/bursa w/o u					
5441	20610		Drain/inj joint/bursa w/o u					
5441	20611		Drain/inj joint/bursa w/us					
5441	20612		Aspirate/inj ganglion cyst					
5441	61050		Remove brain canal fluid					
5441	61055		Injection into brain canal					
5441	64400		N block inj trigeminal					
5441	64405		N block inj occipital					
5441	64408		N block inj vagus					
5441	64455		N block inj plantar digit					
5441	64505		N block spenopalatine gangl					
5441	64508		N block carotid sinus s/p					
5441	64566		Neuroeltrd stim post tibial					
5441	64611		Chemodenerv saliv glands					
5441	64612		Destroy nerve face muscle					
5441	64615		Chemodenerv musc migraine					
5441	64616		Chemodenerv musc neck dysto					
5441	64632		N block inj common digit					
5441	64650		Chemodenerv eccrine glands					
5441	64653		Chemodenerv eccrine glands					
5441	64999		Nervous system surgery					
5441	95991		Spin/brain pump refil & mai					
5442		Level 2 Nerve Injections		T	6.9049	$528.11	.	$105.63
5442	20606		Drain/inj joint/bursa w/us					
5442	61000		Remove cranial cavity fluid					
5442	61001		Remove cranial cavity fluid					
5442	61026		Injection into brain canal					
5442	61070		Brain canal shunt procedure					
5442	62270		Spinal fluid tap diagnostic					
5442	62272		Drain cerebro spinal fluid					
5442	62273		Inject epidural patch					
5442	62320		Njx interlaminar crv/thrc					
5442	62321		Njx interlaminar crv/thrc					
5442	62322		Njx interlaminar lmbr/sac					
5442	62323		Njx interlaminar lmbr/sac					
5442	64413		N block inj cervical plexus					
5442	64418		N block inj suprascapular					
5442	64420		N block inj intercost sng					
5442	64425		N block inj ilio-ing/hypogi					
5442	64435		N block inj paracervical					
5442	64445		N block inj sciatic sng					
5442	64447		N block inj fem single					
5442	64450		N block other peripheral					
5442	64461		Pvb thoracic single inj sit					
5442	64463		Pvb thoracic cont infusion					
5442	64617		Chemodener muscle larynx em					
5442	64642		Chemodenerv 1 extremity 1-4					
5442	64644		Chemodenerv 1 extrem 5/> mu					
5442	64646		Chemodenerv trunk musc 1-5					
5442	64647		Chemodenerv trunk musc 6/>					
5442	G0260		Inj for sacroiliac jt anest					
5443		Level 3 Nerve Injections		T	8.6037	$658.04	.	$131.61
5443	0213T		Njx paravert w/us cer/thor					
5443	0216T		Njx paravert w/us lumb/sac					
5443	0228T		Njx tfrml eprl w/us cer/tho					
5443	0230T		Njx tfrml eprl w/us lumb/sa					
5443	61020		Remove brain cavity fluid					
5443	62263		Epidural lysis mult session					
5443	62264		Epidural lysis on single da					
5443	62268		Drain spinal cord cyst					
5443	62280		Treat spinal cord lesion					
5443	62281		Treat spinal cord lesion					
5443	62282		Treat spinal canal lesion					
5443	62294		Injection into spinal arter					
5443	62324		Njx interlaminar crv/thrc					
5443	62325		Njx interlaminar crv/thrc					
5443	62326		Njx interlaminar lmbr/sac					
5443	62327		Njx interlaminar lmbr/sac					
5443	64410		N block inj phrenic					
5443	64415		N block inj brachial plexus					
5443	64416		N block cont infuse b plex					
5443	64417		N block inj axillary					
5443	64421		N block inj intercost mlt					
5443	64430		N block inj pudendal					
5443	64446		N blk inj sciatic cont inf					
5443	64448		N block inj fem cont inf					
5443	64449		N block inj lumbar plexus					
5443	64479		Inj foramen epidural c/t					
5443	64483		Inj foramen epidural l/s					
5443	64490		Inj paravert f jnt c/t 1 le					
5443	64493		Inj paravert f jnt l/s 1 le					
5443	64510		N block stellate ganglion					
5443	64517		N block inj hypogas plxs					
5443	64520		N block lumbar/thoracic					
5443	64530		N block inj celiac pelus					
5443	64600		Injection treatment of nerv					
5443	64620		Injection treatment of nerv					
5443	64630		Injection treatment of nerv					
5443	64640		Injection treatment of nerv					
5443	64680		Injection treatment of nerv					
5443	64681		Injection treatment of nerv					
5461		Level 1 Neurostimulator and Related Procedures		T	38.1785	"$2,920.01"	.	$584.01
5461	0267T		Implt/rpl crtd sns dev lead					
5461	0270T		Rev/remvl crtd sns dev lead					
5461	0271T		Rev/remvl crtd sns dev gen					
5461	0313T		Laps rmvl nstim array vagus					
5461	0314T		Laps rmvl vgl arry&pls gen					
5461	0315T		Rmvl vagus nerve pls gen					
5461	0428T		Rmvl nstim apnea pls gen					
5461	0429T		Rmvl nstim apnea sen ld					
5461	0430T		Rmvl nstim apnea stimj ld					
5461	0432T		Repos nstim apnea stimj ld					
5461	0433T		Repos nstim apnea sensing l					
5461	0467T		Revj/rplmnt ch respir eltrd					
5461	0468T		Rmvl chwal respir eltrd/ra					
5461	61880		Revise/remove neuroelectrod					
5461	63662		Remove spine eltrd plate					
5461	63688		Revise/remove neuroreceiver					
5461	64585		Revise/remove neuroelectrod					
5461	64595		Revise/rmv pn/gastr stimul					
5462		Level 2 Neurostimulator and Related Procedures		J1	78.2340	"$5,983.57"	.	"$1,196.72"
5462	0425T		Insj/rplc nstim apnea sen l					
5462	43647		Lap impl electrode antrum					
5462	61888		Revise/remove neuroreceiver					
5462	63650		Implant neuroelectrodes					
5462	63663		Revise spine eltrd perq ara					
5462	64553		Implant neuroelectrodes					
5462	64555		Implant neuroelectrodes					
5462	64561		Implant neuroelectrodes					
5462	64569		Revise/repl vagus n eltrd					
5462	64581		Implant neuroelectrodes					
5463		Level 3 Neurostimulator and Related Procedures		J1	234.9579	"$17,970.29"	.	"$3,594.06"
5463	0268T		Implt/rpl crtd sns dev gen					
5463	0316T		Replc vagus nerve pls gen					
5463	0426T		Insj/rplc nstim apnea stm l					
5463	0427T		Insj/rplc nstim apnea pls g					
5463	0431T		Rmvl/rplc nstim apnea pls g					
5463	61885		Insrt/redo neurostim 1 arra					
5463	63655		Implant neuroelectrodes					
5463	63664		Revise spine eltrd plate					
5463	64575		Implant neuroelectrodes					
5463	64580		Implant neuroelectrodes					
5463	64590		Insrt/redo pn/gastr stimul					
5464		Level 4 Neurostimulator and Related Procedures		J1	354.6497	"$27,124.67"	.	"$5,424.94"
5464	0312T		Laps impltj nstim vagus					
5464	0424T		Insj/rplc nstim apnea compl					
5464	61886		Implant neurostim arrays					
5464	63685		Insrt/redo spine n generato					
5464	64568		Inc for vagus n elect impl					
5471		Implantation of Drug Infusion Device		J1	208.4909	"$15,946.01"	.	"$3,189.21"
5471	62360		Insert spine infusion devic					
5471	62361		Implant spine infusion pump					
5471	62362		Implant spine infusion pump					
5481		Laser Eye Procedures		T	6.1893	$473.38	$101.51	$94.68
5481	65855		Trabeculoplasty laser surg					
5481	65860		Incise inner eye adhesions					
5481	66761		Revision of iris					
5481	66762		Revision of iris					
5481	66770		Removal of inner eye lesion					
5481	66821		After cataract laser surger					
5481	67031		Laser surgery eye strands					
5481	67105		Repair detached retina pc					
5481	67145		Treatment of retina					
5481	67210		Treatment of retinal lesion					
5481	67220		Treatment of choroid lesion					
5481	67221		Ocular photodynamic ther					
5481	67228		Treatment x10sv retinopathy					
5481	67229		Tr retinal les preterm inf					
5481	G0186		"Dstry eye lesn,fdr vssl tec"					
5491		Level 1 Intraocular Procedures		J1	24.4268	"$1,868.23"	.	$373.65
5491	65235		Remove foreign body from ey					
5491	65260		Remove foreign body from ey					
5491	65265		Remove foreign body from ey					
5491	65286		Repair of eye wound					
5491	65800		Drainage of eye					
5491	65810		Drainage of eye					
5491	65815		Drainage of eye					
5491	65850		Incision of eye					
5491	65865		Incise inner eye adhesions					
5491	65870		Incise inner eye adhesions					
5491	65875		Incise inner eye adhesions					
5491	65900		Remove eye lesion					
5491	65920		Remove implant of eye					
5491	65930		Remove blood clot from eye					
5491	66020		Injection treatment of eye					
5491	66030		Injection treatment of eye					
5491	66160		Glaucoma surgery					
5491	66170		Glaucoma surgery					
5491	66172		Incision of eye					
5491	66184		Revision of aqueous shunt					
5491	66185		Revise aqueous shunt eye					
5491	66220		Repair eye lesion					
5491	66500		Incision of iris					
5491	66505		Incision of iris					
5491	66605		Removal of iris					
5491	66625		Removal of iris					
5491	66630		Removal of iris					
5491	66635		Removal of iris					
5491	66680		Repair iris & ciliary body					
5491	66682		Repair iris & ciliary body					
5491	66700		Destruction ciliary body					
5491	66711		Ciliary endoscopic ablation					
5491	66820		Incision secondary cataract					
5491	66825		Reposition intraocular lens					
5491	66830		Removal of lens lesion					
5491	66840		Removal of lens material					
5491	66850		Removal of lens material					
5491	66920		Extraction of lens					
5491	66940		Extraction of lens					
5491	66982		Cataract surgery complex					
5491	66983		Cataract surg w/iol 1 stage					
5491	66984		Cataract surg w/iol 1 stage					
5491	66985		Insert lens prosthesis					
5491	66986		Exchange lens prosthesis					
5491	66999		Eye surgery procedure					
5491	67005		Partial removal of eye flui					
5491	67010		Partial removal of eye flui					
5491	67015		Release of eye fluid					
5491	67025		Replace eye fluid					
5491	67030		Incise inner eye strands					
5491	67101		Repair detached retina crtx					
5491	67110		Repair detached retina					
5491	67120		Remove eye implant material					
5491	67121		Remove eye implant material					
5491	67255		Reinforce/graft eye wall					
5491	67299		Eye surgery procedure					
5491	68330		Revise eyelid lining					
5492		Level 2 Intraocular Procedures		J1	45.6993	"$3,495.22"	.	$699.05
5492	0191T		Insert ant segment drain in					
5492	0253T		Insert aqueous drain device					
5492	0449T		Insj aqueous drain dev 1st					
5492	0474T		Insj aqueous drg dev io rsv					
5492	65280		Repair of eye wound					
5492	65285		Repair of eye wound					
5492	65710		Corneal transplant					
5492	65730		Corneal transplant					
5492	65750		Corneal transplant					
5492	65755		Corneal transplant					
5492	65756		Corneal trnspl endothelial					
5492	65781		Ocular reconst transplant					
5492	65785		Impltj ntrstrml crnl rng se					
5492	65820		Relieve inner eye pressure					
5492	65880		Incise inner eye adhesions					
5492	66150		Glaucoma surgery					
5492	66155		Glaucoma surgery					
5492	66174		Translum dil eye canal					
5492	66175		Trnslum dil eye canal w/stn					
5492	66179		Aqueous shunt eye w/o graft					
5492	66180		Aqueous shunt eye w/graft					
5492	66183		Insert ant drainage device					
5492	66225		Repair/graft eye lesion					
5492	66600		Remove iris and lesion					
5492	66852		Removal of lens material					
5492	66930		Extraction of lens					
5492	67036		Removal of inner eye fluid					
5492	67039		Laser treatment of retina					
5492	67040		Laser treatment of retina					
5492	67041		Vit for macular pucker					
5492	67042		Vit for macular hole					
5492	67043		Vit for membrane dissect					
5492	67107		Repair detached retina					
5492	67108		Repair detached retina					
5492	67113		Repair retinal detach cplx					
5492	67115		Release encircling material					
5493		Level 3 Intraocular Procedures		J1	127.2185	"$9,730.05"	.	"$1,946.01"
5493	65770		Revise cornea with implant					
5494		Level 4 Intraocular Procedures		J1	114.8315	"$8,782.66"	.	"$1,756.54"
5494	67027		Implant eye drug system					
5495		Level 5 Intraocular Procedures		J1	221.7930	"$16,963.39"	.	"$3,392.68"
5495	0308T		Insj ocular telescope prost					
5501		"Level 1 Extraocular, Repair, and Plastic Eye Procedures"		T	3.4281	$262.19	.	$52.44
5501	65450		Treatment of corneal lesion					
5501	67141		Treatment of retina					
5501	67208		Treatment of retinal lesion					
5501	67345		Destroy nerve of eye muscle					
5501	67399		Unlisted px extraocular mus					
5501	67500		Inject/treat eye socket					
5501	67505		Inject/treat eye socket					
5501	67515		Inject/treat eye socket					
5501	67599		Orbit surgery procedure					
5501	67700		Drainage of eyelid abscess					
5501	67800		Remove eyelid lesion					
5501	67805		Remove eyelid lesions					
5501	67810		Biopsy eyelid & lid margin					
5501	67825		Revise eyelashes					
5501	67938		Remove eyelid foreign body					
5501	67999		Revision of eyelid					
5501	68040		Treatment of eyelid lesions					
5501	68399		Eyelid lining surgery					
5501	68440		Incise tear duct opening					
5501	68530		Clearance of tear duct					
5501	68705		Revise tear duct opening					
5501	68760		Close tear duct opening					
5501	68761		Close tear duct opening					
5501	68810		Probe nasolacrimal duct					
5501	68840		Explore/irrigate tear ducts					
5501	68899		Tear duct system surgery					
5502		"Level 2 Extraocular, Repair, and Plastic Eye Procedures"		T	10.3564	$792.09	.	$158.42
5502	0402T		Collagen crosslinking corne					
5502	65400		Removal of eye lesion					
5502	65435		Curette/treat cornea					
5502	65772		Correction of astigmatism					
5502	65778		Cover eye w/membrane					
5502	67710		Incision of eyelid					
5502	67801		Remove eyelid lesions					
5502	67830		Revise eyelashes					
5502	67840		Remove eyelid lesion					
5502	67850		Treat eyelid lesion					
5502	67875		Closure of eyelid by suture					
5502	68020		Incise/drain eyelid lining					
5502	68400		Incise/drain tear gland					
5503		"Level 3 Extraocular, Repair, and Plastic Eye Procedures"		J1	22.6388	"$1,731.48"	.	$346.30
5503	65125		Revise ocular implant					
5503	65270		Repair of eye wound					
5503	65272		Repair of eye wound					
5503	65410		Biopsy of cornea					
5503	65420		Removal of eye lesion					
5503	65426		Removal of eye lesion					
5503	65436		Curette/treat cornea					
5503	65600		Revision of cornea					
5503	65775		Correction of astigmatism					
5503	66130		Remove eye lesion					
5503	66250		Follow-up surgery of eye					
5503	66710		Ciliary transsleral therapy					
5503	66720		Destruction ciliary body					
5503	66740		Destruction ciliary body					
5503	67250		Reinforce eye wall					
5503	67311		Revise eye muscle					
5503	67314		Revise eye muscle					
5503	67316		Revise two eye muscles					
5503	67318		Revise eye muscle(s)					
5503	67343		Release eye tissue					
5503	67405		Explore/drain eye socket					
5503	67412		Explore/treat eye socket					
5503	67413		Explore/treat eye socket					
5503	67415		Aspiration orbital contents					
5503	67715		Incision of eyelid fold					
5503	67808		Remove eyelid lesion(s)					
5503	67835		Revise eyelashes					
5503	67880		Revision of eyelid					
5503	67882		Revision of eyelid					
5503	67900		Repair brow defect					
5503	67901		Repair eyelid defect					
5503	67903		Repair eyelid defect					
5503	67904		Repair eyelid defect					
5503	67908		Repair eyelid defect					
5503	67909		Revise eyelid defect					
5503	67911		Revise eyelid defect					
5503	67912		Correction eyelid w/implant					
5503	67914		Repair eyelid defect					
5503	67915		Repair eyelid defect					
5503	67916		Repair eyelid defect					
5503	67917		Repair eyelid defect					
5503	67921		Repair eyelid defect					
5503	67922		Repair eyelid defect					
5503	67923		Repair eyelid defect					
5503	67924		Repair eyelid defect					
5503	67930		Repair eyelid wound					
5503	67935		Repair eyelid wound					
5503	67950		Revision of eyelid					
5503	67961		Revision of eyelid					
5503	67966		Revision of eyelid					
5503	67971		Reconstruction of eyelid					
5503	67973		Reconstruction of eyelid					
5503	67975		Reconstruction of eyelid					
5503	68100		Biopsy of eyelid lining					
5503	68110		Remove eyelid lining lesion					
5503	68115		Remove eyelid lining lesion					
5503	68130		Remove eyelid lining lesion					
5503	68135		Remove eyelid lining lesion					
5503	68320		Revise/graft eyelid lining					
5503	68328		Revise/graft eyelid lining					
5503	68340		Separate eyelid adhesions					
5503	68362		Revise eyelid lining					
5503	68371		Harvest eye tissue alograft					
5503	68420		Incise/drain tear sac					
5503	68510		Biopsy of tear gland					
5503	68525		Biopsy of tear sac					
5503	68540		Remove tear gland lesion					
5503	68700		Repair tear ducts					
5503	68770		Close tear system fistula					
5503	68811		Probe nasolacrimal duct					
5503	68815		Probe nasolacrimal duct					
5503	68816		Probe nl duct w/balloon					
5503	92018		New eye exam & treatment					
5503	92019		Eye exam & treatment					
5504		"Level 4 Extraocular, Repair, and Plastic Eye Procedures"		J1	36.8383	"$2,817.50"	.	$563.50
5504	65091		Revise eye					
5504	65093		Revise eye with implant					
5504	65101		Removal of eye					
5504	65103		Remove eye/insert implant					
5504	65105		Remove eye/attach implant					
5504	65110		Removal of eye					
5504	65112		Remove eye/revise socket					
5504	65114		Remove eye/revise socket					
5504	65130		Insert ocular implant					
5504	65135		Insert ocular implant					
5504	65140		Attach ocular implant					
5504	65150		Revise ocular implant					
5504	65155		Reinsert ocular implant					
5504	65175		Removal of ocular implant					
5504	65275		Repair of eye wound					
5504	65290		Repair of eye socket wound					
5504	65779		Cover eye w/membrane suture					
5504	65780		Ocular reconst transplant					
5504	65782		Ocular reconst transplant					
5504	67218		Treatment of retinal lesion					
5504	67227		Dstrj extensive retinopathy					
5504	67312		Revise two eye muscles					
5504	67346		Biopsy eye muscle					
5504	67400		Explore/biopsy eye socket					
5504	67414		Explr/decompress eye socket					
5504	67420		Explore/treat eye socket					
5504	67430		Explore/treat eye socket					
5504	67440		Explore/drain eye socket					
5504	67445		Explr/decompress eye socket					
5504	67450		Explore/biopsy eye socket					
5504	67550		Insert eye socket implant					
5504	67560		Revise eye socket implant					
5504	67570		Decompress optic nerve					
5504	67902		Repair eyelid defect					
5504	67906		Repair eyelid defect					
5504	67974		Reconstruction of eyelid					
5504	68325		Revise/graft eyelid lining					
5504	68326		Revise/graft eyelid lining					
5504	68335		Revise/graft eyelid lining					
5504	68360		Revise eyelid lining					
5504	68500		Removal of tear gland					
5504	68505		Partial removal tear gland					
5504	68520		Removal of tear sac					
5504	68550		Remove tear gland lesion					
5504	68720		Create tear sac drain					
5504	68745		Create tear duct drain					
5504	68750		Create tear duct drain					
5521		Level 1 Imaging without Contrast		S	0.7736	$59.17	.	$11.84
5521	76977		Us bone density measure				$0.00	$0.00
5521	77078		Ct bone density axial				$0.00	$0.00
5521	77081		Dxa bone density/peripheral				$0.00	$0.00
5521	G0297		Ldct for lung ca screen				$0.00	$0.00
5521	0350T		Rsa lower extr exam					
5521	0422T		Tactile breast img uni/bi					
5521	70030		X-ray eye for foreign body					
5521	70100		X-ray exam of jaw <4views					
5521	70140		X-ray exam of facial bones					
5521	70160		X-ray exam of nasal bones					
5521	70210		X-ray exam of sinuses					
5521	70240		X-ray exam pituitary saddle					
5521	70300		X-ray exam of teeth					
5521	70328		X-ray exam of jaw joint					
5521	70330		X-ray exam of jaw joints					
5521	70350		X-ray head for orthodontia					
5521	70355		Panoramic x-ray of jaws					
5521	70360		X-ray exam of neck					
5521	710X1		X-ray exam chest 1 view					
5521	710X2		X-ray exam chest 2 views					
5521	710X3		X-ray exam chest 3 views					
5521	71100		X-ray exam ribs uni 2 views					
5521	71120		X-ray exam breastbone 2/>vw					
5521	71130		X-ray strenoclavic jt 3/>vw					
5521	72020		X-ray exam of spine 1 view					
5521	72040		X-ray exam neck spine 2-3 v					
5521	72080		X-ray exam thoracolmb 2/> v					
5521	72081		X-ray exam entire spi 1 vw					
5521	72220		X-ray exam sacrum tailbone					
5521	73000		X-ray exam of collar bone					
5521	73020		X-ray exam of shoulder					
5521	73030		X-ray exam of shoulder					
5521	73050		X-ray exam of shoulders					
5521	73060		X-ray exam of humerus					
5521	73070		X-ray exam of elbow					
5521	73100		X-ray exam of wrist					
5521	73110		X-ray exam of wrist					
5521	73140		X-ray exam of finger(s)					
5521	73501		X-ray exam hip uni 1 view					
5521	73502		X-ray exam hip uni 2-3 view					
5521	73551		X-ray exam of femur 1					
5521	73552		X-ray exam of femur 2/>					
5521	73560		X-ray exam of knee 1 or 2					
5521	73562		X-ray exam of knee 3					
5521	73565		X-ray exam of knees					
5521	73590		X-ray exam of lower leg					
5521	73592		X-ray exam of leg infant					
5521	73620		X-ray exam of foot					
5521	73630		X-ray exam of foot					
5521	73650		X-ray exam of heel					
5521	73660		X-ray exam of toe(s)					
5521	740X1		X-ray exam abdomen 1 view					
5521	74710		X-ray measurement of pelvis					
5521	75571		Ct hrt w/o dye w/ca test					
5521	76010		X-ray nose to rectum					
5521	76380		Cat scan follow-up study					
5521	76496		Fluoroscopic procedure					
5521	76497		Ct procedure					
5521	76498		Mri procedure					
5521	76499		Radiographic procedure					
5521	76529		Echo exam of eye					
5521	76885		Us exam infant hips dynamic					
5521	76886		Us exam infant hips static					
5521	76999		Echo examination procedure					
5521	77071		X-ray stress view					
5521	77086		Fracture assessment via dxa					
5521	D0251		Extraoral posterior image					
5522		Level 2 Imaging without Contrast		S	1.2622	$96.54	.	$19.31
5522	77080		Dxa bone density axial				$0.00	$0.00
5522	0348T		Rsa spine exam					
5522	0349T		Rsa upper extr exam					
5522	70110		X-ray exam of jaw 4/> views					
5522	70120		X-ray exam of mastoids					
5522	70130		X-ray exam of mastoids					
5522	70150		X-ray exam of facial bones					
5522	70190		X-ray exam of eye sockets					
5522	70200		X-ray exam of eye sockets					
5522	70220		X-ray exam of sinuses					
5522	70250		X-ray exam of skull					
5522	70260		X-ray exam of skull					
5522	70370		Throat x-ray & fluoroscopy					
5522	70380		X-ray exam of salivary glan					
5522	70450		Ct head/brain w/o dye					
5522	70480		Ct orbit/ear/fossa w/o dye					
5522	70486		Ct maxillofacial w/o dye					
5522	70490		Ct soft tissue neck w/o dye					
5522	710X4		X-ray exam chest 4+ views					
5522	71101		X-ray exam unilat ribs/ches					
5522	71110		X-ray exam ribs bil 3 views					
5522	71111		X-ray exam ribs/chest4/> vw					
5522	71250		Ct thorax w/o dye					
5522	72070		X-ray exam thorac spine 2vw					
5522	72072		X-ray exam thorac spine 3vw					
5522	72082		X-ray exam entire spi 2/3 v					
5522	72100		X-ray exam l-s spine 2/3 vw					
5522	72120		X-ray bend only l-s spine					
5522	72170		X-ray exam of pelvis					
5522	72190		X-ray exam of pelvis					
5522	72192		Ct pelvis w/o dye					
5522	72200		X-ray exam si joints					
5522	72202		X-ray exam si joints 3/> vw					
5522	73010		X-ray exam of shoulder blad					
5522	73080		X-ray exam of elbow					
5522	73090		X-ray exam of forearm					
5522	73092		X-ray exam of arm infant					
5522	73120		X-ray exam of hand					
5522	73130		X-ray exam of hand					
5522	73200		Ct upper extremity w/o dye					
5522	73503		X-ray exam hip uni 4/> view					
5522	73521		X-ray exam hips bi 2 views					
5522	73522		X-ray exam hips bi 3-4 view					
5522	73564		X-ray exam knee 4 or more					
5522	73600		X-ray exam of ankle					
5522	73610		X-ray exam of ankle					
5522	73700		Ct lower extremity w/o dye					
5522	74022		X-ray exam series abdomen					
5522	740X2		X-ray exam abdomen 2 views					
5522	740X3		X-ray exam abdomen 3+ views					
5522	74210		Contrst x-ray exam of throa					
5522	74220		Contrast x-ray esophagus					
5522	74230		Cine/vid x-ray throat/esoph					
5522	74250		X-ray exam of small bowel					
5522	74260		X-ray exam of small bowel					
5522	74261		Ct colonography dx					
5522	74290		Contrast x-ray gallbladder					
5522	74445		X-ray exam of penis					
5522	74712		Mri fetal sngl/1st gestatio					
5522	75809		Nonvascular shunt x-ray					
5522	76100		X-ray exam of body section					
5522	76101		Complex body section x-ray					
5522	76120		Cine/video x-rays					
5522	76506		Echo exam of head					
5522	76512		Ophth us b w/non-quant a					
5522	76516		Echo exam of eye					
5522	76519		Echo exam of eye					
5522	76604		Us exam chest					
5522	76641		Ultrasound breast complete					
5522	76642		Ultrasound breast limited					
5522	76706		Us abdl aorta screen aaa					
5522	76800		Us exam spinal canal					
5522	76801		Ob us < 14 wks single fetus					
5522	76813		Ob us nuchal meas 1 gest					
5522	76815		Ob us limited fetus(s)					
5522	76816		Ob us follow-up per fetus					
5522	76820		Umbilical artery echo					
5522	76830		Transvaginal us non-ob					
5522	76857		Us exam pelvic limited					
5522	76882		Us xtr non-vasc lmtd					
5522	76970		Ultrasound exam follow-up					
5522	77073		X-rays bone length studies					
5522	77077		Joint survey single view					
5522	77085		Dxa bone density study					
5522	93892		Tcd emboli detect w/o inj					
5522	93893		Tcd emboli detect w/inj					
5522	93980		Penile vascular study					
5522	93990		Doppler flow testing					
5523		Level 3 Imaging without Contrast		S	1.9569	$149.67	.	$29.94
5523	G0106		Colon ca screen;barium enem				$0.00	$0.00
5523	G0130		Single energy x-ray study				$0.00	$0.00
5523	49465		Fluoro exam of g/colon tube					
5523	70320		Full mouth x-ray of teeth					
5523	70332		X-ray exam of jaw joint					
5523	70336		Magnetic image jaw joint					
5523	70371		Speech evaluation complex					
5523	70390		X-ray exam of salivary duct					
5523	70557		Mri brain w/o dye					
5523	72050		X-ray exam neck spine 4/5vw					
5523	72052		X-ray exam neck spine 6/>vw					
5523	72074		X-ray exam thorac spine4/>v					
5523	72083		X-ray exam entire spi 4/5 v					
5523	72084		X-ray exam entire spi 6/> v					
5523	72110		X-ray exam l-2 spine 4/>vws					
5523	72114		X-ray exam l-s spine bendin					
5523	72125		Ct neck spine w/o dye					
5523	72128		Ct chest spine w/o dye					
5523	72131		Ct lumbar spine w/o dye					
5523	73523		X-ray exam hips bi 5/> view					
5523	74150		Ct abdomen w/o dye					
5523	74176		Ct abd & pelvis w/o contras					
5523	74240		X-ray upper gi delay w/o ku					
5523	74241		X-ray upper gi delay w/kub					
5523	74245		X-ray upper gi&small intest					
5523	74246		Contrst x-ray uppr gi tract					
5523	74247		Contrst x-ray uppr gi tract					
5523	74249		Contrst x-ray uppr gi tract					
5523	74251		X-ray exam of small bowel					
5523	74270		Contrast x-ray exam of colo					
5523	74280		Contrast x-ray exam of colo					
5523	74283		Contrast x-ray exam of colo					
5523	74400		Contrst x-ray urinary tract					
5523	74410		Contrst x-ray urinary tract					
5523	74440		X-ray male genital tract					
5523	74450		X-ray urethra/bladder					
5523	74740		X-ray female genital tract					
5523	74775		X-ray exam of perineum					
5523	76000		Fluoroscope examination					
5523	76102		Complex body section x-rays					
5523	76511		Ophth us quant a only					
5523	76513		Echo exam of eye water bath					
5523	76536		Us exam of head and neck					
5523	76700		Us exam abdom complete					
5523	76705		Echo exam of abdomen					
5523	76770		Us exam abdo back wall comp					
5523	76775		Us exam abdo back wall lim					
5523	76776		Us exam k transpl w/doppler					
5523	76805		Ob us >/= 14 wks sngl fetus					
5523	76811		Ob us detailed sngl fetus					
5523	76817		Transvaginal us obstetric					
5523	76818		Fetal biophys profile w/nst					
5523	76819		Fetal biophys profil w/o ns					
5523	76821		Middle cerebral artery echo					
5523	76827		Echo exam of fetal heart					
5523	76828		Echo exam of fetal heart					
5523	76856		Us exam pelvic complete					
5523	76870		Us exam scrotum					
5523	76872		Us transrectal					
5523	76873		Echograp trans r pros study					
5523	76881		Us xtr non-vasc complete					
5523	77053		X-ray of mammary duct					
5523	77054		X-ray of mammary ducts					
5523	77072		X-rays for bone age					
5523	77074		X-rays bone survey limited					
5523	77075		X-rays bone survey complete					
5523	77076		X-rays bone survey infant					
5523	93880		Extracranial bilat study					
5523	93882		Extracranial uni/ltd study					
5523	93886		Intracranial complete study					
5523	93888		Intracranial limited study					
5523	93890		Tcd vasoreactivity study					
5523	93925		Lower extremity study					
5523	93926		Lower extremity study					
5523	93930		Upper extremity study					
5523	93931		Upper extremity study					
5523	93970		Extremity study					
5523	93971		Extremity study					
5523	93975		Vascular study					
5523	93976		Vascular study					
5523	93978		Vascular study					
5523	93979		Vascular study					
5523	93981		Penile vascular study					
5523	C8932		"Mra, w/o dye, spinal canal"					
5523	G0365		Vessel mapping hemo access					
5524		Level 4 Imaging without Contrast		S	3.4526	$264.07	.	$52.82
5524	70134		X-ray exam of middle ear					
5524	70310		X-ray exam of teeth					
5524	70540		Mri orbit/face/neck w/o dye					
5524	70544		Mr angiography head w/o dye					
5524	70547		Mr angiography neck w/o dye					
5524	70551		Mri brain stem w/o dye					
5524	70554		Fmri brain by tech					
5524	70555		Fmri brain by phys/psych					
5524	71550		Mri chest w/o dye					
5524	72141		Mri neck spine w/o dye					
5524	72146		Mri chest spine w/o dye					
5524	72148		Mri lumbar spine w/o dye					
5524	72195		Mri pelvis w/o dye					
5524	73040		Contrast x-ray of shoulder					
5524	73115		Contrast x-ray of wrist					
5524	73218		Mri upper extremity w/o dye					
5524	73221		Mri joint upr extrem w/o dy					
5524	73718		Mri lower extremity w/o dye					
5524	73721		Mri jnt of lwr extre w/o dy					
5524	74181		Mri abdomen w/o dye					
5524	74415		Contrst x-ray urinary tract					
5524	74425		Contrst x-ray urinary tract					
5524	74430		Contrast x-ray bladder					
5524	74455		X-ray urethra/bladder					
5524	74470		X-ray exam of kidney lesion					
5524	75557		Cardiac mri for morph					
5524	76080		X-ray exam of fistula					
5524	76831		Echo exam uterus					
5524	76975		Gi endoscopic ultrasound					
5524	77084		Magnetic image bone marrow					
5524	93307		Tte w/o doppler complete					
5524	93308		Tte f-up or lmtd					
5524	93316		Echo transesophageal					
5524	C8901		"Mra w/o cont, abd"					
5524	C8904		"Mri w/o cont, breast, uni"					
5524	C8907		"Mri w/o cont, breast, bi"					
5524	C8910		"Mra w/o cont, chest"					
5524	C8913		"Mra w/o cont, lwr ext"					
5524	C8919		"Mra w/o cont, pelvis"					
5524	C8935		"Mra, w/o dye, upper extr"					
5524	C9733		Non-ophthalmic fva					
5525		Level 5 Imaging without Contrast		S	6.1841	$472.98	.	$94.60
5525	G0120		Colon ca scrn; barium enema				$0.00	$0.00
5525	62302		Myelography lumbar injectio					
5525	62303		Myelography lumbar injectio					
5525	62304		Myelography lumbar injectio					
5525	62305		Myelography lumbar injectio					
5525	70010		Contrast x-ray of brain					
5525	70015		Contrast x-ray of brain					
5525	70170		X-ray exam of tear duct					
5525	72240		Myelography neck spine					
5525	72255		Myelography thoracic spine					
5525	72265		Myelography l-s spine					
5525	72270		Myelogphy 2/> spine regions					
5525	73085		Contrast x-ray of elbow					
5525	73525		Contrast x-ray of hip					
5525	73580		Contrast x-ray of knee join					
5525	73615		Contrast x-ray of ankle					
5525	74190		X-ray exam of peritoneum					
5525	74420		Contrst x-ray urinary tract					
5525	75559		Cardiac mri w/stress img					
5525	76098		X-ray exam breast specimen					
5525	76825		Echo exam of fetal heart					
5525	76826		Echo exam of fetal heart					
5525	93303		Echo transthoracic					
5525	93304		Echo transthoracic					
5525	93306		Tte w/doppler complete					
5525	93312		Echo transesophageal					
5525	93313		Echo transesophageal					
5525	93315		Echo transesophageal					
5525	93318		Echo transesophageal intrao					
5525	93350		Stress tte only					
5525	93351		Stress tte complete					
5571		Level 1 Imaging with Contrast		S	2.9726	$227.35	.	$45.47
5571	70460		Ct head/brain w/dye					
5571	70470		Ct head/brain w/o & w/dye					
5571	70481		Ct orbit/ear/fossa w/dye					
5571	70482		Ct orbit/ear/fossa w/o&w/dy					
5571	70487		Ct maxillofacial w/dye					
5571	70488		Ct maxillofacial w/o & w/dy					
5571	70491		Ct soft tissue neck w/dye					
5571	70492		Ct sft tsue nck w/o & w/dye					
5571	70496		Ct angiography head					
5571	70498		Ct angiography neck					
5571	70559		Mri brain w/o & w/dye					
5571	71260		Ct thorax w/dye					
5571	71270		Ct thorax w/o & w/dye					
5571	71275		Ct angiography chest					
5571	72127		Ct neck spine w/o & w/dye					
5571	72129		Ct chest spine w/dye					
5571	72130		Ct chest spine w/o & w/dye					
5571	72133		Ct lumbar spine w/o & w/dye					
5571	72191		Ct angiograph pelv w/o&w/dy					
5571	72193		Ct pelvis w/dye					
5571	72194		Ct pelvis w/o & w/dye					
5571	73202		Ct uppr extremity w/o&w/dye					
5571	73206		Ct angio upr extrm w/o&w/dy					
5571	73701		Ct lower extremity w/dye					
5571	73702		Ct lwr extremity w/o&w/dye					
5571	73706		Ct angio lwr extr w/o&w/dye					
5571	74160		Ct abdomen w/dye					
5571	74170		Ct abdomen w/o & w/dye					
5571	74175		Ct angio abdom w/o & w/dye					
5571	74262		Ct colonography dx w/dye					
5571	75572		Ct hrt w/3d image					
5571	75573		Ct hrt w/3d image congen					
5571	75574		Ct angio hrt w/3d image					
5571	75635		Ct angio abdominal arteries					
5571	C8903		"Mri w/cont, breast,  uni"					
5571	C8918		"Mra w/cont, pelvis"					
5571	C8934		"Mra, w/dye, upper extremity"					
5571	C9744		Abd us w/contrast					
5572		Level 2 Imaging with Contrast		S	4.4342	$339.14	.	$67.83
5572	70542		Mri orbit/face/neck w/dye					
5572	70545		Mr angiography head w/dye					
5572	70546		Mr angiograph head w/o&w/dy					
5572	70548		Mr angiography neck w/dye					
5572	70549		Mr angiograph neck w/o&w/dy					
5572	70552		Mri brain stem w/dye					
5572	70558		Mri brain w/dye					
5572	72126		Ct neck spine w/dye					
5572	72132		Ct lumbar spine w/dye					
5572	72142		Mri neck spine w/dye					
5572	72147		Mri chest spine w/dye					
5572	72149		Mri lumbar spine w/dye					
5572	72196		Mri pelvis w/dye					
5572	73201		Ct upper extremity w/dye					
5572	73219		Mri upper extremity w/dye					
5572	73220		Mri uppr extremity w/o&w/dy					
5572	73719		Mri lower extremity w/dye					
5572	73720		Mri lwr extremity w/o&w/dye					
5572	73723		Mri joint lwr extr w/o&w/dy					
5572	74174		Ct angio abd&pelv w/o&w/dye					
5572	74177		Ct abd & pelv w/contrast					
5572	74178		Ct abd & pelv 1/> regns					
5572	74182		Mri abdomen w/dye					
5572	75561		Cardiac mri for morph w/dye					
5572	C8900		"Mra w/cont, abd"					
5572	C8902		"Mra w/o fol w/cont, abd"					
5572	C8905		"Mri w/o fol w/cont, brst, u"					
5572	C8906		"Mri w/cont, breast,  bi"					
5572	C8908		"Mri w/o fol w/cont, breast,"					
5572	C8909		"Mra w/cont, chest"					
5572	C8911		"Mra w/o fol w/cont, chest"					
5572	C8912		"Mra w/cont, lwr ext"					
5572	C8914		"Mra w/o fol w/cont, lwr ext"					
5572	C8920		"Mra w/o fol w/cont, pelvis"					
5572	C8924		"2d tte w or w/o fol w/con,f"					
5572	C8931		"Mra, w/dye, spinal canal"					
5572	C8933		"Mra, w/o&w/dye, spinal cana"					
5572	C8936		"Mra, w/o&w/dye, upper extr"					
5573		Level 3 Imaging with Contrast		S	6.3768	$487.72	.	$97.55
5573	70543		Mri orbt/fac/nck w/o &w/dye					
5573	70553		Mri brain stem w/o & w/dye					
5573	71551		Mri chest w/dye					
5573	71552		Mri chest w/o & w/dye					
5573	72156		Mri neck spine w/o & w/dye					
5573	72157		Mri chest spine w/o & w/dye					
5573	72158		Mri lumbar spine w/o & w/dy					
5573	72197		Mri pelvis w/o & w/dye					
5573	73222		Mri joint upr extrem w/dye					
5573	73223		Mri joint upr extr w/o&w/dy					
5573	73722		Mri joint of lwr extr w/dye					
5573	74183		Mri abdomen w/o & w/dye					
5573	75563		Card mri w/stress img & dye					
5573	C8921		"Tte w or w/o fol w/cont, co"					
5573	C8922		"Tte w or w/o fol w/cont, f/"					
5573	C8923		"2d tte w or w/o fol w/con,c"					
5573	C8925		"2d tee w or w/o fol w/con,i"					
5573	C8926		"Tee w or w/o fol w/cont,con"					
5573	C8927		"Tee w or w/o fol w/cont, mo"					
5573	C8928		"Tte w or w/o fol w/con,stre"					
5573	C8929		"Tte w or wo fol wcon,dopple"					
5573	C8930		"Tte w or w/o contr, cont ec"					
5591		Level 1 Nuclear Medicine and Related Services		S	4.4096	$337.26	.	$67.46
5591	38792		Ra tracer id of sentinl nod					
5591	78012		Thyroid uptake measurement					
5591	78013		Thyroid imaging w/blood flo					
5591	78014		Thyroid imaging w/blood flo					
5591	78015		Thyroid met imaging					
5591	78016		Thyroid met imaging/studies					
5591	78070		Parathyroid planar imaging					
5591	78071		Parathyrd planar w/wo subtr					
5591	78099		Endocrine nuclear procedure					
5591	78102		Bone marrow imaging ltd					
5591	78103		Bone marrow imaging mult					
5591	78104		Bone marrow imaging body					
5591	78120		Red cell mass single					
5591	78130		Red cell survival study					
5591	78135		Red cell survival kinetics					
5591	78140		Red cell sequestration					
5591	78185		Spleen imaging					
5591	78191		Platelet survival					
5591	78199		Blood/lymph nuclear exam					
5591	78215		Liver and spleen imaging					
5591	78216		Liver & spleen image/flow					
5591	78226		Hepatobiliary system imagin					
5591	78230		Salivary gland imaging					
5591	78231		Serial salivary imaging					
5591	78232		Salivary gland function exa					
5591	78258		Esophageal motility study					
5591	78261		Gastric mucosa imaging					
5591	78262		Gastroesophageal reflux exa					
5591	78264		Gastric emptying imag study					
5591	78265		Gastric emptying imag study					
5591	78270		Vit b-12 absorption exam					
5591	78271		Vit b-12 absrp exam int fac					
5591	78272		Vit b-12 absorp combined					
5591	78278		Acute gi blood loss imaging					
5591	78282		Gi protein loss exam					
5591	78290		Meckels divert exam					
5591	78291		Leveen/shunt patency exam					
5591	78299		Gi nuclear procedure					
5591	78300		Bone imaging limited area					
5591	78305		Bone imaging multiple areas					
5591	78306		Bone imaging whole body					
5591	78315		Bone imaging 3 phase					
5591	78399		Musculoskeletal nuclear exa					
5591	78428		Cardiac shunt imaging					
5591	78445		Vascular flow imaging					
5591	78458		Ven thrombosis images bilat					
5591	78466		Heart infarct image					
5591	78472		Gated heart planar single					
5591	78473		Gated heart multiple					
5591	78494		Heart image spect					
5591	78499		Cardiovascular nuclear exam					
5591	78579		Lung ventilation imaging					
5591	78580		Lung perfusion imaging					
5591	78597		Lung perfusion differential					
5591	78599		Respiratory nuclear exam					
5591	78600		Brain image < 4 views					
5591	78601		Brain image w/flow < 4 view					
5591	78660		Nuclear exam of tear flow					
5591	78699		Nervous system nuclear exam					
5591	78700		Kidney imaging morphol					
5591	78701		Kidney imaging with flow					
5591	78725		Kidney function study					
5591	78740		Ureteral reflux study					
5591	78761		Testicular imaging w/flow					
5591	78799		Genitourinary nuclear exam					
5591	78800		Tumor imaging limited area					
5591	78801		Tumor imaging mult areas					
5591	78808		Iv inj ra drug dx study					
5591	78999		Nuclear diagnostic exam					
5592		Level 2 Nuclear Medicine and Related Services		S	5.7471	$439.56	.	$87.92
5592	78018		Thyroid met imaging body					
5592	78072		Parathyrd planar w/spect&ct					
5592	78121		Red cell mass multiple					
5592	78122		Blood volume					
5592	78195		Lymph system imaging					
5592	78206		Liver image (3d) with flow					
5592	78227		Hepatobil syst image w/drug					
5592	78266		Gastric emptying imag study					
5592	78320		Bone imaging (3d)					
5592	78414		Non-imaging heart function					
5592	78468		Heart infarct image (ef)					
5592	78481		Heart first pass single					
5592	78483		Heart first pass multiple					
5592	78582		Lung ventilat&perfus imagin					
5592	78598		Lung perf&ventilat diferent					
5592	78605		Brain image 4+ views					
5592	78606		Brain image w/flow 4 + view					
5592	78610		Brain flow imaging only					
5592	78630		Cerebrospinal fluid scan					
5592	78635		Csf ventriculography					
5592	78645		Csf shunt evaluation					
5592	78707		K flow/funct image w/o drug					
5592	78708		K flow/funct image w/drug					
5592	78709		K flow/funct image multiple					
5592	78710		Kidney imaging (3d)					
5592	78803		Tumor imaging (3d)					
5592	78807		Nuclear localization/absces					
5593		Level 3 Nuclear Medicine and Related Services		S	15.2099	"$1,163.30"	.	$232.66
5593	0331T		Heart symp image plnr					
5593	0332T		Heart symp image plnr spect					
5593	78075		Adrenal cortex & medulla im					
5593	78110		Plasma volume single					
5593	78111		Plasma volume multiple					
5593	78201		Liver imaging					
5593	78202		Liver imaging with flow					
5593	78205		Liver imaging (3d)					
5593	78451		Ht muscle image spect sing					
5593	78452		Ht muscle image spect mult					
5593	78453		Ht muscle image planar sing					
5593	78454		Ht musc image planar mult					
5593	78456		Acute venous thrombus image					
5593	78457		Venous thrombosis imaging					
5593	78459		Heart muscle imaging (pet)					
5593	78469		Heart infarct image (3d)					
5593	78607		Brain imaging (3d)					
5593	78647		Cerebrospinal fluid scan					
5593	78650		Csf leakage imaging					
5593	78802		Tumor imaging whole body					
5593	78804		Tumor imaging whole body					
5593	78805		Abscess imaging ltd area					
5593	78806		Abscess imaging whole body					
5593	78811		Pet image ltd area					
5594		Level 4 Nuclear Medicine and Related Services		S	17.3855	"$1,329.70"	.	$265.94
5594	78491		Heart image (pet) single					
5594	78492		Heart image (pet) multiple					
5594	78608		Brain imaging (pet)					
5594	78812		Pet image skull-thigh					
5594	78813		Pet image full body					
5594	78814		Pet image w/ct lmtd					
5594	78815		Pet image w/ct skull-thigh					
5594	78816		Pet image w/ct full body					
5611		Level 1 Therapeutic Radiation Treatment Preparation		S	1.5999	$122.37	$32.44	$24.48
5611	77280		Set radiation therapy field					
5611	77299		Radiation therapy planning					
5611	77300		Radiation therapy dose plan					
5611	77316		Brachytx isodose plan simpl					
5611	77331		Special radiation dosimetry					
5611	77332		Radiation treatment aid(s)					
5611	77333		Radiation treatment aid(s)					
5611	77336		Radiation physics consult					
5611	77370		Radiation physics consult					
5611	77399		External radiation dosimetr					
5612		Level 2 Therapeutic Radiation Treatment Preparation		S	4.1252	$315.51	.	$63.11
5612	77285		Set radiation therapy field					
5612	77290		Set radiation therapy field					
5612	77306		Telethx isodose plan simple					
5612	77307		Telethx isodose plan cplx					
5612	77317		Brachytx isodose intermed					
5612	77318		Brachytx isodose complex					
5612	77321		Special teletx port plan					
5612	77334		Radiation treatment aid(s)					
5612	77338		Design mlc device for imrt					
5613		Level 3 Therapeutic Radiation Treatment Preparation		S	15.1509	"$1,158.79"	.	$231.76
5613	32553		Ins mark thor for rt perq					
5613	49411		Ins mark abd/pel for rt per					
5613	55876		Place rt device/marker pros					
5613	77295		3-d radiotherapy plan					
5613	77301		Radiotherapy dose plan imrt					
5613	C9728		"Place device/marker, non pr"					
5621		Level 1 Radiation Therapy		S	1.6271	$124.45	.	$24.89
5621	77401		Radiation treatment deliver					
5621	77402		Radiation treatment deliver					
5621	77407		Radiation treatment deliver					
5621	77789		Apply surf ldr radionuclide					
5621	77799		Radium/radioisotope therapy					
5622		Level 2 Radiation Therapy		S	2.7958	$213.83	.	$42.77
5622	0394T		Hdr elctrnc skn surf brchyt					
5622	77412		Radiation treatment deliver					
5622	77600		Hyperthermia treatment					
5622	77750		Infuse radioactive material					
5622	77767		Hdr rdncl skn surf brachytx					
5622	77768		Hdr rdncl skn surf brachytx					
5623		Level 3 Radiation Therapy		S	6.6900	$511.67	.	$102.34
5623	77385		Ntsty modul rad tx dlvr smp					
5623	77386		Ntsty modul rad tx dlvr cpl					
5623	77423		Neutron beam tx complex					
5623	77470		Special radiation treatment					
5623	77520		Proton trmt simple w/o comp					
5623	77610		Hyperthermia treatment					
5623	77615		Hyperthermia treatment					
5623	77620		Hyperthermia treatment					
5623	77761		Apply intrcav radiat simple					
5623	77762		Apply intrcav radiat interm					
5624		Level 4 Radiation Therapy		S	9.0795	$694.43	.	$138.89
5624	0395T		Hdr elctr ntrst/ntrcv brcht					
5624	77605		Hyperthermia treatment					
5624	77763		Apply intrcav radiat compl					
5624	77770		Hdr rdncl ntrstl/icav brcht					
5624	77771		Hdr rdncl ntrstl/icav brcht					
5624	77772		Hdr rdncl ntrstl/icav brcht					
5624	77778		Apply interstit radiat comp					
5625		Level 5 Radiation Therapy		S	12.3135	$941.77	.	$188.36
5625	77522		Proton trmt simple w/comp					
5625	77523		Proton trmt intermediate					
5625	77525		Proton treatment complex					
5626		Level 6 Radiation Therapy		S	21.3850	"$1,635.59"	.	$327.12
5626	77373		Sbrt delivery					
5627		Level 7 Radiation Therapy		J1	95.9065	"$7,335.22"	.	"$1,467.05"
5627	77371		Srs multisource					
5627	77372		Srs linear based					
5627	77424		Io rad tx delivery by x-ray					
5627	77425		Io rad tx deliver by elctrn					
5661		Therapeutic Nuclear Medicine		S	3.0125	$230.41	.	$46.09
5661	79005		Nuclear rx oral admin					
5661	79101		Nuclear rx iv admin					
5661	79200		Nuclear rx intracav admin					
5661	79300		Nuclr rx interstit colloid					
5661	79403		Hematopoietic nuclear tx					
5661	79440		Nuclear rx intra-articular					
5661	79445		Nuclear rx intra-arterial					
5661	79999		Nuclear medicine therapy					
5671		Level 1 Pathology		S	0.5544	$42.40	.	$8.48
5671	80500		Lab pathology consultation					
5671	80502		Lab pathology consultation					
5671	86079		Phys blood bank serv authrj					
5671	86850		Rbc antibody screen					
5671	88112		Cytopath cell enhance tech					
5671	88125		Forensic cytopathology					
5671	88162		Cytopath smear other source					
5671	88173		Cytopath eval fna report					
5671	88182		Cell marker study					
5671	88199		Cytopathology procedure					
5671	88299		Cytogenetic study					
5671	88304		Tissue exam by pathologist					
5671	88305		Tissue exam by pathologist					
5671	88312		Special stains group 1					
5671	88323		Microslide consultation					
5671	88325		Comprehensive review of dat					
5671	88356		Analysis nerve					
5671	88399		Surgical pathology procedur					
5671	89230		Collect sweat for test					
5671	89240		Pathology lab procedure					
5671	89255		Prepare embryo for transfer					
5671	89257		Sperm identification					
5671	89260		Sperm isolation simple					
5671	89261		Sperm isolation complex					
5671	89264		Identify sperm tissue					
5671	89335		Cryopreserve testicular tis					
5671	89353		Thawing cryopresrved sperm					
5671	89398		Unlisted reprod med lab pro					
5672		Level 2 Pathology		S	1.5064	$115.21	.	$23.05
5672	0058T		Cryopreservation ovary tiss					
5672	0357T		Cryopreservation oocyte(s)					
5672	86078		Phys blood bank serv reactj					
5672	86860		Rbc antibody elution					
5672	86885		Coombs test indirect qual					
5672	86886		Coombs test indirect titer					
5672	86920		Compatibility test spin					
5672	86921		Compatibility test incubate					
5672	86922		Compatibility test antiglob					
5672	86923		Compatibility test electric					
5672	86950		Leukacyte transfusion					
5672	86960		Vol reduction of blood/prod					
5672	86965		Pooling blood platelets					
5672	86972		Rbc pretx incubatj w/densit					
5672	86977		Rbc serum pretx incubj/inhi					
5672	86985		Split blood or products					
5672	88172		Cytp dx eval fna 1st ea sit					
5672	88331		Path consult intraop 1 bloc					
5672	88355		Analysis skeletal muscle					
5672	88365		Insitu hybridization (fish)					
5672	88374		M/phmtrc alys ishquant/semi					
5672	88377		M/phmtrc alys ishquant/semi					
5672	89049		Chct for mal hyperthermia					
5672	89220		Sputum specimen collection					
5672	89250		Cultr oocyte/embryo <4 days					
5672	89253		Embryo hatching					
5672	89254		Oocyte identification					
5672	89259		Cryopreservation sperm					
5672	89268		Insemination of oocytes					
5672	89281		Assist oocyte fertilization					
5672	89290		Biopsy oocyte polar body					
5672	89291		Biopsy oocyte polar body					
5672	89337		Cryopreservation oocyte(s)					
5672	89342		Storage/year embryo(s)					
5672	89343		Storage/year sperm/semen					
5672	89344		Storage/year reprod tissue					
5672	89352		Thawing cryopresrved embryo					
5672	89354		Thaw cryoprsvrd reprod tiss					
5672	89356		Thawing cryopresrved oocyte					
5673		Level 3 Pathology		S	2.5412	$194.36	.	$38.88
5673	86870		Rbc antibody identification					
5673	86890		Autologous blood process					
5673	86902		Blood type antigen donor ea					
5673	86905		Blood typing rbc antigens					
5673	86927		Plasma fresh frozen					
5673	86930		Frozen blood prep					
5673	86931		Frozen blood thaw					
5673	86971		Rbc pretx incubatj w/enzyme					
5673	88120		Cytp urne 3-5 probes ea spe					
5673	88121		Cytp urine 3-5 probes cmptr					
5673	88184		Flowcytometry/ tc 1 marker					
5673	88307		Tissue exam by pathologist					
5673	88342		Immunohisto antb 1st stain					
5673	88344		Immunohisto antibody slide					
5673	88346		Immunofluor antb 1st stain					
5673	88358		Analysis tumor					
5673	88360		Tumor immunohistochem/manua					
5673	88361		Tumor immunohistochem/compu					
5673	88366		Insitu hybridization (fish)					
5673	88367		Insitu hybridization auto					
5673	88368		Insitu hybridization manual					
5673	89251		Cultr oocyte/embryo <4 days					
5673	89346		Storage/year oocyte(s)					
5673	G0416		"Prostate biopsy, any mthd"					
5674		Level 4 Pathology		S	6.2453	$477.66	.	$95.54
5674	85097		Bone marrow interpretation					
5674	86891		Autologous blood op salvage					
5674	88309		Tissue exam by pathologist					
5674	88319		Enzyme histochemistry					
5674	88333		Intraop cyto path consult 1					
5674	88348		Electron microscopy					
5674	88362		Nerve teasing preparations					
5674	89258		Cryopreservation embryo(s)					
5674	89272		Extended culture of oocytes					
5674	89280		Assist oocyte fertilization					
5691		Level 1 Drug Administration		S	0.4672	$35.73	.	$7.15
5691	G0008		Admin influenza virus vac				$0.00	$0.00
5691	G0009		Admin pneumococcal vaccine				$0.00	$0.00
5691	G0010		Admin hepatitis b vaccine				$0.00	$0.00
5691	95115		Immunotherapy one injection					
5691	95117		Immunotherapy injections					
5691	95144		Antigen therapy services					
5691	95145		Antigen therapy services					
5691	95146		Antigen therapy services					
5691	95165		Antigen therapy services					
5691	95170		Antigen therapy services					
5691	96361		Hydrate iv infusion add-on					
5691	96366		Ther/proph/diag iv inf addo					
5691	96370		Sc ther infusion addl hr					
5691	96375		Tx/pro/dx inj new drug addo					
5691	96377		Applicaton on-body injector					
5691	96379		Ther/prop/diag inj/inf proc					
5691	96423		Chemo ia infuse each addl h					
5691	96549		Chemotherapy unspecified					
5692		Level 2 Drug Administration		S	0.7353	$56.24	.	$11.25
5692	90471		Immunization admin					
5692	90473		Immune admin oral/nasal					
5692	95147		Antigen therapy services					
5692	95148		Antigen therapy services					
5692	95149		Antigen therapy services					
5692	96367		Tx/proph/dg addl seq iv inf					
5692	96371		Sc ther infusion reset pump					
5692	96372		Ther/proph/diag inj sc/im					
5692	96401		Chemo anti-neopl sq/im					
5692	96402		Chemo hormon antineopl sq/i					
5692	96405		Chemo intralesional up to 7					
5692	96411		Chemo iv push addl drug					
5692	96415		Chemo iv infusion addl hr					
5692	96417		Chemo iv infus each addl se					
5693		Level 3 Drug Administration		S	2.4078	$184.16	.	$36.84
5693	36598		Inj w/fluor eval cv device					
5693	96360		Hydration iv infusion init					
5693	96365		Ther/proph/diag iv inf init					
5693	96369		Sc ther infusion up to 1 hr					
5693	96373		Ther/proph/diag inj ia					
5693	96374		Ther/proph/diag inj iv push					
5693	96406		Chemo intralesional over 7					
5693	96409		Chemo iv push sngl drug					
5693	96422		Chemo ia infusion up to 1 h					
5693	96521		Refill/maint portable pump					
5693	96522		Refill/maint pump/resvr sys					
5693	96542		Chemotherapy injection					
5694		Level 4 Drug Administration		S	3.7475	$286.62	.	$57.33
5694	0465T		Supchrdl njx rxw/o supply					
5694	36593		Declot vascular device					
5694	37195		Thrombolytic therapy stroke					
5694	67028		Injection eye drug					
5694	92977		Dissolve clot heart vessel					
5694	95990		Spin/brain pump refil & mai					
5694	96413		Chemo iv infusion 1 hr					
5694	96416		Chemo prolong infuse w/pump					
5694	96420		Chemo ia push tecnique					
5694	96425		Chemotherapy infusion metho					
5694	96440		Chemotherapy intracavitary					
5694	96446		Chemotx admn prtl cavity					
5694	96450		Chemotherapy into cns					
5694	C8957		"Prolonged iv inf, req pump"					
5694	G0498		Chemo extend iv infus w/pum					
5721		Level1 Diagnostic Tests and Related Services		S	1.6943	$129.59	.	$25.92
5721	0212T		Compre audiometry evaluatio					
5721	0272T		Interrogate crtd sns dev					
5721	0273T		Interrogate crtd sns w/pgrm					
5721	0278T		Tempr					
5721	0464T		Visual ep test for glaucoma					
5721	43755		Dx gastr intub w/asp specs					
5721	50686		Measure ureter pressure					
5721	51703		Insert bladder cath complex					
5721	51741		Electro-uroflowmetry first					
5721	51784		Anal/urinary muscle study					
5721	53660		Dilation of urethra					
5721	54240		Penis study					
5721	90868		Tcranial magn stim tx deli					
5721	90869		Tcran magn stim redetemine					
5721	90911		Biofeedback peri/uro/rectal					
5721	91065		Breath hydrogen/methane tes					
5721	91120		Rectal sensation test					
5721	91132		Electrogastrography					
5721	91200		Liver elastography					
5721	91299		Gastroenterology procedure					
5721	92516		Facial nerve function test					
5721	92537		Caloric vstblr test w/rec					
5721	92538		Caloric vstblr test w/rec					
5721	92540		Basic vestibular evaluation					
5721	92544		Optokinetic nystagmus test					
5721	92545		Oscillating tracking test					
5721	92546		Sinusoidal rotational test					
5721	92550		Tympanometry & reflex thres					
5721	92553		Audiometry air & bone					
5721	92557		Comprehensive hearing test					
5721	92562		Loudness balance test					
5721	92570		Acoustic immitance testing					
5721	92572		Staggered spondaic word tes					
5721	92579		Visual audiometry (vra)					
5721	92582		Conditioning play audiometr					
5721	92584		Electrocochleography					
5721	92586		Auditor evoke potent limit					
5721	92601		Cochlear implt f/up exam <7					
5721	92602		Reprogram cochlear implt 7/					
5721	92603		Cochlear implt f/up exam 7/					
5721	92604		Reprogram cochlear implt 7/					
5721	92620		Auditory function 60 min					
5721	92625		Tinnitus assessment					
5721	92626		Eval aud rehab status					
5721	92640		Aud brainstem implt program					
5721	93025		Microvolt t-wave assess					
5721	93702		Bis xtracell fluid analysis					
5721	93740		Temperature gradient studie					
5721	93799		Cardiovascular procedure					
5721	93923		Upr/lxtr art stdy 3+ lvls					
5721	93924		Lwr xtr vasc stdy bilat					
5721	94010		Breathing capacity test					
5721	94011		Spirometry up to 2 yrs old					
5721	94150		Vital capacity test					
5721	94400		Co2 breathing response curv					
5721	94450		Hypoxia response curve					
5721	94680		Exhaled air analysis o2					
5721	94727		Pulm function test by gas					
5721	94750		Pulmonary compliance study					
5721	94762		Measure blood oxygen level					
5721	94775		Ped home apnea rec hk-up					
5721	94776		Ped home apnea rec downld					
5721	94799		Pulmonary service/procedure					
5721	95800		Slp stdy unattended					
5721	95806		Sleep study unatt&resp efft					
5721	95863		Muscle test 3 limbs					
5721	95864		Muscle test 4 limbs					
5721	95866		Muscle test hemidiaphragm					
5721	95867		Muscle test cran nerv unila					
5721	95868		Muscle test cran nerve bila					
5721	95869		Muscle test thor paraspinal					
5721	95872		Muscle test one fiber					
5721	95875		Limb exercise test					
5721	95907		Nvr cndj tst 1-2 studies					
5721	95921		Autonomic nrv parasym inerv					
5721	95924		Ans parasymp & symp w/tilt					
5721	95927		Somatosensory testing					
5721	95930		Visual evoked potential tes					
5721	95937		Neuromuscular junction test					
5721	95943		Parasymp&symp hrt rate test					
5721	95999		Neurological procedure					
5721	96002		Dynamic surface emg					
5721	96101		Psycho testing by psych/phy					
5721	96111		Developmental test extend					
5721	96120		Neuropsych tst admin w/comp					
5721	G0303		Pre-op service lvrs 10-15do					
5721	G0398		Home sleep test/type 2 port					
5721	G0399		Home sleep test/type 3 port					
5721	G0400		Home sleep test/type 4 port					
5722		Level 2 Diagnostic Tests and Related Services		S	3.1669	$242.21	.	$48.45
5722	43753		Tx gastro intub w/asp					
5722	43754		Dx gastr intub w/asp spec					
5722	76936		Echo guide for artery repai					
5722	90867		Tcranial magn stim tx plan					
5722	91037		Esoph imped function test					
5722	92235		Fluorescein angrph uni/bi					
5722	92240		Icg angiography uni/bi					
5722	92242		Fluorescein icg angiography					
5722	92275		Electroretinography					
5722	92512		Nasal function studies					
5722	92585		Auditor evoke potent compre					
5722	92587		Evoked auditory test limite					
5722	92588		Evoked auditory tst complet					
5722	92950		Heart/lung resuscitation cp					
5722	93017		Cardiovascular stress test					
5722	94012		Spirmtry w/brnchdil inf-2 y					
5722	94015		Patient recorded spirometry					
5722	94060		Evaluation of wheezing					
5722	94070		Evaluation of wheezing					
5722	94375		Respiratory flow volume loo					
5722	94621		Pulm stress test/complex					
5722	94681		Exhaled air analysis o2/co2					
5722	94726		Pulm funct tst plethysmogra					
5722	94728		Pulm funct test oscillometr					
5722	94770		Exhaled carbon dioxide test					
5722	95071		Bronchial allergy tests					
5722	95812		Eeg 41-60 minutes					
5722	95813		Eeg over 1 hour					
5722	95816		Eeg awake and drowsy					
5722	95819		Eeg awake and asleep					
5722	95822		Eeg coma or sleep only					
5722	95857		Cholinesterase challenge					
5722	95908		Nrv cndj tst 3-4 studies					
5722	95909		Nrv cndj tst 5-6 studies					
5722	95910		Nrv cndj test 7-8 studies					
5722	95925		Somatosensory testing					
5722	95926		Somatosensory testing					
5722	96003		Dynamic fine wire emg					
5722	96102		Psycho testing by technicia					
5722	96116		Neurobehavioral status exam					
5722	96118		Neuropsych tst by psych/phy					
5722	96119		Neuropsych testing by tec					
5723		Level 3 Diagnostic Tests and Related Services		S	5.6077	$428.89	.	$85.78
5723	90870		Electroconvulsive therapy					
5723	91010		Esophagus motility study					
5723	91020		Gastric motility studies					
5723	91030		Acid perfusion of esophagus					
5723	91034		Gastroesophageal reflux tes					
5723	91035		G-esoph reflx tst w/electro					
5723	91038		Esoph imped funct test > 1h					
5723	91040		Esoph balloon distension ts					
5723	92577		Stenger test speech					
5723	93660		Tilt table evaluation					
5723	94013		Meas lung vol thru 2 yrs					
5723	94772		Breath recording infant					
5723	95070		Bronchial allergy tests					
5723	95076		Ingest challenge ini 120 mi					
5723	95807		Sleep study attended					
5723	95824		Eeg cerebral death only					
5723	95827		Eeg all night recording					
5723	95911		Nrv cndj test 9-10 studies					
5723	95912		Nrv cndj test 11-12 studies					
5723	95913		Nrv cndj test 13/> studies					
5723	95938		Somatosensory testing					
5723	95950		Ambulatory eeg monitoring					
5723	95953		Eeg monitoring/computer					
5723	95954		Eeg monitoring/giving drugs					
5723	95956		Eeg monitor technol attende					
5723	96000		Motion analysis video/3d					
5724		Level 4 Diagnostic Tests and Related Services		S	11.4754	$877.67	.	$175.54
5724	0436T		Prgrmg eval npgs apnea stud					
5724	51101		Drain bladder by trocar/cat					
5724	91022		Duodenal motility study					
5724	95782		Polysom <6 yrs 4/> paramtrs					
5724	95783		Polysom <6 yrs cpap/bilvl					
5724	95805		Multiple sleep latency test					
5724	95808		Polysom any age 1-3> param					
5724	95810		Polysom 6/> yrs 4/> param					
5724	95811		Polysom 6/>yrs cpap 4/> par					
5724	95928		C motor evoked uppr limbs					
5724	95929		C motor evoked lwr limbs					
5724	95939		C motor evoked upr&lwr limb					
5724	95951		Eeg monitoring/videorecord					
5724	95958		Eeg monitoring/function tes					
5724	95961		Electrode stimulation brain					
5724	95965		Meg spontaneous					
5724	95966		Meg evoked single					
5724	96001		Motion test w/ft press meas					
5724	G0302		Pre-op service lvrs complet					
5724	G0304		Pre-op service lvrs 1-9 dos					
5724	G0305		Post op service lvrs min 6					
5731		Level 1 Minor Procedures		S	0.1851	$14.16	.	$2.84
5731	G0404		Ekg tracing for initial pre				$0.00	$0.00
5731	Q0091		Obtaining screen pap smear				$0.00	$0.00
5731	86486		Skin test nos antigen					
5731	86580		Tb intradermal test					
5731	86999		Transfusion procedure					
5731	88160		Cytopath smear other source					
5731	88363		Xm archive tissue molec ana					
5731	92499		Eye service or procedure					
5731	92700		Ent procedure/service					
5731	93998		Noninvas vasc dx study proc					
5731	95199		Allergy immunology services					
5732		Level 2 Minor Procedures		S	0.3877	$29.65	.	$5.93
5732	G0117		Glaucoma scrn hgh risk dire				$0.00	$0.00
5732	G0118		Glaucoma scrn hgh risk dire				$0.00	$0.00
5732	0106T		Touch quant sensory test					
5732	0107T		Vibrate quant sensory test					
5732	0109T		Heat quant sensory test					
5732	0126T		Chd risk imt study					
5732	0208T		Audiometry air only					
5732	0209T		Audiometry air & bone					
5732	0210T		Speech audiometry threshold					
5732	0211T		Speech audiom thresh & reco					
5732	0330T		Tear film img uni/bi w/i&r					
5732	0358T		Bia whole body					
5732	0379T		Vis field assmnt tech suppt					
5732	0380T		Comp animat ret imag series					
5732	049XT		Oct mid ear i&r unilateral					
5732	050XT		Oct mid ear i&r bilateral					
5732	17340		Cryotherapy of skin					
5732	20979		Us bone stimulation					
5732	29260		Strapping of elbow or wrist					
5732	29280		Strapping of hand or finger					
5732	76514		Echo exam of eye thickness					
5732	86077		Phys blood bank serv xmatch					
5732	86485		Skin test candida					
5732	86880		Coombs test direct					
5732	86901		Blood typing serologic rh(d					
5732	86904		Blood typing patient serum					
5732	86906		Bld typing serologic rh phn					
5732	86932		Frozen blood freeze/thaw					
5732	86945		Blood product/irradiation					
5732	86970		Rbc pretx incubatj w/chemic					
5732	86975		Rbc serum pretx incubj drug					
5732	86976		Rbc serum pretx id dilution					
5732	86978		Rbc pretreatment serum					
5732	88104		Cytopath fl nongyn smears					
5732	88106		Cytopath fl nongyn filter					
5732	88108		Cytopath concentrate tech					
5732	88161		Cytopath smear other source					
5732	88300		Surgical path gross					
5732	88302		Tissue exam by pathologist					
5732	88313		Special stains group 2					
5732	88321		Microslide consultation					
5732	88329		Path consult introp					
5732	92145		Corneal hysteresis deter					
5732	92227		Remote dx retinal imaging					
5732	92260		Ophthalmoscopy/dynamometry					
5732	92317		Rx corneoscleral cntact len					
5732	92354		Fit spectacles single syste					
5732	92355		Fit spectacles compound len					
5732	92555		Speech threshold audiometry					
5732	92556		Speech audiometry complete					
5732	92563		Tone decay hearing test					
5732	92564		Sisi hearing test					
5732	92565		Stenger test pure tone					
5732	92567		Tympanometry					
5732	92568		Acoustic refl threshold tst					
5732	92571		Filtered speech hearing tes					
5732	92575		Sensorineural acuity test					
5732	92576		Synthetic sentence test					
5732	92583		Select picture audiometry					
5732	92596		Ear protector evaluation					
5732	93050		Art pressure waveform analy					
5732	93291		Ilr device interrogate					
5732	94690		Exhaled air analysis					
5732	94780		Car seat/bed test 60 min					
5732	95012		Exhaled nitric oxide meas					
5732	95017		Perq & icut allg test venom					
5732	95018		Perq&ic allg test drugs/bio					
5732	95027		Icut allergy titrate-airbor					
5732	95028		Icut allergy test-delayed					
5732	95052		Photo patch test					
5732	95065		Nose allergy test					
5732	96127		Brief emotional/behav assmt					
5732	96900		Ultraviolet light therapy					
5732	96932		Rcm celulr subcelulr img sk					
5732	G0237		Therapeutic procd strg endu					
5732	G0238		"Oth resp proc, indiv"					
5732	G0239		"Oth resp proc, group"					
5732	G0293		"Non-cov surg proc,clin tria"					
5732	G0294		"Non-cov proc, clinical tria"					
5732	Q0035		Cardiokymography					
5733		Level 3 Minor Procedures		S	0.6958	$53.22	.	$10.65
5733	0108T		Cool quant sensory test					
5733	0206T		Cptr dbs alys car elec dta					
5733	0207T		Clear eyelid gland w/heat					
5733	0337T		Endothel fxnassmnt non-inva					
5733	0347T		Ins bone device for rsa					
5733	0356T		Insrt drug device for iop					
5733	11719		Trim nail(s) any number					
5733	11720		Debride nail 1-5					
5733	11721		Debride nail 6 or more					
5733	29130		Application of finger splin					
5733	29131		Application of finger splin					
5733	29520		Strapping of hip					
5733	29550		Strapping of toes					
5733	36420		Vein access cutdown < 1 yr					
5733	51792		Urinary reflex study					
5733	51798		Us urine capacity measure					
5733	69209		Remove impacted ear wax uni					
5733	69210		Remove impacted ear wax uni					
5733	86490		Coccidioidomycosis skin tes					
5733	86510		Histoplasmosis skin test					
5733	92025		Corneal topography					
5733	92060		Special eye evaluation					
5733	92065		Orthoptic/pleoptic training					
5733	92081		Visual field examination(s)					
5733	92082		Visual field examination(s)					
5733	92132		Cmptr ophth dx img ant segm					
5733	92133		Cmptr ophth img optic nerve					
5733	92134		Cptr ophth dx img post segm					
5733	92225		Special eye exam initial					
5733	92265		Eye muscle evaluation					
5733	92285		Eye photography					
5733	92316		Rx cntact lens aphakia 2 ey					
5733	92352		Fit aphakia spectcl monofoc					
5733	92353		Fit aphakia spectcl multifo					
5733	92358		Aphakia prosth service temp					
5733	92371		Repair & adjust spectacles					
5733	93005		Electrocardiogram tracing					
5733	93041		Rhythm ecg tracing					
5733	93278		Ecg/signal-averaged					
5733	93668		Peripheral vascular rehab					
5733	94250		Expired gas collection					
5733	95024		Icut allergy test drug/bug					
5733	9525X		Cont gluc mntr pt prov eqp					
5733	95803		Actigraphy testing					
5733	95870		Muscle test nonparaspinal					
5733	96523		Irrig drug delivery device					
5733	96910		Photochemotherapy with uv-b					
5733	96912		Photochemotherapy with uv-a					
5733	G0127		Trim nail(s)					
5733	G0424		Pulmonary rehab w exer					
5734		Level 4 Minor Procedures		S	1.2326	$94.27	.	$18.86
5734	0110T		Nos quant sensory test					
5734	0198T		Ocular blood flow measure					
5734	0296T		Ext ecg recording					
5734	0297T		Ext ecg scan w/report					
5734	0476T		Rec ftl car sgl elec tr dat					
5734	0477T		Rec ftl car sgl xrtj alys					
5734	07X5T		Trvg biomchn mapg w/reprt					
5734	11740		Drain blood from under nail					
5734	11981		Insert drug implant device					
5734	29125		Apply forearm splint					
5734	29126		Apply forearm splint					
5734	29240		Strapping of shoulder					
5734	29530		Strapping of knee					
5734	30300		Remove nasal foreign body					
5734	30901		Control of nosebleed					
5734	30903		Control of nosebleed					
5734	30905		Control of nosebleed					
5734	36591		Draw blood off venous devic					
5734	36592		Collect blood from picc					
5734	36600		Withdrawal of arterial bloo					
5734	41800		Drainage of gum lesion					
5734	46600		Diagnostic anoscopy spx					
5734	46601		Diagnostic anoscopy					
5734	51701		Insert bladder catheter					
5734	51702		Insert temp bladder cath					
5734	51736		Urine flow measurement					
5734	53601		Dilate urethra stricture					
5734	53661		Dilation of urethra					
5734	57150		Treat vagina infection					
5734	65205		Remove foreign body from ey					
5734	65222		Remove foreign body from ey					
5734	67820		Revise eyelashes					
5734	68200		Treat eyelid by injection					
5734	69200		Clear outer ear canal					
5734	86900		Blood typing serologic abo					
5734	91133		Electrogastrography w/test					
5734	92020		Special eye evaluation					
5734	92083		Visual field examination(s)					
5734	92136		Ophthalmic biometry					
5734	92226		Special eye exam subsequent					
5734	92250		Eye exam with photos					
5734	92270		Electro-oculography					
5734	92283		Color vision examination					
5734	92286		Internal eye photography					
5734	92287		Internal eye photography					
5734	92312		Contact lens fitting					
5734	92313		Contact lens fitting					
5734	92315		Rx cntact lens aphakia 1 ey					
5734	92325		Modification of contact len					
5734	92326		Replacement of contact lens					
5734	92520		Laryngeal function studies					
5734	92541		Spontaneous nystagmus test					
5734	92542		Positional nystagmus test					
5734	92548		Posturography					
5734	92552		Pure tone audiometry air					
5734	92561		Bekesy audiometry diagnosis					
5734	93225		Ecg monit/reprt up to 48 hr					
5734	93226		Ecg monit/reprt up to 48 hr					
5734	93229		Remote 30 day ecg tech supp					
5734	93701		Bioimpedance cv analysis					
5734	93786		Ambulatory bp recording					
5734	93788		Ambulatory bp analysis					
5734	93922		Upr/l xtremity art 2 levels					
5734	94200		Lung function test (mbc/mvv					
5734	94452		Hast w/report					
5734	94453		Hast w/oxygen titrate					
5734	94644		Cbt 1st hour					
5734	94667		Chest wall manipulation					
5734	94668		Chest wall manipulation					
5734	946X2		Exercise tst brncspsm					
5734	946X3		Pulmonary stress testing					
5734	95056		Photosensitivity tests					
5734	95060		Eye allergy tests					
5734	95801		Slp stdy unatnd w/anal					
5734	95860		Muscle test one limb					
5734	95861		Muscle test 2 limbs					
5734	95865		Muscle test larynx					
5734	95905		Motor &/ sens nrve cndj tes					
5734	95922		Autonomic nrv adrenrg inerv					
5734	95923		Autonomic nrv syst funj tes					
5734	95933		Blink reflex test					
5734	95970		Analyze neurostim no prog					
5734	95981		Io anal gast n-stim subsq					
5734	96103		Psycho testing admin by com					
5734	99195		Phlebotomy					
5735		Level 5 Minor Procedures		S	3.4675	$265.20	.	$53.04
5735	0232T		Njx platelet plasma					
5735	0XXXT		Njx autol wbc concentrate					
5735	11980		Implant hormone pellet(s)					
5735	11982		Remove drug implant device					
5735	11983		Remove/insert drug implant					
5735	15852		Dressing change not for bur					
5735	15860		Test for blood flow in graf					
5735	20665		Removal of fixation device					
5735	36425		Vein access cutdown > 1 yr					
5735	36680		Insert needle bone cavity					
5735	40804		Removal foreign body mouth					
5735	41250		Repair tongue laceration					
5735	42809		Remove pharynx foreign body					
5735	43752		Nasal/orogastric w/tube plm					
5735	64402		N block inj facial					
5735	65210		Remove foreign body from ey					
5735	65220		Remove foreign body from ey					
5735	65430		Corneal smear					
5735	68801		Dilate tear duct opening					
5735	76510		Ophth us b & quant a					
5735	92228		Remote retinal imaging mgmt					
5735	92230		Eye exam with photos					
5735	92284		Dark adaptation eye exam					
5735	92311		Contact lens fitting					
5735	93024		Cardiac drug stress test					
5735	94014		Patient recorded spirometry					
5735	95004		Percut allergy skin tests					
5735	95044		Allergy patch tests					
5735	95180		Rapid desensitization					
5735	G0166		"Extrnl counterpulse, per tx"					
5735	G0455		Fecal microbiota prep insti					
5741		Level 1 Electronic Analysis of Devices		S	0.4798	$36.70	.	$7.34
5741	01X5T		Xtrnl pt act ecg in-off con					
5741	0317T		Elec alys vagus nrv pls gen					
5741	0389T		Prog eval inper leadls pm					
5741	0391T		Intergt eval inper leadls p					
5741	0417T		Prgrmg eval cardiac modulj					
5741	0418T		Interro eval cardiac modulj					
5741	93260		Prgrmg dev eval impltbl sys					
5741	93261		Interrogate subq defib					
5741	93270		Remote 30 day ecg rev/repor					
5741	93279		Pm device progr eval sngl					
5741	93280		Pm device progr eval dual					
5741	93281		Pm device progr eval multi					
5741	93282		Prgrmg eval implantable dfb					
5741	93283		Prgrmg eval implantable dfb					
5741	93284		Prgrmg eval implantable dfb					
5741	93285		Ilr device eval progr					
5741	93288		Pm device eval in person					
5741	93289		Interrog device eval heart					
5741	93290		Icm device eval					
5741	93292		Wcd device interrogate					
5741	93293		Pm phone r-strip device eva					
5741	93296		Pm/icd remote tech serv					
5741	93299		Icm/ilr remote tech serv					
5741	95982		Io ga n-stim subsq w/reprog					
5742		Level 2 Electronic Analysis of Devices		S	1.4607	$111.72	.	$22.35
5742	0434T		Interro eval npgs apnea					
5742	0435T		Prgrmg eval npgs apnea 1 se					
5742	0473T		Reprgrmg io rta eltrd ra					
5742	93271		Ecg/monitoring and analysis					
5742	93750		Interrogation vad in person					
5742	95971		Analyze neurostim simple					
5742	95972		Analyze neurostim complex					
5742	95974		Cranial neurostim complex					
5742	95978		Analyze neurostim brain/1h					
5743		Level 3 Electronic Analysis of Devices		S	3.3191	$253.85	.	$50.77
5743	0462T		Prgrmg eval aortic ventr sy					
5743	0463T		Interrog aortic ventr sys					
5743	0472T		Prgrmg io rta eltrd ra					
5743	62252		Csf shunt reprogram					
5743	62367		Analyze spine infus pump					
5743	62368		Analyze sp inf pump w/repro					
5743	62369		Anal sp inf pmp w/reprg&fil					
5743	62370		Anl sp inf pmp w/mdreprg&fi					
5743	93724		Analyze pacemaker system					
5743	93745		Set-up cardiovert-defibrill					
5771		Cardiac Rehabilitation		S	1.4867	$113.71	.	$22.75
5771	93797		Cardiac rehab					
5771	93798		Cardiac rehab/monitor					
5771	G0422		Intens cardiac rehab w/exer					
5771	G0423		Intens cardiac rehab no exe					
5781		Resuscitation and Cardioversion		S	6.5261	$499.14	.	$99.83
5781	92953		Temporary external pacing					
5781	92960		Cardioversion electric ext					
5781	92961		Cardioversion electric int					
5781	99465		Nb resuscitation					
5791		Pulmonary Treatment		S	2.3048	$176.28	.	$35.26
5791	31720		Clearance of airways					
5791	94610		Surfactant admin thru tube					
5791	94640		Airway inhalation treatment					
5791	94642		Aerosol inhalation treatmen					
5791	94660		Pos airway pressure cpap					
5791	94664		Evaluate pt use of inhaler					
5791	94669		Mechanical chest wall oscil					
5801		Ventilation Initiation and Management		S	5.7120	$436.87	.	$87.38
5801	94002		Vent mgmt inpat init day					
5801	94003		Vent mgmt inpat subq day					
5801	94662		Neg press ventilation cnp					
5811		Manipulation Therapy		S	0.3446	$26.36	.	$5.28
5811	98925		Osteopath manj 1-2 regions					
5811	98926		Osteopath manj 3-4 regions					
5811	98927		Osteopath manj 5-6 regions					
5811	98928		Osteopath manj 7-8 regions					
5811	98929		Osteopath manj 9-10 regions					
5811	98940		Chiropract manj 1-2 regions					
5811	98941		Chiropract manj 3-4 regions					
5811	98942		Chiropractic manj 5 regions					
5821		Level 1 Health and Behavior Services		S	0.3487	$26.67	.	$5.34
5821	G0442		Annual alcohol screen 15 mi				$0.00	$0.00
5821	G0444		Depression screen annual				$0.00	$0.00
5821	G0446		Intens behave ther cardio d				$0.00	$0.00
5821	90899		Psychiatric service/therapy					
5821	96153		Intervene hlth/behave group					
5821	96160		Pt-focused hlth risk assmt					
5821	96161		Caregiver health risk assmt					
5821	99406		Behav chng smoking 3-10 min					
5821	99407		Behav chng smoking > 10 min					
5821	99XX5		Care mgmt svc bhvl hlth con					
5821	G0396		Alcohol/subs interv 15-30mn					
5822		Level 2 Health and Behavior Services		S	0.9011	$68.92	.	$13.79
5822	G0101		Ca screen;pelvic/breast exa				$0.00	$0.00
5822	G0296		Visit to determ ldct elig				$0.00	$0.00
5822	G0443		Brief alcohol misuse counse				$0.00	$0.00
5822	G0445		High inten beh couns std 30				$0.00	$0.00
5822	G0447		Behavior counsel obesity 15				$0.00	$0.00
5822	0359T		Behavioral id assessment					
5822	0360T		Observ behav assessment					
5822	0362T		Expose behav assessment					
5822	90853		Group psychotherapy					
5822	90880		Hypnotherapy					
5822	96150		Assess hlth/behave init					
5822	96151		Assess hlth/behave subseq					
5822	96152		Intervene hlth/behave indiv					
5822	96154		Interv hlth/behav fam w/pt					
5822	99487		Cmplx chron care w/o pt vsi					
5822	99490		Chron care mgmt srvc 20 min					
5822	99497		Advncd care plan 30 min					
5822	994X1		1st psyc collab care mgmt					
5822	994X2		Sbsq psyc collab care mgmt					
5822	99XX3		Assmt & care pln pt cog imp					
5822	G0397		Alcohol/subs interv >30 min					
5822	G0451		Devlopment test interpt&rep					
5822	G0473		Group behave couns 2-10					
5823		Level 3 Health and Behavior Services		S	1.6098	$123.12	.	$24.63
5823	0364T		Adaptive behavior treatment					
5823	0366T		Group behavior treatment					
5823	0368T		Behavior treatment modified					
5823	0370T		Fam behav treatment guidanc					
5823	0371T		Mult fam behav treat guide					
5823	0372T		Social skills training grou					
5823	0373T		Exposure behavior treatment					
5823	90791		Psych diagnostic evaluation					
5823	90792		Psych diag eval w/med srvcs					
5823	90832		Psytx w pt 30 minutes					
5823	90834		Psytx w pt 45 minutes					
5823	90837		Psytx w pt 60 minutes					
5823	90839		Psytx crisis initial 60 min					
5823	90845		Psychoanalysis					
5823	90846		Family psytx w/o pt 50 min					
5823	90847		Family psytx w/pt 50 min					
5823	90849		Multiple family group psytx					
5823	90865		Narcosynthesis					
5871		Dental Procedures		S	11.3451	$867.71	.	$173.55
5871	D0150		Comprehensve oral evaluatio					
5871	D0240		Intraoral occlusal film					
5871	D0250		Extraoral 2d project image					
5871	D0270		Dental bitewing single imag					
5871	D0272		Dental bitewings two images					
5871	D0274		Bitewings four images					
5871	D0277		Vert bitewings 7 to 8 image					
5871	D0460		Pulp vitality test					
5871	D0600		Non-ionizing diag proc					
5871	D1510		Space maintainer fxd unilat					
5871	D1515		Fixed bilat space maintaine					
5871	D1520		Remove unilat space maintai					
5871	D1525		Remove bilat space maintain					
5871	D1550		Recement space maintainer					
5871	D1575		"Dist space maint, fixed uni"					
5871	D2999		Dental unspec restorative p					
5871	D3460		Endodontic endosseous impla					
5871	D3999		Endodontic procedure					
5871	D4260		Osseous surgery 4 or more					
5871	D4263		Bone replce graft first sit					
5871	D4264		Bone replce graft each add					
5871	D4268		Surgical revision procedure					
5871	D4270		Pedicle soft tissue graft p					
5871	D4273		Auto tissue graft 1st tooth					
5871	D4355		Full mouth debridement					
5871	D4381		Localized delivery antimicr					
5871	D5911		Facial moulage sectional					
5871	D5912		Facial moulage complete					
5871	D5983		Radiation applicator					
5871	D5984		Radiation shield					
5871	D5985		Radiation cone locator					
5871	D5987		Commissure splint					
5871	D6920		Dental connector bar					
5871	D7111		Extraction coronal remnants					
5871	D7140		Extraction erupted tooth/ex					
5871	D7210		Rem imp tooth w mucoper flp					
5871	D7220		Impact tooth remov soft tis					
5871	D7230		Impact tooth remov part bon					
5871	D7240		Impact tooth remov comp bon					
5871	D7241		Impact tooth rem bony w/com					
5871	D7250		Tooth root removal					
5871	D7260		Oral antral fistula closure					
5871	D7261		Primary closure sinus perf					
5871	D7291		Transseptal fiberotomy					
5871	D7940		Reshaping bone orthognathic					
5871	D9930		Treatment of complications					
5871	D9940		Dental occlusal guard					
5871	D9950		Occlusion analysis					
5871	D9951		Limited occlusal adjustment					
5871	D9952		Complete occlusal adjustmen					
7000		Amifostine		K		$519.005	.	$103.81
7000	J0207		Amifostine					
7011		Oprelvekin injection		K		$467.216	.	$93.45
7011	J2355		Oprelvekin injection					
7034		Somatropin injection				$81.59	.	$16.32
7034	J2941		Somatropin injection					
7035		Teniposide		K		"$2,592.792"	.	$518.56
7035	Q2017		"Teniposide, 50 mg"					
7041		Tirofiban HCl		K		$9.811	.	$1.97
7041	J3246		Tirofiban hcl					
7043		Infliximab not biosimil 10mg		K		$85.591	.	$17.12
7043	J1745		Infliximab not biosimil 10m					
7046		Doxorubicin inj 10mg		K		$408.154	.	$81.64
7046	Q2050		Doxorubicin inj 10mg					
7048		Alteplase recombinant		K		$81.351	.	$16.28
7048	J2997		Alteplase recombinant					
7308		Aminolevulinic acid hcl top		K		$367.809	.	$73.57
7308	J7308		Aminolevulinic acid hcl top					
9002		Tenecteplase injection		K		$102.418	.	$20.49
9002	J3101		Tenecteplase injection					
9003		Palivizumab		K		$176.350	.	$35.27
9003	90378		Rsv mab im 50mg					
9005		Reteplase injection		K		"$2,301.910"	.	$460.39
9005	J2993		Reteplase injection					
9006		Tacrolimus injection		K		$170.847	.	$34.17
9006	J7525		Tacrolimus injection					
9012		Arsenic trioxide injection		K		$64.925	.	$12.99
9012	J9017		Arsenic trioxide injection					
9018		"Inj, rimabotulinumtoxinB"		K		$11.747	.	$2.35
9018	J0587		"Inj, rimabotulinumtoxinb"					
9024		Amphotericin b lipid complex		K		$13.182	.	$2.64
9024	J0287		Amphotericin b lipid comple					
9032		Baclofen 10 MG injection		K		$168.687	.	$33.74
9032	J0475		Baclofen 10 mg injection					
9033		Cidofovir injection		K		$522.116	.	$104.43
9033	J0740		Cidofovir injection					
9038		Inj estrogen conjugate		K		$278.389	.	$55.68
9038	J1410		Inj estrogen conjugate 25 m					
9042		Glucagon hydrochloride		K		$200.817	.	$40.17
9042	J1610		Glucagon hydrochloride/1 mg					
9043		Afstyla Factor VIII recomb		G		$1.417	.	$0.29
9043	C9140		Afstyla factor viii recomb					
9044		Ibutilide fumarate injection		K		$192.500	.	$38.50
9044	J1742		Ibutilide fumarate injectio					
9052		Fluciciovine F-18		G		$389.550		
9052	A9588		Fluciclovine f-18				$0.00	$0.00
9056		Gallium Ga-68		G		$66.741		
9056	A9587		Gallium ga-68				$0.00	$0.00
9058		Buprenorphine implant 74.2mg		G		"$1,260.592"	.	$252.12
9058	J0570		Buprenorphine implant 74.2m					
9059		Vonvendi inj 1 iu vwf:rco		G		$2.268	.	$0.46
9059	J7179		Vonvendi inj 1 iu vwf:rco					
9063		Rh ig minidose im		K		$284.600	.	$56.92
9063	90385		Rh ig minidose im					
9064		Aripiprazole injection		K		$0.820	.	$0.17
9064	J0400		Aripiprazole injection					
9065		Argatroban esrd dialysis 1mg		K		$23.230	.	$4.65
9065	J0884		Argatroban esrd dialysis 1m					
9066		Inj dihydroergotamine mesylt		K		$161.554	.	$32.32
9066	J1110		Inj dihydroergotamine mesyl					
9067		Etidronate disodium inj		K		$1.420	.	$0.29
9067	J1436		Etidronate disodium inj					
9068		Mecasermin injection		K		$210.150	.	$42.03
9068	J2170		Mecasermin injection					
9069		Phenobarbital sodium inj		K		$38.367	.	$7.68
9069	J2560		Phenobarbital sodium inj					
9070		Aurothioglucose injeciton		K		$23.070	.	$4.62
9070	J2910		Aurothioglucose injeciton					
9071		Capsaicin 8% patch		K		$2.978	.	$0.60
9071	J7336		Capsaicin 8% patch					
9072		Fosphenytoin inj pe		K		$6.915	.	$1.39
9072	Q2009		Fosphenytoin inj pe					
9073		Radiesse injection		K		$137.260	.	$27.46
9073	Q2026		Radiesse injection					
9074		"Inj, Makena"		K		$2.720	.	$0.55
9074	Q9986		"Inj, Makena"					
9104		Antithymocyte globuln rabbit		K		$687.769	.	$137.56
9104	J7511		Antithymocyte globuln rabbi					
9108		Thyrotropin injection		K		"$1,566.931"	.	$313.39
9108	J3240		Thyrotropin injection					
9119		"Injection, pegfilgrastim 6mg"		K		"$4,191.344"	.	$838.27
9119	J2505		"Injection, pegfilgrastim 6m"					
9120		"Injection, Fulvestrant"		K		$96.243	.	$19.25
9120	J9395		"Injection, fulvestrant"					
9122		Triptorelin pamoate		K		$365.440	.	$73.09
9122	J3315		Triptorelin pamoate					
9124		Daptomycin injection		K		$0.675	.	$0.14
9124	J0878		Daptomycin injection					
9125		"Risperidone, long acting"		K		$8.170	.	$1.64
9125	J2794		"Risperidone, long acting"					
9126		Natalizumab injection		K		$18.797	.	$3.76
9126	J2323		Natalizumab injection					
9130		"Inj, Imm Glob Bivigam, 500mg"		K		$38.310	.	$7.67
9130	J1556		"Inj, imm glob bivigam, 500m"					
9131		"Inj, Ado-trastuzumab Emt 1mg"		K		$29.524	.	$5.91
9131	J9354		"Inj, ado-trastuzumab emt 1m"					
9132		"Kcentra, per i.u."		K		$1.846	.	$0.37
9132	C9132		"Kcentra, per i.u."					
9133		"Rabies ig, im/sc"		K		$296.706	.	$59.35
9133	90375		Rabies ig im/sc					
9134		"Rabies ig, heat treated"		K		$296.338	.	$59.27
9134	90376		Rabies ig heat treated					
9135		"Varicella-zoster ig, im"		K		"$1,230.978"	.	$246.20
9135	90396		Varicella-zoster ig im					
9139		"Rabies vaccine, im"		K		$269.910	.	$53.99
9139	90675		Rabies vaccine im					
9140		"Rabies vaccine, id"		K		$141.020	.	$28.21
9140	90676		Rabies vaccine id					
9171		Factor ix idelvion inj		G		$4.150	.	$0.83
9171	J7202		Factor ix idelvion inj					
9207		Bortezomib injection		K		$46.247	.	$9.25
9207	J9041		Bortezomib injection					
9208		Agalsidase beta injection		K		$166.058	.	$33.22
9208	J0180		Agalsidase beta injection					
9209		Laronidase injection		K		$30.611	.	$6.13
9209	J1931		Laronidase injection					
9210		Palonosetron hcl		K		$22.627	.	$4.53
9210	J2469		Palonosetron hcl					
9213		Pemetrexed injection		K		$64.041	.	$12.81
9213	J9305		Pemetrexed injection					
9214		Bevacizumab injection		K		$73.604	.	$14.73
9214	J9035		Bevacizumab injection					
9215		Cetuximab injection		K		$56.385	.	$11.28
9215	J9055		Cetuximab injection					
9217		Leuprolide acetate suspnsion		K		$216.008	.	$43.21
9217	J9217		Leuprolide acetate suspnsio					
9224		Galsulfase injection		K		$369.418	.	$73.89
9224	J1458		Galsulfase injection					
9225		Fluocinolone acetonide implt		K		"$20,110.392"	.	"$4,022.08"
9225	J7311		Fluocinolone acetonide impl					
9228		Tigecycline injection		K		$3.178	.	$0.64
9228	J3243		Tigecycline injection					
9229		Ibandronate sodium injection		K		$78.291	.	$15.66
9229	J1740		Ibandronate sodium injectio					
9230		Abatacept injection		K		$46.857	.	$9.38
9230	J0129		Abatacept injection					
9231		Decitabine injection		K		$17.958	.	$3.60
9231	J0894		Decitabine injection					
9232		Idursulfase injection		K		$522.012	.	$104.41
9232	J1743		Idursulfase injection					
9233		Ranibizumab injection		K		$375.205	.	$75.05
9233	J2778		Ranibizumab injection					
9234		Alglucosidase alfa injection		K		$206.700	.	$41.34
9234	J0220		Alglucosidase alfa injectio					
9235		Panitumumab injection		K		$107.713	.	$21.55
9235	J9303		Panitumumab injection					
9236		Eculizumab injection		K		$226.628	.	$45.33
9236	J1300		Eculizumab injection					
9237		"Inj, lanreotide acetate"		K		$54.011	.	$10.81
9237	J1930		Lanreotide injection					
9240		"Injection, ixabepilone"		K		$75.364	.	$15.08
9240	J9207		Ixabepilone injection					
9242		"Injection, fosaprepitant"		K		$1.940	.	$0.39
9242	J1453		Fosaprepitant injection					
9243		"Inj., treanda 1 mg"		K		$27.969	.	$5.60
9243	J9033		"Inj., treanda 1 mg"					
9245		Romiplostim injection		K		$65.031	.	$13.01
9245	J2796		Romiplostim injection					
9251		C1 esterase inhibitor inj		K		$55.530	.	$11.11
9251	J0598		"C-1 esterase, cinryze"					
9252		Plerixafor injection		K		$312.098	.	$62.42
9252	J2562		Plerixafor injection					
9253		Temozolomide injection		K		$8.947	.	$1.79
9253	J9328		Temozolomide injection					
9255		Paliperidone palmitate inj		K		$9.504	.	$1.91
9255	J2426		Paliperidone palmitate inj					
9256		Dexamethasone intra implant		K		$200.781	.	$40.16
9256	J7312		Dexamethasone intra implant					
9258		Telavancin injection		K		$5.005	.	$1.01
9258	J3095		Telavancin injection					
9259		Pralatrexate injection		K		$238.679	.	$47.74
9259	J9307		Pralatrexate injection					
9260		Ofatumumab injection		K		$53.387	.	$10.68
9260	J9302		Ofatumumab injection					
9261		"Ustekinumab sub cu inj, 1 mg"		K		$174.204	.	$34.85
9261	J3357		"Ustekinumab sub cu inj, 1 m"					
9263		Ecallantide injection		K		$421.623	.	$84.33
9263	J1290		Ecallantide injection					
9264		Tocilizumab injection		K		$4.219	.	$0.85
9264	J3262		Tocilizumab injection					
9265		Romidepsin injection		K		$317.577	.	$63.52
9265	J9315		Romidepsin injection					
9269		"C-1 esterase, berinert"		K		$48.695	.	$9.74
9269	J0597		"C-1 esterase, berinert"					
9270		Gammaplex IVIG		K		$41.616	.	$8.33
9270	J1557		Gammaplex injection					
9271		Velaglucerase alfa		K		$342.695	.	$68.54
9271	J3385		Velaglucerase alfa					
9272		"Inj, denosumab"		K		$16.629	.	$3.33
9272	J0897		Denosumab injection					
9273		Sipuleucel-T auto CD54+		K		"$39,919.006"	.	"$7,983.81"
9273	Q2043		Sipuleucel-t auto cd54+					
9274		Crotalidae Poly Immune Fab		K		"$2,869.924"	.	$573.99
9274	J0840		Crotalidae poly immune fab					
9276		Cabazitaxel injection		K		$156.664	.	$31.34
9276	J9043		Cabazitaxel injection					
9278		Incobotulinumtoxin A		K		$4.932	.	$0.99
9278	J0588		Incobotulinumtoxin a					
9281		"Injection, pegloticase"		K		"$1,821.528"	.	$364.31
9281	J2507		Pegloticase injection					
9284		Ipilimumab injection		K		$144.659	.	$28.94
9284	J9228		Ipilimumab injection					
9286		Belatacept injection		K		$3.826	.	$0.77
9286	J0485		Belatacept injection					
9287		Brentuximab vedotin inj		K		$134.154	.	$26.84
9287	J9042		Brentuximab vedotin inj					
9289		Erwinaze injection		K		$402.743	.	$80.55
9289	J9019		Erwinaze injection					
9293		"Injection, glucarpidase"		K		$284.215	.	$56.85
9293	C9293		"Injection, glucarpidase"					
9294		"Inj, Taliglucerace Alfa 10 u"		K		$40.400	.	$8.08
9294	J3060		"Inj, taliglucerace alfa 10"					
9295		"Injection, Carfilzomib, 1 mg"		K		$32.204	.	$6.45
9295	J9047		"Injection, carfilzomib, 1 m"					
9296		"Inj, ziv-aflibercept, 1mg"		K		$8.122	.	$1.63
9296	J9400		"Inj, ziv-aflibercept, 1mg"					
9297		"Inj, Omacetaxine Mep, 0.01mg"		K		$2.717	.	$0.55
9297	J9262		"Inj, omacetaxine mep, 0.01m"					
9298		"Inj, Ocriplasmin, 0.125 mg"		K		"$1,046.750"	.	$209.35
9298	J7316		"Inj, ocriplasmin, 0.125 mg"					
9300		Omalizumab injection		K		$33.609	.	$6.73
9300	J2357		Omalizumab injection					
9441		Inj ferric carboxymaltos 1mg		K		$1.057	.	$0.22
9441	J1439		Inj ferric carboxymaltos 1m					
9445		"Injection, ruconest"		K		$27.938	.	$5.59
9445	J0596		"Injection, ruconest"					
9448		Netupitant palonosetron oral		K		$444.910	.	$88.99
9448	J8655		Netupitant palonosetron ora					
9449		"Injection, blinatumomab"		K		$98.832	.	$19.77
9449	J9039		"Injection, blinatumomab"					
9450		Fluocinol acet intravit imp		K		$490.947	.	$98.19
9450	J7313		Fluocinol acet intravit imp					
9451		"Injection, peramivir"		K		$1.620	.	$0.33
9451	J2547		"Injection, peramivir"					
9452		Inj ceftolozane tazobactam		K		$4.740	.	$0.95
9452	J0695		Inj ceftolozane tazobactam					
9453		"Injection, nivolumab"		K		$26.428	.	$5.29
9453	J9299		"Injection, nivolumab"					
9454		"Inj, pasireotide long acting"		K		$260.757	.	$52.16
9454	J2502		"Inj, pasireotide long actin"					
9455		"Injection, siltuximab"		K		$90.023	.	$18.01
9455	J2860		"Injection, siltuximab"					
9456		"Injection, isavuconazonium"		K		$0.634	.	$0.13
9456	J1833		"Injection, isavuconazonium"					
9458		Florbetaben f18 diagnostic		G		"$2,968.000"		
9458	Q9983		Florbetaben f18 diagnostic				$0.00	$0.00
9459		Flutemetamol f18 diagnostic		G		"$3,498.000"		
9459	Q9982		Flutemetamol f18 diagnostic				$0.00	$0.00
9460		"Injection, cangrelor"		G		$15.366	.	$3.08
9460	C9460		"Injection, cangrelor"					
9461		"Choline c-11, diagnostic, per study dose up to 20 millicuries"		G		"$5,700.000"		
9461	A9515		Choline c-11				$0.00	$0.00
9470		Aripiprazole lauroxil 1mg		G		$2.386	.	$0.48
9470	J1942		Aripiprazole lauroxil 1mg					
9471		Hymovis injection 1 mg		G		$16.763	.	$3.36
9471	J7322		Hymovis injection 1 mg					
9472		Inj talimogene laherparepvec		G		$46.042	.	$9.21
9472	J9325		Inj talimogene laherparepve					
9473		"Injection, mepolizumab, 1mg"		G		$26.654	.	$5.34
9473	J2182		"Injection, mepolizumab, 1mg"					
9474		Inj irinotecan liposome 1 mg		G		$39.482	.	$7.90
9474	J9205		Inj irinotecan liposome 1 m					
9475		"Injection, necitumumab, 1 mg"		G		$5.253	.	$1.06
9475	J9295		"Injection, necitumumab, 1 m"					
9476		"Injection, daratumumab 10 mg"		G		$48.105	.	$9.63
9476	J9145		"Injection, daratumumab 10 m"					
9477		"Injection, elotuzumab, 1mg"		G		$6.210	.	$1.25
9477	J9176		"Injection, elotuzumab, 1mg"					
9478		Inj sebelipase alfa 1 mg		G		$530.000	.	$106.00
9478	J2840		Inj sebelipase alfa 1 mg					
9479		"Instill, ciprofloxacin otic"		G		$29.949	.	$5.99
9479	J7342		Ciprofloxacin otic susp 6 m					
9480		Injection trabectedin 0.1mg		G		$283.444	.	$56.69
9480	J9352		Injection trabectedin 0.1mg					
9481		"Injection, reslizumab"		G		$8.846	.	$1.77
9481	J2786		"Injection, reslizumab, 1mg"					
9482		Sotalol hydrochloride IV		G		$9.985	.	$2.00
9482	C9482		Sotalol hydrochloride iv					
9483		"Injection, atezolizumab"		G		$75.621	.	$15.13
9483	C9483		"Injection, atezolizumab"					
9484		"Injection, eteplirsen"		G		$169.600	.	$33.92
9484	C9484		"Injection, eteplirsen"					
9485		"Injection, olaratumab"		G		$50.032	.	$10.01
9485	C9485		"Injection, olaratumab"					
9486		"Inj, granisetron ext"		G		$5.187	.	$1.04
9486	C9486		"Inj, granisetron ext"					
9487		"Ustekinumab IV Inj, 1 mg"		G		$12.781	.	$2.56
9487	Q9989		"Ustekinumab IV Inj, 1 mg"					
9488		Conivaptan HCL		G		$29.927	.	$5.99
9488	C9488		Conivaptan HCL					
9489		"Injection, nusinersen"		G		"$1,104.167"	.	$220.84
9489	C9489		"Injection, nusinersen"					
9490		"Injection, bezlotoxumab"		G		$40.280	.	$8.06
9490	C9490		"Injection, bezlotoxumab"					
9497		"Loxapine, inhalation powder"		K		$150.043	.	$30.01
9497	C9497		"Loxapine, inhalation powder"					
9500		"Platelets, irradiated"		R	2.2026	$168.46	.	$33.70
9500	P9032		"Platelets, irradiated"					
9501		Platelet pheres leukoreduced		R	6.2921	$481.24	.	$96.25
9501	P9035		Platelet pheres leukoreduce					
9502		Platelet pheresis irradiated		R	7.0765	$541.23	.	$108.25
9502	P9036		Platelet pheresis irradiate					
9503		Fr frz plasma donor retested		R	0.7388	$56.51	.	$11.31
9503	P9060		Fr frz plasma donor reteste					
9504		RBC deglycerolized		R	5.3948	$412.61	.	$82.53
9504	P9039		Rbc deglycerolized					
9505		RBC irradiated		R	2.8127	$215.12	.	$43.03
9505	P9038		Rbc irradiated					
9507		"Platelets, pheresis"		R	5.6991	$435.88	.	$87.18
9507	P9034		"Platelets, pheresis"					
9508		Plasma 1 donor frz w/in 8 hr		R	0.9409	$71.96	.	$14.40
9508	P9017		Plasma 1 donor frz w/in 8 h					
9509		"Frozen plasma, pooled, sd"		R	0.7951	$60.81	.	$12.17
9509	P9023		"Frozen plasma, pooled, sd"					
9510		Whole blood for transfusion		R	1.5610	$119.39	.	$23.88
9510	P9010		Whole blood for transfusion					
9511		Cryoprecipitate each unit		R	0.5006	$38.29	.	$7.66
9511	P9012		Cryoprecipitate each unit					
9512		RBC leukocytes reduced		R	2.4088	$184.23	.	$36.85
9512	P9016		Rbc leukocytes reduced					
9513		"Plasma, frz between 8-24hour"		R	0.9871	$75.50	.	$15.10
9513	P9059		"Plasma, frz between 8-24hou"					
9514		"Plasma protein fract,5%,50ml"		R	0.1974	$15.10	.	$3.02
9514	P9043		"Plasma protein fract,5%,50m"					
9515		"Platelets, each unit"		R	1.4850	$113.58	.	$22.72
9515	P9019		"Platelets, each unit"					
9516		Plaelet rich plasma unit		R	1.5758	$120.52	.	$24.11
9516	P9020		Plaelet rich plasma unit					
9517		Red blood cells unit		R	1.8732	$143.27	.	$28.66
9517	P9021		Red blood cells unit					
9518		Washed red blood cells unit		R	4.8113	$367.98	.	$73.60
9518	P9022		Washed red blood cells unit					
9519		"Plasmaprotein fract,5%,250ml"		R	0.6193	$47.37	.	$9.48
9519	P9048		"Plasmaprotein fract,5%,250m"					
9520		Blood split unit		R	1.2812	$97.99	.	$19.60
9520	P9011		Blood split unit					
9521		Platelets leukoreduced irrad		R	2.1726	$166.17	.	$33.24
9521	P9033		Platelets leukoreduced irra					
9522		RBC leukoreduced irradiated		R	3.3980	$259.89	.	$51.98
9522	P9040		Rbc leukoreduced irradiated					
9523		Cryoprecipitatereducedplasma		R	1.3291	$101.65	.	$20.33
9523	P9044		Cryoprecipitatereducedplasm					
9524		"Blood, l/r, cmv-neg"		R	2.4797	$189.65	.	$37.93
9524	P9051		"Blood, l/r, cmv-neg"					
9525		"Platelets, hla-m, l/r, unit"		R	9.8198	$751.05	.	$150.21
9525	P9052		"Platelets, hla-m, l/r, unit"					
9526		Platelets leukocytes reduced		R	1.5580	$119.16	.	$23.84
9526	P9031		Platelets leukocytes reduce					
9527		"Blood, l/r, froz/degly/wash"		R	3.2166	$246.02	.	$49.21
9527	P9054		"Blood, l/r, froz/degly/wash"					
9528		"Plt, aph/pher, l/r, cmv-neg"		R	4.3013	$328.98	.	$65.80
9528	P9055		"Plt, aph/pher, l/r, cmv-neg"					
9529		"Blood, l/r, irradiated"		R	1.8914	$144.66	.	$28.94
9529	P9056		"Blood, l/r, irradiated"					
9530		Plate pheres leukoredu irrad		R	8.2052	$627.56	.	$125.52
9530	P9037		Plate pheres leukoredu irra					
9531		"Plt, pher, l/r cmv-neg, irr"		R	7.7098	$589.67	.	$117.94
9531	P9053		"Plt, pher, l/r cmv-neg, irr"					
9532		"RBC, frz/deg/wsh, l/r, irrad"		R	3.6296	$277.60	.	$55.52
9532	P9057		"Rbc, frz/deg/wsh, l/r, irra"					
9533		"RBC, l/r, cmv-neg, irrad"		R	3.2840	$251.17	.	$50.24
9533	P9058		"Rbc, l/r, cmv-neg, irrad"					
9534		Pathogen reduced plasma pool		R	0.7756	$59.32	.	$11.87
9534	P9070		Pathogen reduced plasma poo					
9535		Pathogen reduced plasma sing		R	1.5878	$121.44	.	$24.29
9535	P9071		Pathogen reduced plasma sin					
9536		"Platelets, pathogen reduced"		R	8.2052	$627.56	.	$125.52
9536	Q9988		Platelets pheresis path red					
