HCPCS	Short Descriptor	SI	APC	Device Offset Percentage	
19296	Place po breast cath for rad	J1	5093	41.82%	
20692	Apply bone fixation device	J1	5115	42.51%	
21243	Reconstruction of jaw joint	J1	5116	56.95%	
21244	Reconstruction of lower jaw	J1	5165	48.01%	
21811	Optx of rib fx w/fixj scope	J1	5113	49.76%	
21812	Treatment of rib fracture	J1	5112	50.87%	
22551	Neck spine fuse&remov bel c2	J1	5115	46.78%	
22554	Neck spine fusion	J1	5115	44.79%	
22856	Cerv artific diskectomy	J1	5116	54.85%	
23406	Incise tendon(s) & muscle(s)	J1	5113	65.46%	
23470	Reconstruct shoulder joint	J1	5115	52.95%	
23473	Revis reconst shoulder joint	J1	5115	40.36%	
23490	Reinforce clavicle	J1	5114	73.91%	
23491	Reinforce shoulder bones	J1	5115	43.07%	
23615	Treat humerus fracture	J1	5115	43.08%	
23616	Treat humerus fracture	J1	5116	49.94%	
24361	Reconstruct elbow joint	J1	5116	57.55%	
24363	Replace elbow joint	J1	5116	60.72%	
24366	Reconstruct head of radius	J1	5115	57.18%	
24370	Revise reconst elbow joint	J1	5115	45.16%	
24371	Revise reconst elbow joint	J1	5116	52.30%	
24435	Repair humerus with graft	J1	5115	40.93%	
24545	Treat humerus fracture	J1	5115	41.87%	
24546	Treat humerus fracture	J1	5116	43.51%	
24587	Treat elbow fracture	J1	5115	42.49%	
24666	Treat radius fracture	J1	5115	55.41%	
25350	Revision of radius	J1	5114	42.61%	
25391	Lengthen radius or ulna	J1	5115	41.86%	
25426	Repair/graft radius & ulna	J1	5113	41.00%	
25441	Reconstruct wrist joint	J1	5115	62.75%	
25442	Reconstruct wrist joint	J1	5116	63.62%	
25443	Reconstruct wrist joint	J1	5114	47.90%	
25444	Reconstruct wrist joint	J1	5115	79.81%	
25446	Wrist replacement	J1	5116	68.84%	
25574	Treat fracture radius & ulna	J1	5114	44.39%	
25607	Treat fx rad extra-articul	J1	5114	42.56%	
25608	Treat fx rad intra-articul	J1	5114	42.70%	
25609	Treat fx radial 3+ frag	J1	5114	43.99%	
25800	Fusion of wrist joint	J1	5114	41.04%	
26531	Revise knuckle with implant	J1	5114	43.13%	
27111	Transfer of iliopsoas muscle	J1	5113	41.00%	
27179	Revise head/neck of femur	J1	5114	41.00%	
27279	Arthrodesis sacroiliac joint	J1	5116	70.91%	
27415	Osteochondral knee allograft	J1	5115	63.03%	
27438	Revise kneecap with implant	J1	5115	42.42%	
27440	Revision of knee joint	J1	5115	45.26%	
27442	Revision of knee joint	J1	5115	47.12%	
27446	Revision of knee joint	J1	5115	47.78%	
27477	Surgery to stop leg growth	J1	5113	41.00%	
27479	Surgery to stop leg growth	J1	5114	41.00%	
27722	Repair/graft of tibia	J1	5114	45.20%	
27740	Repair of leg epiphyses	J1	5113	41.00%	
27758	Treatment of tibia fracture	J1	5115	40.46%	
27870	Fusion of ankle joint open	J1	5115	45.13%	
27871	Fusion of tibiofibular joint	J1	5115	41.54%	
28305	Incise/graft midfoot bones	J1	5114	45.93%	
28420	Treat/graft heel fracture	J1	5115	42.91%	
28545	Treat foot dislocation	J1	5113	41.00%	
28585	Repair foot dislocation	J1	5114	44.52%	
28705	Fusion of foot bones	J1	5116	49.63%	
28715	Fusion of foot bones	J1	5115	45.94%	
28730	Fusion of foot bones	J1	5115	47.95%	
28735	Fusion of foot bones	J1	5115	48.06%	
28737	Revision of foot bones	J1	5115	48.20%	
28740	Fusion of foot bones	J1	5114	42.77%	
28750	Fusion of big toe joint	J1	5114	41.75%	
29855	Tibial arthroscopy/surgery	J1	5114	48.69%	
29856	Tibial arthroscopy/surgery	J1	5115	49.85%	
29867	Allgrft implnt knee w/scope	J1	5115	47.13%	
29907	Subtalar arthro w/fusion	J1	5115	41.57%	
31636	Bronchoscopy bronch stents	J1	5155	42.83%	
31660	Bronch thermoplsty 1 lobe	J1	5155	45.26%	
31661	Bronch thermoplsty 2/> lobes	J1	5155	41.48%	
33206	Insert heart pm atrial	J1	5223	58.94%	
33207	Insert heart pm ventricular	J1	5223	61.07%	
33208	Insrt heart pm atrial & vent	J1	5223	65.71%	
33211	Insert card electrodes dual	J1	5222	42.48%	
33212	Insert pulse gen sngl lead	J1	5222	61.90%	
33213	Insert pulse gen dual leads	J1	5223	65.95%	
33214	Upgrade of pacemaker system	J1	5223	62.92%	
33216	Insert 1 electrode pm-defib	J1	5222	40.79%	
33217	Insert 2 electrode pm-defib	J1	5222	50.45%	
33221	Insert pulse gen mult leads	J1	5224	65.59%	
33224	Insert pacing lead & connect	J1	5223	57.20%	
33227	Remove&replace pm gen singl	J1	5222	61.87%	
33228	Remv&replc pm gen dual lead	J1	5223	64.32%	
33229	Remv&replc pm gen mult leads	J1	5224	68.30%	
33230	Insrt pulse gen w/dual leads	J1	5231	76.71%	
33231	Insrt pulse gen w/mult leads	J1	5232	77.15%	
33240	Insrt pulse gen w/singl lead	J1	5231	78.76%	
33249	Insj/rplcmt defib w/lead(s)	J1	5232	76.24%	
33262	Rmvl& replc pulse gen 1 lead	J1	5231	74.35%	
33263	Rmvl & rplcmt dfb gen 2 lead	J1	5231	75.41%	
33264	Rmvl & rplcmt dfb gen mlt ld	J1	5232	77.86%	
33270	Ins/rep subq defibrillator	J1	5232	76.90%	
33271	Insj subq impltbl dfb elctrd	J1	5222	72.03%	
33282	Implant pat-active ht record	J1	5222	76.80%	
36260	Insertion of infusion pump	T	5184	41.00%	
36261	Revision of infusion pump	T	5221	45.57%	
36560	Insert tunneled cv cath	T	5183	48.18%	
36563	Insert tunneled cv cath	T	5184	71.96%	
36583	Replace tunneled cv cath	T	5184	83.56%	
36800	Insertion of cannula	T	5184	50.19%	
37191	Ins endovas vena cava filtr	T	5184	43.03%	
37221	Iliac revasc w/stent	J1	5193	40.04%	
37225	Fem/popl revas w/ather	J1	5193	56.05%	
37226	Fem/popl revasc w/stent	J1	5193	47.56%	
37227	Fem/popl revasc stnt & ather	J1	5194	55.17%	
37229	Tib/per revasc w/ather	J1	5194	46.94%	
37230	Tib/per revasc w/stent	J1	5194	45.87%	
37231	Tib/per revasc stent & ather	J1	5194	49.41%	
37238	Open/perq place stent same	J1	5193	46.86%	
43212	Esophagoscop stent placement	J1	5331	51.53%	
43266	Egd endoscopic stent place	J1	5331	55.52%	
43770	Lap place gastr adj device	J1	5362	43.27%	
44379	S bowel endoscope w/stent	J1	5331	40.11%	
44402	Colonoscopy w/stent plcmt	J1	5331	58.81%	
45347	Sigmoidoscopy w/plcmt stent	J1	5331	59.63%	
45389	Colonoscopy w/stent plcmt	J1	5331	50.74%	
46762	Implant artificial sphincter	J1	5331	75.62%	
47538	Perq plmt bile duct stent	J1	5361	46.37%	
47540	Perq plmt bile duct stent	J1	5361	42.88%	
53440	Male sling procedure	J1	5376	61.46%	
53444	Insert tandem cuff	J1	5377	60.60%	
53445	Insert uro/ves nck sphincter	J1	5377	69.04%	
53447	Remove/replace ur sphincter	J1	5377	63.76%	
54400	Insert semi-rigid prosthesis	J1	5377	62.74%	
54401	Insert self-contd prosthesis	J1	5377	70.14%	
54405	Insert multi-comp penis pros	J1	5377	71.22%	
54410	Remove/replace penis prosth	J1	5377	67.69%	
54411	Remov/replc penis pros comp	J1	5377	60.98%	
54416	Remv/repl penis contain pros	J1	5377	64.27%	
54417	Remv/replc penis pros compl	J1	5377	56.46%	
54660	Revision of testis	J1	5375	42.76%	
55873	Cryoablate prostate	J1	5376	42.55%	
61885	Insrt/redo neurostim 1 array	J1	5463	85.69%	
61886	Implant neurostim arrays	J1	5464	86.80%	
62360	Insert spine infusion device	J1	5471	75.47%	
62361	Implant spine infusion pump	J1	5471	76.61%	
62362	Implant spine infusion pump	J1	5471	75.64%	
63650	Implant neuroelectrodes	J1	5462	51.78%	
63655	Implant neuroelectrodes	J1	5463	68.96%	
63664	Revise spine eltrd plate	J1	5463	56.26%	
63685	Insrt/redo spine n generator	J1	5464	82.78%	
63741	Install spinal shunt	J1	5432	40.54%	
64446	N blk inj sciatic cont inf	T	5443	41.03%	
64553	Implant neuroelectrodes	J1	5462	56.04%	
64555	Implant neuroelectrodes	J1	5462	51.86%	
64561	Implant neuroelectrodes	J1	5462	53.52%	
64568	Inc for vagus n elect impl	J1	5464	87.43%	
64569	Revise/repl vagus n eltrd	J1	5462	81.23%	
64575	Implant neuroelectrodes	J1	5463	64.16%	
64580	Implant neuroelectrodes	J1	5463	75.43%	
64581	Implant neuroelectrodes	J1	5462	66.31%	
64590	Insrt/redo pn/gastr stimul	J1	5463	84.84%	
65770	Revise cornea with implant	J1	5493	54.73%	
65785	Impltj ntrstrml crnl rng seg	J1	5492	41.85%	
66183	Insert ant drainage device	J1	5492	41.33%	
69714	Implant temple bone w/stimul	J1	5115	66.95%	
69715	Temple bne implnt w/stimulat	J1	5116	64.16%	
69717	Temple bone implant revision	J1	5114	56.69%	
69930	Implant cochlear device	J1	5166	82.10%	
75840	Vein x-ray adrenal gland	Q2	5183	41.00%	
92924	Prq card angio/athrect 1 art	J1	5193	46.80%	
92933	Prq card stent/ath/angio	J1	5194	53.25%	
92943	Prq card revasc chronic 1vsl	J1	5193	41.67%	
93580	Transcath closure of asd	J1	5194	63.32%	
93581	Transcath closure of vsd	J1	5194	47.55%	
93582	Perq transcath closure pda	J1	5194	49.95%	
93610	Intra-atrial pacing	J1	5212	47.15%	
93650	Ablate heart dysrhythm focus	J1	5212	40.04%	
93656	Tx atrial fib pulm vein isol	J1	5213	44.39%	
0100T	Prosth retina receive&gen	T	1904	92.69%	
0101T	Extracorp shockwv tx hi enrg	J1	5113	41.00%	
0191T	Insert ant segment drain int	J1	5492	51.71%	
0221T	Plmt post facet implt lumb	J1	5114	55.98%	
0236T	Trluml perip athrc abd aorta	J1	5193	44.27%	
0238T	Trluml perip athrc iliac art	J1	5194	47.66%	
0268T	Implt/rpl crtd sns dev gen	J1	5463	89.50%	
0308T	Insj ocular telescope prosth	J1	5495	80.38%	
0316T	Replc vagus nerve pls gen	J1	5463	92.17%	
0317T	Elec alys vagus nrv pls gen	Q1	5741	77.59%	
0335T	Extraosseous joint stblztion	J1	5114	52.37%	
0387T	Leadless pm ins/rpl ventr	J1	5194	61.94%	
0408T	Insj/rplc cardiac modulj sys	J1	5231	65.07%	
0424T	Insj/rplc nstim apnea compl	J1	5464	79.92%	
0474T	Insj aqueous drg dev io rsvr	J1	5492	41.00%	
C9600	Perc drug-el cor stent sing	J1	5193	41.19%	
C9602	Perc d-e cor stent ather s	J1	5194	55.75%	
C9604	Perc d-e cor revasc t cabg s	J1	5193	42.08%	
C9607	Perc d-e cor revasc chro sin	J1	5194	55.76%	
C9739	Cystoscopy prostatic imp 1-3	J1	5375	61.30%	
C9740	Cysto impl 4 or more	J1	5376	71.56%	
C9741	Impl pressure sensor w/angio	J1	5200	92.77%	
C9745	Nasal endo balloon dil	J1	5165	41.00%	
C9746	Trans imp balloon cont	J1	5377	41.00%	
					
					
					
					
					
					
					
					
					
					
					
					
					
					
					
					
					
					
					
					
					
					
					
