Physician Fee Schedule Calculator

Physician Fee Schedule Calculator (Facility)

Input Version 2024 Version B Revised 2024 Version B 2024 Version A 2023 Version A Revised 2022 Version D 2023 Version A 2021 Version D 2022 Version A 2021 Version A 2020 Version D 2020 Version C 2020 Version B 2020 Version A 2019 Version D 2019 Version C 2019 Version B 2019 Version A 2018 - Final 2017-Final 2016-Final 2015 - Final 2014 - Final 2014 - Proposed 2013 - Final 2013 - Proposed 2012 - Original 2011 - Original 2003 - Original 2004 - Original 2005 - Original 2006 - Original 2007 - Original 2008 - Original 2009 - Original 2010 - July - 22 Percent 2010 - July - 0 Percent

Input Locality GPCI NEUTRAL ALABAMA ALASKA** ARIZONA ARKANSAS BAKERSFIELD, CA CHICO, CA EL CENTRO, CA FRESNO, CA HANFORD-CORCORAN, CA LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY), CA LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY), CA MADERA, CA MERCED, CA MODESTO, CA NAPA, CA OXNARD-THOUSAND OAKS-VENTURA, CA REDDING, CA RIVERSIDE-SAN BERNARDINO-ONTARIO, CA SACRAMENTO--ROSEVILLE--ARDEN-ARCADE, CA SALINAS, CA SAN DIEGO-CARLSBAD, CA SAN FRANCISCO-OAKLAND-HAYWARD (ALAMEDA/CONTRA COSTA CNTY), CA SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY), CA SAN FRANCISCO-OAKLAND-HAYWARD (SAN FRANCISCO CNTY), CA SAN FRANCISCO-OAKLAND-HAYWARD (SAN MATEO CNTY), CA SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY), CA SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY), CA SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE, CA SANTA CRUZ-WATSONVILLE, CA SANTA MARIA-SANTA BARBARA, CA SANTA ROSA, CA STOCKTON-LODI, CA VALLEJO-FAIRFIELD, CA VISALIA-PORTERVILLE, CA YUBA CITY, CA REST OF CALIFORNIA, CA COLORADO CONNECTICUT DC + MD/VA SUBURBS DELAWARE FORT LAUDERDALE, FL MIAMI, FL REST OF FLORIDA ATLANTA, GA REST OF GEORGIA HAWAII, GUAM IDAHO CHICAGO, IL EAST ST. LOUIS, IL SUBURBAN CHICAGO, IL REST OF ILLINOIS INDIANA IOWA KANSAS KENTUCKY NEW ORLEANS, LA REST OF LOUISIANA SOUTHERN MAINE REST OF MAINE BALTIMORE/SURR. CNTYS, MD REST OF MARYLAND METROPOLITAN BOSTON, MA REST OF MASSACHUSETTS DETROIT, MI REST OF MICHIGAN MINNESOTA MISSISSIPPI METROPOLITAN KANSAS CITY, MO METROPOLITAN ST. LOUIS, MO REST OF MISSOURI MONTANA*** NEBRASKA NEVADA*** NEW HAMPSHIRE NORTHERN NJ REST OF NEW JERSEY NEW MEXICO MANHATTAN, NY NYC SUBURBS/LONG ISLAND, NY POUGHKPSIE/N NYC SUBURBS, NY QUEENS, NY REST OF NEW YORK NORTH CAROLINA NORTH DAKOTA*** OHIO OKLAHOMA PORTLAND, OR REST OF OREGON METROPOLITAN PHILADELPHIA, PA REST OF PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA*** TENNESSEE AUSTIN, TX BEAUMONT, TX BRAZORIA, TX DALLAS, TX FORT WORTH, TX GALVESTON, TX HOUSTON, TX REST OF TEXAS UTAH VERMONT VIRGINIA VIRGIN ISLANDS SEATTLE (KING CNTY), WA REST OF WASHINGTON WEST VIRGINIA WISCONSIN WYOMING***

Input Facility Nonfacility Practice Expense RVUs Facility Practice Expense RVUs

Percent of Medicare

Geographic Expense Modifiers Version Locality Percent of Medicare Conversion Factor Work Practice Malpractice 2019 Version A GPCI NEUTRAL 100% 36.0391 1.000 1.000 1.000

HCPCS Description Non-Medicare Charges Medicare Charges Facility Limiting Charges Non-Par Charges Modifier 0001F Heart failure composite 0 0 0 0 0005F Osteoarthritis composite 0 0 0 0 00100 Anesth salivary gland 0 0 0 0 00102 Anesth repair of cleft lip 0 0 0 0 00103 Anesth blepharoplasty 0 0 0 0 00104 Anesth electroshock 0 0 0 0 00120 Anesth ear surgery 0 0 0 0 00124 Anesth ear exam 0 0 0 0 00126 Anesth tympanotomy 0 0 0 0 0012F Cap bacterial assess 0 0 0 0 00140 Anesth procedures on eye 0 0 0 0 00142 Anesth lens surgery 0 0 0 0 00144 Anesth corneal transplant 0 0 0 0 00145 Anesth vitreoretinal surg 0 0 0 0 00147 Anesth iridectomy 0 0 0 0 00148 Anesth eye exam 0 0 0 0 0014F Comp preop assess cat surg 0 0 0 0 0015F Melan follow-up complete 0 0 0 0 00160 Anesth nose/sinus surgery 0 0 0 0 00162 Anesth nose/sinus surgery 0 0 0 0 00164 Anesth biopsy of nose 0 0 0 0 00170 Anesth procedure on mouth 0 0 0 0 00172 Anesth cleft palate repair 0 0 0 0 00174 Anesth pharyngeal surgery 0 0 0 0 00176 Anesth pharyngeal surgery 0 0 0 0 00190 Anesth face/skull bone surg 0 0 0 0 00192 Anesth facial bone surgery 0 0 0 0 00210 Anesth cranial surg nos 0 0 0 0 00211 Anesth cran surg hemotoma 0 0 0 0 00212 Anesth skull drainage 0 0 0 0 00214 Anesth skull drainage 0 0 0 0 00215 Anesth skull repair/fract 0 0 0 0 00216 Anesth head vessel surgery 0 0 0 0 00218 Anesth special head surgery 0 0 0 0 00220 Anesth intrcrn nerve 0 0 0 0 00222 Anesth head nerve surgery 0 0 0 0 00300 Anesth head/neck/ptrunk 0 0 0 0 00320 Anesth neck organ 1yr/> 0 0 0 0 00322 Anesth biopsy of thyroid 0 0 0 0 00326 Anesth larynx/trach < 1 yr 0 0 0 0 00350 Anesth neck vessel surgery 0 0 0 0 00352 Anesth neck vessel surgery 0 0 0 0 00400 Anesth skin ext/per/atrunk 0 0 0 0 00402 Anesth surgery of breast 0 0 0 0 00404 Anesth surgery of breast 0 0 0 0 00406 Anesth surgery of breast 0 0 0 0 00410 Anesth correct heart rhythm 0 0 0 0 0042T Ct perfusion w/contrast cbf 0 0 0 0 00450 Anesth surgery of shoulder 0 0 0 0 00454 Anesth collar bone biopsy 0 0 0 0 00470 Anesth removal of rib 0 0 0 0 00472 Anesth chest wall repair 0 0 0 0 00474 Anesth surgery of rib 0 0 0 0 00500 Anesth esophageal surgery 0 0 0 0 00520 Anesth chest procedure 0 0 0 0 00522 Anesth chest lining biopsy 0 0 0 0 00524 Anesth chest drainage 0 0 0 0 00528 Anes mediascpy & dx thorscpy 0 0 0 0 00529 Anes medscpy&thorscpy 1 lung 0 0 0 0 00530 Anesth pacemaker insertion 0 0 0 0 00532 Anesth vascular access 0 0 0 0 00534 Anesth cardioverter/defib 0 0 0 0 00537 Anesth cardiac electrophys 0 0 0 0 00539 Anesth trach-bronch reconst 0 0 0 0 00540 Anesth chest surgery 0 0 0 0 00541 Anesth one lung ventilation 0 0 0 0 00542 Anesth remvl pleura 0 0 0 0 00546 Anesth lung chest wall surg 0 0 0 0 00548 Anesth trachea bronchi surg 0 0 0 0 0054T Bone surgery using computer 0 0 0 0 00550 Anesth sternal debridement 0 0 0 0 0055T Bone surgery using computer 0 0 0 0 00560 Anesth heart surg w/o pump 0 0 0 0 00561 Anesth heart surg < 1 yr 0 0 0 0 00562 Anesth hrt surg w/pmp age 1+ 0 0 0 0 00563 Anesth heart surg w/arrest 0 0 0 0 00566 Anesth cabg w/o pump 0 0 0 0 00567 Anesth cabg w/pump 0 0 0 0 00580 Anesth heart/lung transplnt 0 0 0 0 0058T Cryopreservation ovary tiss 0 0 0 0 00600 Anesth spine cord surgery 0 0 0 0 00604 Anesth sitting procedure 0 0 0 0 00620 Anesth spine cord surgery 0 0 0 0 00625 Anes spine tranthor w/o vent 0 0 0 0 00626 Anes spine transthor w/vent 0 0 0 0 00630 Anesth spine cord surgery 0 0 0 0 00632 Anesth removal of nerves 0 0 0 0 00635 Anesth lumbar puncture 0 0 0 0 00640 Anesth spine manipulation 0 0 0 0 00670 Anesth spine cord surgery 0 0 0 0 00700 Anesth abdominal wall surg 0 0 0 0 00702 Anesth for liver biopsy 0 0 0 0 0071T U/s leiomyomata ablate <200 0 0 0 0 0072T U/s leiomyomata ablate >200 0 0 0 0 00730 Anesth abdominal wall surg 0 0 0 0 00731 Anes upr gi ndsc px nos 0 0 0 0 00732 Anes upr gi ndsc px ercp 0 0 0 0 00750 Anesth repair of hernia 0 0 0 0 00752 Anesth repair of hernia 0 0 0 0 00754 Anesth repair of hernia 0 0 0 0 00756 Anesth repair of hernia 0 0 0 0 0075T Perq stent/chest vert art 0 0 0 0 0075T Perq stent/chest vert art 0 0 0 0 TC 0075T Perq stent/chest vert art 0 0 0 0 26 0076T S&i stent/chest vert art 0 0 0 0 TC 0076T S&i stent/chest vert art 0 0 0 0 26 0076T S&i stent/chest vert art 0 0 0 0 00770 Anesth blood vessel repair 0 0 0 0 00790 Anesth surg upper abdomen 0 0 0 0 00792 Anesth hemorr/excise liver 0 0 0 0 00794 Anesth pancreas removal 0 0 0 0 00796 Anesth for liver transplant 0 0 0 0 00797 Anesth surgery for obesity 0 0 0 0 00800 Anesth abdominal wall surg 0 0 0 0 00802 Anesth fat layer removal 0 0 0 0 00811 Anes lwr intst ndsc nos 0 0 0 0 00812 Anes lwr intst scr colsc 0 0 0 0 00813 Anes upr lwr gi ndsc px 0 0 0 0 00820 Anesth abdominal wall surg 0 0 0 0 00830 Anesth repair of hernia 0 0 0 0 00832 Anesth repair of hernia 0 0 0 0 00834 Anesth hernia repair < 1 yr 0 0 0 0 00836 Anesth hernia repair preemie 0 0 0 0 00840 Anesth surg lower abdomen 0 0 0 0 00842 Anesth amniocentesis 0 0 0 0 00844 Anesth pelvis surgery 0 0 0 0 00846 Anesth hysterectomy 0 0 0 0 00848 Anesth pelvic organ surg 0 0 0 0 00851 Anesth tubal ligation 0 0 0 0 0085T Breath test heart reject 0 0 0 0 00860 Anesth surgery of abdomen 0 0 0 0 00862 Anesth kidney/ureter surg 0 0 0 0 00864 Anesth removal of bladder 0 0 0 0 00865 Anesth removal of prostate 0 0 0 0 00866 Anesth removal of adrenal 0 0 0 0 00868 Anesth kidney transplant 0 0 0 0 00870 Anesth bladder stone surg 0 0 0 0 00872 Anesth kidney stone destruct 0 0 0 0 00873 Anesth kidney stone destruct 0 0 0 0 00880 Anesth abdomen vessel surg 0 0 0 0 00882 Anesth major vein ligation 0 0 0 0 00902 Anesth anorectal surgery 0 0 0 0 00904 Anesth perineal surgery 0 0 0 0 00906 Anesth removal of vulva 0 0 0 0 00908 Anesth removal of prostate 0 0 0 0 00910 Anesth bladder surgery 0 0 0 0 00912 Anesth bladder tumor surg 0 0 0 0 00914 Anesth removal of prostate 0 0 0 0 00916 Anesth bleeding control 0 0 0 0 00918 Anesth stone removal 0 0 0 0 00920 Anesth genitalia surgery 0 0 0 0 00921 Anesth vasectomy 0 0 0 0 00922 Anesth sperm duct surgery 0 0 0 0 00924 Anesth testis exploration 0 0 0 0 00926 Anesth removal of testis 0 0 0 0 00928 Anesth removal of testis 0 0 0 0 00930 Anesth testis suspension 0 0 0 0 00932 Anesth amputation of penis 0 0 0 0 00934 Anesth penis nodes removal 0 0 0 0 00936 Anesth penis nodes removal 0 0 0 0 00938 Anesth insert penis device 0 0 0 0 00940 Anesth vaginal procedures 0 0 0 0 00942 Anesth surg on vag/urethral 0 0 0 0 00944 Anesth vaginal hysterectomy 0 0 0 0 00948 Anesth repair of cervix 0 0 0 0 00950 Anesth vaginal endoscopy 0 0 0 0 00952 Anesth hysteroscope/graph 0 0 0 0 0095T Artific diskectomy addl 0 0 0 0 0098T Rev artific disc addl 0 0 0 0 0100T Prosth retina receive&gen 0 0 0 0 0101T Extracorp shockwv tx hi enrg 0 0 0 0 0102T Extracorp shockwv tx anesth 0 0 0 0 0106T Touch quant sensory test 0 0 0 0 0107T Vibrate quant sensory test 0 0 0 0 0108T Cool quant sensory test 0 0 0 0 0109T Heat quant sensory test 0 0 0 0 0110T Nos quant sensory test 0 0 0 0 01112 Anesth bone aspirate/bx 0 0 0 0 0111T Rbc membranes fatty acids 0 0 0 0 01120 Anesth pelvis surgery 0 0 0 0 01130 Anesth body cast procedure 0 0 0 0 01140 Anesth amputation at pelvis 0 0 0 0 01150 Anesth pelvic tumor surgery 0 0 0 0 01160 Anesth pelvis procedure 0 0 0 0 01170 Anesth pelvis surgery 0 0 0 0 01173 Anesth fx repair pelvis 0 0 0 0 01200 Anesth hip joint procedure 0 0 0 0 01202 Anesth arthroscopy of hip 0 0 0 0 01210 Anesth hip joint surgery 0 0 0 0 01212 Anesth hip disarticulation 0 0 0 0 01214 Anesth hip arthroplasty 0 0 0 0 01215 Anesth revise hip repair 0 0 0 0 01220 Anesth procedure on femur 0 0 0 0 01230 Anesth surgery of femur 0 0 0 0 01232 Anesth amputation of femur 0 0 0 0 01234 Anesth radical femur surg 0 0 0 0 01250 Anesth upper leg surgery 0 0 0 0 01260 Anesth upper leg veins surg 0 0 0 0 0126T Chd risk imt study 0 0 0 0 01270 Anesth thigh arteries surg 0 0 0 0 01272 Anesth femoral artery surg 0 0 0 0 01274 Anesth femoral embolectomy 0 0 0 0 01320 Anesth knee area surgery 0 0 0 0 01340 Anesth knee area procedure 0 0 0 0 01360 Anesth knee area surgery 0 0 0 0 01380 Anesth knee joint procedure 0 0 0 0 01382 Anesth dx knee arthroscopy 0 0 0 0 01390 Anesth knee area procedure 0 0 0 0 01392 Anesth knee area surgery 0 0 0 0 01400 Anesth knee joint surgery 0 0 0 0 01402 Anesth knee arthroplasty 0 0 0 0 01404 Anesth amputation at knee 0 0 0 0 01420 Anesth knee joint casting 0 0 0 0 01430 Anesth knee veins surgery 0 0 0 0 01432 Anesth knee vessel surg 0 0 0 0 01440 Anesth knee arteries surg 0 0 0 0 01442 Anesth knee artery surg 0 0 0 0 01444 Anesth knee artery repair 0 0 0 0 01462 Anesth lower leg procedure 0 0 0 0 01464 Anesth ankle/ft arthroscopy 0 0 0 0 01470 Anesth lower leg surgery 0 0 0 0 01472 Anesth achilles tendon surg 0 0 0 0 01474 Anesth lower leg surgery 0 0 0 0 01480 Anesth lower leg bone surg 0 0 0 0 01482 Anesth radical leg surgery 0 0 0 0 01484 Anesth lower leg revision 0 0 0 0 01486 Anesth ankle replacement 0 0 0 0 01490 Anesth lower leg casting 0 0 0 0 01500 Anesth leg arteries surg 0 0 0 0 01502 Anesth lwr leg embolectomy 0 0 0 0 01520 Anesth lower leg vein surg 0 0 0 0 01522 Anesth lower leg vein surg 0 0 0 0 01610 Anesth surgery of shoulder 0 0 0 0 01620 Anesth shoulder procedure 0 0 0 0 01622 Anes dx shoulder arthroscopy 0 0 0 0 01630 Anesth surgery of shoulder 0 0 0 0 01634 Anesth shoulder joint amput 0 0 0 0 01636 Anesth forequarter amput 0 0 0 0 01638 Anesth shoulder replacement 0 0 0 0 0163T Lumb artif diskectomy addl 0 0 0 0 0164T Remove lumb artif disc addl 0 0 0 0 01650 Anesth shoulder artery surg 0 0 0 0 01652 Anesth shoulder vessel surg 0 0 0 0 01654 Anesth shoulder vessel surg 0 0 0 0 01656 Anesth arm-leg vessel surg 0 0 0 0 0165T Revise lumb artif disc addl 0 0 0 0 01670 Anesth shoulder vein surg 0 0 0 0 01680 Anesth shoulder casting 0 0 0 0 01710 Anesth elbow area surgery 0 0 0 0 01712 Anesth uppr arm tendon surg 0 0 0 0 01714 Anesth uppr arm tendon surg 0 0 0 0 01716 Anesth biceps tendon repair 0 0 0 0 01730 Anesth uppr arm procedure 0 0 0 0 01732 Anesth dx elbow arthroscopy 0 0 0 0 01740 Anesth upper arm surgery 0 0 0 0 01742 Anesth humerus surgery 0 0 0 0 01744 Anesth humerus repair 0 0 0 0 0174T Cad cxr with interp 0 0 0 0 01756 Anesth radical humerus surg 0 0 0 0 01758 Anesth humeral lesion surg 0 0 0 0 0175T Cad cxr remote 0 0 0 0 01760 Anesth elbow replacement 0 0 0 0 01770 Anesth uppr arm artery surg 0 0 0 0 01772 Anesth uppr arm embolectomy 0 0 0 0 01780 Anesth upper arm vein surg 0 0 0 0 01782 Anesth uppr arm vein repair 0 0 0 0 01810 Anesth lower arm surgery 0 0 0 0 01820 Anesth lower arm procedure 0 0 0 0 01829 Anesth dx wrist arthroscopy 0 0 0 0 01830 Anesth lower arm surgery 0 0 0 0 01832 Anesth wrist replacement 0 0 0 0 01840 Anesth lwr arm artery surg 0 0 0 0 01842 Anesth lwr arm embolectomy 0 0 0 0 01844 Anesth vascular shunt surg 0 0 0 0 0184T Exc rectal tumor endoscopic 0 0 0 0 01850 Anesth lower arm vein surg 0 0 0 0 01852 Anesth lwr arm vein repair 0 0 0 0 01860 Anesth lower arm casting 0 0 0 0 01916 Anesth dx arteriography 0 0 0 0 0191T Insert ant segment drain int 0 0 0 0 01920 Anesth catheterize heart 0 0 0 0 01922 Anesth cat or mri scan 0 0 0 0 01924 Anes ther interven rad art 0 0 0 0 01925 Anes ther interven rad car 0 0 0 0 01926 Anes tx interv rad hrt/cran 0 0 0 0 01930 Anes ther interven rad vei 0 0 0 0 01931 Anes ther interven rad tip 0 0 0 0 01932 Anes tx interv rad th vein 0 0 0 0 01933 Anes tx interv rad cran vein 0 0 0 0 01935 Anesth perc img dx sp proc 0 0 0 0 01936 Anesth perc img tx sp proc 0 0 0 0 01951 Anesth burn less 4 percent 0 0 0 0 01952 Anesth burn 4-9 percent 0 0 0 0 01953 Anesth burn each 9 percent 0 0 0 0 01958 Anesth antepartum manipul 0 0 0 0 01960 Anesth vaginal delivery 0 0 0 0 01961 Anesth cs delivery 0 0 0 0 01962 Anesth emer hysterectomy 0 0 0 0 01963 Anesth cs hysterectomy 0 0 0 0 01965 Anesth inc/missed ab proc 0 0 0 0 01966 Anesth induced ab procedure 0 0 0 0 01967 Anesth/analg vag delivery 0 0 0 0 01968 Anes/analg cs deliver add-on 0 0 0 0 01969 Anesth/analg cs hyst add-on 0 0 0 0 0198T Ocular blood flow measure 0 0 0 0 01990 Support for organ donor 0 0 0 0 01991 Anesth nerve block/inj 0 0 0 0 01992 Anesth n block/inj prone 0 0 0 0 01996 Hosp manage cont drug admin 0 0 0 0 01999 Unlisted anesth procedure 0 0 0 0 0200T Perq sacral augmt unilat inj 0 0 0 0 0201T Perq sacral augmt bilat inj 0 0 0 0 0202T Post vert arthrplst 1 lumbar 0 0 0 0 0205T Inirs each vessel add-on 0 0 0 0 0206T Remote algorithm analys ecg 0 0 0 0 0207T Clear eyelid gland w/heat 0 0 0 0 0208T Audiometry air only 0 0 0 0 0209T Audiometry air & bone 0 0 0 0 0210T Speech audiometry threshold 0 0 0 0 0211T Speech audiom thresh & recog 0 0 0 0 0212T Compre audiometry evaluation 0 0 0 0 0213T Njx paravert w/us cer/thor 0 0 0 0 0214T Njx paravert w/us cer/thor 0 0 0 0 0215T Njx paravert w/us cer/thor 0 0 0 0 0216T Njx paravert w/us lumb/sac 0 0 0 0 0217T Njx paravert w/us lumb/sac 0 0 0 0 0218T Njx paravert w/us lumb/sac 0 0 0 0 0219T Plmt post facet implt cerv 0 0 0 0 0220T Plmt post facet implt thor 0 0 0 0 0221T Plmt post facet implt lumb 0 0 0 0 0222T Plmt post facet implt addl 0 0 0 0 0228T Njx tfrml eprl w/us cer/thor 0 0 0 0 0229T Njx tfrml eprl w/us cer/thor 0 0 0 0 0230T Njx tfrml eprl w/us lumb/sac 0 0 0 0 0231T Njx tfrml eprl w/us lumb/sac 0 0 0 0 0232T Njx platelet plasma 0 0 0 0 0234T Trluml perip athrc renal art 0 0 0 0 0235T Trluml perip athrc visceral 0 0 0 0 0236T Trluml perip athrc abd aorta 0 0 0 0 0237T Trluml perip athrc brchiocph 0 0 0 0 0238T Trluml perip athrc iliac art 0 0 0 0 0249T Ligation hemorrhoid w/us 0 0 0 0 0253T Insert aqueous drain device 0 0 0 0 0254T Evasc rpr iliac art bifur 0 0 0 0 0263T Im B1 mrw cel ther cmpl 0 0 0 0 0264T Im B1 mrw cel ther xcl hrvst 0 0 0 0 0265T Im B1 mrw cel ther hrvst onl 0 0 0 0 0266T Implt/rpl crtd sns dev total 0 0 0 0 0267T Implt/rpl crtd sns dev lead 0 0 0 0 0268T Implt/rpl crtd sns dev gen 0 0 0 0 0269T Rev/remvl crtd sns dev total 0 0 0 0 0270T Rev/remvl crtd sns dev lead 0 0 0 0 0271T Rev/remvl crtd sns dev gen 0 0 0 0 0272T Interrogate crtd sns dev 0 0 0 0 0273T Interrogate crtd sns w/pgrmg 0 0 0 0 0274T Perq lamot/lam crv/thrc 0 0 0 0 0275T Perq lamot/lam lumbar 0 0 0 0 0278T Tempr 0 0 0 0 0290T Laser inc for pkp/lkp recip 0 0 0 0 0295T Ext ecg complete 0 0 0 0 0296T Ext ecg recording 0 0 0 0 0297T Ext ecg scan w/report 0 0 0 0 0298T Ext ecg review and interp 0 0 0 0 0308T Insj ocular telescope prosth 0 0 0 0 0312T Laps impltj nstim vagus 0 0 0 0 0313T Laps rmvl nstim array vagus 0 0 0 0 0314T Laps rmvl vgl arry & pls gen 0 0 0 0 0315T Rmvl vagus nerve pls gen 0 0 0 0 0316T Replc vagus nerve pls gen 0 0 0 0 0317T Elec alys vagus nrv pls gen 0 0 0 0 0329T Mntr io press 24hrs/> uni/bi 0 0 0 0 0330T Tear film img uni/bi w/i&r 0 0 0 0 0331T Heart symp image plnr 0 0 0 0 0332T Heart symp image plnr spect 0 0 0 0 0333T Visual ep acuity screen auto 0 0 0 0 0335T Extraosseous joint stblztion 0 0 0 0 0338T Trnscth renal symp denrv unl 0 0 0 0 0339T Trnscth renal symp denrv bil 0 0 0 0 0341T Quant pupillometry w/ rprt 0 0 0 0 0342T Thxp apheresis w/hdl delip 0 0 0 0 0345T Transcath mtral vlve repair 0 0 0 0 0347T Ins bone device for rsa 0 0 0 0 0348T Rsa spine exam 0 0 0 0 0349T Rsa upper extr exam 0 0 0 0 0350T Rsa lower extr exam 0 0 0 0 0351T Intraop oct brst/node spec 0 0 0 0 0352T Oct brst/node i&r per spec 0 0 0 0 0353T Intraop oct breast cavity 0 0 0 0 0354T Oct breast surg cavity i&r 0 0 0 0 0355T Gi tract capsule endoscopy 0 0 0 0 0356T Insrt drug device for iop 0 0 0 0 0357T Cryopreservation oocyte(s) 0 0 0 0 0358T Bia whole body 0 0 0 0 0362T Expose behav assessment 0 0 0 0 0373T Exposure behavior treatment 0 0 0 0 0375T Total disc arthrp ant appr 0 0 0 0 0376T Insert ant segment drain int 0 0 0 0 0377T Anoscpy inj agent for incont 0 0 0 0 0378T Visual field assmnt rev/rprt 0 0 0 0 0379T Vis field assmnt tech suppt 0 0 0 0 0380T Comp animat ret imag series 0 0 0 0 0381T Ext h rate epi sz 14 days 0 0 0 0 0382T Ext h rate sz 14 day ri only 0 0 0 0 0383T Ext h rate sz up to 30 days 0 0 0 0 0384T Ex h rate sz 30 day ri only 0 0 0 0 0385T Ex h rate for sz ovr 30 day 0 0 0 0 0386T Ex h rate sz 30+ day ri only 0 0 0 0 0394T Hdr elctrnc skn surf brchytx 0 0 0 0 0395T Hdr elctr ntrst/ntrcv brchtx 0 0 0 0 0396T Intraop kinetic balnce sensr 0 0 0 0 0397T Ercp w/optical endomicroscpy 0 0 0 0 0398T Mrgfus strtctc les abltj 0 0 0 0 0399T Myocardial strain imaging 0 0 0 0 0400T Mltispectrl digital les alys 0 0 0 0 0401T Mltispectrl digital les alys 0 0 0 0 0402T Collagen crosslinking cornea 0 0 0 0 0403T Diabetes prev standard curr 0 0 0 0 0404T Trnscrv uterin fibroid abltj 0 0 0 0 0405T Ovrsght xtrcorp liv asst pat 0 0 0 0 0408T Insj/rplc cardiac modulj sys 0 0 0 0 0409T Insj/rplc cardiac modulj pls 0 0 0 0 0410T Insj/rplc car modulj atr elt 0 0 0 0 0411T Insj/rplc car modulj vnt elt 0 0 0 0 0412T Rmvl cardiac modulj pls gen 0 0 0 0 0413T Rmvl car modulj tranvns elt 0 0 0 0 0414T Rmvl & rpl car modulj pls gn 0 0 0 0 0415T Repos car modulj tranvns elt 0 0 0 0 0416T Reloc skin pocket pls gen 0 0 0 0 0417T Prgrmg eval cardiac modulj 0 0 0 0 0418T Interro eval cardiac modulj 0 0 0 0 0419T Dstrj neurofibromata xtnsv 0 0 0 0 0420T Dstrj neurofibromata xtnsv 0 0 0 0 0421T Waterjet prostate abltj cmpl 0 0 0 0 0422T Tactile breast img uni/bi 0 0 0 0 0423T Assay secretory type ii pla2 0 0 0 0 0424T Insj/rplc nstim apnea compl 0 0 0 0 0425T Insj/rplc nstim apnea sen ld 0 0 0 0 0426T Insj/rplc nstim apnea stm ld 0 0 0 0 0427T Insj/rplc nstim apnea pls gn 0 0 0 0 0428T Rmvl nstim apnea pls gen 0 0 0 0 0429T Rmvl nstim apnea sen ld 0 0 0 0 0430T Rmvl nstim apnea stimj ld 0 0 0 0 0431T Rmvl/rplc nstim apnea pls gn 0 0 0 0 0432T Repos nstim apnea stimj ld 0 0 0 0 0433T Repos nstim apnea sensing ld 0 0 0 0 0434T Interro eval npgs sleep apne 0 0 0 0 0435T Prgrmg eval npgs apnea 1 ses 0 0 0 0 0436T Prgrmg eval npgs apnea study 0 0 0 0 0437T Impltj synth rnfcmt abdl wal 0 0 0 0 0439T Myocrd contrast prfuj echo 0 0 0 0 0440T Abltj perc uxtr/perph nrv 0 0 0 0 0441T Abltj perc lxtr/perph nrv 0 0 0 0 0442T Abltj perc plex/trncl nrv 0 0 0 0 0443T R-t spctrl alys prst8 tiss 0 0 0 0 0444T 1st plmt drug elut oc ins 0 0 0 0 0445T Sbsqt plmt drug elut oc ins 0 0 0 0 0446T Insj impltbl glucose sensor 0 0 0 0 0447T Rmvl impltbl glucose sensor 0 0 0 0 0448T Remvl insj impltbl gluc sens 0 0 0 0 0449T Insj aqueous drain dev 1st 0 0 0 0 0450T Insj aqueous drain dev each 0 0 0 0 0451T Insj/rplcmt aortic ventr sys 0 0 0 0 0452T Insj/rplcmt dev vasc seal 0 0 0 0 0453T Insj/rplcmt mech-elec ntrfce 0 0 0 0 0454T Insj/rplcmt subq electrode 0 0 0 0 0455T Remvl aortic ventr cmpl sys 0 0 0 0 0456T Remvl aortic dev vasc seal 0 0 0 0 0457T Remvl mech-elec skin ntrfce 0 0 0 0 0458T Remvl subq electrode 0 0 0 0 0459T Relocaj rplcmt aortic ventr 0 0 0 0 0460T Repos aortic ventr dev eltrd 0 0 0 0 0461T Repos aortic contrpulsj dev 0 0 0 0 0462T Prgrmg eval aortic ventr sys 0 0 0 0 0463T Interrog aortic ventr sys 0 0 0 0 0464T Visual ep test for glaucoma 0 0 0 0 0465T Supchrdl njx rxw/o supply 0 0 0 0 0466T Insj chwal respir eltrd/ra 0 0 0 0 0467T Revj/rplmnt ch respir eltrd 0 0 0 0 0468T Rmvl chwal respir eltrd/ra 0 0 0 0 0469T Rta polarize scan oc scr bi 0 0 0 0 0470T Oct skn img acquisj i&r 1st 0 0 0 0 0470T Oct skn img acquisj i&r 1st 0 0 0 0 TC 0470T Oct skn img acquisj i&r 1st 0 0 0 0 26 0471T Oct skn img acquisj i&r addl 0 0 0 0 0471T Oct skn img acquisj i&r addl 0 0 0 0 TC 0471T Oct skn img acquisj i&r addl 0 0 0 0 26 0472T Prgrmg io rta eltrd ra 0 0 0 0 0473T Reprgrmg io rta eltrd ra 0 0 0 0 0474T Insj aqueous drg dev io rsvr 0 0 0 0 0475T Rec ftl car sgl 3 ch i&r 0 0 0 0 0476T Rec ftl car sgl elec tr data 0 0 0 0 0477T Rec ftl car sgl xrtj alys 0 0 0 0 0478T Rec ftl car 3 ch rev i&r 0 0 0 0 0479T Fxjl abl lsr 1st 100 sq cm 0 0 0 0 0480T Fxjl abl lsr ea addl 100sqcm 0 0 0 0 0481T Njx autol wbc concentrate 0 0 0 0 0482T Absl quan myocrd bld flo pet 0 0 0 0 0482T Absl quan myocrd bld flo pet 0 0 0 0 TC 0482T Absl quan myocrd bld flo pet 0 0 0 0 26 0483T Tmvi percutaneous approach 0 0 0 0 0484T Tmvi transthoracic exposure 0 0 0 0 0485T Oct mid ear i&r unilateral 0 0 0 0 0485T Oct mid ear i&r unilateral 0 0 0 0 TC 0485T Oct mid ear i&r unilateral 0 0 0 0 26 0486T Oct mid ear i&r bilateral 0 0 0 0 0486T Oct mid ear i&r bilateral 0 0 0 0 TC 0486T Oct mid ear i&r bilateral 0 0 0 0 26 0487T Trvg biomchn mapg w/reprt 0 0 0 0 0488T Diabetes prev online/elec 0 0 0 0 0489T Regn cell tx scldr hands 0 0 0 0 0490T Regn cell tx scldr h mlt inj 0 0 0 0 0491T Abl lsr opn wnd 1st 20 sqcm 0 0 0 0 0492T Abl lsr opn wnd addl 20 sqcm 0 0 0 0 0493T Near ifr spectrsc of wounds 0 0 0 0 0494T Prep & cannulj cdvr don lung 0 0 0 0 0495T Mntr cdvr don lng 1st 2 hrs 0 0 0 0 0496T Mntr cdvr don lng ea addl hr 0 0 0 0 0497T Xtrnl pt act ecg in-off conn 0 0 0 0 0498T Xtrnl pt act ecg r&i pr 30 d 0 0 0 0 0499T Cysto f/urtl strix/stenosis 0 0 0 0 0500F Initial prenatal care visit 0 0 0 0 0500T Hpv 5+ hi risk hpv types 0 0 0 0 0501F Prenatal flow sheet 0 0 0 0 0501T Cor ffr derived cor cta data 0 0 0 0 0502F Subsequent prenatal care 0 0 0 0 0502T Cor ffr data prep & transmis 0 0 0 0 0503F Postpartum care visit 0 0 0 0 0503T Cor ffr alys gnrj ffr mdl 0 0 0 0 0504T Cor ffr data review i&r 0 0 0 0 0505F Hemodialysis plan docd 0 0 0 0 0505T Ev fempop artl revsc 0 0 0 0 0506T Mac pgmt opt dns meas hfp 0 0 0 0 0506T Mac pgmt opt dns meas hfp 0 0 0 0 TC 0506T Mac pgmt opt dns meas hfp 0 0 0 0 26 0507F Periton dialysis plan docd 0 0 0 0 0507T Near ifr 2img mibmn glnd i&r 0 0 0 0 0507T Near ifr 2img mibmn glnd i&r 0 0 0 0 TC 0507T Near ifr 2img mibmn glnd i&r 0 0 0 0 26 0508T Pls echo us b1 dns meas tib 0 0 0 0 0508T Pls echo us b1 dns meas tib 0 0 0 0 TC 0508T Pls echo us b1 dns meas tib 0 0 0 0 26 0509F Urine incon plan docd 0 0 0 0 0509T 80.727584 80.727584 88.19488552 76.6912048 0509T 58.383342 58.383342 63.783801135 55.4641749 TC 0509T 22.344242 22.344242 24.411084385 21.2270299 26 0510T 0 0 0 0 0511T 0 0 0 0 0512T 0 0 0 0 0513F Elev bp plan of care docd 0 0 0 0 0513T 0 0 0 0 0514F Care plan hgb docd esa pt 0 0 0 0 0514T 0 0 0 0 0515T 0 0 0 0 0516F Anemia plan of care docd 0 0 0 0 0516T 0 0 0 0 0517F Glaucoma plan of care docd 0 0 0 0 0517T 0 0 0 0 0518F Fall plan of care docd 0 0 0 0 0518T 0 0 0 0 0519F Pland chemo docd b/4 txmnt 0 0 0 0 0519T 0 0 0 0 0520F Rad dos limts b/4 3d rad 0 0 0 0 0520T 0 0 0 0 0521F Plan of care 4 pain docd 0 0 0 0 0521T 0 0 0 0 0521T 0 0 0 0 TC 0521T 0 0 0 0 26 0522T 0 0 0 0 0522T 0 0 0 0 TC 0522T 0 0 0 0 26 0523T 0 0 0 0 0524T 0 0 0 0 0525F Initial visit for episode 0 0 0 0 0525T 0 0 0 0 0526F Subs visit for episode 0 0 0 0 0526T 0 0 0 0 0527T 0 0 0 0 0528F Rcmnd flw-up 10 yrs docd 0 0 0 0 0528T 0 0 0 0 0528T 0 0 0 0 TC 0528T 0 0 0 0 26 0529F Intrvl 3+yrs pts clnscp docd 0 0 0 0 0529T 0 0 0 0 0529T 0 0 0 0 TC 0529T 0 0 0 0 26 0530T 0 0 0 0 0531T 0 0 0 0 0532T 0 0 0 0 0533T 0 0 0 0 0533T 0 0 0 0 TC 0533T 0 0 0 0 26 0534T 0 0 0 0 0534T 0 0 0 0 TC 0534T 0 0 0 0 26 0535F Dyspnea mngmnt plan docd 0 0 0 0 0535T 0 0 0 0 TC 0535T 0 0 0 0 26 0535T 0 0 0 0 0536T 0 0 0 0 0536T 0 0 0 0 TC 0536T 0 0 0 0 26 0537T 0 0 0 0 0538T 0 0 0 0 0539T 0 0 0 0 0540F Gluco mngmnt plan docd 0 0 0 0 0540T 0 0 0 0 0541T 0 0 0 0 0542T 0 0 0 0 0545F Follow up care plan mdd docd 0 0 0 0 0550F Cytopath report nongyn spcmn 0 0 0 0 0551F Cytopath report non routine 0 0 0 0 0555F Symptom mgmnt plan care docd 0 0 0 0 0556F Plan care lipid control docd 0 0 0 0 0557F Plan caremng angnl symptdocd 0 0 0 0 0575F HIV rna plan care docd 0 0 0 0 0580F Multidisciplinary care plan 0 0 0 0 0581F Pt trnsfrd from anesth to cc 0 0 0 0 0582F No trnsfr from anesth to cc 0 0 0 0 0583F Transfer care checklist used 0 0 0 0 0584F No transfercare chklist used 0 0 0 0 10004 45.048875 45.048875 49.2158959375 42.79643125 10005 75.68211 75.68211 82.682705175 71.8980045 10006 51.535913 51.535913 56.3029849525 48.95911735 10007 97.30557 97.30557 106.306335225 92.4402915 10008 63.428816 63.428816 69.29598148 60.2573752 10009 117.847857 117.847857 128.7487837725 111.95546415 1000F Tobacco use assessed 0 0 0 0 10010 86.133449 86.133449 94.1007930325 81.82677655 10011 0 0 0 0 10012 0 0 0 0 10021 Fna w/o image 58.022951 58.022951 63.3900739675 55.12180345 1002F Assess anginal symptom/level 0 0 0 0 10030 Guide cathet fluid drainage 143.075227 143.075227 156.3096854975 135.92146565 10035 Perq dev soft tiss 1st imag 89.376968 89.376968 97.64433754 84.9081196 10036 Perq dev soft tiss add imag 45.048875 45.048875 49.2158959375 42.79643125 1003F Level of activity assess 0 0 0 0 10040 Acne surgery 59.824906 59.824906 65.358709805 56.8336607 1004F Clin symp vol ovrld assess 0 0 0 0 1005F Asthma symptoms evaluate 0 0 0 0 10060 Drainage of skin abscess 101.269871 101.269871 110.6373340675 96.20637745 10061 Drainage of skin abscess 185.961756 185.961756 203.16321843 176.6636682 1006F Osteoarthritis assess 0 0 0 0 1007F Anti-inflm/anlgsc otc assess 0 0 0 0 10080 Drainage of pilonidal cyst 105.594563 105.594563 115.3620600775 100.31483485 10081 Drainage of pilonidal cyst 175.510417 175.510417 191.7451305725 166.73489615 1008F Gi/renal risk assess 0 0 0 0 1010F Severity angina by actvty 0 0 0 0 1011F Angina present 0 0 0 0 10120 Remove foreign body 106.675736 106.675736 116.54324158 101.3419492 10121 Remove foreign body 191.728012 191.728012 209.46285311 182.1416114 1012F Angina absent 0 0 0 0 10140 Drainage of hematoma/fluid 122.53294 122.53294 133.86723695 116.406293 1015F Copd symptoms assess 0 0 0 0 10160 Puncture drainage of lesion 98.026352 98.026352 107.09378956 93.1250344 10180 Complex drainage wound 183.79941 183.79941 200.800855425 174.6094395 1018F Assess dyspnea not present 0 0 0 0 1019F Assess dyspnea present 0 0 0 0 1022F Pneumo imm status assess 0 0 0 0 1026F Co-morbid condition assess 0 0 0 0 1030F Influenza imm status assess 0 0 0 0 1031F Smoking & 2nd hand assessed 0 0 0 0 1032F Smoker/exposed 2nd hnd smoke 0 0 0 0 1033F Tobacco nonsmoker nor 2ndhnd 0 0 0 0 1034F Current tobacco smoker 0 0 0 0 1035F Smokeless tobacco user 0 0 0 0 1036F Tobacco non-user 0 0 0 0 1038F Persistent asthma 0 0 0 0 1039F Intermittent asthma 0 0 0 0 1040F Dsm-iv info mdd docd 0 0 0 0 1050F History of mole changes 0 0 0 0 1052F Type location activity asses 0 0 0 0 1055F Visual funct status assess 0 0 0 0 1060F Doc perm/cont/parox atr fib 0 0 0 0 1061F Doc lack perm+cont+parox fib 0 0 0 0 1065F Ischm stroke symp lt3 hrsb/4 0 0 0 0 1066F Ischm stroke symp ge3 hrsb/4 0 0 0 0 1070F Alarm symp assessed-absent 0 0 0 0 1071F Alarm symp assessed-1+ prsnt 0 0 0 0 1090F Pres/absn urine incon assess 0 0 0 0 1091F Urine incon characterized 0 0 0 0 11000 Debride infected skin 29.552062 29.552062 32.285627735 28.0744589 11001 Debride infected skin add-on 14.776031 14.776031 16.1428138675 14.03722945 11004 Debride genitalia & perineum 601.492579 601.492579 657.1306425575 571.41795005 11005 Debride abdom wall 815.925224 815.925224 891.39830722 775.1289628 11006 Debride genit/per/abdom wall 736.639204 736.639204 804.77833037 699.8072438 11008 Remove mesh from abd wall 286.871236 286.871236 313.40682533 272.5276742 1100F Ptfalls assess-docd ge2+/yr 0 0 0 0 11010 Debride skin at fx site 288.673191 288.673191 315.3754611675 274.23953145 11011 Debride skin musc at fx site 312.819388 312.819388 341.75518139 297.1784186 11012 Deb skin bone at fx site 439.316629 439.316629 479.9534171825 417.35079755 1101F Pt falls assess-docd le1/yr 0 0 0 0 11042 Deb subq tissue 20 sq cm/< 63.428816 63.428816 69.29598148 60.2573752 11043 Deb musc/fascia 20 sq cm/< 160.373995 160.373995 175.2085895375 152.35529525 11044 Deb bone 20 sq cm/< 237.137278 237.137278 259.072476215 225.2804141 11045 Deb subq tissue add-on 27.389716 27.389716 29.92326473 26.0202302 11046 Deb musc/fascia add-on 58.022951 58.022951 63.3900739675 55.12180345 11047 Deb bone add-on 102.711435 102.711435 112.2122427375 97.57586325 11055 Trim skin lesion 16.577986 16.577986 18.111449705 15.7490867 11056 Trim skin lesions 2 to 4 23.425415 23.425415 25.5922658875 22.25414425 11057 Trim skin lesions over 4 30.633235 30.633235 33.4668092375 29.10157325 11102 41.084574 41.084574 44.884897095 39.0303453 11103 23.785806 23.785806 25.985993055 22.5965157 11104 51.535913 51.535913 56.3029849525 48.95911735 11105 28.110498 28.110498 30.710719065 26.7049731 11106 62.708034 62.708034 68.508527145 59.5726323 11107 33.516363 33.516363 36.6166265775 31.84054485 1110F Pt lft inpt fac w/in 60 days 0 0 0 0 1111F Dschrg med/current med merge 0 0 0 0 1116F Auric/peri pain assessed 0 0 0 0 1118F GERD symps assessed 12 month 0 0 0 0 1119F Init eval for condition 0 0 0 0 11200 Removal of skin tags 75.68211 75.68211 82.682705175 71.8980045 11201 Remove skin tags add-on 17.298768 17.298768 18.89890404 16.4338296 1121F Subs eval for condition 0 0 0 0 1123F Acp discuss/dscn mkr docd 0 0 0 0 1124F Acp discuss-no dscnmkr docd 0 0 0 0 1125F Amnt pain noted pain prsnt 0 0 0 0 1126F Amnt pain noted none prsnt 0 0 0 0 1127F New episode for condition 0 0 0 0 1128F Subs episode for condition 0 0 0 0 11300 Shave skin lesion 36.399491 36.399491 39.7664439175 34.57951645 11301 Shave skin lesion 55.139823 55.139823 60.2402566275 52.38283185 11302 Shave skin lesion 64.87038 64.87038 70.87089015 61.626861 11303 Shave skin lesion 76.763283 76.763283 83.8638866775 72.92511885 11305 Shave skin lesion 40.363792 40.363792 44.09744276 38.3456024 11306 Shave skin lesion 53.698259 53.698259 58.6653479575 51.01334605 11307 Shave skin lesion 69.195072 69.195072 75.59561616 65.7353184 11308 Shave skin lesion 77.123674 77.123674 84.257613845 73.2674903 1130F Bk pain + fxn assessed 0 0 0 0 11310 Shave skin lesion 49.013176 49.013176 53.54689478 46.5625172 11311 Shave skin lesion 67.753508 67.753508 74.02070749 64.3658326 11312 Shave skin lesion 80.367193 80.367193 87.8011583525 76.34883335 11313 Shave skin lesion 104.152999 104.152999 113.7871514075 98.94534905 1134F Epsd bk pain for =< 6 wks 0 0 0 0 1135F Epsd bk pain for > 6 wks 0 0 0 0 1136F Epsd bk pain for <= 12 wks 0 0 0 0 1137F Epsd bk pain for > 12 wks 0 0 0 0 11400 Exc tr-ext b9+marg 0.5 < cm 83.971103 83.971103 91.7384300275 79.77254785 11401 Exc tr-ext b9+marg 0.6-1 cm 107.756909 107.756909 117.7244230825 102.36906355 11402 Exc tr-ext b9+marg 1.1-2 cm 118.568639 118.568639 129.5362381075 112.64020705 11403 Exc tr-ext b9+marg 2.1-3 cm 153.166175 153.166175 167.3340461875 145.50786625 11404 Exc tr-ext b9+marg 3.1-4 cm 168.302597 168.302597 183.8705872225 159.88746715 11406 Exc tr-ext b9+marg > 4.0 cm 256.238001 256.238001 279.9400160925 243.42610095 11420 Exc h-f-nk-sp b9+marg 0.5 < 83.971103 83.971103 91.7384300275 79.77254785 11421 Exc h-f-nk-sp b9+marg 0.6-1 113.523165 113.523165 124.0240577625 107.84700675 11422 Exc h-f-nk-sp b9+marg 1.1-2 140.55249 140.55249 153.553595325 133.5248655 11423 Exc h-f-nk-sp b9+marg 2.1-3 161.455168 161.455168 176.38977104 153.3824096 11424 Exc h-f-nk-sp b9+marg 3.1-4 185.961756 185.961756 203.16321843 176.6636682 11426 Exc h-f-nk-sp b9+marg > 4 cm 285.790063 285.790063 312.2256438275 271.50055985 11440 Exc face-mm b9+marg 0.5 < cm 106.675736 106.675736 116.54324158 101.3419492 11441 Exc face-mm b9+marg 0.6-1 cm 135.507016 135.507016 148.04141498 128.7316652 11442 Exc face-mm b9+marg 1.1-2 cm 149.922656 149.922656 163.79050168 142.4265232 11443 Exc face-mm b9+marg 2.1-3 cm 184.159801 184.159801 201.1945825925 174.95181095 11444 Exc face-mm b9+marg 3.1-4 cm 234.614541 234.614541 256.3163860425 222.88381395 11446 Exc face-mm b9+marg > 4 cm 336.244803 336.244803 367.3474472775 319.43256285 11450 Removal sweat gland lesion 264.166603 264.166603 288.6020137775 250.95827285 11451 Removal sweat gland lesion 337.686367 337.686367 368.9223559475 320.80204865 11462 Removal sweat gland lesion 251.552918 251.552918 274.821562915 238.9752721 11463 Removal sweat gland lesion 339.488322 339.488322 370.890991785 322.5139059 11470 Removal sweat gland lesion 291.195928 291.195928 318.13155134 276.6361316 11471 Removal sweat gland lesion 360.030609 360.030609 393.3334403325 342.02907855 1150F Doc pt rsk death w/in 1yr 0 0 0 0 1151F Doc no pt rsk death w/in 1yr 0 0 0 0 1152F Doc advncd dis comfort 1st 0 0 0 0 1153F Doc advncd dis cmfrt not 1st 0 0 0 0 1157F Advnc care plan in rcrd 0 0 0 0 1158F Advnc care plan tlk docd 0 0 0 0 1159F Med list docd in rcrd 0 0 0 0 11600 Exc tr-ext mal+marg 0.5 < cm 124.334895 124.334895 135.8358727875 118.11815025 11601 Exc tr-ext mal+marg 0.6-1 cm 154.607739 154.607739 168.9089548575 146.87735205 11602 Exc tr-ext mal+marg 1.1-2 cm 169.38377 169.38377 185.051768725 160.9145815 11603 Exc tr-ext mal+marg 2.1-3 cm 202.900133 202.900133 221.6683953025 192.75512635 11604 Exc tr-ext mal+marg 3.1-4 cm 223.082029 223.082029 243.7171166825 211.92792755 11606 Exc tr-ext mal+marg > 4 cm 333.001284 333.001284 363.80390277 316.3512198 1160F Rvw meds by rx/dr in rcrd 0 0 0 0 11620 Exc h-f-nk-sp mal+marg 0.5 < 125.776459 125.776459 137.4107814575 119.48763605 11621 Exc s/n/h/f/g mal+mrg 0.6-1 155.688912 155.688912 170.09013636 147.9044664 11622 Exc s/n/h/f/g mal+mrg 1.1-2 177.672763 177.672763 194.1074935775 168.78912485 11623 Exc s/n/h/f/g mal+mrg 2.1-3 219.83851 219.83851 240.173572175 208.8465845 11624 Exc s/n/h/f/g mal+mrg 3.1-4 249.390572 249.390572 272.45919991 236.9210434 11626 Exc s/n/h/f/g mal+mrg > 4 cm 305.611568 305.611568 333.88063804 290.3309896 11640 Exc f/e/e/n/l mal+mrg 0.5cm< 130.101151 130.101151 142.1355074675 123.59609345 11641 Exc f/e/e/n/l mal+mrg 0.6-1 162.17595 162.17595 177.177225375 154.0671525 11642 Exc f/e/e/n/l mal+mrg 1.1-2 191.00723 191.00723 208.675398775 181.4568685 11643 Exc f/e/e/n/l mal+mrg 2.1-3 238.578842 238.578842 260.647384885 226.6498999 11644 Exc f/e/e/n/l mal+mrg 3.1-4 295.881011 295.881011 323.2500045175 281.08696045 11646 Exc f/e/e/n/l mal+mrg > 4 cm 410.485349 410.485349 448.4552437825 389.96108155 1170F Fxnl status assessed 0 0 0 0 11719 Trim nail(s) 7.928602 7.928602 8.661997685 7.5321719 11720 Debride nail 1-5 15.136422 15.136422 16.536541035 14.3796009 11721 Debride nail 6 or more 25.587761 25.587761 27.9546288925 24.30837295 11730 Removal of nail plate 56.941778 56.941778 62.208892465 54.0946891 11732 Remove nail plate add-on 18.379941 18.379941 20.0800855425 17.46094395 11740 Drain blood from under nail 33.155972 33.155972 36.22289941 31.4981734 11750 Removal of nail bed 105.234172 105.234172 114.96833291 99.9724634 11755 Biopsy nail unit 64.509989 64.509989 70.4771629825 61.28448955 1175F Function stat assessed rvwd 0 0 0 0 11760 Repair of nail bed 117.847857 117.847857 128.7487837725 111.95546415 11762 Reconstruction of nail bed 192.088403 192.088403 209.8565802775 182.48398285 11765 Excision of nail fold toe 96.224397 96.224397 105.1251537225 91.41317715 11770 Removal of pilonidal lesion 191.367621 191.367621 209.0691259425 181.79923995 11771 Removal of pilonidal lesion 454.453051 454.453051 496.4899582175 431.73039845 11772 Removal of pilonidal lesion 598.24906 598.24906 653.58709805 568.336607 1180F Thromboemb risk assessed 0 0 0 0 1181F Neuropsychia sympts assessed 0 0 0 0 1182F Neuropsychi sympt 1+present 0 0 0 0 1183F Neuropsychiatric symp absent 0 0 0 0 11900 Injection into skin lesions 32.43519 32.43519 35.435445075 30.8134305 11901 Added skin lesions injection 50.094349 50.094349 54.7280762825 47.58963155 11920 Correct skin color defects 116.766684 116.766684 127.56760227 110.9283498 11921 Correct skin color defects 136.94858 136.94858 149.61632365 130.101151 11922 Correct skin color defects 30.633235 30.633235 33.4668092375 29.10157325 11950 Therapy for contour defects 48.652785 48.652785 53.1531676125 46.22014575 11951 Therapy for contour defects 71.357418 71.357418 77.957979165 67.7895471 11952 Therapy for contour defects 100.90948 100.90948 110.2436069 95.864006 11954 Therapy for contour defects 115.685511 115.685511 126.3864207675 109.90123545 11960 Insert tissue expander(s) 998.643461 998.643461 1091.0179811425 948.71128795 11970 Replace tissue expander 629.603077 629.603077 687.8413616225 598.12292315 11971 Remove tissue expander(s) 330.118156 330.118156 360.65408543 313.6122482 11976 Removal of contraceptive cap 95.864006 95.864006 104.731426555 91.0708057 11980 Implant hormone pellet(s) 58.022951 58.022951 63.3900739675 55.12180345 11981 Insert drug implant device 86.49384 86.49384 94.4945202 82.169148 11982 Remove drug implant device 103.432217 103.432217 112.9996970725 98.26060615 11983 Remove/insert drug implant 184.520192 184.520192 201.58830976 175.2941824 12001 Repair superficial wound(s) 45.769657 45.769657 50.0033502725 43.48117415 12002 Repair superficial wound(s) 60.185297 60.185297 65.7524369725 57.17603215 12004 Repair superficial wound(s) 75.321719 75.321719 82.2889780075 71.55563305 12005 Repair superficial wound(s) 97.665961 97.665961 106.7000623925 92.78266295 12006 Repair superficial wound(s) 120.010203 120.010203 131.1111467775 114.00969285 12007 Repair superficial wound(s) 149.562265 149.562265 163.3967745125 142.08415175 1200F Seizure type& frequ docd 0 0 0 0 12011 Repair superficial wound(s) 56.581387 56.581387 61.8151652975 53.75231765 12013 Repair superficial wound(s) 59.824906 59.824906 65.358709805 56.8336607 12014 Repair superficial wound(s) 77.123674 77.123674 84.257613845 73.2674903 12015 Repair superficial wound(s) 96.945179 96.945179 105.9126080575 92.09792005 12016 Repair superficial wound(s) 132.263497 132.263497 144.4978704725 125.65032215 12017 Repair superficial wound(s) 156.409694 156.409694 170.877590695 148.5892093 12018 Repair superficial wound(s) 177.312372 177.312372 193.71376641 168.4467534 12020 Closure of split wound 194.971531 194.971531 213.0063976175 185.22295445 12021 Closure of split wound 143.435618 143.435618 156.703412665 136.2638371 12031 Intmd wnd repair s/a/t/ext 158.57204 158.57204 173.2399537 150.643438 12032 Intmd wnd repair s/a/t/ext 201.098178 201.098178 219.699759465 191.0432691 12034 Intmd wnd repair s/tr/ext 214.793036 214.793036 234.66139183 204.0533842 12035 Intmd wnd repair s/a/t/ext 249.030181 249.030181 272.0654727425 236.57867195 12036 Intmd wnd repair s/a/t/ext 290.114755 290.114755 316.9503698375 275.60901725 12037 Intmd wnd repair s/tr/ext 339.127931 339.127931 370.4972646175 322.17153445 12041 Intmd wnd repair n-hf/genit 154.607739 154.607739 168.9089548575 146.87735205 12042 Intmd wnd repair n-hf/genit 207.224825 207.224825 226.3931213125 196.86358375 12044 Intmd wnd repair n-hf/genit 222.361247 222.361247 242.9296623475 211.24318465 12045 Intmd wnd repair n-hf/genit 277.861461 277.861461 303.5636461425 263.96838795 12046 Intmd wnd repair n-hf/genit 323.270727 323.270727 353.1732692475 307.10719065 12047 Intmd wnd repair n-hf/genit 360.030609 360.030609 393.3334403325 342.02907855 12051 Intmd wnd repair face/mm 177.312372 177.312372 193.71376641 168.4467534 12052 Intmd wnd repair face/mm 210.828735 210.828735 230.3303929875 200.28729825 12053 Intmd wnd repair face/mm 225.604766 225.604766 246.473206855 214.3245277 12054 Intmd wnd repair face/mm 229.569067 229.569067 250.8042056975 218.09061365 12055 Intmd wnd repair face/mm 312.458997 312.458997 341.3614542225 296.83604715 12056 Intmd wnd repair face/mm 396.4301 396.4301 433.09988425 376.608595 12057 Intmd wnd repair face/mm 440.037411 440.037411 480.7408715175 418.03554045 1205F EPI etiol synd rvwd and docd 0 0 0 0 1220F Pt screened for depression 0 0 0 0 13100 Repair of wound or lesion 212.63069 212.63069 232.299028825 201.9991555 13101 Repair of wound or lesion 262.004257 262.004257 286.2396507725 248.90404415 13102 Repair wound/lesion add-on 77.123674 77.123674 84.257613845 73.2674903 13120 Repair of wound or lesion 244.345098 244.345098 266.947019565 232.1278431 13121 Repair of wound or lesion 276.419897 276.419897 301.9887374725 262.59890215 13122 Repair wound/lesion add-on 89.016577 89.016577 97.2506103725 84.56574815 13131 Repair of wound or lesion 258.400347 258.400347 282.3023790975 245.48032965 13132 Repair of wound or lesion 325.433073 325.433073 355.5356322525 309.16141935 13133 Repair wound/lesion add-on 135.867407 135.867407 148.4351421475 129.07403665 13151 Repair of wound or lesion 297.322575 297.322575 324.8249131875 282.45644625 13152 Repair of wound or lesion 360.030609 360.030609 393.3334403325 342.02907855 13153 Repair wound/lesion add-on 146.679137 146.679137 160.2469571725 139.34518015 13160 Late closure of wound 827.457736 827.457736 903.99757658 786.0848492 14000 Skin tissue rearrangement 518.242258 518.242258 566.179666865 492.3301451 14001 Skin tissue rearrangement 674.651952 674.651952 737.05725756 640.9193544 1400F Prkns diag rviewed 0 0 0 0 14020 Skin tissue rearrangement 585.995766 585.995766 640.200374355 556.6959777 14021 Skin tissue rearrangement 741.684678 741.684678 810.290510715 704.6004441 14040 Skin tissue rearrangement 652.30771 652.30771 712.646173175 619.6923245 14041 Skin tissue rearrangement 804.032321 804.032321 878.4053106925 763.83070495 14060 Skin tissue rearrangement 695.55463 695.55463 759.893433275 660.7768985 14061 Skin tissue rearrangement 860.253317 860.253317 939.8267488225 817.24065115 14301 Skin tissue rearrangement 909.987275 909.987275 994.1610979375 864.48791125 14302 Skin tissue rearrange add-on 228.487894 228.487894 249.623024195 217.0634993 14350 Skin tissue rearrangement 707.087142 707.087142 772.492702635 671.7327849 1450F Symptoms improved/consist 0 0 0 0 1451F Sympt show clin import drop 0 0 0 0 1460F Qual card diag prior 12 mons 0 0 0 0 1461F No qual card diag prior12mon 0 0 0 0 1490F Dem severity classified mild 0 0 0 0 1491F Dem severity classified mod 0 0 0 0 1493F Dem severity class severe 0 0 0 0 1494F Cognit assessed and reviewed 0 0 0 0 15002 Wound prep trk/arm/leg 233.172977 233.172977 254.7414773725 221.51432815 15003 Wound prep addl 100 cm 47.571612 47.571612 51.97198611 45.1930314 15004 Wound prep f/n/hf/g 276.780288 276.780288 302.38246464 262.9412736 15005 Wnd prep f/n/hf/g addl cm 95.143224 95.143224 103.94397222 90.3860628 1500F Symptom+sign symm polyneuro 0 0 0 0 1501F Not initial eval for cond 0 0 0 0 1502F Pt queried pain fxn w/ instr 0 0 0 0 1503F Pt queried symp resp insuff 0 0 0 0 15040 Harvest cultured skin graft 130.461542 130.461542 142.529234635 123.9384649 1504F Pt has resp insufficiency 0 0 0 0 15050 Skin pinch graft 459.858916 459.858916 502.39586573 436.8659702 1505F Pt has no resp insufficiency 0 0 0 0 15100 Skin splt grft trnk/arm/leg 739.882723 739.882723 808.3218748775 702.88858685 15101 Skin splt grft t/a/l add-on 116.045902 116.045902 126.780147935 110.2436069 15110 Epidrm autogrft trnk/arm/leg 714.294962 714.294962 780.367245985 678.5802139 15111 Epidrm autogrft t/a/l add-on 108.1173 108.1173 118.11815025 102.711435 15115 Epidrm a-grft face/nck/hf/g 708.889097 708.889097 774.4613384725 673.44464215 15116 Epidrm a-grft f/n/hf/g addl 157.851258 157.851258 172.452499365 149.9586951 15120 Skn splt a-grft fac/nck/hf/g 721.142391 721.142391 787.8480621675 685.08527145 15121 Skn splt a-grft f/n/hf/g add 139.110926 139.110926 151.978686655 132.1553797 15130 Derm autograft trnk/arm/leg 575.184036 575.184036 628.38855933 546.4248342 15131 Derm autograft t/a/l add-on 94.782833 94.782833 103.5502450525 90.04369135 15135 Derm autograft face/nck/hf/g 773.399086 773.399086 844.938501455 734.7291317 15136 Derm autograft f/n/hf/g add 94.782833 94.782833 103.5502450525 90.04369135 15150 Cult skin grft t/arm/leg 660.236312 660.236312 721.30817086 627.2244964 15151 Cult skin grft t/a/l addl 114.964729 114.964729 125.5989664325 109.21649255 15152 Cult skin graft t/a/l +% 143.435618 143.435618 156.703412665 136.2638371 15155 Cult skin graft f/n/hf/g 758.623055 758.623055 828.7956875875 720.69190225 15156 Cult skin grft f/n/hfg add 157.851258 157.851258 172.452499365 149.9586951 15157 Cult epiderm grft f/n/hfg +% 172.266898 172.266898 188.201586065 163.6535531 15200 Skin full graft trunk 696.996194 696.996194 761.468341945 662.1463843 15201 Skin full graft trunk add-on 81.448366 81.448366 88.982339855 77.3759477 15220 Skin full graft sclp/arm/leg 636.810897 636.810897 695.7159049725 604.97035215 15221 Skin full graft add-on 73.880155 73.880155 80.7140693375 70.18614725 15240 Skin full grft face/genit/hf 829.259691 829.259691 905.9662124175 787.79670645 15241 Skin full graft add-on 114.604338 114.604338 125.205239265 108.8741211 15260 Skin full graft een & lips 888.363815 888.363815 970.5374678875 843.94562425 15261 Skin full graft add-on 144.516791 144.516791 157.8845941675 137.29095145 15271 Skin sub graft trnk/arm/leg 87.214622 87.214622 95.281974535 82.8538909 15272 Skin sub graft t/a/l add-on 18.01955 18.01955 19.686358375 17.1185725 15273 Skin sub grft t/arm/lg child 210.468344 210.468344 229.93666582 199.9449268 15274 Skn sub grft t/a/l child add 47.932003 47.932003 52.3657132775 45.53540285 15275 Skin sub graft face/nk/hf/g 98.747134 98.747134 107.881243895 93.8097773 15276 Skin sub graft f/n/hf/g addl 26.308543 26.308543 28.7420832275 24.99311585 15277 Skn sub grft f/n/hf/g child 237.85806 237.85806 259.85993055 225.965157 15278 Skn sub grft f/n/hf/g ch add 59.824906 59.824906 65.358709805 56.8336607 15570 Form skin pedicle flap 759.343837 759.343837 829.5831419225 721.37664515 15572 Form skin pedicle flap 769.795176 769.795176 841.00122978 731.3054172 15574 Form skin pedicle flap 785.291989 785.291989 857.9314979825 746.02738955 15576 Form skin pedicle flap 690.869547 690.869547 754.7749800975 656.32606965 15600 Skin graft 212.991081 212.991081 232.6927559925 202.34152695 15610 Skin graft 247.228226 247.228226 270.096836905 234.8668147 15620 Skin graft 334.082457 334.082457 364.9850842725 317.37833415 15630 Skin graft 355.705917 355.705917 388.6087143225 337.92062115 15650 Transfer skin pedicle flap 396.790491 396.790491 433.4936114175 376.95096645 15730 Mdfc flap w/prsrv vasc pedcl 953.594586 953.594586 1041.802085205 905.9148567 15731 Forehead flap w/vasc pedicle 1036.484516 1036.484516 1132.35933373 984.6602902 15733 Musc myoq/fscq flp h&n pedcl 1085.497692 1085.497692 1185.90622851 1031.2228074 15734 Muscle-skin graft trunk 1566.619677 1566.619677 1711.5319971225 1488.28869315 15736 Muscle-skin graft arm 1272.18023 1272.18023 1389.856901275 1208.5712185 15738 Muscle-skin graft leg 1356.872115 1356.872115 1482.3827856375 1289.02850925 15740 Island pedicle flap graft 874.668957 874.668957 955.5758355225 830.93550915 15750 Neurovascular pedicle graft 951.071849 951.071849 1039.0459950325 903.51825655 15756 Free myo/skin flap microvasc 2386.148811 2386.148811 2606.8675760175 2266.84137045 15757 Free skin flap microvasc 2360.921441 2360.921441 2579.3066742925 2242.87536895 15758 Free fascial flap microvasc 2381.824119 2381.824119 2602.1428500075 2262.73291305 15760 Composite skin graft 730.152166 730.152166 797.691241355 693.6445577 15770 Derma-fat-fascia graft 687.986419 687.986419 751.6251627575 653.58709805 15775 Hair transplant punch grafts 231.371022 231.371022 252.772841535 219.8024709 15776 Hair transplant punch grafts 328.676592 328.676592 359.07917676 312.2427624 15777 Acellular derm matrix implt 225.244375 225.244375 246.0794796875 213.98215625 15780 Abrasion treatment of skin 725.467083 725.467083 792.5727881775 689.19372885 15781 Abrasion treatment of skin 444.362103 444.362103 485.4655975275 422.14399785 15782 Abrasion treatment of skin 429.225681 429.225681 468.9290564925 407.76439695 15783 Abrasion treatment of skin 382.735242 382.735242 418.138251885 363.5984799 15786 Abrasion lesion single 140.912881 140.912881 153.9473224925 133.86723695 15787 Abrasion lesions add-on 18.01955 18.01955 19.686358375 17.1185725 15788 Chemical peel face epiderm 245.426271 245.426271 268.1282010675 233.15495745 15789 Chemical peel face dermal 428.144508 428.144508 467.74787499 406.7372826 15792 Chemical peel nonfacial 252.994482 252.994482 276.396471585 240.3447579 15793 Chemical peel nonfacial 373.725467 373.725467 408.2950726975 355.03919365 15819 Plastic surgery neck 820.249916 820.249916 896.12303323 779.2374202 15820 Revision of lower eyelid 524.368905 524.368905 572.8730287125 498.15045975 15821 Revision of lower eyelid 560.047614 560.047614 611.852018295 532.0452333 15822 Revision of upper eyelid 400.754792 400.754792 437.82461026 380.7170524 15823 Revision of upper eyelid 558.966441 558.966441 610.6708367925 531.01811895 15824 Removal of forehead wrinkles 0 0 0 0 15825 Removal of neck wrinkles 0 0 0 0 15826 Removal of brow wrinkles 0 0 0 0 15828 Removal of face wrinkles 0 0 0 0 15829 Removal of skin wrinkles 0 0 0 0 15830 Exc skin abd 1216.319625 1216.319625 1328.8291903125 1155.50364375 15832 Excise excessive skin tissue 951.43224 951.43224 1039.4397222 903.860628 15833 Excise excessive skin tissue 899.535936 899.535936 982.74301008 854.5591392 15834 Excise excessive skin tissue 919.717832 919.717832 1004.79173146 873.7319404 15835 Excise excessive skin tissue 967.289444 967.289444 1056.76371757 918.9249718 15836 Excise excessive skin tissue 816.285615 816.285615 891.7920343875 775.47133425 15837 Excise excessive skin tissue 743.126242 743.126242 811.865419385 705.9699299 15838 Excise excessive skin tissue 660.957094 660.957094 722.095625195 627.9092393 15839 Excise excessive skin tissue 762.226965 762.226965 832.7329592625 724.11561675 15840 Graft for face nerve palsy 1040.088426 1040.088426 1136.296605405 988.0840047 15841 Graft for face nerve palsy 1845.922702 1845.922702 2016.670551935 1753.6265669 15842 Flap for face nerve palsy 2812.491364 2812.491364 3072.64681517 2671.8667958 15845 Skin and muscle repair face 1040.448817 1040.448817 1136.6903325725 988.42637615 15847 Exc skin abd add-on 0 0 0 0 15850 Removal of sutures 42.886529 42.886529 46.8535329325 40.74220255 15851 Removal of sutures 47.211221 47.211221 51.5782589425 44.85065995 15852 Dressing change not for burn 47.932003 47.932003 52.3657132775 45.53540285 15860 Test for blood flow in graft 111.72121 111.72121 122.055421925 106.1351495 15876 Suction assisted lipectomy 0 0 0 0 15877 Suction assisted lipectomy 0 0 0 0 15878 Suction assisted lipectomy 0 0 0 0 15879 Suction assisted lipectomy 0 0 0 0 15920 Removal of tail bone ulcer 642.937544 642.937544 702.40926682 610.7906668 15922 Removal of tail bone ulcer 810.87975 810.87975 885.886126875 770.3357625 15931 Remove sacrum pressure sore 718.619654 718.619654 785.091971995 682.6886713 15933 Remove sacrum pressure sore 885.841078 885.841078 967.781377715 841.5490241 15934 Remove sacrum pressure sore 978.461565 978.461565 1068.9692597625 929.53848675 15935 Remove sacrum pressure sore 1140.277124 1140.277124 1245.75275797 1083.2632678 15936 Remove sacrum pressure sore 926.925652 926.925652 1012.66627481 880.5793694 15937 Remove sacrum pressure sore 1075.767135 1075.767135 1175.2755949875 1021.97877825 15940 Remove hip pressure sore 726.187865 726.187865 793.3602425125 689.87847175 15941 Remove hip pressure sore 940.260119 940.260119 1027.2341800075 893.24711305 15944 Remove hip pressure sore 930.889953 930.889953 1016.9972736525 884.34545535 15945 Remove hip pressure sore 1025.672786 1025.672786 1120.547518705 974.3891467 15946 Remove hip pressure sore 1689.152617 1689.152617 1845.3992340725 1604.69498615 15950 Remove thigh pressure sore 624.197212 624.197212 681.93545411 592.9873514 15951 Remove thigh pressure sore 911.428839 911.428839 995.7360066075 865.85739705 15952 Remove thigh pressure sore 935.935427 935.935427 1022.5094539975 889.13865565 15953 Remove thigh pressure sore 1032.880606 1032.880606 1128.422062055 981.2365757 15956 Remove thigh pressure sore 1202.985158 1202.985158 1314.261285115 1142.8359001 15958 Remove thigh pressure sore 1227.491746 1227.491746 1341.034732505 1166.1171587 15999 Removal of pressure sore 0 0 0 0 16000 Initial treatment of burn(s) 47.571612 47.571612 51.97198611 45.1930314 16020 Dress/debrid p-thick burn s 55.860605 55.860605 61.0277109625 53.06757475 16025 Dress/debrid p-thick burn m 113.883556 113.883556 124.41778493 108.1893782 16030 Dress/debrid p-thick burn l 137.669362 137.669362 150.403777985 130.7858939 16035 Incision of burn scab initi 203.620915 203.620915 222.4558496375 193.43986925 16036 Escharotomy addl incision 85.052276 85.052276 92.91961153 80.7996622 17000 Destruct premalg lesion 55.139823 55.139823 60.2402566275 52.38283185 17003 Destruct premalg les 2-14 2.522737 2.522737 2.7560901725 2.39660015 17004 Destroy premal lesions 15/> 102.711435 102.711435 112.2122427375 97.57586325 17106 Destruction of skin lesions 285.790063 285.790063 312.2256438275 271.50055985 17107 Destruction of skin lesions 366.517647 366.517647 400.4205293475 348.19176465 17108 Destruction of skin lesions 548.154711 548.154711 598.8590217675 520.74697545 17110 Destruct b9 lesion 1-14 70.636636 70.636636 77.17052483 67.1048042 17111 Destruct lesion 15 or more 86.854231 86.854231 94.8882473675 82.51151945 17250 Chemical cautery tissue 37.841055 37.841055 41.3413525875 35.94900225 17260 Destruction of skin lesions 73.159373 73.159373 79.9266150025 69.50140435 17261 Destruction of skin lesions 92.980878 92.980878 101.581609215 88.3318341 17262 Destruction of skin lesions 118.92903 118.92903 129.929965275 112.9825785 17263 Destruction of skin lesions 131.903106 131.903106 144.104143305 125.3079507 17264 Destruction of skin lesions 140.55249 140.55249 153.553595325 133.5248655 17266 Destruction of skin lesions 165.77986 165.77986 181.11449705 157.490867 17270 Destruction of skin lesions 102.351044 102.351044 111.81851557 97.2334918 17271 Destruction of skin lesions 113.162774 113.162774 123.630330595 107.5046353 17272 Destruction of skin lesions 130.821933 130.821933 142.9229618025 124.28083635 17273 Destruction of skin lesions 148.120701 148.120701 161.8218658425 140.71466595 17274 Destruction of skin lesions 181.637064 181.637064 198.43849242 172.5552108 17276 Destruction of skin lesions 216.955382 216.955382 237.023754835 206.1076129 17280 Destruction of skin lesions 92.980878 92.980878 101.581609215 88.3318341 17281 Destruction of skin lesions 127.578414 127.578414 139.379417295 121.1994933 17282 Destruction of skin lesions 147.76031 147.76031 161.428138675 140.3722945 17283 Destruction of skin lesions 184.880583 184.880583 201.9820369275 175.63655385 17284 Destruction of skin lesions 215.153427 215.153427 235.0551189975 204.39575565 17286 Destruction of skin lesions 289.393973 289.393973 316.1629155025 274.92427435 17311 Mohs 1 stage h/n/hf/g 389.943062 389.943062 426.012795235 370.4459089 17312 Mohs addl stage 207.585216 207.585216 226.78684848 197.2059552 17313 Mohs 1 stage t/a/l 349.57927 349.57927 381.915352475 332.1003065 17314 Mohs addl stage t/a/l 192.448794 192.448794 210.250307445 182.8263543 17315 Mohs surg addl block 54.779432 54.779432 59.84652946 52.0404604 17340 Cryotherapy of skin 50.45474 50.45474 55.12180345 47.932003 17360 Skin peel therapy 99.828307 99.828307 109.0624253975 94.83689165 17380 Hair removal by electrolysis 0 0 0 0 17999 Skin tissue procedure 0 0 0 0 19000 Drainage of breast lesion 45.409266 45.409266 49.609623105 43.1388027 19001 Drain breast lesion add-on 22.344242 22.344242 24.411084385 21.2270299 19020 Incision of breast lesion 318.585644 318.585644 348.05481607 302.6563618 19030 Injection for breast x-ray 80.367193 80.367193 87.8011583525 76.34883335 19081 Bx breast 1st lesion strtctc 174.789635 174.789635 190.9576762375 166.05015325 19082 Bx breast add lesion strtctc 87.935404 87.935404 96.06942887 83.5386338 19083 Bx breast 1st lesion us imag 164.698687 164.698687 179.9333155475 156.46375265 19084 Bx breast add lesion us imag 82.169148 82.169148 89.76979419 78.0606906 19085 Bx breast 1st lesion mr imag 191.00723 191.00723 208.675398775 181.4568685 19086 Bx breast add lesion mr imag 95.503615 95.503615 104.3376993875 90.72843425 19100 Bx breast percut w/o image 73.159373 73.159373 79.9266150025 69.50140435 19101 Biopsy of breast open 230.289849 230.289849 251.5916600325 218.77535655 19105 Cryosurg ablate fa each 220.919683 220.919683 241.3547536775 209.87369885 19110 Nipple exploration 358.228654 358.228654 391.364804495 340.3172213 19112 Excise breast duct fistula 325.793464 325.793464 355.92935942 309.5037908 19120 Removal of breast lesion 429.586072 429.586072 469.32278366 408.1067684 19125 Excision breast lesion 476.797293 476.797293 520.9010426025 452.95742835 19126 Excision addl breast lesion 168.662988 168.662988 184.26431439 160.2298386 19260 Removal of chest wall lesion 1237.582694 1237.582694 1352.059093195 1175.7035593 19271 Revision of chest wall 1663.204465 1663.204465 1817.0508780125 1580.04424175 19272 Extensive chest wall surgery 1813.847903 1813.847903 1981.6288340275 1723.15550785 19281 Perq device breast 1st imag 104.873781 104.873781 114.5746057425 99.63009195 19282 Perq device breast ea imag 52.617086 52.617086 57.484166455 49.9862317 19283 Perq dev breast 1st strtctc 105.594563 105.594563 115.3620600775 100.31483485 19284 Perq dev breast add strtctc 54.05865 54.05865 59.059075125 51.3557175 19285 Perq dev breast 1st us imag 90.09775 90.09775 98.431791875 85.5928625 19286 Perq dev breast add us imag 45.048875 45.048875 49.2158959375 42.79643125 19287 Perq dev breast 1st mr guide 134.065452 134.065452 146.46650631 127.3621794 19288 Perq dev breast add mr guide 67.393117 67.393117 73.6269803225 64.02346115 19294 Prep tum cav iort prtl mast 169.744161 169.744161 185.4454958925 161.25695295 19296 Place po breast cath for rad 219.478119 219.478119 239.7798450075 208.50421305 19297 Place breast cath for rad 99.107525 99.107525 108.2749710625 94.15214875 19298 Place breast rad tube/caths 330.478547 330.478547 361.0478125975 313.95461965 19300 Removal of breast tissue 431.388027 431.388027 471.2914194975 409.81862565 19301 Partical mastectomy 679.697426 679.697426 742.569437905 645.7125547 19302 P-mastectomy w/ln removal 935.935427 935.935427 1022.5094539975 889.13865565 19303 Mast simple complete 997.922679 997.922679 1090.2305268075 948.02654505 19304 Mast subq 605.817271 605.817271 661.8553685675 575.52640745 19305 Mast radical 1179.559743 1179.559743 1288.6690192275 1120.58175585 19306 Mast rad urban type 1249.835988 1249.835988 1365.44581689 1187.3441886 19307 Mast mod rad 1247.313251 1247.313251 1362.6897267175 1184.94758845 19316 Suspension of breast 798.986847 798.986847 872.8931303475 759.03750465 19318 Reduction of large breast 1138.475169 1138.475169 1243.7841221325 1081.55141055 19324 Enlarge breast 545.992365 545.992365 596.4966587625 518.69274675 19325 Enlarge breast with implant 665.281786 665.281786 726.820351205 632.0176967 19328 Removal of breast implant 514.277957 514.277957 561.8486680225 488.56405915 19330 Removal of implant material 655.190838 655.190838 715.795990515 622.4312961 19340 Immediate breast prosthesis 1030.71826 1030.71826 1126.05969905 979.182347 19342 Delayed breast prosthesis 956.117323 956.117323 1044.5581753775 908.31145685 19350 Breast reconstruction 695.915021 695.915021 760.2871604425 661.11926995 19355 Correct inverted nipple(s) 640.054416 640.054416 699.25944948 608.0516952 19357 Breast reconstruction 1555.447556 1555.447556 1699.32645493 1477.6751782 19361 Breast reconstr w/lat flap 1629.688102 1629.688102 1780.434251435 1548.2036969 19364 Breast reconstruction 2854.657111 2854.657111 3118.7128937675 2711.92425545 19366 Breast reconstruction 1455.258858 1455.258858 1589.870302365 1382.4959151 19367 Breast reconstruction 1850.247394 1850.247394 2021.395277945 1757.7350243 19368 Breast reconstruction 2278.391902 2278.391902 2489.143152935 2164.4723069 19369 Breast reconstruction 2114.774388 2114.774388 2310.39101889 2009.0356686 19370 Surgery of breast capsule 711.051443 711.051443 776.8237014775 675.49887085 19371 Removal of breast capsule 813.042096 813.042096 888.24848988 772.3899912 19380 Revise breast reconstruction 802.230366 802.230366 876.436674855 762.1188477 19396 Design custom breast implant 150.283047 150.283047 164.1842288475 142.76889465 19499 Breast surgery procedure 0 0 0 0 2000F Blood pressure measure 0 0 0 0 2001F Weight record 0 0 0 0 2002F Clin sign vol ovrld assess 0 0 0 0 2004F Initial exam involved joints 0 0 0 0 20100 Explore wound neck 632.125814 632.125814 690.597451795 600.5195233 20101 Explore wound chest 217.676164 217.676164 237.81120917 206.7923558 20102 Explore wound abdomen 266.328949 266.328949 290.9643767825 253.01250155 20103 Explore wound extremity 360.030609 360.030609 393.3334403325 342.02907855 2010F Vital signs recorded 0 0 0 0 2014F Mental status assess 0 0 0 0 20150 Excise epiphyseal bar 1048.377419 1048.377419 1145.3523302575 995.95854805 2015F Asthma impairment assessed 0 0 0 0 2016F Asthma risk assessed 0 0 0 0 2018F Hydration status assess 0 0 0 0 2019F Dilated macul exam done 0 0 0 0 20200 Muscle biopsy 98.386743 98.386743 107.4875167275 93.46740585 20205 Deep muscle biopsy 161.455168 161.455168 176.38977104 153.3824096 20206 Needle biopsy muscle 60.545688 60.545688 66.14616414 57.5184036 2020F Dilated fundus eval done 0 0 0 0 2021F Dilat macul+ exam done 0 0 0 0 20220 Bone biopsy trocar/needle 74.240546 74.240546 81.107796505 70.5285187 20225 Bone biopsy trocar/needle 110.640037 110.640037 120.8742404225 105.10803515 2022F Dil retina exam interp rev 0 0 0 0 20240 Bone biopsy excisional 155.328521 155.328521 169.6964091925 147.56209495 20245 Bone biopsy excisional 365.076083 365.076083 398.8456206775 346.82227885 2024F 7 field photo interp doc rev 0 0 0 0 20250 Open bone biopsy 414.44965 414.44965 452.786242625 393.7271675 20251 Open bone biopsy 448.686795 448.686795 490.1903235375 426.25245525 2026F Eye image valid to dx rev 0 0 0 0 2027F Optic nerve head eval done 0 0 0 0 2028F Foot exam performed 0 0 0 0 2029F Complete phys skin exam done 0 0 0 0 2030F H2o stat docd normal 0 0 0 0 2031F H2o stat docd dehydrated 0 0 0 0 2035F Tymp memb motion examd 0 0 0 0 2040F Bk pn xm on init visit date 0 0 0 0 2044F Doc mntl tst b/4 bk trxmnt 0 0 0 0 20500 Injection of sinus tract 88.295795 88.295795 96.4631560375 83.88100525 20501 Inject sinus tract for x-ray 39.282619 39.282619 42.9162612575 37.31848805 2050F Wound char size etc docd 0 0 0 0 20520 Removal of foreign body 151.36422 151.36422 165.36541035 143.796009 20525 Removal of foreign body 256.238001 256.238001 279.9400160925 243.42610095 20526 Ther injection carp tunnel 59.824906 59.824906 65.358709805 56.8336607 20527 Inj dupuytren cord w/enzyme 68.47429 68.47429 74.808161825 65.0505755 20550 Inj tendon sheath/ligament 40.724183 40.724183 44.4911699275 38.68797385 20551 Inj tendon origin/insertion 41.444965 41.444965 45.2786242625 39.37271675 20552 Inj trigger point 1/2 muscl 39.282619 39.282619 42.9162612575 37.31848805 20553 Inject trigger points =/> 3 44.688484 44.688484 48.82216877 42.4540598 20555 Place ndl musc/tis for rt 342.011059 342.011059 373.6470819575 324.91050605 20600 Drain/inject joint/bursa 37.120273 37.120273 40.5538982525 35.26425935 20604 Drain/inj joint/bursa w/us 48.292394 48.292394 52.759440445 45.8777743 20605 Drain/inject joint/bursa 38.561837 38.561837 42.1288069225 36.63374515 20606 Drain/inj joint/bursa w/us 55.139823 55.139823 60.2402566275 52.38283185 2060F Pt talk eval hlthwkr re mdd 0 0 0 0 20610 Drain/inject joint/bursa 47.571612 47.571612 51.97198611 45.1930314 20611 Drain/inj joint/bursa w/us 63.068425 63.068425 68.9022543125 59.91500375 20612 Aspirate/inj ganglion cyst 43.24692 43.24692 47.2472601 41.084574 20615 Treatment of bone cyst 166.861033 166.861033 182.2956785525 158.51798135 20650 Insert and remove bone pin 165.059078 165.059078 180.327042715 156.8061241 20660 Apply rem fixation device 254.796437 254.796437 278.3651074225 242.05661515 20661 Application of head brace 523.648123 523.648123 572.0855743775 497.46571685 20662 Application of pelvis brace 531.576725 531.576725 580.7475720625 504.99788875 20663 Application of thigh brace 488.329805 488.329805 533.5003119625 463.91331475 20664 Application of halo 912.510012 912.510012 996.91718811 866.8845114 20665 Removal of fixation device 95.503615 95.503615 104.3376993875 90.72843425 20670 Removal of support implant 151.003829 151.003829 164.9716831825 143.45363755 20680 Removal of support implant 437.514674 437.514674 477.984781345 415.6389403 20690 Apply bone fixation device 619.87252 619.87252 677.2107281 588.878894 20692 Apply bone fixation device 1162.981757 1162.981757 1270.5575695225 1104.83266915 20693 Adjust bone fixation device 459.498525 459.498525 502.0021385625 436.52359875 20694 Remove bone fixation device 350.660443 350.660443 383.0965339775 333.12742085 20696 Comp multiplane ext fixation 1242.988559 1242.988559 1357.9650007075 1180.83913105 20697 Comp ext fixate strut change 2123.063381 2123.063381 2319.4467437425 2016.91021195 20802 Replantation arm complete 2871.955879 2871.955879 3137.6117978075 2728.35808505 20805 Replant forearm complete 3419.750199 3419.750199 3736.0770924075 3248.76268905 20808 Replantation hand complete 4137.28868 4137.28868 4519.9878829 3930.424246 20816 Replantation digit complete 2150.813488 2150.813488 2349.76373564 2043.2728136 20822 Replantation digit complete 1848.085048 1848.085048 2019.03291494 1755.6807956 20824 Replantation thumb complete 2154.417398 2154.417398 2353.701007315 2046.6965281 20827 Replantation thumb complete 1887.367667 1887.367667 2061.9491761975 1792.99928365 20838 Replantation foot complete 2907.994979 2907.994979 3176.9845145575 2762.59523005 20900 Removal of bone for graft 193.529967 193.529967 211.4314889475 183.85346865 20902 Removal of bone for graft 295.52062 295.52062 322.85627735 280.744589 20910 Remove cartilage for graft 485.086286 485.086286 529.956767455 460.8319717 20912 Remove cartilage for graft 490.13176 490.13176 535.4689478 465.625172 20920 Removal of fascia for graft 414.810041 414.810041 453.1799697925 394.06953895 20922 Removal of fascia for graft 506.349355 506.349355 553.1866703375 481.03188725 20924 Removal of tendon for graft 524.368905 524.368905 572.8730287125 498.15045975 20926 Removal of tissue for graft 434.991937 434.991937 475.2286911725 413.24234015 20930 Sp bone algrft morsel add-on 0 0 0 0 20931 Sp bone algrft struct add-on 117.487466 117.487466 128.355056605 111.6130927 20932 740.243114 740.243114 808.715602045 703.2309583 20933 678.976644 678.976644 741.78198357 645.0278118 20934 739.882723 739.882723 808.3218748775 702.88858685 20936 Sp bone agrft local add-on 0 0 0 0 20937 Sp bone agrft morsel add-on 175.870808 175.870808 192.13885774 167.0772676 20938 Sp bone agrft struct add-on 194.61114 194.61114 212.61267045 184.880583 20939 Bone marrow aspir bone grfg 69.195072 69.195072 75.59561616 65.7353184 20950 Fluid pressure muscle 93.70166 93.70166 102.36906355 89.016577 20955 Fibula bone graft microvasc 2583.643079 2583.643079 2822.6300638075 2454.46092505 20956 Iliac bone graft microvasc 2743.296292 2743.296292 2997.05119901 2606.1314774 20957 Mt bone graft microvasc 2873.397443 2873.397443 3139.1867064775 2729.72757085 20962 Other bone graft microvasc 2776.452264 2776.452264 3033.27409842 2637.6296508 20969 Bone/skin graft microvasc 2852.134374 2852.134374 3115.956803595 2709.5276553 20970 Bone/skin graft iliac crest 2968.901058 2968.901058 3243.524405865 2820.4560051 20972 Bone/skin graft metatarsal 2978.992006 2978.992006 3254.548766555 2830.0424057 20973 Bone/skin graft great toe 3146.573821 3146.573821 3437.6318994425 2989.24512995 20974 Electrical bone stimulation 52.617086 52.617086 57.484166455 49.9862317 20975 Electrical bone stimulation 186.682538 186.682538 203.950672765 177.3484111 20979 Us bone stimulation 33.516363 33.516363 36.6166265775 31.84054485 20982 Ablate bone tumor(s) perq 381.293678 381.293678 416.563343215 362.2289941 20983 Ablate bone tumor(s) perq 366.517647 366.517647 400.4205293475 348.19176465 20985 Cptr-asst dir ms px 152.805784 152.805784 166.94031902 145.1654948 20999 Musculoskeletal surgery 0 0 0 0 21010 Incision of jaw joint 792.499809 792.499809 865.8060413325 752.87481855 21011 Exc face les sc < 2 cm 266.328949 266.328949 290.9643767825 253.01250155 21012 Exc face les sbq 2 cm/> 351.381225 351.381225 383.8839883125 333.81216375 21013 Exc face tum deep < 2 cm 416.251605 416.251605 454.7548784625 395.43902475 21014 Exc face tum deep 2 cm/> 540.946891 540.946891 590.9844784175 513.89954645 21015 Resect face tum < 2 cm 731.59373 731.59373 799.266150025 695.0140435 21016 Resect face tum 2 cm/> 1050.539765 1050.539765 1147.7146932625 998.01277675 21025 Excision of bone lower jaw 759.343837 759.343837 829.5831419225 721.37664515 21026 Excision of facial bone(s) 498.781144 498.781144 544.91839982 473.8420868 21029 Contour of face bone lesion 658.073966 658.073966 718.945807855 625.1702677 21030 Excise max/zygoma b9 tumor 422.017861 422.017861 461.0545131425 400.91696795 21031 Remove exostosis mandible 300.566094 300.566094 328.368457695 285.5377893 21032 Remove exostosis maxilla 295.881011 295.881011 323.2500045175 281.08696045 21034 Excise max/zygoma mal tumor 1189.650691 1189.650691 1299.6933799175 1130.16815645 21040 Excise mandible lesion 422.738643 422.738643 461.8419674775 401.60171085 21044 Removal of jaw bone lesion 903.860628 903.860628 987.46773609 858.6675966 21045 Extensive jaw surgery 1265.693192 1265.693192 1382.76981226 1202.4085324 21046 Remove mandible cyst complex 1137.754387 1137.754387 1242.9966677975 1080.86666765 21047 Excise lwr jaw cyst w/repair 1358.313679 1358.313679 1483.9576943075 1290.39799505 21048 Remove maxilla cyst complex 1155.773937 1155.773937 1262.6830261725 1097.98524015 21049 Excis uppr jaw cyst w/repair 1249.115206 1249.115206 1364.658362555 1186.6594457 21050 Removal of jaw joint 934.133472 934.133472 1020.54081816 887.4267984 21060 Remove jaw joint cartilage 849.801978 849.801978 928.408660965 807.3118791 21070 Remove coronoid process 660.236312 660.236312 721.30817086 627.2244964 21073 Mnpj of tmj w/anesth 263.08543 263.08543 287.420832275 249.9311585 21076 Prepare face/oral prosthesis 834.665556 834.665556 911.87211993 792.9322782 21077 Prepare face/oral prosthesis 2089.907409 2089.907409 2283.2238443325 1985.41203855 21079 Prepare face/oral prosthesis 1400.119035 1400.119035 1529.6300457375 1330.11308325 21080 Prepare face/oral prosthesis 1563.376158 1563.376158 1707.988452615 1485.2073501 21081 Prepare face/oral prosthesis 1434.35618 1434.35618 1567.03412665 1362.638371 21082 Prepare face/oral prosthesis 1329.482399 1329.482399 1452.4595209075 1263.00827905 21083 Prepare face/oral prosthesis 1236.14113 1236.14113 1350.484184525 1174.3340735 21084 Prepare face/oral prosthesis 1428.589924 1428.589924 1560.73449197 1357.1604278 21085 Prepare face/oral prosthesis 566.174261 566.174261 618.5453801425 537.86554795 21086 Prepare face/oral prosthesis 1541.392307 1541.392307 1683.9710953975 1464.32269165 21087 Prepare face/oral prosthesis 1541.392307 1541.392307 1683.9710953975 1464.32269165 21088 Prepare face/oral prosthesis 0 0 0 0 21089 Prepare face/oral prosthesis 0 0 0 0 21100 Maxillofacial fixation 409.043785 409.043785 446.8803351125 388.59159575 21110 Interdental fixation 706.005969 706.005969 771.3115211325 670.70567055 21116 Injection jaw joint x-ray 49.733958 49.733958 54.334349115 47.2472601 21120 Reconstruction of chin 548.875493 548.875493 599.6464761025 521.43171835 21121 Reconstruction of chin 644.379108 644.379108 703.98417549 612.1601526 21122 Reconstruction of chin 806.555058 806.555058 881.161400865 766.2273051 21123 Reconstruction of chin 941.341292 941.341292 1028.41536151 894.2742274 21125 Augmentation lower jaw bone 769.074394 769.074394 840.213775445 730.6206743 21127 Augmentation lower jaw bone 889.084597 889.084597 971.3249222225 844.63036715 21137 Reduction of forehead 779.165342 779.165342 851.238136135 740.2070749 21138 Reduction of forehead 951.792631 951.792631 1039.8334493675 904.20299945 21139 Reduction of forehead 1158.657065 1158.657065 1265.8328435125 1100.72421175 21141 Reconstruct midface lefort 1422.102886 1422.102886 1553.647402955 1350.9977417 21142 Reconstruct midface lefort 1461.745896 1461.745896 1596.95739138 1388.6586012 21143 Reconstruct midface lefort 1525.174712 1525.174712 1666.25337286 1448.9159764 21145 Reconstruct midface lefort 1666.447984 1666.447984 1820.59442252 1583.1255848 21146 Reconstruct midface lefort 1732.759928 1732.759928 1893.04022134 1646.1219316 21147 Reconstruct midface lefort 1832.227844 1832.227844 2001.70891957 1740.6164518 21150 Reconstruct midface lefort 1718.344288 1718.344288 1877.29113464 1632.4270736 21151 Reconstruct midface lefort 1891.331968 1891.331968 2066.28017504 1796.7653696 21154 Reconstruct midface lefort 2034.767586 2034.767586 2222.983587705 1933.0292067 21155 Reconstruct midface lefort 2257.489224 2257.489224 2466.30697722 2144.6147628 21159 Reconstruct midface lefort 2706.176019 2706.176019 2956.4973007575 2570.86721805 21160 Reconstruct midface lefort 2935.384695 2935.384695 3206.9077792875 2788.61546025 21172 Reconstruct orbit/forehead 2183.609069 2183.609069 2385.5929078825 2074.42861555 21175 Reconstruct orbit/forehead 2300.015362 2300.015362 2512.766782985 2185.0145939 21179 Reconstruct entire forehead 1571.30476 1571.30476 1716.6504503 1492.739522 21180 Reconstruct entire forehead 1768.078246 1768.078246 1931.625483755 1679.6743337 21181 Contour cranial bone lesion 767.272439 767.272439 838.2451396075 728.90881705 21182 Reconstruct cranial bone 2198.745491 2198.745491 2402.1294489175 2088.80821645 21183 Reconstruct cranial bone 2405.609925 2405.609925 2628.1288430625 2285.32942875 21184 Reconstruct cranial bone 2589.769726 2589.769726 2829.323425655 2460.2812397 21188 Reconstruction of midface 1732.039146 1732.039146 1892.252767005 1645.4371887 21193 Reconst lwr jaw w/o graft 1325.518098 1325.518098 1448.128522065 1259.2421931 21194 Reconst lwr jaw w/graft 1527.697449 1527.697449 1669.0094630325 1451.31257655 21195 Reconst lwr jaw w/o fixation 1477.963491 1477.963491 1614.6751139175 1404.06531645 21196 Reconst lwr jaw w/fixation 1520.129238 1520.129238 1660.741192515 1444.1227761 21198 Reconstr lwr jaw segment 1192.173428 1192.173428 1302.44947009 1132.5647566 21199 Reconstr lwr jaw w/advance 1115.410145 1115.410145 1218.5855834125 1059.63963775 21206 Reconstruct upper jaw bone 1230.374874 1230.374874 1344.184549845 1168.8561303 21208 Augmentation of facial bones 838.629857 838.629857 916.2031187725 796.69836415 21209 Reduction of facial bones 695.194239 695.194239 759.4997061075 660.43452705 21210 Face bone graft 862.055272 862.055272 941.79538466 818.9525084 21215 Lower jaw bone graft 898.454763 898.454763 981.5618285775 853.53202485 21230 Rib cartilage graft 769.434785 769.434785 840.6075026125 730.96304575 21235 Ear cartilage graft 585.274984 585.274984 639.41292002 556.0112348 21240 Reconstruction of jaw joint 1158.657065 1158.657065 1265.8328435125 1100.72421175 21242 Reconstruction of jaw joint 1078.289872 1078.289872 1178.03168516 1024.3753784 21243 Reconstruction of jaw joint 1763.032772 1763.032772 1926.11330341 1674.8811334 21244 Reconstruction of lower jaw 1081.893782 1081.893782 1181.968956835 1027.7990929 21245 Reconstruction of jaw 990.714859 990.714859 1082.3559834575 941.17911605 21246 Reconstruction of jaw 916.834704 916.834704 1001.64191412 870.9929688 21247 Reconstruct lower jaw bone 1695.279264 1695.279264 1852.09259592 1610.5153008 21248 Reconstruction of jaw 913.951576 913.951576 998.49209678 868.2539972 21249 Reconstruction of jaw 1322.63497 1322.63497 1444.978704725 1256.5032215 21255 Reconstruct lower jaw bone 1466.070588 1466.070588 1601.68211739 1392.7670586 21256 Reconstruction of orbit 1289.839389 1289.839389 1409.1495324825 1225.34741955 21260 Revise eye sockets 1448.411429 1448.411429 1582.3894861825 1375.99085755 21261 Revise eye sockets 2565.623529 2565.623529 2802.9437054325 2437.34235255 21263 Revise eye sockets 2372.093562 2372.093562 2591.512216485 2253.4888839 21267 Revise eye sockets 1688.431835 1688.431835 1844.6117797375 1604.01024325 21268 Revise eye sockets 2123.063381 2123.063381 2319.4467437425 2016.91021195 21270 Augmentation cheek bone 779.525733 779.525733 851.6318633025 740.54944635 21275 Revision orbitofacial bones 871.425438 871.425438 952.032291015 827.8541661 21280 Revision of eyelid 591.04124 591.04124 645.7125547 561.489178 21282 Revision of eyelid 396.790491 396.790491 433.4936114175 376.95096645 21295 Revision of jaw muscle/bone 193.529967 193.529967 211.4314889475 183.85346865 21296 Revision of jaw muscle/bone 419.495124 419.495124 458.29842297 398.5203678 21299 Cranio/maxillofacial surgery 0 0 0 0 21310 Treatment of nose fracture 28.110498 28.110498 30.710719065 26.7049731 21315 Treatment of nose fracture 155.688912 155.688912 170.09013636 147.9044664 21320 Treatment of nose fracture 138.029753 138.029753 150.7975051525 131.12826535 21325 Treatment of nose fracture 482.563549 482.563549 527.2006772825 458.43537155 21330 Treatment of nose fracture 582.752247 582.752247 636.6568298475 553.61463465 21335 Treatment of nose fracture 739.882723 739.882723 808.3218748775 702.88858685 21336 Treat nasal septal fracture 662.759049 662.759049 724.0642610325 629.62109655 21337 Treat nasal septal fracture 303.449222 303.449222 331.518275035 288.2767609 21338 Treat nasoethmoid fracture 680.418208 680.418208 743.35689224 646.3972976 21339 Treat nasoethmoid fracture 770.515958 770.515958 841.788684115 731.9901601 21340 Treatment of nose fracture 769.074394 769.074394 840.213775445 730.6206743 21343 Treatment of sinus fracture 1110.725062 1110.725062 1213.467130235 1055.1888089 21344 Treatment of sinus fracture 1429.310706 1429.310706 1561.521946305 1357.8451707 21345 Treat nose/jaw fracture 645.820672 645.820672 705.55908416 613.5296384 21346 Treat nose/jaw fracture 958.64006 958.64006 1047.31426555 910.708057 21347 Treat nose/jaw fracture 1046.215073 1046.215073 1142.9899672525 993.90431935 21348 Treat nose/jaw fracture 1119.014055 1119.014055 1222.5228550875 1063.06335225 21355 Treat cheek bone fracture 330.478547 330.478547 361.0478125975 313.95461965 21356 Treat cheek bone fracture 391.024235 391.024235 427.1939767375 371.47302325 21360 Treat cheek bone fracture 526.17086 526.17086 574.84166455 499.862317 21365 Treat cheek bone fracture 1151.449245 1151.449245 1257.9583001625 1093.87678275 21366 Treat cheek bone fracture 1318.670669 1318.670669 1440.6477058825 1252.73713555 21385 Treat eye socket fracture 780.246515 780.246515 852.4193176375 741.23418925 21386 Treat eye socket fracture 720.061218 720.061218 786.666880665 684.0581571 21387 Treat eye socket fracture 813.762878 813.762878 889.035944215 773.0747341 21390 Treat eye socket fracture 827.457736 827.457736 903.99757658 786.0848492 21395 Treat eye socket fracture 1047.656637 1047.656637 1144.5648759225 995.27380515 21400 Treat eye socket fracture 165.419469 165.419469 180.7207698825 157.14849555 21401 Treat eye socket fracture 332.640893 332.640893 363.4101756025 316.00884835 21406 Treat eye socket fracture 596.086714 596.086714 651.224735045 566.2823783 21407 Treat eye socket fracture 667.804523 667.804523 729.5764413775 634.41429685 21408 Treat eye socket fracture 935.214645 935.214645 1021.7219996625 888.45391275 21421 Treat mouth roof fracture 620.232911 620.232911 677.6044552675 589.22126545 21422 Treat mouth roof fracture 683.661727 683.661727 746.9004367475 649.47864065 21423 Treat mouth roof fracture 800.788802 800.788802 874.861766185 760.7493619 21431 Treat craniofacial fracture 742.40546 742.40546 811.07796505 705.285187 21432 Treat craniofacial fracture 741.684678 741.684678 810.290510715 704.6004441 21433 Treat craniofacial fracture 1808.081647 1808.081647 1975.3291993475 1717.67756465 21435 Treat craniofacial fracture 1453.456903 1453.456903 1587.9016665275 1380.78405785 21436 Treat craniofacial fracture 2120.180253 2120.180253 2316.2969264025 2014.17124035 21440 Treat dental ridge fracture 506.349355 506.349355 553.1866703375 481.03188725 21445 Treat dental ridge fracture 651.226537 651.226537 711.4649916725 618.66521015 21450 Treat lower jaw fracture 485.446677 485.446677 530.3504946225 461.17434315 21451 Treat lower jaw fracture 658.794748 658.794748 719.73326219 625.8550106 21452 Treat lower jaw fracture 411.566522 411.566522 449.636425285 390.9881959 21453 Treat lower jaw fracture 851.964324 851.964324 930.77102397 809.3661078 21454 Treat lower jaw fracture 565.453479 565.453479 617.7579258075 537.18080505 21461 Treat lower jaw fracture 1012.69871 1012.69871 1106.373340675 962.0637745 21462 Treat lower jaw fracture 1126.221875 1126.221875 1230.3973984375 1069.91078125 21465 Treat lower jaw fracture 932.331517 932.331517 1018.5721823225 885.71494115 21470 Treat lower jaw fracture 1244.790514 1244.790514 1359.933636545 1182.5509883 21480 Reset dislocated jaw 32.795581 32.795581 35.8291722425 31.15580195 21485 Reset dislocated jaw 703.843623 703.843623 768.9491581275 668.65144185 21490 Repair dislocated jaw 921.159396 921.159396 1006.36664013 875.1014262 21497 Interdental wiring 595.005541 595.005541 650.0435535425 565.25526395 21499 Head surgery procedure 0 0 0 0 21501 Drain neck/chest lesion 334.803239 334.803239 365.7725386075 318.06307705 21502 Drain chest lesion 523.287732 523.287732 571.69184721 497.1233454 21510 Drainage of bone lesion 459.138134 459.138134 501.608411395 436.1812273 21550 Biopsy of neck/chest 162.536341 162.536341 177.5709525425 154.40952395 21552 Exc neck les sc 3 cm/> 463.462826 463.462826 506.333137405 440.2896847 21554 Exc neck tum deep 5 cm/> 758.983446 758.983446 829.189414755 721.0342737 21555 Exc neck les sc < 3 cm 316.423298 316.423298 345.692453065 300.6021331 21556 Exc neck tum deep < 5 cm 547.433929 547.433929 598.0715674325 520.06223255 21557 Resect neck tum < 5 cm 990.354468 990.354468 1081.96225629 940.8367446 21558 Resect neck tum 5 cm/> 1396.875516 1396.875516 1526.08650123 1327.0317402 21600 Partial removal of rib 571.219735 571.219735 624.0575604875 542.65874825 21610 Partial removal of rib 1250.55677 1250.55677 1366.233271225 1188.0289315 21615 Removal of rib 633.567378 633.567378 692.172360465 601.8890091 21616 Removal of rib and nerves 740.963896 740.963896 809.50305638 703.9157012 21620 Partial removal of sternum 523.287732 523.287732 571.69184721 497.1233454 21627 Sternal debridement 558.245659 558.245659 609.8833824575 530.33337605 21630 Extensive sternum surgery 1277.225704 1277.225704 1395.36908162 1213.3644188 21632 Extensive sternum surgery 1257.404199 1257.404199 1373.7140874075 1194.53398905 21685 Hyoid myotomy & suspension 1016.663011 1016.663011 1110.7043395175 965.82986045 21700 Revision of neck muscle 369.040384 369.040384 403.17661952 350.5883648 21705 Revision of neck muscle/rib 554.641749 554.641749 605.9461107825 526.90966155 21720 Revision of neck muscle 532.297507 532.297507 581.5350263975 505.68263165 21725 Revision of neck muscle 561.489178 561.489178 613.426926965 533.4147191 21740 Reconstruction of sternum 1071.082052 1071.082052 1170.15714181 1017.5279494 21742 Repair stern/nuss w/o scope 0 0 0 0 21743 Repair sternum/nuss w/scope 0 0 0 0 21750 Repair of sternum separation 710.330661 710.330661 776.0362471425 674.81412795 21811 Optx of rib fx w/fixj scope 619.151738 619.151738 676.423273765 588.1941511 21812 Treatment of rib fracture 759.343837 759.343837 829.5831419225 721.37664515 21813 Treatment of rib fracture 1023.51044 1023.51044 1118.1851557 972.334918 21820 Treat sternum fracture 147.76031 147.76031 161.428138675 140.3722945 21825 Treat sternum fracture 561.849569 561.849569 613.8206541325 533.75709055 21899 Neck/chest surgery procedure 0 0 0 0 21920 Biopsy soft tissue of back 163.977905 163.977905 179.1458612125 155.77900975 21925 Biopsy soft tissue of back 371.20273 371.20273 405.538982525 352.6425935 21930 Exc back les sc < 3 cm 378.050159 378.050159 413.0197987075 359.14765105 21931 Exc back les sc 3 cm/> 488.690196 488.690196 533.89403913 464.2556862 21932 Exc back tum deep < 5 cm 687.265637 687.265637 750.8377084225 652.90235515 21933 Exc back tum deep 5 cm/> 767.272439 767.272439 838.2451396075 728.90881705 21935 Resect back tum < 5 cm 1068.559315 1068.559315 1167.4010516375 1015.13134925 21936 Resect back tum 5 cm/> 1476.161536 1476.161536 1612.70647808 1402.3534592 22010 I&d p-spine c/t/cerv-thor 999.364243 999.364243 1091.8054354775 949.39603085 22015 I&d p-spine l/s/ls 987.47134 987.47134 1078.81243895 938.097773 22100 Remove part of neck vertebra 896.652808 896.652808 979.59319274 851.8201676 22101 Remove part thorax vertebra 893.76968 893.76968 976.4433754 849.081196 22102 Remove part lumbar vertebra 846.198068 846.198068 924.47138929 803.8881646 22103 Remove extra spine segment 147.76031 147.76031 161.428138675 140.3722945 22110 Remove part of neck vertebra 1091.624339 1091.624339 1192.5995903575 1037.04312205 22112 Remove part thorax vertebra 1155.053155 1155.053155 1261.8955718375 1097.30049725 22114 Remove part lumbar vertebra 1169.108404 1169.108404 1277.25093137 1110.6529838 22116 Remove extra spine segment 148.481092 148.481092 162.21559301 141.0570374 22206 Cut spine 3 col thor 2570.669003 2570.669003 2808.4558857775 2442.13555285 22207 Cut spine 3 col lumb 2518.772699 2518.772699 2751.7591736575 2392.83406405 22208 Cut spine 3 col addl seg 622.755648 622.755648 680.36054544 591.6178656 22210 Revision of neck spine 1876.195546 1876.195546 2049.743634005 1782.3857687 22212 Revision of thorax spine 1557.609902 1557.609902 1701.688817935 1479.7294069 22214 Revision of lumbar spine 1564.09694 1564.09694 1708.77590695 1485.892093 22216 Revise extra spine segment 382.374851 382.374851 417.7445247175 363.25610845 22220 Revision of neck spine 1695.279264 1695.279264 1852.09259592 1610.5153008 22222 Revision of thorax spine 1803.036173 1803.036173 1969.8170190025 1712.88436435 22224 Revision of lumbar spine 1654.19469 1654.19469 1807.207698825 1571.4849555 22226 Revise extra spine segment 381.293678 381.293678 416.563343215 362.2289941 22310 Treat spine fracture 294.439447 294.439447 321.6750958475 279.71747465 22315 Treat spine fracture 800.788802 800.788802 874.861766185 760.7493619 22318 Treat odontoid fx w/o graft 1717.263115 1717.263115 1876.1099531375 1631.39995925 22319 Treat odontoid fx w/graft 1901.783307 1901.783307 2077.6982628975 1806.69414165 22325 Treat spine fracture 1512.561027 1512.561027 1652.4729219975 1436.93297565 22326 Treat neck spine fracture 1566.619677 1566.619677 1711.5319971225 1488.28869315 22327 Treat thorax spine fracture 1581.395708 1581.395708 1727.67481099 1502.3259226 22328 Treat each add spine fx 297.322575 297.322575 324.8249131875 282.45644625 22505 Manipulation of spine 136.588189 136.588189 149.2225964825 129.75877955 22510 Perq cervicothoracic inject 451.930314 451.930314 493.733868045 429.3337983 22511 Perq lumbosacral injection 423.819816 423.819816 463.02314898 402.6288252 22512 Vertebroplasty addl inject 215.874209 215.874209 235.8425733325 205.08049855 22513 Perq vertebral augmentation 539.144936 539.144936 589.01584258 512.1876892 22514 Perq vertebral augmentation 502.385054 502.385054 548.855671495 477.2658013 22515 Perq vertebral augmentation 232.812586 232.812586 254.347750205 221.1719567 22526 Idet single level 351.741616 351.741616 384.27771548 334.1545352 22527 Idet 1 or more levels 166.140251 166.140251 181.5082242175 157.83323845 22532 Lat thorax spine fusion 1888.44884 1888.44884 2063.1303577 1794.026398 22533 Lat lumbar spine fusion 1734.201492 1734.201492 1894.61513001 1647.4914174 22534 Lat thor/lumb addl seg 379.131332 379.131332 414.20098021 360.1747654 22548 Neck spine fusion 2052.426745 2052.426745 2242.2762189125 1949.80540775 22551 Neck spine fuse&remov bel c2 1789.701706 1789.701706 1955.249113805 1700.2166207 22552 Addl neck spine fusion 419.495124 419.495124 458.29842297 398.5203678 22554 Neck spine fusion 1311.82324 1311.82324 1433.1668897 1246.232078 22556 Thorax spine fusion 1750.779478 1750.779478 1912.726579715 1663.2405041 22558 Lumbar spine fusion 1603.379559 1603.379559 1751.6921682075 1523.21058105 22585 Additional spinal fusion 344.173405 344.173405 376.0094449625 326.96473475 22586 Prescrl fuse w/ instr l5-s1 2124.144554 2124.144554 2320.627925245 2017.9373263 22590 Spine & skull spinal fusion 1657.438209 1657.438209 1810.7512433325 1574.56629855 22595 Neck spinal fusion 1581.395708 1581.395708 1727.67481099 1502.3259226 22600 Neck spine fusion 1350.745468 1350.745468 1475.68942379 1283.2081946 22610 Thorax spine fusion 1325.518098 1325.518098 1448.128522065 1259.2421931 22612 Lumbar spine fusion 1659.960946 1659.960946 1813.507333505 1576.9628987 22614 Spine fusion extra segment 411.566522 411.566522 449.636425285 390.9881959 22630 Lumbar spine fusion 1650.59078 1650.59078 1803.27042715 1568.061241 22632 Spine fusion extra segment 338.76754 338.76754 370.10353745 321.829163 22633 Lumbar spine fusion combined 1940.705535 1940.705535 2120.2207969875 1843.67025825 22634 Spine fusion extra segment 521.846168 521.846168 570.11693854 495.7538596 22800 Fusion of spine 1417.778194 1417.778194 1548.922676945 1346.8892843 22802 Fusion of spine 2202.349401 2202.349401 2406.0667205925 2092.23193095 22804 Fusion of spine 2545.802024 2545.802024 2781.28871122 2418.5119228 22808 Fusion of spine 1937.462016 1937.462016 2116.67725248 1840.5889152 22810 Fusion of spine 2172.436948 2172.436948 2373.38736569 2063.8151006 22812 Fusion of spine 2280.554248 2280.554248 2491.50551594 2166.5265356 22818 Kyphectomy 1-2 segments 2252.083359 2252.083359 2460.4010697075 2139.47919105 22819 Kyphectomy 3 or more 2576.79565 2576.79565 2815.149247625 2447.9558675 22830 Exploration of spinal fusion 851.243542 851.243542 929.983569635 808.6813649 22840 Insert spine fixation device 800.06802 800.06802 874.07431185 760.064619 22841 Insert spine fixation device 0 0 0 0 22842 Insert spine fixation device 804.392712 804.392712 878.79903786 764.1730764 22843 Insert spine fixation device 860.253317 860.253317 939.8267488225 817.24065115 22844 Insert spine fixation device 1038.646862 1038.646862 1134.721696735 986.7145189 22845 Insert spine fixation device 768.714003 768.714003 839.8200482775 730.27830285 22846 Insert spine fixation device 798.266065 798.266065 872.1056760125 758.35276175 22847 Insert spine fixation device 842.233767 842.233767 920.1403904475 800.12207865 22848 Insert pelv fixation device 378.41055 378.41055 413.413525875 359.4900225 22849 Reinsert spinal fixation 1359.755243 1359.755243 1485.5326029775 1291.76748085 22850 Remove spine fixation device 758.262664 758.262664 828.40196042 720.3495308 22852 Remove spine fixation device 728.350211 728.350211 795.7226055175 691.93270045 22853 Insj biomechanical device 272.095205 272.095205 297.2640114625 258.49044475 22854 Insj biomechanical device 352.462398 352.462398 385.065169815 334.8392781 22855 Remove spine fixation device 1160.098629 1160.098629 1267.4077521825 1102.09369755 22856 Cerv artific diskectomy 1717.623506 1717.623506 1876.503680305 1631.7423307 22857 Lumbar artif diskectomy 1832.588235 1832.588235 2002.1026467375 1740.95882325 22858 Second level cer diskectomy 538.063763 538.063763 587.8346610775 511.16057485 22859 Insj biomechanical device 352.462398 352.462398 385.065169815 334.8392781 22861 Revise cerv artific disc 2340.018763 2340.018763 2556.4704985775 2223.01782485 22862 Revise lumbar artif disc 1979.988154 1979.988154 2163.137058245 1880.9887463 22864 Remove cerv artif disc 2160.544045 2160.544045 2360.3943691625 2052.51684275 22865 Remove lumb artif disc 2031.884458 2031.884458 2219.833770365 1930.2902351 22867 Insj stablj dev w/dcmprn 1016.663011 1016.663011 1110.7043395175 965.82986045 22868 Insj stablj dev w/dcmprn 254.436046 254.436046 277.971380255 241.7142437 22869 Insj stablj dev w/o dcmprn 477.518075 477.518075 521.6884969375 453.64217125 22870 Insj stablj dev w/o dcmprn 130.461542 130.461542 142.529234635 123.9384649 22899 Spine surgery procedure 0 0 0 0 22900 Exc abdl tum deep < 5 cm 585.274984 585.274984 639.41292002 556.0112348 22901 Exc abdl tum deep 5 cm/> 691.95072 691.95072 755.9561616 657.353184 22902 Exc abd les sc < 3 cm 343.452623 343.452623 375.2219906275 326.27999185 22903 Exc abd les sc 3 cm/> 456.975788 456.975788 499.24604839 434.1269986 22904 Resect abd tum < 5 cm 1098.832159 1098.832159 1200.4741337075 1043.89055105 22905 Resect abd tum 5 cm/> 1388.946914 1388.946914 1517.424503545 1319.4995683 22999 Abdomen surgery procedure 0 0 0 0 23000 Removal of calcium deposits 372.644294 372.644294 407.113891195 354.0120793 23020 Release shoulder joint 715.376135 715.376135 781.5484274875 679.60732825 23030 Drain shoulder lesion 259.48152 259.48152 283.4835606 246.507444 23031 Drain shoulder bursa 215.874209 215.874209 235.8425733325 205.08049855 23035 Drain shoulder bone lesion 702.041668 702.041668 766.98052229 666.9395846 23040 Exploratory shoulder surgery 743.847024 743.847024 812.65287372 706.6546728 23044 Exploratory shoulder surgery 587.797721 587.797721 642.1690101925 558.40783495 23065 Biopsy shoulder tissues 173.348071 173.348071 189.3827675675 164.68066745 23066 Biopsy shoulder tissues 374.80664 374.80664 409.4762542 356.066308 23071 Exc shoulder les sc 3 cm/> 435.712719 435.712719 476.0161455075 413.92708305 23073 Exc shoulder tum deep 5 cm/> 722.223564 722.223564 789.02924367 686.1123858 23075 Exc shoulder les sc < 3 cm 339.127931 339.127931 370.4972646175 322.17153445 23076 Exc shoulder tum deep < 5 cm 562.20996 562.20996 614.2143813 534.099462 23077 Resect shoulder tum < 5 cm 1182.442871 1182.442871 1291.8188365675 1123.32072745 23078 Resect shoulder tum 5 cm/> 1494.901868 1494.901868 1633.18029079 1420.1567746 23100 Biopsy of shoulder joint 518.96304 518.96304 566.9671212 493.014888 23101 Shoulder joint surgery 473.553774 473.553774 517.357498095 449.8760853 23105 Remove shoulder joint lining 660.957094 660.957094 722.095625195 627.9092393 23106 Incision of collarbone joint 516.079912 516.079912 563.81730386 490.2759164 23107 Explore treat shoulder joint 685.103291 685.103291 748.4753454175 650.84812645 23120 Partial removal collar bone 605.45688 605.45688 661.4616414 575.184036 23125 Removal of collar bone 732.314512 732.314512 800.05360436 695.6987864 23130 Remove shoulder bone part 635.008942 635.008942 693.747269135 603.2584949 23140 Removal of bone lesion 573.02169 573.02169 626.026196325 544.3706055 23145 Removal of bone lesion 712.853398 712.853398 778.792337315 677.2107281 23146 Removal of bone lesion 635.369333 635.369333 694.1409963025 603.60086635 23150 Removal of humerus lesion 682.580554 682.580554 745.719255245 648.4515263 23155 Removal of humerus lesion 818.08757 818.08757 893.760670225 777.1831915 23156 Removal of humerus lesion 701.320886 701.320886 766.193067955 666.2548417 23170 Remove collar bone lesion 582.391856 582.391856 636.26310268 553.2722632 23172 Remove shoulder blade lesion 584.914593 584.914593 639.0191928525 555.66886335 23174 Remove humerus lesion 786.733553 786.733553 859.5064066525 747.39687535 23180 Remove collar bone lesion 684.382509 684.382509 747.6878910825 650.16338355 23182 Remove shoulder blade lesion 682.940945 682.940945 746.1129824125 648.79389775 23184 Remove humerus lesion 760.42501 760.42501 830.764323425 722.4037595 23190 Partial removal of scapula 592.122413 592.122413 646.8937362025 562.51629235 23195 Removal of head of humerus 773.759477 773.759477 845.3322286225 735.07150315 23200 Resect clavicle tumor 1572.746324 1572.746324 1718.22535897 1494.1090078 23210 Resect scapula tumor 1847.364266 1847.364266 2018.245460605 1754.9960527 23220 Resect prox humerus tumor 2030.082503 2030.082503 2217.8651345275 1928.57837785 23330 Remove shoulder foreign body 171.546116 171.546116 187.41413173 162.9688102 23333 Remove shoulder fb deep 478.238857 478.238857 522.4759512725 454.32691415 23334 Shoulder prosthesis removal 1112.887408 1112.887408 1215.82949324 1057.2430376 23335 Shoulder prosthesis removal 1328.401226 1328.401226 1451.278339405 1261.9811647 23350 Injection for shoulder x-ray 52.977477 52.977477 57.8778936225 50.32860315 23395 Muscle transfer shoulder/arm 1332.365527 1332.365527 1455.6093382475 1265.74725065 23397 Muscle transfers 1177.397397 1177.397397 1286.3066562225 1118.52752715 23400 Fixation of shoulder blade 992.156423 992.156423 1083.9308921275 942.54860185 23405 Incision of tendon & muscle 640.414807 640.414807 699.6531766475 608.39406665 23406 Incise tendon(s) & muscle(s) 800.06802 800.06802 874.07431185 760.064619 23410 Repair rotator cuff acute 851.964324 851.964324 930.77102397 809.3661078 23412 Repair rotator cuff chronic 884.039123 884.039123 965.8127418775 839.83716685 23415 Release of shoulder ligament 724.746301 724.746301 791.7853338425 688.50898595 23420 Repair of shoulder 1008.374018 1008.374018 1101.648614665 957.9553171 23430 Repair biceps tendon 771.597131 771.597131 842.9698656175 733.01727445 23440 Remove/transplant tendon 782.04847 782.04847 854.387953475 742.9460465 23450 Repair shoulder capsule 978.821956 978.821956 1069.36298693 929.8808582 23455 Repair shoulder capsule 1035.763734 1035.763734 1131.571879395 983.9755473 23460 Repair shoulder capsule 1126.582266 1126.582266 1230.791125605 1070.2531527 23462 Repair shoulder capsule 1094.507467 1094.507467 1195.7494076975 1039.78209365 23465 Repair shoulder capsule 1159.017456 1159.017456 1266.22657068 1101.0665832 23466 Repair shoulder capsule 1157.215501 1157.215501 1264.2579348425 1099.35472595 23470 Reconstruct shoulder joint 1246.592469 1246.592469 1361.9022723825 1184.26284555 23472 Reconstruct shoulder joint 1511.119463 1511.119463 1650.8980133275 1435.56348985 23473 Revis reconst shoulder joint 1685.909098 1685.909098 1841.855689565 1601.6136431 23474 Revis reconst shoulder joint 1821.055723 1821.055723 1989.5033773775 1730.00293685 23480 Revision of collar bone 854.12667 854.12667 933.133386975 811.4203365 23485 Revision of collar bone 991.07525 991.07525 1082.749710625 941.5214875 23490 Reinforce clavicle 889.084597 889.084597 971.3249222225 844.63036715 23491 Reinforce shoulder bones 1054.504066 1054.504066 1152.045692105 1001.7788627 23500 Treat clavicle fracture 229.569067 229.569067 250.8042056975 218.09061365 23505 Treat clavicle fracture 342.731841 342.731841 374.4345362925 325.59524895 23515 Treat clavicle fracture 746.00937 746.00937 815.015236725 708.7089015 23520 Treat clavicle dislocation 242.543143 242.543143 264.9783837275 230.41598585 23525 Treat clavicle dislocation 369.400775 369.400775 403.5703466875 350.93073625 23530 Treat clavicle dislocation 590.320458 590.320458 644.925100365 560.8044351 23532 Treat clavicle dislocation 641.135589 641.135589 700.4406309825 609.07880955 23540 Treat clavicle dislocation 236.416496 236.416496 258.28502188 224.5956712 23545 Treat clavicle dislocation 321.108381 321.108381 350.8109062425 305.05296195 23550 Treat clavicle dislocation 589.239285 589.239285 643.7439188625 559.77732075 23552 Treat clavicle dislocation 677.895471 677.895471 740.6008020675 644.00069745 23570 Treat shoulder blade fx 246.147053 246.147053 268.9156554025 233.83970035 23575 Treat shoulder blade fx 387.780716 387.780716 423.65043223 368.3916802 23585 Treat scapula fracture 1016.663011 1016.663011 1110.7043395175 965.82986045 23600 Treat humerus fracture 317.864862 317.864862 347.267361735 301.9716189 23605 Treat humerus fracture 438.595847 438.595847 479.1659628475 416.66605465 23615 Treat humerus fracture 917.555486 917.555486 1002.429368455 871.6777117 23616 Treat humerus fracture 1287.677043 1287.677043 1406.7871694775 1223.29319085 23620 Treat humerus fracture 263.806212 263.806212 288.20828661 250.6159014 23625 Treat humerus fracture 363.634519 363.634519 397.2707120075 345.45279305 23630 Treat humerus fracture 809.798577 809.798577 884.7049453725 769.30864815 23650 Treat shoulder dislocation 298.764139 298.764139 326.3998218575 283.82593205 23655 Treat shoulder dislocation 416.972387 416.972387 455.5423327975 396.12376765 23660 Treat shoulder dislocation 603.654925 603.654925 659.4930055625 573.47217875 23665 Treat dislocation/fracture 409.404176 409.404176 447.27406228 388.9339672 23670 Treat dislocation/fracture 908.545711 908.545711 992.5861892675 863.11842545 23675 Treat dislocation/fracture 516.440303 516.440303 564.2110310275 490.61828785 23680 Treat dislocation/fracture 963.685534 963.685534 1052.826445895 915.5012573 23700 Fixation of shoulder 203.260524 203.260524 222.06212247 193.0974978 23800 Fusion of shoulder joint 1063.15345 1063.15345 1161.495144125 1009.9957775 23802 Fusion of shoulder joint 1326.23888 1326.23888 1448.9159764 1259.926936 23900 Amputation of arm & girdle 1440.482827 1440.482827 1573.7274884975 1368.45868565 23920 Amputation at shoulder joint 1170.189577 1170.189577 1278.4321128725 1111.68009815 23921 Amputation follow-up surgery 485.446677 485.446677 530.3504946225 461.17434315 23929 Shoulder surgery procedure 0 0 0 0 23930 Drainage of arm lesion 220.919683 220.919683 241.3547536775 209.87369885 23931 Drainage of arm bursa 161.455168 161.455168 176.38977104 153.3824096 23935 Drain arm/elbow bone lesion 526.531251 526.531251 575.2353917175 500.20468845 24000 Exploratory elbow surgery 494.096061 494.096061 539.7999466425 469.39125795 24006 Release elbow joint 740.963896 740.963896 809.50305638 703.9157012 24065 Biopsy arm/elbow soft tissue 172.266898 172.266898 188.201586065 163.6535531 24066 Biopsy arm/elbow soft tissue 434.631546 434.631546 474.834964005 412.8999687 24071 Exc arm/elbow les sc 3 cm/> 421.65747 421.65747 460.660785975 400.5745965 24073 Ex arm/elbow tum deep 5 cm/> 720.421609 720.421609 787.0606078325 684.40052855 24075 Exc arm/elbow les sc < 3 cm 341.650668 341.650668 373.25335479 324.5681346 24076 Ex arm/elbow tum deep < 5 cm 564.732697 564.732697 616.9704714725 536.49606215 24077 Resect arm/elbow tum < 5 cm 1078.650263 1078.650263 1178.4254123275 1024.71774985 24079 Resect arm/elbow tum 5 cm/> 1378.135184 1378.135184 1505.61268852 1309.2284248 24100 Biopsy elbow joint lining 431.388027 431.388027 471.2914194975 409.81862565 24101 Explore/treat elbow joint 518.242258 518.242258 566.179666865 492.3301451 24102 Remove elbow joint lining 638.973243 638.973243 698.0782679775 607.02458085 24105 Removal of elbow bursa 364.715692 364.715692 398.45189351 346.4799074 24110 Remove humerus lesion 607.619226 607.619226 663.824004405 577.2382647 24115 Remove/graft bone lesion 757.902273 757.902273 828.0082332525 720.00715935 24116 Remove/graft bone lesion 893.76968 893.76968 976.4433754 849.081196 24120 Remove elbow lesion 549.596275 549.596275 600.4339304375 522.11646125 24125 Remove/graft bone lesion 644.739499 644.739499 704.3779026575 612.50252405 24126 Remove/graft bone lesion 667.444132 667.444132 729.18271421 634.0719254 24130 Removal of head of radius 528.693597 528.693597 577.5977547225 502.25891715 24134 Removal of arm bone lesion 774.480259 774.480259 846.1196829575 735.75624605 24136 Remove radius bone lesion 655.551229 655.551229 716.1897176825 622.77366755 24138 Remove elbow bone lesion 701.681277 701.681277 766.5867951225 666.59721315 24140 Partial removal of arm bone 728.350211 728.350211 795.7226055175 691.93270045 24145 Partial removal of radius 615.187437 615.187437 672.0922749225 584.42806515 24147 Partial removal of elbow 646.541454 646.541454 706.346538495 614.2143813 24149 Radical resection of elbow 1220.283926 1220.283926 1333.160189155 1159.2697297 24150 Resect distal humerus tumor 1615.632853 1615.632853 1765.0788919025 1534.85121035 24152 Resect radius tumor 1382.099485 1382.099485 1509.9436873625 1312.99451075 24155 Removal of elbow joint 881.876777 881.876777 963.4503788725 837.78293815 24160 Remove elbow joint implant 1313.985586 1313.985586 1435.529252705 1248.2863067 24164 Remove radius head implant 752.856799 752.856799 822.4960529075 715.21395905 24200 Removal of arm foreign body 143.796009 143.796009 157.0971398325 136.60620855 24201 Removal of arm foreign body 377.329377 377.329377 412.2323443725 358.46290815 24220 Injection for elbow x-ray 70.276245 70.276245 76.7767976625 66.76243275 24300 Manipulate elbow w/anesth 434.991937 434.991937 475.2286911725 413.24234015 24301 Muscle/tendon transfer 779.165342 779.165342 851.238136135 740.2070749 24305 Arm tendon lengthening 597.888669 597.888669 653.1933708825 567.99423555 24310 Revision of arm tendon 484.005113 484.005113 528.7755859525 459.80485735 24320 Repair of arm tendon 803.67193 803.67193 878.011583525 763.4883335 24330 Revision of arm muscles 743.486633 743.486633 812.2591465525 706.31230135 24331 Revision of arm muscles 801.509584 801.509584 875.64922052 761.4341048 24332 Tenolysis triceps 636.450506 636.450506 695.322177805 604.6279807 24340 Repair of biceps tendon 634.28816 634.28816 692.9598148 602.573752 24341 Repair arm tendon/muscle 771.957522 771.957522 843.363592785 733.3596459 24342 Repair of ruptured tendon 805.113494 805.113494 879.586492195 764.8578193 24343 Repr elbow lat ligmnt w/tiss 735.558031 735.558031 803.5971488675 698.78012945 24344 Reconstruct elbow lat ligmnt 1133.429695 1133.429695 1238.2719417875 1076.75821025 24345 Repr elbw med ligmnt w/tissu 729.791775 729.791775 797.2975141875 693.30218625 24346 Reconstruct elbow med ligmnt 1138.83556 1138.83556 1244.1778493 1081.893782 24357 Repair elbow perc 431.027636 431.027636 470.89769233 409.4762542 24358 Repair elbow w/deb open 542.388455 542.388455 592.5593870875 515.26903225 24359 Repair elbow deb/attch open 685.103291 685.103291 748.4753454175 650.84812645 24360 Reconstruct elbow joint 934.854254 934.854254 1021.328272495 888.1115413 24361 Reconstruct elbow joint 1046.215073 1046.215073 1142.9899672525 993.90431935 24362 Reconstruct elbow joint 1103.156851 1103.156851 1205.1988597175 1047.99900845 24363 Replace elbow joint 1512.200636 1512.200636 1652.07919483 1436.5906042 24365 Reconstruct head of radius 662.759049 662.759049 724.0642610325 629.62109655 24366 Reconstruct head of radius 706.36636 706.36636 771.7052483 671.048042 24370 Revise reconst elbow joint 1611.668552 1611.668552 1760.74789306 1531.0851244 24371 Revise reconst elbow joint 1851.328567 1851.328567 2022.5764594475 1758.76213865 24400 Revision of humerus 854.847452 854.847452 933.92084131 812.1050794 24410 Revision of humerus 1100.273723 1100.273723 1202.0490423775 1045.26003685 24420 Revision of humerus 1030.357869 1030.357869 1125.6659718825 978.83997555 24430 Repair of humerus 1095.58864 1095.58864 1196.9305892 1040.809208 24435 Repair humerus with graft 1117.932882 1117.932882 1221.341673585 1062.0362379 24470 Revision of elbow joint 697.356585 697.356585 761.8620691125 662.48875575 24495 Decompression of forearm 766.551657 766.551657 837.4576852725 728.22407415 24498 Reinforce humerus 899.535936 899.535936 982.74301008 854.5591392 24500 Treat humerus fracture 336.965585 336.965585 368.1349016125 320.11730575 24505 Treat humerus fracture 463.462826 463.462826 506.333137405 440.2896847 24515 Treat humerus fracture 910.708057 910.708057 994.9485522725 865.17265415 24516 Treat humerus fracture 892.688507 892.688507 975.2621938975 848.05408165 24530 Treat humerus fracture 356.426699 356.426699 389.3961686575 338.60536405 24535 Treat humerus fracture 587.43733 587.43733 641.775283025 558.0654635 24538 Treat humerus fracture 775.201041 775.201041 846.9071372925 736.44098895 24545 Treat humerus fracture 965.127098 965.127098 1054.401354565 916.8707431 24546 Treat humerus fracture 1079.371045 1079.371045 1179.2128666625 1025.40249275 24560 Treat humerus fracture 298.403748 298.403748 326.00609469 283.4835606 24565 Treat humerus fracture 506.349355 506.349355 553.1866703375 481.03188725 24566 Treat humerus fracture 744.928197 744.928197 813.8340552225 707.68178715 24575 Treat humerus fracture 758.983446 758.983446 829.189414755 721.0342737 24576 Treat humerus fracture 315.342125 315.342125 344.5112715625 299.57501875 24577 Treat humerus fracture 520.764995 520.764995 568.9357570375 494.72674525 24579 Treat humerus fracture 867.100746 867.100746 947.307565005 823.7457087 24582 Treat humerus fracture 841.152594 841.152594 918.959208945 799.0949643 24586 Treat elbow fracture 1125.501093 1125.501093 1229.6099441025 1069.22603835 24587 Treat elbow fracture 1129.825785 1129.825785 1234.3346701125 1073.33449575 24600 Treat elbow dislocation 345.97536 345.97536 377.9780808 328.676592 24605 Treat elbow dislocation 489.771369 489.771369 535.0752206325 465.28280055 24615 Treat elbow dislocation 739.882723 739.882723 808.3218748775 702.88858685 24620 Treat elbow fracture 572.300908 572.300908 625.23874199 543.6858626 24635 Treat elbow fracture 698.798149 698.798149 763.4369777825 663.85824155 24640 Treat elbow dislocation 80.367193 80.367193 87.8011583525 76.34883335 24650 Treat radius fracture 248.309399 248.309399 271.2780184075 235.89392905 24655 Treat radius fracture 413.368477 413.368477 451.6050611225 392.70005315 24665 Treat radius fracture 676.814298 676.814298 739.419620565 642.9735831 24666 Treat radius fracture 760.064619 760.064619 830.3705962575 722.06138805 24670 Treat ulnar fracture 271.374423 271.374423 296.4765571275 257.80570185 24675 Treat ulnar fracture 429.946463 429.946463 469.7165108275 408.44913985 24685 Treat ulnar fracture 677.895471 677.895471 740.6008020675 644.00069745 24800 Fusion of elbow joint 857.370189 857.370189 936.6769314825 814.50167955 24802 Fusion/graft of elbow joint 1042.611163 1042.611163 1139.0526955775 990.48060485 24900 Amputation of upper arm 764.389311 764.389311 835.0953222675 726.16984545 24920 Amputation of upper arm 762.587356 762.587356 833.12668643 724.4579882 24925 Amputation follow-up surgery 587.797721 587.797721 642.1690101925 558.40783495 24930 Amputation follow-up surgery 801.869975 801.869975 876.0429476875 761.77647625 24931 Amputate upper arm & implant 970.893354 970.893354 1060.700989245 922.3486863 24935 Revision of amputation 1211.994933 1211.994933 1324.1044643025 1151.39518635 24940 Revision of upper arm 0 0 0 0 24999 Upper arm/elbow surgery 0 0 0 0 25000 Incision of tendon sheath 349.57927 349.57927 381.915352475 332.1003065 25001 Incise flexor carpi radialis 356.066308 356.066308 389.00244149 338.2629926 25020 Decompress forearm 1 space 592.122413 592.122413 646.8937362025 562.51629235 25023 Decompress forearm 1 space 1147.124553 1147.124553 1253.2335741525 1089.76832535 25024 Decompress forearm 2 spaces 809.077795 809.077795 883.9174910375 768.62390525 25025 Decompress forearm 2 spaces 1254.521071 1254.521071 1370.5642700675 1191.79501745 25028 Drainage of forearm lesion 545.271583 545.271583 595.7092044275 518.00800385 25031 Drainage of forearm bursa 360.391 360.391 393.7271675 342.37145 25035 Treat forearm bone lesion 605.817271 605.817271 661.8553685675 575.52640745 25040 Explore/treat wrist joint 581.671074 581.671074 635.475648345 552.5875203 25065 Biopsy forearm soft tissues 167.221424 167.221424 182.68940572 158.8603528 25066 Biopsy forearm soft tissues 371.20273 371.20273 405.538982525 352.6425935 25071 Exc forearm les sc 3 cm/> 440.758193 440.758193 481.5283258525 418.72028335 25073 Exc forearm tum deep 3 cm/> 553.200185 553.200185 604.3712021125 525.54017575 25075 Exc forearm les sc < 3 cm 327.595419 327.595419 357.8979952575 311.21564805 25076 Exc forearm tum deep < 3 cm 536.622199 536.622199 586.2597524075 509.79108905 25077 Resect forearm/wrist tum<3cm 916.474313 916.474313 1001.2481869525 870.65059735 25078 Resect forarm/wrist tum 3cm> 1213.796888 1213.796888 1326.07310014 1153.1070436 25085 Incision of wrist capsule 464.90439 464.90439 507.908046075 441.6591705 25100 Biopsy of wrist joint 358.589045 358.589045 391.7585316625 340.65959275 25101 Explore/treat wrist joint 418.413951 418.413951 457.1172414675 397.49325345 25105 Remove wrist joint lining 500.583099 500.583099 546.8870356575 475.55394405 25107 Remove wrist joint cartilage 637.89207 637.89207 696.897086475 605.9974665 25109 Excise tendon forearm/wrist 557.164486 557.164486 608.702200955 529.3062617 25110 Remove wrist tendon lesion 353.903962 353.903962 386.640078485 336.2087639 25111 Remove wrist tendon lesion 331.920111 331.920111 362.6227212675 315.32410545 25112 Reremove wrist tendon lesion 401.115183 401.115183 438.2183374275 381.05942385 25115 Remove wrist/forearm lesion 785.65238 785.65238 858.32522515 746.369761 25116 Remove wrist/forearm lesion 621.674475 621.674475 679.1793639375 590.59075125 25118 Excise wrist tendon sheath 394.267754 394.267754 430.737521245 374.5543663 25119 Partial removal of ulna 512.115611 512.115611 559.4863050175 486.50983045 25120 Removal of forearm lesion 515.35913 515.35913 563.029849525 489.5911735 25125 Remove/graft forearm lesion 610.502354 610.502354 666.973821745 579.9772363 25126 Remove/graft forearm lesion 616.629001 616.629001 673.6671835925 585.79755095 25130 Removal of wrist lesion 462.381653 462.381653 505.1519559025 439.26257035 25135 Remove & graft wrist lesion 576.265209 576.265209 629.5697408325 547.45194855 25136 Remove & graft wrist lesion 506.709746 506.709746 553.580397505 481.3742587 25145 Remove forearm bone lesion 534.820244 534.820244 584.29111657 508.0792318 25150 Partial removal of ulna 587.076939 587.076939 641.3815558575 557.72309205 25151 Partial removal of radius 602.213361 602.213361 657.9180968925 572.10269295 25170 Resect radius/ulnar tumor 1534.184487 1534.184487 1676.0965520475 1457.47526265 25210 Removal of wrist bone 504.907791 504.907791 551.6117616675 479.66240145 25215 Removal of wrist bones 640.054416 640.054416 699.25944948 608.0516952 25230 Partial removal of radius 448.686795 448.686795 490.1903235375 426.25245525 25240 Partial removal of ulna 443.641321 443.641321 484.6781431925 421.45925495 25246 Injection for wrist x-ray 77.844456 77.844456 85.04506818 73.9522332 25248 Remove forearm foreign body 428.144508 428.144508 467.74787499 406.7372826 25250 Removal of wrist prosthesis 548.154711 548.154711 598.8590217675 520.74697545 25251 Removal of wrist prosthesis 745.288588 745.288588 814.22778239 708.0241586 25259 Manipulate wrist w/anesthes 433.189982 433.189982 473.260055335 411.5304829 25260 Repair forearm tendon/muscle 652.30771 652.30771 712.646173175 619.6923245 25263 Repair forearm tendon/muscle 649.424582 649.424582 709.496355835 616.9533529 25265 Repair forearm tendon/muscle 773.759477 773.759477 845.3322286225 735.07150315 25270 Repair forearm tendon/muscle 506.709746 506.709746 553.580397505 481.3742587 25272 Repair forearm tendon/muscle 573.742472 573.742472 626.81365066 545.0553484 25274 Repair forearm tendon/muscle 690.509156 690.509156 754.38125293 655.9836982 25275 Repair forearm tendon sheath 693.752675 693.752675 757.9247974375 659.06504125 25280 Revise wrist/forearm tendon 583.473029 583.473029 637.4442841825 554.29937755 25290 Incise wrist/forearm tendon 451.569923 451.569923 493.3401408775 428.99142685 25295 Release wrist/forearm tendon 544.550801 544.550801 594.9217500925 517.32326095 25300 Fusion of tendons at wrist 705.285187 705.285187 770.5240667975 670.02092765 25301 Fusion of tendons at wrist 666.362959 666.362959 728.0015327075 633.04481105 25310 Transplant forearm tendon 641.135589 641.135589 700.4406309825 609.07880955 25312 Transplant forearm tendon 743.847024 743.847024 812.65287372 706.6546728 25315 Revise palsy hand tendon(s) 797.545283 797.545283 871.3182216775 757.66801885 25316 Revise palsy hand tendon(s) 951.43224 951.43224 1039.4397222 903.860628 25320 Repair/revise wrist joint 1020.627312 1020.627312 1115.03533836 969.5959464 25332 Revise wrist joint 872.867002 872.867002 953.607199685 829.2236519 25335 Realignment of hand 981.705084 981.705084 1072.51280427 932.6198298 25337 Reconstruct ulna/radioulnar 922.961351 922.961351 1008.3352759675 876.81328345 25350 Revision of radius 698.798149 698.798149 763.4369777825 663.85824155 25355 Revision of radius 785.65238 785.65238 858.32522515 746.369761 25360 Revision of ulna 678.976644 678.976644 741.78198357 645.0278118 25365 Revise radius & ulna 946.026375 946.026375 1033.5338146875 898.72505625 25370 Revise radius or ulna 1048.377419 1048.377419 1145.3523302575 995.95854805 25375 Revise radius & ulna 991.796032 991.796032 1083.53716496 942.2062304 25390 Shorten radius or ulna 797.184892 797.184892 870.92449451 757.3256474 25391 Lengthen radius or ulna 1035.042952 1035.042952 1130.78442506 983.2908044 25392 Shorten radius & ulna 1026.753959 1026.753959 1121.7287002075 975.41626105 25393 Lengthen radius & ulna 1163.342148 1163.342148 1270.95129669 1105.1750406 25394 Repair carpal bone shorten 810.519359 810.519359 885.4923997075 769.99339105 25400 Repair radius or ulna 833.223992 833.223992 910.29721126 791.5627924 25405 Repair/graft radius or ulna 1077.56909 1077.56909 1177.244230825 1023.6906355 25415 Repair radius & ulna 1002.247371 1002.247371 1094.9552528175 952.13500245 25420 Repair/graft radius & ulna 1210.192978 1210.192978 1322.135828465 1149.6833291 25425 Repair/graft radius or ulna 997.201897 997.201897 1089.4430724725 947.34180215 25426 Repair/graft radius & ulna 1169.829186 1169.829186 1278.038385705 1111.3377267 25430 Vasc graft into carpal bone 758.983446 758.983446 829.189414755 721.0342737 25431 Repair nonunion carpal bone 816.285615 816.285615 891.7920343875 775.47133425 25440 Repair/graft wrist bone 797.545283 797.545283 871.3182216775 757.66801885 25441 Reconstruct wrist joint 971.974527 971.974527 1061.8821707475 923.37580065 25442 Reconstruct wrist joint 837.188293 837.188293 914.6282101025 795.32887835 25443 Reconstruct wrist joint 803.311539 803.311539 877.6178563575 763.14596205 25444 Reconstruct wrist joint 855.928625 855.928625 935.1020228125 813.13219375 25445 Reconstruct wrist joint 748.892498 748.892498 818.165054065 711.4478731 25446 Wrist replacement 1219.202753 1219.202753 1331.9790076525 1158.24261535 25447 Repair wrist joints 858.811753 858.811753 938.2518401525 815.87116535 25449 Remove wrist joint implant 1071.442443 1071.442443 1170.5508689775 1017.87032085 25450 Revision of wrist joint 639.694025 639.694025 698.8657223125 607.70932375 25455 Revision of wrist joint 754.658754 754.658754 824.464688745 716.9258163 25490 Reinforce radius 746.00937 746.00937 815.015236725 708.7089015 25491 Reinforce ulna 768.714003 768.714003 839.8200482775 730.27830285 25492 Reinforce radius and ulna 940.980901 940.980901 1028.0216343425 893.93185595 25500 Treat fracture of radius 258.039956 258.039956 281.90865193 245.1379582 25505 Treat fracture of radius 469.589473 469.589473 513.0264992525 446.10999935 25515 Treat fracture of radius 693.752675 693.752675 757.9247974375 659.06504125 25520 Treat fracture of radius 554.641749 554.641749 605.9461107825 526.90966155 25525 Treat fracture of radius 817.727179 817.727179 893.3669430575 776.84082005 25526 Treat fracture of radius 989.994077 989.994077 1081.5685291225 940.49437315 25530 Treat fracture of ulna 245.06588 245.06588 267.7344739 232.812586 25535 Treat fracture of ulna 468.147909 468.147909 511.4515905825 444.74051355 25545 Treat fracture of ulna 645.460281 645.460281 705.1653569925 613.18726695 25560 Treat fracture radius & ulna 260.202302 260.202302 284.271014935 247.1921869 25565 Treat fracture radius & ulna 477.878466 477.878466 522.082224105 453.9845427 25574 Treat fracture radius & ulna 698.798149 698.798149 763.4369777825 663.85824155 25575 Treat fracture radius/ulna 935.575036 935.575036 1022.11572683 888.7962842 25600 Treat fracture radius/ulna 321.829163 321.829163 351.5983605775 305.73770485 25605 Treat fracture radius/ulna 525.089687 525.089687 573.6604830475 498.83520265 25606 Treat fx distal radial 687.265637 687.265637 750.8377084225 652.90235515 25607 Treat fx rad extra-articul 761.866574 761.866574 832.339232095 723.7732453 25608 Treat fx rad intra-articul 854.847452 854.847452 933.92084131 812.1050794 25609 Treat fx radial 3+ frag 1088.020429 1088.020429 1188.6623186825 1033.61940755 25622 Treat wrist bone fracture 287.592018 287.592018 314.194279665 273.2124171 25624 Treat wrist bone fracture 451.569923 451.569923 493.3401408775 428.99142685 25628 Treat wrist bone fracture 746.369761 746.369761 815.4089638925 709.05127295 25630 Treat wrist bone fracture 289.754364 289.754364 316.55664267 275.2666458 25635 Treat wrist bone fracture 430.306854 430.306854 470.110237995 408.7915113 25645 Treat wrist bone fracture 588.518503 588.518503 642.9564645275 559.09257785 25650 Treat wrist bone fracture 308.855087 308.855087 337.4241825475 293.41233265 25651 Pin ulnar styloid fracture 502.385054 502.385054 548.855671495 477.2658013 25652 Treat fracture ulnar styloid 645.460281 645.460281 705.1653569925 613.18726695 25660 Treat wrist dislocation 426.342553 426.342553 465.7792391525 405.02542535 25670 Treat wrist dislocation 627.08034 627.08034 685.08527145 595.726323 25671 Pin radioulnar dislocation 547.073538 547.073538 597.677840265 519.7198611 25675 Treat wrist dislocation 409.043785 409.043785 446.8803351125 388.59159575 25676 Treat wrist dislocation 651.586928 651.586928 711.85871884 619.0075816 25680 Treat wrist fracture 538.063763 538.063763 587.8346610775 511.16057485 25685 Treat wrist fracture 762.947747 762.947747 833.5204135975 724.80035965 25690 Treat wrist dislocation 499.862317 499.862317 546.0995813225 474.86920115 25695 Treat wrist dislocation 655.91162 655.91162 716.58344485 623.116039 25800 Fusion of wrist joint 757.541882 757.541882 827.614506085 719.6647879 25805 Fusion/graft of wrist joint 876.831303 876.831303 957.9381985275 832.98973785 25810 Fusion/graft of wrist joint 899.535936 899.535936 982.74301008 854.5591392 25820 Fusion of hand bones 641.856371 641.856371 701.2280853175 609.76355245 25825 Fuse hand bones with graft 790.337463 790.337463 863.4436783275 750.82058985 25830 Fusion radioulnar jnt/ulna 976.299219 976.299219 1066.6068967575 927.48425805 25900 Amputation of forearm 736.999595 736.999595 805.1720575375 700.14961525 25905 Amputation of forearm 724.025519 724.025519 790.9978795075 687.82424305 25907 Amputation follow-up surgery 630.68425 630.68425 689.022543125 599.1500375 25909 Amputation follow-up surgery 708.528706 708.528706 774.067611305 673.1022707 25915 Amputation of forearm 1219.202753 1219.202753 1331.9790076525 1158.24261535 25920 Amputate hand at wrist 727.98982 727.98982 795.32887835 691.590329 25922 Amputate hand at wrist 639.333634 639.333634 698.471995145 607.3669523 25924 Amputation follow-up surgery 700.600104 700.600104 765.40561362 665.5700988 25927 Amputation of hand 834.665556 834.665556 911.87211993 792.9322782 25929 Amputation follow-up surgery 619.512129 619.512129 676.8170009325 588.53652255 25931 Amputation follow-up surgery 768.714003 768.714003 839.8200482775 730.27830285 25999 Forearm or wrist surgery 0 0 0 0 26010 Drainage of finger abscess 140.55249 140.55249 153.553595325 133.5248655 26011 Drainage of finger abscess 190.286448 190.286448 207.88794444 180.7721256 26020 Drain hand tendon sheath 449.767968 449.767968 491.37150504 427.2795696 26025 Drainage of palm bursa 436.433501 436.433501 476.8035998425 414.61182595 26030 Drainage of palm bursas 507.790919 507.790919 554.7615790075 482.40137305 26034 Treat hand bone lesion 562.930742 562.930742 615.001835635 534.7842049 26035 Decompress fingers/hand 891.246943 891.246943 973.6872852275 846.68459585 26037 Decompress fingers/hand 586.356157 586.356157 640.5941015225 557.03834915 26040 Release palm contracture 322.910336 322.910336 352.77954208 306.7648192 26045 Release palm contracture 486.167459 486.167459 531.1379489575 461.85908605 26055 Incise finger tendon sheath 321.108381 321.108381 350.8109062425 305.05296195 26060 Incision of finger tendon 265.247776 265.247776 289.78319528 251.9853872 26070 Explore/treat hand joint 331.199329 331.199329 361.8352669325 314.63936255 26075 Explore/treat finger joint 345.614969 345.614969 377.5843536325 328.33422055 26080 Explore/treat finger joint 405.439875 405.439875 442.9430634375 385.16788125 26100 Biopsy hand joint lining 347.416924 347.416924 379.55298947 330.0460778 26105 Biopsy finger joint lining 348.858488 348.858488 381.12789814 331.4155636 26110 Biopsy finger joint lining 333.361675 333.361675 364.1976299375 316.69359125 26111 Exc hand les sc 1.5 cm/> 431.748418 431.748418 471.685146665 410.1609971 26113 Exc hand tum deep 1.5 cm/> 567.255434 567.255434 619.726561645 538.8926623 26115 Exc hand les sc < 1.5 cm 343.813014 343.813014 375.615717795 326.6223633 26116 Exc hand tum deep < 1.5 cm 545.271583 545.271583 595.7092044275 518.00800385 26117 Exc hand tum ra < 3 cm 770.515958 770.515958 841.788684115 731.9901601 26118 Exc hand tum ra 3 cm/> 1090.903557 1090.903557 1191.8121360225 1036.35837915 26121 Release palm contracture 619.151738 619.151738 676.423273765 588.1941511 26123 Release palm contracture 864.9384 864.9384 944.945202 821.69148 26125 Release palm contracture 284.348499 284.348499 310.6507351575 270.13107405 26130 Remove wrist joint lining 475.355729 475.355729 519.3261339325 451.58794255 26135 Revise finger joint each 570.498953 570.498953 623.2701061525 541.97400535 26140 Revise finger joint each 523.287732 523.287732 571.69184721 497.1233454 26145 Tendon excision palm/finger 531.576725 531.576725 580.7475720625 504.99788875 26160 Remove tendon sheath lesion 345.614969 345.614969 377.5843536325 328.33422055 26170 Removal of palm tendon each 420.576297 420.576297 459.4796044725 399.54748215 26180 Removal of finger tendon 460.579698 460.579698 503.183320065 437.5507131 26185 Remove finger bone 570.138562 570.138562 622.876378985 541.6316339 26200 Remove hand bone lesion 465.625172 465.625172 508.69550041 442.3439134 26205 Remove/graft bone lesion 625.638776 625.638776 683.51036278 594.3568372 26210 Removal of finger lesion 458.777743 458.777743 501.2146842275 435.83885585 26215 Remove/graft finger lesion 585.274984 585.274984 639.41292002 556.0112348 26230 Partial removal of hand bone 516.079912 516.079912 563.81730386 490.2759164 26235 Partial removal finger bone 509.953265 509.953265 557.1239420125 484.45560175 26236 Partial removal finger bone 456.615397 456.615397 498.8523212225 433.78462715 26250 Extensive hand surgery 1111.806235 1111.806235 1214.6483117375 1056.21592325 26260 Resect prox finger tumor 831.061646 831.061646 907.934848255 789.5085637 26262 Resect distal finger tumor 654.109665 654.109665 714.6148090125 621.40418175 26320 Removal of implant from hand 359.670218 359.670218 392.939713165 341.6867071 26340 Manipulate finger w/anesth 348.498097 348.498097 380.7341709725 331.07319215 26341 Manipulat palm cord post inj 78.204847 78.204847 85.4387953475 74.29460465 26350 Repair finger/hand tendon 722.583955 722.583955 789.4229708375 686.45475725 26352 Repair/graft hand tendon 829.259691 829.259691 905.9662124175 787.79670645 26356 Repair finger/hand tendon 822.051871 822.051871 898.0916690675 780.94927745 26357 Repair finger/hand tendon 918.99705 918.99705 1004.004277125 873.0471975 26358 Repair/graft hand tendon 1016.663011 1016.663011 1110.7043395175 965.82986045 26370 Repair finger/hand tendon 767.272439 767.272439 838.2451396075 728.90881705 26372 Repair/graft hand tendon 897.733981 897.733981 980.7743742425 852.84728195 26373 Repair finger/hand tendon 861.694881 861.694881 941.4016574925 818.61013695 26390 Revise hand/finger tendon 852.324715 852.324715 931.1647511375 809.70847925 26392 Repair/graft hand tendon 990.714859 990.714859 1082.3559834575 941.17911605 26410 Repair hand tendon 572.300908 572.300908 625.23874199 543.6858626 26412 Repair/graft hand tendon 688.34681 688.34681 752.018889925 653.9294695 26415 Excision hand/finger tendon 829.259691 829.259691 905.9662124175 787.79670645 26416 Graft hand or finger tendon 902.779455 902.779455 986.2865545875 857.64048225 26418 Repair finger tendon 585.635375 585.635375 639.8066471875 556.35360625 26420 Repair/graft finger tendon 717.898872 717.898872 784.30451766 682.0039284 26426 Repair finger/hand tendon 518.96304 518.96304 566.9671212 493.014888 26428 Repair/graft finger tendon 767.993221 767.993221 839.0325939425 729.59355995 26432 Repair finger tendon 504.187009 504.187009 550.8243073325 478.97765855 26433 Repair finger tendon 536.261808 536.261808 585.86602524 509.4487176 26434 Repair/graft finger tendon 657.353184 657.353184 718.15835352 624.4855248 26437 Realignment of tendons 633.206987 633.206987 691.7786332975 601.54663765 26440 Release palm/finger tendon 627.440731 627.440731 685.4789986175 596.06869445 26442 Release palm & finger tendon 979.542738 979.542738 1070.150441265 930.5656011 26445 Release hand/finger tendon 582.031465 582.031465 635.8693755125 552.92989175 26449 Release forearm/hand tendon 719.340436 719.340436 785.87942633 683.3734142 26450 Incision of palm tendon 413.008086 413.008086 451.211333955 392.3576817 26455 Incision of finger tendon 409.404176 409.404176 447.27406228 388.9339672 26460 Incise hand/finger tendon 400.754792 400.754792 437.82461026 380.7170524 26471 Fusion of finger tendons 625.638776 625.638776 683.51036278 594.3568372 26474 Fusion of finger tendons 611.223136 611.223136 667.76127608 580.6619792 26476 Tendon lengthening 603.654925 603.654925 659.4930055625 573.47217875 26477 Tendon shortening 589.599676 589.599676 644.13764603 560.1196922 26478 Lengthening of hand tendon 627.801122 627.801122 685.872725785 596.4110659 26479 Shortening of hand tendon 635.008942 635.008942 693.747269135 603.2584949 26480 Transplant hand tendon 761.866574 761.866574 832.339232095 723.7732453 26483 Transplant/graft hand tendon 854.847452 854.847452 933.92084131 812.1050794 26485 Transplant palm tendon 818.447961 818.447961 894.1543973925 777.52556295 26489 Transplant/graft palm tendon 949.990676 949.990676 1037.86481353 902.4911422 26490 Revise thumb tendon 810.87975 810.87975 885.886126875 770.3357625 26492 Tendon transfer with graft 901.337891 901.337891 984.7116459175 856.27099645 26494 Hand tendon/muscle transfer 811.960923 811.960923 887.0673083775 771.36287685 26496 Revise thumb tendon 873.587784 873.587784 954.39465402 829.9083948 26497 Finger tendon transfer 882.597559 882.597559 964.2378332075 838.46768105 26498 Finger tendon transfer 1170.189577 1170.189577 1278.4321128725 1111.68009815 26499 Revision of finger 844.756504 844.756504 922.89648062 802.5186788 26500 Hand tendon reconstruction 629.242686 629.242686 687.447634455 597.7805517 26502 Hand tendon reconstruction 722.223564 722.223564 789.02924367 686.1123858 26508 Release thumb contracture 640.775198 640.775198 700.046903815 608.7364381 26510 Thumb tendon transfer 603.654925 603.654925 659.4930055625 573.47217875 26516 Fusion of knuckle joint 711.772225 711.772225 777.6111558125 676.18361375 26517 Fusion of knuckle joints 837.188293 837.188293 914.6282101025 795.32887835 26518 Fusion of knuckle joints 850.52276 850.52276 929.1961153 807.996622 26520 Release knuckle contracture 656.272011 656.272011 716.9771720175 623.45841045 26525 Release finger contracture 659.51553 659.51553 720.520716525 626.5397535 26530 Revise knuckle joint 556.443704 556.443704 607.91474662 528.6215188 26531 Revise knuckle with implant 647.262236 647.262236 707.13399283 614.8991242 26535 Revise finger joint 444.722494 444.722494 485.859324695 422.4863693 26536 Revise/implant finger joint 724.025519 724.025519 790.9978795075 687.82424305 26540 Repair hand joint 667.444132 667.444132 729.18271421 634.0719254 26541 Repair hand joint with graft 813.762878 813.762878 889.035944215 773.0747341 26542 Repair hand joint with graft 690.148765 690.148765 753.9875257625 655.64132675 26545 Reconstruct finger joint 717.17809 717.17809 783.517063325 681.3191855 26546 Repair nonunion hand 1013.779883 1013.779883 1107.5545221775 963.09088885 26548 Reconstruct finger joint 771.597131 771.597131 842.9698656175 733.01727445 26550 Construct thumb replacement 1686.990271 1686.990271 1843.0368710675 1602.64075745 26551 Great toe-hand transfer 3410.380033 3410.380033 3725.8401860525 3239.86103135 26553 Single transfer toe-hand 3387.315009 3387.315009 3700.6416473325 3217.94925855 26554 Double transfer toe-hand 3954.210052 3954.210052 4319.97448181 3756.4995494 26555 Positional change of finger 1404.083336 1404.083336 1533.96104458 1333.8791692 26556 Toe joint transfer 3520.659679 3520.659679 3846.3206993075 3344.62669505 26560 Repair of web finger 595.005541 595.005541 650.0435535425 565.25526395 26561 Repair of web finger 963.325143 963.325143 1052.4327187275 915.15888585 26562 Repair of web finger 1375.972838 1375.972838 1503.250325515 1307.1741961 26565 Correct metacarpal flaw 686.544855 686.544855 750.0502540875 652.21761225 26567 Correct finger deformity 692.311111 692.311111 756.3498887675 657.69555545 26568 Lengthen metacarpal/finger 913.951576 913.951576 998.49209678 868.2539972 26580 Repair hand deformity 1552.924819 1552.924819 1696.5703647575 1475.27857805 26587 Reconstruct extra finger 1081.173 1081.173 1181.1815025 1027.11435 26590 Repair finger deformity 1444.086737 1444.086737 1577.6647601725 1371.88240015 26591 Repair muscles of hand 445.443276 445.443276 486.64677903 423.1711122 26593 Release muscles of hand 609.781572 609.781572 666.18636741 579.2924934 26596 Excision constricting tissue 774.84065 774.84065 846.513410125 736.0986175 26600 Treat metacarpal fracture 286.150454 286.150454 312.619370995 271.8429313 26605 Treat metacarpal fracture 302.007658 302.007658 329.943366365 286.9072751 26607 Treat metacarpal fracture 484.725895 484.725895 529.5630402875 460.48960025 26608 Treat metacarpal fracture 494.456452 494.456452 540.19367381 469.7336294 26615 Treat metacarpal fracture 595.365932 595.365932 650.43728071 565.5976354 26641 Treat thumb dislocation 350.300052 350.300052 382.70280681 332.7850494 26645 Treat thumb fracture 405.800266 405.800266 443.336790605 385.5102527 26650 Treat thumb fracture 495.177234 495.177234 540.981128145 470.4183723 26665 Treat thumb fracture 647.983018 647.983018 707.921447165 615.5838671 26670 Treat hand dislocation 319.306426 319.306426 348.842270405 303.3411047 26675 Treat hand dislocation 433.550373 433.550373 473.6537825025 411.87285435 26676 Pin hand dislocation 520.764995 520.764995 568.9357570375 494.72674525 26685 Treat hand dislocation 594.284759 594.284759 649.2560992075 564.57052105 26686 Treat hand dislocation 644.379108 644.379108 703.98417549 612.1601526 26700 Treat knuckle dislocation 314.621343 314.621343 343.7238172275 298.89027585 26705 Treat knuckle dislocation 393.907363 393.907363 430.3437940775 374.21199485 26706 Pin knuckle dislocation 456.615397 456.615397 498.8523212225 433.78462715 26715 Treat knuckle dislocation 592.482804 592.482804 647.28746337 562.8586638 26720 Treat finger fracture each 189.565666 189.565666 207.100490105 180.0873827 26725 Treat finger fracture each 312.098606 312.098606 340.967727055 296.4936757 26727 Treat finger fracture each 487.248632 487.248632 532.31913046 462.8862004 26735 Treat finger fracture each 616.26861 616.26861 673.273456425 585.4551795 26740 Treat finger fracture each 223.082029 223.082029 243.7171166825 211.92792755 26742 Treat finger fracture each 344.894187 344.894187 376.7968992975 327.64947765 26746 Treat finger fracture each 769.074394 769.074394 840.213775445 730.6206743 26750 Treat finger fracture each 190.286448 190.286448 207.88794444 180.7721256 26755 Treat finger fracture each 280.023807 280.023807 305.9260091475 266.02261665 26756 Pin finger fracture each 431.748418 431.748418 471.685146665 410.1609971 26765 Treat finger fracture each 518.242258 518.242258 566.179666865 492.3301451 26770 Treat finger dislocation 262.725039 262.725039 287.0271051075 249.58878705 26775 Treat finger dislocation 357.147481 357.147481 390.1836229925 339.29010695 26776 Pin finger dislocation 458.056961 458.056961 500.4272298925 435.15411295 26785 Treat finger dislocation 566.174261 566.174261 618.5453801425 537.86554795 26820 Thumb fusion with graft 798.986847 798.986847 872.8931303475 759.03750465 26841 Fusion of thumb 738.441159 738.441159 806.7469662075 701.51910105 26842 Thumb fusion with graft 795.743328 795.743328 869.34958584 755.9561616 26843 Fusion of hand joint 750.694453 750.694453 820.1336899025 713.15973035 26844 Fusion/graft of hand joint 833.944774 833.944774 911.084665595 792.2475353 26850 Fusion of knuckle 702.402059 702.402059 767.3742494575 667.28195605 26852 Fusion of knuckle with graft 807.996622 807.996622 882.736309535 767.5967909 26860 Fusion of finger joint 573.382081 573.382081 626.4199234925 544.71297695 26861 Fusion of finger jnt add-on 107.396518 107.396518 117.330695915 102.0266921 26862 Fusion/graft of finger joint 737.720377 737.720377 805.9595118725 700.83435815 26863 Fuse/graft added joint 238.578842 238.578842 260.647384885 226.6498999 26910 Amputate metacarpal bone 736.639204 736.639204 804.77833037 699.8072438 26951 Amputation of finger/thumb 663.840222 663.840222 725.245442535 630.6482109 26952 Amputation of finger/thumb 655.190838 655.190838 715.795990515 622.4312961 26989 Hand/finger surgery 0 0 0 0 26990 Drainage of pelvis lesion 660.596703 660.596703 721.7018980275 627.56686785 26991 Drainage of pelvis bursa 541.307282 541.307282 591.378205585 514.2419179 26992 Drainage of bone lesion 1005.49089 1005.49089 1098.498797325 955.2163455 27000 Incision of hip tendon 420.936688 420.936688 459.87333164 399.8898536 27001 Incision of hip tendon 556.804095 556.804095 608.3084737875 528.96389025 27003 Incision of hip tendon 615.547828 615.547828 672.48600209 584.7704366 27005 Incision of hip tendon 749.61328 749.61328 818.9525084 712.132616 27006 Incision of hip tendons 748.171716 748.171716 817.37759973 710.7631302 27025 Incision of hip/thigh fascia 950.351067 950.351067 1038.2585406975 902.83351365 27027 Buttock fasciotomy 918.276268 918.276268 1003.21682279 872.3624546 27030 Drainage of hip joint 973.776482 973.776482 1063.850806585 925.0876579 27033 Exploration of hip joint 1010.175973 1010.175973 1103.6172505025 959.66717435 27035 Denervation of hip joint 1182.803262 1182.803262 1292.212563735 1123.6630989 27036 Excision of hip joint/muscle 1050.900156 1050.900156 1148.10842043 998.3551482 27040 Biopsy of soft tissues 205.42287 205.42287 224.424485475 195.1517265 27041 Biopsy of soft tissues 724.746301 724.746301 791.7853338425 688.50898595 27043 Exc hip pelvis les sc 3 cm/> 487.969414 487.969414 533.106584795 463.5709433 27045 Exc hip/pelv tum deep 5 cm/> 770.515958 770.515958 841.788684115 731.9901601 27047 Exc hip/pelvis les sc < 3 cm 374.80664 374.80664 409.4762542 356.066308 27048 Exc hip/pelv tum deep < 5 cm 634.28816 634.28816 692.9598148 602.573752 27049 Resect hip/pelv tum < 5 cm 1391.830042 1391.830042 1520.574320885 1322.2385399 27050 Biopsy of sacroiliac joint 417.332778 417.332778 455.936059965 396.4661391 27052 Biopsy of hip joint 597.888669 597.888669 653.1933708825 567.99423555 27054 Removal of hip joint lining 711.411834 711.411834 777.217428645 675.8412423 27057 Buttock fasciotomy w/dbrdmt 1050.179374 1050.179374 1147.320966095 997.6704053 27059 Resect hip/pelv tum 5 cm/> 1897.458615 1897.458615 2072.9735368875 1802.58568425 27060 Removal of ischial bursa 482.203158 482.203158 526.806950115 458.0930001 27062 Remove femur lesion/bursa 472.472601 472.472601 516.1763165925 448.84897095 27065 Remove hip bone les super 538.424154 538.424154 588.228388245 511.5029463 27066 Remove hip bone les deep 833.584383 833.584383 910.6909384275 791.90516385 27067 Remove/graft hip bone lesion 1076.487917 1076.487917 1176.0630493225 1022.66352115 27070 Part remove hip bone super 889.444988 889.444988 971.71864939 844.9727386 27071 Part removal hip bone deep 961.162797 961.162797 1050.0703557225 913.10465715 27075 Resect hip tumor 2182.527896 2182.527896 2384.41172638 2073.4015012 27076 Resect hip tum incl acetabul 2641.66603 2641.66603 2886.020137775 2509.5827285 27077 Resect hip tum w/innom bone 2957.728937 2957.728937 3231.3188636725 2809.84249015 27078 Rsect hip tum incl femur 2151.894661 2151.894661 2350.9449171425 2044.29992795 27080 Removal of tail bone 530.855943 530.855943 579.9601177275 504.31314585 27086 Remove hip foreign body 173.348071 173.348071 189.3827675675 164.68066745 27087 Remove hip foreign body 637.531679 637.531679 696.5033593075 605.65509505 27090 Removal of hip prosthesis 862.776054 862.776054 942.582838995 819.6372513 27091 Removal of hip prosthesis 1660.321337 1660.321337 1813.9010606725 1577.30527015 27093 Injection for hip x-ray 72.438591 72.438591 79.1391606675 68.81666145 27095 Injection for hip x-ray 86.854231 86.854231 94.8882473675 82.51151945 27096 Inject sacroiliac joint 85.773058 85.773058 93.707065865 81.4844051 27097 Revision of hip tendon 707.447533 707.447533 772.8864298025 672.07515635 27098 Transfer tendon to pelvis 721.142391 721.142391 787.8480621675 685.08527145 27100 Transfer of abdominal muscle 853.045497 853.045497 931.9522054725 810.39322215 27105 Transfer of spinal muscle 897.733981 897.733981 980.7743742425 852.84728195 27110 Transfer of iliopsoas muscle 1002.247371 1002.247371 1094.9552528175 952.13500245 27111 Transfer of iliopsoas muscle 936.656209 936.656209 1023.2969083325 889.82339855 27120 Reconstruction of hip socket 1345.339603 1345.339603 1469.7835162775 1278.07262285 27122 Reconstruction of hip socket 1144.601816 1144.601816 1250.47748398 1087.3717252 27125 Partial hip replacement 1178.838961 1178.838961 1287.8815648925 1119.89701295 27130 Total hip arthroplasty 1408.768419 1408.768419 1539.0794977575 1338.32999805 27132 Total hip arthroplasty 1741.769703 1741.769703 1902.8834005275 1654.68121785 27134 Revise hip joint replacement 1992.241448 1992.241448 2176.52378194 1892.6293756 27137 Revise hip joint replacement 1530.940968 1530.940968 1672.55300754 1454.3939196 27138 Revise hip joint replacement 1590.765874 1590.765874 1737.911717345 1511.2275803 27140 Transplant femur ridge 925.844479 925.844479 1011.4850933075 879.55225505 27146 Incision of hip bone 1327.680444 1327.680444 1450.49088507 1261.2964218 27147 Revision of hip bone 1512.921418 1512.921418 1652.866649165 1437.2753471 27151 Incision of hip bones 1656.717427 1656.717427 1809.9637889975 1573.88155565 27156 Revision of hip bones 1763.753554 1763.753554 1926.900757745 1675.5658763 27158 Revision of pelvis 1433.995789 1433.995789 1566.6403994825 1362.29599955 27161 Incision of neck of femur 1261.3685 1261.3685 1378.04508625 1198.300075 27165 Incision/fixation of femur 1421.742495 1421.742495 1553.2536757875 1350.65537025 27170 Repair/graft femur head/neck 1218.842362 1218.842362 1331.585280485 1157.9002439 27175 Treat slipped epiphysis 692.671502 692.671502 756.743615935 658.0379269 27176 Treat slipped epiphysis 951.43224 951.43224 1039.4397222 903.860628 27177 Treat slipped epiphysis 1121.897183 1121.897183 1225.6726724275 1065.80232385 27178 Treat slipped epiphysis 956.477714 956.477714 1044.951902545 908.6538283 27179 Revise head/neck of femur 1004.409717 1004.409717 1097.3176158225 954.18923115 27181 Treat slipped epiphysis 1137.393996 1137.393996 1242.60294063 1080.5242962 27185 Revision of femur epiphysis 746.369761 746.369761 815.4089638925 709.05127295 27187 Reinforce hip bones 1032.520215 1032.520215 1128.0283348875 980.89420425 27197 Clsd tx pelvic ring fx 128.659587 128.659587 140.5605987975 122.22660765 27198 Clsd tx pelvic ring fx 312.458997 312.458997 341.3614542225 296.83604715 27200 Treat tail bone fracture 194.250749 194.250749 212.2189432825 184.53821155 27202 Treat tail bone fracture 545.631974 545.631974 596.102931595 518.3503753 27215 Treat pelvic fracture(s) 648.7038 648.7038 708.7089015 616.26861 27216 Treat pelvic ring fracture 962.964752 962.964752 1052.03899156 914.8165144 27217 Treat pelvic ring fracture 903.500237 903.500237 987.0740089225 858.32522515 27218 Treat pelvic ring fracture 1248.034033 1248.034033 1363.4771810525 1185.63233135 27220 Treat hip socket fracture 544.19041 544.19041 594.528022925 516.9808895 27222 Treat hip socket fracture 1010.536364 1010.536364 1104.01097767 960.0095458 27226 Treat hip wall fracture 1098.111377 1098.111377 1199.6866793725 1043.20580815 27227 Treat hip fracture(s) 1728.074845 1728.074845 1887.9217681625 1641.67110275 27228 Treat hip fracture(s) 1959.085476 1959.085476 2140.30088253 1861.1312022 27230 Treat thigh fracture 489.410978 489.410978 534.681493465 464.9404291 27232 Treat thigh fracture 772.678304 772.678304 844.15104712 734.0443888 27235 Treat thigh fracture 945.305593 945.305593 1032.7463603525 898.04031335 27236 Treat thigh fracture 1242.988559 1242.988559 1357.9650007075 1180.83913105 27238 Treat thigh fracture 478.238857 478.238857 522.4759512725 454.32691415 27240 Treat thigh fracture 994.67916 994.67916 1086.6869823 944.945202 27244 Treat thigh fracture 1279.748441 1279.748441 1398.1251717925 1215.76101895 27245 Treat thigh fracture 1279.027659 1279.027659 1397.3377174575 1215.07627605 27246 Treat thigh fracture 399.673619 399.673619 436.6434287575 379.68993805 27248 Treat thigh fracture 773.038695 773.038695 844.5447742875 734.38676025 27250 Treat hip dislocation 186.322147 186.322147 203.5569455975 177.00603965 27252 Treat hip dislocation 785.65238 785.65238 858.32522515 746.369761 27253 Treat hip dislocation 979.542738 979.542738 1070.150441265 930.5656011 27254 Treat hip dislocation 1313.985586 1313.985586 1435.529252705 1248.2863067 27256 Treat hip dislocation 243.263925 243.263925 265.7658380625 231.10072875 27257 Treat hip dislocation 376.968986 376.968986 411.838617205 358.1205367 27258 Treat hip dislocation 1153.611591 1153.611591 1260.3206631675 1095.93101145 27259 Treat hip dislocation 1615.272462 1615.272462 1764.685164735 1534.5088389 27265 Treat hip dislocation 415.170432 415.170432 453.57369696 394.4119104 27266 Treat hip dislocation 603.654925 603.654925 659.4930055625 573.47217875 27267 Cltx thigh fx 448.326404 448.326404 489.79659637 425.9100838 27268 Cltx thigh fx w/mnpj 557.885268 557.885268 609.48965529 529.9910046 27269 Optx thigh fx 1291.641344 1291.641344 1411.11816832 1227.0592768 27275 Manipulation of hip joint 189.926057 189.926057 207.4942172725 180.42975415 27279 Arthrodesis sacroiliac joint 720.421609 720.421609 787.0606078325 684.40052855 27280 Fusion of sacroiliac joint 1413.453502 1413.453502 1544.197950935 1342.7808269 27282 Fusion of pubic bones 890.886552 890.886552 973.29355806 846.3422244 27284 Fusion of hip joint 1654.915472 1654.915472 1807.99515316 1572.1696984 27286 Fusion of hip joint 1720.867025 1720.867025 1880.0472248125 1634.82367375 27290 Amputation of leg at hip 1690.594181 1690.594181 1846.9741427425 1606.06447195 27295 Amputation of leg at hip 1310.381676 1310.381676 1431.59198103 1244.8625922 27299 Pelvis/hip joint surgery 0 0 0 0 27301 Drain thigh/knee lesion 522.56695 522.56695 570.904392875 496.4386025 27303 Drainage of bone lesion 664.200613 664.200613 725.6391697025 630.99058235 27305 Incise thigh tendon & fascia 498.060362 498.060362 544.130945485 473.1573439 27306 Incision of thigh tendon 356.426699 356.426699 389.3961686575 338.60536405 27307 Incision of thigh tendons 497.699971 497.699971 543.7372183175 472.81497245 27310 Exploration of knee joint 758.623055 758.623055 828.7956875875 720.69190225 27323 Biopsy thigh soft tissues 185.601365 185.601365 202.7694912625 176.32129675 27324 Biopsy thigh soft tissues 417.693169 417.693169 456.3297871325 396.80851055 27325 Neurectomy hamstring 576.6256 576.6256 629.963468 547.79432 27326 Neurectomy popliteal 531.937116 531.937116 581.14129923 505.3402602 27327 Exc thigh/knee les sc < 3 cm 324.3519 324.3519 354.35445075 308.134305 27328 Exc thigh/knee tum deep <5cm 648.343409 648.343409 708.3151743325 615.92623855 27329 Resect thigh/knee tum < 5 cm 1078.650263 1078.650263 1178.4254123275 1024.71774985 27330 Biopsy knee joint lining 431.388027 431.388027 471.2914194975 409.81862565 27331 Explore/treat knee joint 492.294106 492.294106 537.831310805 467.6794007 27332 Removal of knee cartilage 665.281786 665.281786 726.820351205 632.0176967 27333 Removal of knee cartilage 608.340008 608.340008 664.61145874 577.9230076 27334 Remove knee joint lining 710.330661 710.330661 776.0362471425 674.81412795 27335 Remove knee joint lining 791.779027 791.779027 865.0185869975 752.19007565 27337 Exc thigh/knee les sc 3 cm/> 434.631546 434.631546 474.834964005 412.8999687 27339 Exc thigh/knee tum dep 5cm/> 783.129643 783.129643 855.5691349775 743.97316085 27340 Removal of kneecap bursa 384.897588 384.897588 420.50061489 365.6527086 27345 Removal of knee cyst 498.060362 498.060362 544.130945485 473.1573439 27347 Remove knee cyst 547.433929 547.433929 598.0715674325 520.06223255 27350 Removal of kneecap 674.291561 674.291561 736.6635303925 640.57698295 27355 Remove femur lesion 627.08034 627.08034 685.08527145 595.726323 27356 Remove femur lesion/graft 765.470484 765.470484 836.27650377 727.1969598 27357 Remove femur lesion/graft 844.756504 844.756504 922.89648062 802.5186788 27358 Remove femur lesion/fixation 289.754364 289.754364 316.55664267 275.2666458 27360 Partial removal leg bone(s) 892.688507 892.688507 975.2621938975 848.05408165 27364 Resect thigh/knee tum 5 cm/> 1629.688102 1629.688102 1780.434251435 1548.2036969 27365 Resect femur/knee tumor 2149.011533 2149.011533 2347.7950998025 2041.56095635 27369 42.165747 42.165747 46.0660785975 40.05745965 27372 Removal of foreign body 413.368477 413.368477 451.6050611225 392.70005315 27380 Repair of kneecap tendon 619.151738 619.151738 676.423273765 588.1941511 27381 Repair/graft kneecap tendon 829.980473 829.980473 906.7536667525 788.48144935 27385 Repair of thigh muscle 598.609451 598.609451 653.9808252175 568.67897845 27386 Repair/graft of thigh muscle 864.578009 864.578009 944.5514748325 821.34910855 27390 Incision of thigh tendon 463.462826 463.462826 506.333137405 440.2896847 27391 Incision of thigh tendons 594.284759 594.284759 649.2560992075 564.57052105 27392 Incision of thigh tendons 735.918422 735.918422 803.990876035 699.1225009 27393 Lengthening of thigh tendon 529.053988 529.053988 577.99148189 502.6012886 27394 Lengthening of thigh tendons 666.72335 666.72335 728.395259875 633.3871825 27395 Lengthening of thigh tendons 910.347666 910.347666 994.554825105 864.8302827 27396 Transplant of thigh tendon 635.729724 635.729724 694.53472347 603.9432378 27397 Transplants of thigh tendons 948.909503 948.909503 1036.6836320275 901.46402785 27400 Revise thigh muscles/tendons 714.655353 714.655353 780.7609731525 678.92258535 27403 Repair of knee cartilage 664.561004 664.561004 726.03289687 631.3329538 27405 Repair of knee ligament 700.960495 700.960495 765.7993407875 665.91247025 27407 Repair of knee ligament 814.123269 814.123269 889.4296713825 773.41710555 27409 Repair of knee ligaments 997.922679 997.922679 1090.2305268075 948.02654505 27412 Autochondrocyte implant knee 1698.522783 1698.522783 1855.6361404275 1613.59664385 27415 Osteochondral knee allograft 1404.443727 1404.443727 1534.3547717475 1334.22154065 27416 Osteochondral knee autograft 1009.0948 1009.0948 1102.436069 958.64006 27418 Repair degenerated kneecap 859.532535 859.532535 939.0392944875 816.55590825 27420 Revision of unstable kneecap 770.876349 770.876349 842.1824112825 732.33253155 27422 Revision of unstable kneecap 770.876349 770.876349 842.1824112825 732.33253155 27424 Revision/removal of kneecap 775.201041 775.201041 846.9071372925 736.44098895 27425 Lat retinacular release open 465.985563 465.985563 509.0892275775 442.68628485 27427 Reconstruction knee 738.441159 738.441159 806.7469662075 701.51910105 27428 Reconstruction knee 1156.494719 1156.494719 1263.4704805075 1098.66998305 27429 Reconstruction knee 1299.930337 1299.930337 1420.1738931725 1234.93382015 27430 Revision of thigh muscles 766.912048 766.912048 837.85141244 728.5664456 27435 Incision of knee joint 838.629857 838.629857 916.2031187725 796.69836415 27437 Revise kneecap 685.463682 685.463682 748.869072585 651.1904979 27438 Revise kneecap with implant 871.065047 871.065047 951.6385638475 827.51179465 27440 Revision of knee joint 826.016172 826.016172 902.42266791 784.7153634 27441 Revision of knee joint 855.568234 855.568234 934.708295645 812.7898223 27442 Revision of knee joint 902.058673 902.058673 985.4991002525 856.95573935 27443 Revision of knee joint 843.31494 843.31494 921.32157195 801.149193 27445 Revision of knee joint 1301.732292 1301.732292 1422.14252901 1236.6456774 27446 Revision of knee joint 1204.426722 1204.426722 1315.836193785 1144.2053859 27447 Total knee arthroplasty 1408.047637 1408.047637 1538.2920434225 1337.64525515 27448 Incision of thigh 806.194667 806.194667 880.7676736975 765.88493365 27450 Incision of thigh 1055.94563 1055.94563 1153.620600775 1003.1483485 27454 Realignment of thigh bone 1346.781167 1346.781167 1471.3584249475 1279.44210865 27455 Realignment of knee 972.695309 972.695309 1062.6696250825 924.06054355 27457 Realignment of knee 997.922679 997.922679 1090.2305268075 948.02654505 27465 Shortening of thigh bone 1303.173856 1303.173856 1423.71743768 1238.0151632 27466 Lengthening of thigh bone 1226.770964 1226.770964 1340.24727817 1165.4324158 27468 Shorten/lengthen thighs 1398.677471 1398.677471 1528.0551370675 1328.74359745 27470 Repair of thigh 1223.167054 1223.167054 1336.310006495 1162.0087013 27472 Repair/graft of thigh 1312.544022 1312.544022 1433.954344035 1246.9168209 27475 Surgery to stop leg growth 687.986419 687.986419 751.6251627575 653.58709805 27477 Surgery to stop leg growth 762.947747 762.947747 833.5204135975 724.80035965 27479 Surgery to stop leg growth 957.558887 957.558887 1046.1330840475 909.68094265 27485 Surgery to stop leg growth 697.356585 697.356585 761.8620691125 662.48875575 27486 Revise/replace knee joint 1461.025114 1461.025114 1596.169937045 1387.9738583 27487 Revise/replace knee joint 1828.263543 1828.263543 1997.3779207275 1736.85036585 27488 Removal of knee prosthesis 1248.394424 1248.394424 1363.87090822 1185.9747028 27495 Reinforce thigh 1171.631141 1171.631141 1280.0070215425 1113.04958395 27496 Decompression of thigh/knee 564.372306 564.372306 616.576744305 536.1536907 27497 Decompression of thigh/knee 602.573752 602.573752 658.31182406 572.4450644 27498 Decompression of thigh/knee 678.976644 678.976644 741.78198357 645.0278118 27499 Decompression of thigh/knee 724.38591 724.38591 791.391606675 688.1666145 27500 Treatment of thigh fracture 496.258407 496.258407 542.1623096475 471.44548665 27501 Treatment of thigh fracture 515.719521 515.719521 563.4235766925 489.93354495 27502 Treatment of thigh fracture 787.454335 787.454335 860.2938609875 748.08161825 27503 Treatment of thigh fracture 830.340864 830.340864 907.14739392 788.8238208 27506 Treatment of thigh fracture 1391.10926 1391.10926 1519.78686655 1321.553797 27507 Treatment of thigh fracture 1010.536364 1010.536364 1104.01097767 960.0095458 27508 Treatment of thigh fracture 510.674047 510.674047 557.9113963475 485.14034465 27509 Treatment of thigh fracture 671.768824 671.768824 733.90744022 638.1803828 27510 Treatment of thigh fracture 707.807924 707.807924 773.28015697 672.4175278 27511 Treatment of thigh fracture 1036.844907 1036.844907 1132.7530608975 985.00266165 27513 Treatment of thigh fracture 1290.560171 1290.560171 1409.9369868175 1226.03216245 27514 Treatment of thigh fracture 1006.572063 1006.572063 1099.6799788275 956.24345985 27516 Treat thigh fx growth plate 495.177234 495.177234 540.981128145 470.4183723 27517 Treat thigh fx growth plate 706.36636 706.36636 771.7052483 671.048042 27519 Treat thigh fx growth plate 927.286043 927.286043 1013.0600019775 880.92174085 27520 Treat kneecap fracture 304.890786 304.890786 333.093183705 289.6462467 27524 Treat kneecap fracture 780.606906 780.606906 852.813044805 741.5765607 27530 Treat knee fracture 290.114755 290.114755 316.9503698375 275.60901725 27532 Treat knee fracture 597.888669 597.888669 653.1933708825 567.99423555 27535 Treat knee fracture 934.133472 934.133472 1020.54081816 887.4267984 27536 Treat knee fracture 1235.780739 1235.780739 1350.0904573575 1173.99170205 27538 Treat knee fracture(s) 459.858916 459.858916 502.39586573 436.8659702 27540 Treat knee fracture 844.756504 844.756504 922.89648062 802.5186788 27550 Treat knee dislocation 497.699971 497.699971 543.7372183175 472.81497245 27552 Treat knee dislocation 650.505755 650.505755 710.6775373375 617.98046725 27556 Treat knee dislocation 910.708057 910.708057 994.9485522725 865.17265415 27557 Treat knee dislocation 1084.416519 1084.416519 1184.7250470075 1030.19569305 27558 Treat knee dislocation 1235.420348 1235.420348 1349.69673019 1173.6493306 27560 Treat kneecap dislocation 348.137706 348.137706 380.340443805 330.7308207 27562 Treat kneecap dislocation 500.583099 500.583099 546.8870356575 475.55394405 27566 Treat kneecap dislocation 925.484088 925.484088 1011.09136614 879.2098836 27570 Fixation of knee joint 156.409694 156.409694 170.877590695 148.5892093 27580 Fusion of knee 1498.505778 1498.505778 1637.117562465 1423.5804891 27590 Amputate leg at thigh 827.097345 827.097345 903.6038494125 785.74247775 27591 Amputate leg at thigh 1002.247371 1002.247371 1094.9552528175 952.13500245 27592 Amputate leg at thigh 708.168315 708.168315 773.6738841375 672.75989925 27594 Amputation follow-up surgery 526.891642 526.891642 575.629118885 500.5470599 27596 Amputation follow-up surgery 747.090543 747.090543 816.1964182275 709.73601585 27598 Amputate lower leg at knee 739.161941 739.161941 807.5344205425 702.20384395 27599 Leg surgery procedure 0 0 0 0 27600 Decompression of lower leg 420.936688 420.936688 459.87333164 399.8898536 27601 Decompression of lower leg 462.021262 462.021262 504.758228735 438.9201989 27602 Decompression of lower leg 503.105836 503.105836 549.64312583 477.9505442 27603 Drain lower leg lesion 403.277529 403.277529 440.5807004325 383.11365255 27604 Drain lower leg bursa 346.335751 346.335751 378.3718079675 329.01896345 27605 Incision of achilles tendon 193.169576 193.169576 211.03776178 183.5110972 27606 Incision of achilles tendon 288.673191 288.673191 315.3754611675 274.23953145 27607 Treat lower leg bone lesion 632.486205 632.486205 690.9911789625 600.86189475 27610 Explore/treat ankle joint 675.372734 675.372734 737.844711895 641.6040973 27612 Exploration of ankle joint 588.518503 588.518503 642.9564645275 559.09257785 27613 Biopsy lower leg soft tissue 166.500642 166.500642 181.901951385 158.1756099 27614 Biopsy lower leg soft tissue 419.495124 419.495124 458.29842297 398.5203678 27615 Resect leg/ankle tum < 5 cm 1065.676187 1065.676187 1164.2512342975 1012.39237765 27616 Resect leg/ankle tum 5 cm/> 1322.274579 1322.274579 1444.5849775575 1256.16085005 27618 Exc leg/ankle tum < 3 cm 318.225253 318.225253 347.6610889025 302.31399035 27619 Exc leg/ankle tum deep <5 cm 480.401203 480.401203 524.8383142775 456.38114285 27620 Explore/treat ankle joint 468.5083 468.5083 511.84531775 445.082885 27625 Remove ankle joint lining 591.762022 591.762022 646.500009035 562.1739209 27626 Remove ankle joint lining 631.405032 631.405032 689.80999746 599.8347804 27630 Removal of tendon lesion 376.248204 376.248204 411.05116287 357.4357938 27632 Exc leg/ankle les sc 3 cm/> 429.586072 429.586072 469.32278366 408.1067684 27634 Exc leg/ankle tum dep 5 cm/> 704.924796 704.924796 770.13033963 669.6785562 27635 Remove lower leg bone lesion 602.213361 602.213361 657.9180968925 572.10269295 27637 Remove/graft leg bone lesion 773.759477 773.759477 845.3322286225 735.07150315 27638 Remove/graft leg bone lesion 794.662155 794.662155 868.1684043375 754.92904725 27640 Partial removal of tibia 863.857227 863.857227 943.7640204975 820.66436565 27641 Partial removal of fibula 687.986419 687.986419 751.6251627575 653.58709805 27645 Resect tibia tumor 1850.247394 1850.247394 2021.395277945 1757.7350243 27646 Resect fibula tumor 1598.694476 1598.694476 1746.57371503 1518.7597522 27647 Resect talus/calcaneus tum 1057.387194 1057.387194 1155.195509445 1004.5178343 27648 Injection for ankle x-ray 54.779432 54.779432 59.84652946 52.0404604 27650 Repair achilles tendon 681.13899 681.13899 744.144346575 647.0820405 27652 Repair/graft achilles tendon 698.077367 698.077367 762.6495234475 663.17349865 27654 Repair of achilles tendon 735.558031 735.558031 803.5971488675 698.78012945 27656 Repair leg fascia defect 410.84574 410.84574 448.84897095 390.303453 27658 Repair of leg tendon each 385.257979 385.257979 420.8943420575 365.99508005 27659 Repair of leg tendon each 489.771369 489.771369 535.0752206325 465.28280055 27664 Repair of leg tendon each 374.80664 374.80664 409.4762542 356.066308 27665 Repair of leg tendon each 429.586072 429.586072 469.32278366 408.1067684 27675 Repair lower leg tendons 508.511701 508.511701 555.5490333425 483.08611595 27676 Repair lower leg tendons 622.395257 622.395257 679.9668182725 591.27549415 27680 Release of lower leg tendon 439.67702 439.67702 480.34714435 417.693169 27681 Release of lower leg tendons 568.696998 568.696998 621.301470315 540.2621481 27685 Revision of lower leg tendon 480.761594 480.761594 525.232041445 456.7235143 27686 Revise lower leg tendons 565.81387 565.81387 618.151652975 537.5231765 27687 Revision of calf tendon 471.031037 471.031037 514.6014079225 447.47948515 27690 Revise lower leg tendon 662.398658 662.398658 723.670533865 629.2787251 27691 Revise lower leg tendon 773.399086 773.399086 844.938501455 734.7291317 27692 Revise additional leg tendon 108.838082 108.838082 118.905604585 103.3961779 27695 Repair of ankle ligament 491.573324 491.573324 537.04385647 466.9946578 27696 Repair of ankle ligaments 574.463254 574.463254 627.601104995 545.7400913 27698 Repair of ankle ligament 660.957094 660.957094 722.095625195 627.9092393 27700 Revision of ankle joint 633.927769 633.927769 692.5660876325 602.23138055 27702 Reconstruct ankle joint 998.643461 998.643461 1091.0179811425 948.71128795 27703 Reconstruction ankle joint 1152.530418 1152.530418 1259.139481665 1094.9038971 27704 Removal of ankle implant 595.005541 595.005541 650.0435535425 565.25526395 27705 Incision of tibia 788.535508 788.535508 861.47504249 749.1087326 27707 Incision of fibula 414.810041 414.810041 453.1799697925 394.06953895 27709 Incision of tibia & fibula 1212.715715 1212.715715 1324.8919186375 1152.07992925 27712 Realignment of lower leg 1139.916733 1139.916733 1245.3590308025 1082.92089635 27715 Revision of lower leg 1112.887408 1112.887408 1215.82949324 1057.2430376 27720 Repair of tibia 907.824929 907.824929 991.7987349325 862.43368255 27722 Repair/graft of tibia 923.321742 923.321742 1008.729003135 877.1556549 27724 Repair/graft of tibia 1315.066759 1315.066759 1436.7104342075 1249.31342105 27725 Repair of lower leg 1264.612019 1264.612019 1381.5886307575 1201.38141805 27726 Repair fibula nonunion 998.643461 998.643461 1091.0179811425 948.71128795 27727 Repair of lower leg 1048.377419 1048.377419 1145.3523302575 995.95854805 27730 Repair of tibia epiphysis 609.421181 609.421181 665.7926402425 578.95012195 27732 Repair of fibula epiphysis 465.625172 465.625172 508.69550041 442.3439134 27734 Repair lower leg epiphyses 682.220163 682.220163 745.3255280775 648.10915485 27740 Repair of leg epiphyses 736.278813 736.278813 804.3846032025 699.46487235 27742 Repair of leg epiphyses 808.717404 808.717404 883.52376387 768.2815338 27745 Reinforce tibia 783.490034 783.490034 855.962862145 744.3155323 27750 Treatment of tibia fracture 328.316201 328.316201 358.6854495925 311.90039095 27752 Treatment of tibia fracture 509.592874 509.592874 556.730214845 484.1132303 27756 Treatment of tibia fracture 598.609451 598.609451 653.9808252175 568.67897845 27758 Treatment of tibia fracture 927.286043 927.286043 1013.0600019775 880.92174085 27759 Treatment of tibia fracture 1038.646862 1038.646862 1134.721696735 986.7145189 27760 Cltx medial ankle fx 314.260952 314.260952 343.33009006 298.5479044 27762 Cltx med ankle fx w/mnpj 445.443276 445.443276 486.64677903 423.1711122 27766 Optx medial ankle fx 628.882295 628.882295 687.0539072875 597.43818025 27767 Cltx post ankle fx 291.195928 291.195928 318.13155134 276.6361316 27768 Cltx post ankle fx w/mnpj 456.615397 456.615397 498.8523212225 433.78462715 27769 Optx post ankle fx 757.541882 757.541882 827.614506085 719.6647879 27780 Treatment of fibula fracture 287.592018 287.592018 314.194279665 273.2124171 27781 Treatment of fibula fracture 409.404176 409.404176 447.27406228 388.9339672 27784 Treatment of fibula fracture 742.40546 742.40546 811.07796505 705.285187 27786 Treatment of ankle fracture 294.439447 294.439447 321.6750958475 279.71747465 27788 Treatment of ankle fracture 396.790491 396.790491 433.4936114175 376.95096645 27792 Treatment of ankle fracture 673.570779 673.570779 735.8760760575 639.89224005 27808 Treatment of ankle fracture 310.657042 310.657042 339.392818385 295.1241899 27810 Treatment of ankle fracture 436.433501 436.433501 476.8035998425 414.61182595 27814 Treatment of ankle fracture 798.266065 798.266065 872.1056760125 758.35276175 27816 Treatment of ankle fracture 298.403748 298.403748 326.00609469 283.4835606 27818 Treatment of ankle fracture 448.326404 448.326404 489.79659637 425.9100838 27822 Treatment of ankle fracture 890.886552 890.886552 973.29355806 846.3422244 27823 Treatment of ankle fracture 1009.815582 1009.815582 1103.223523335 959.3248029 27824 Treat lower leg fracture 313.900561 313.900561 342.9363628925 298.20553295 27825 Treat lower leg fracture 512.836393 512.836393 560.2737593525 487.19457335 27826 Treat lower leg fracture 873.587784 873.587784 954.39465402 829.9083948 27827 Treat lower leg fracture 1143.881034 1143.881034 1249.690029645 1086.6869823 27828 Treat lower leg fracture 1364.800717 1364.800717 1491.0447833225 1296.56068115 27829 Treat lower leg joint 720.782 720.782 787.454335 684.7429 27830 Treat lower leg dislocation 365.076083 365.076083 398.8456206775 346.82227885 27831 Treat lower leg dislocation 417.332778 417.332778 455.936059965 396.4661391 27832 Treat lower leg dislocation 782.408861 782.408861 854.7816806425 743.28841795 27840 Treat ankle dislocation 385.978761 385.978761 421.6817963925 366.67982295 27842 Treat ankle dislocation 507.070137 507.070137 553.9741246725 481.71663015 27846 Treat ankle dislocation 746.730152 746.730152 815.80269106 709.3936444 27848 Treat ankle dislocation 828.8993 828.8993 905.57248525 787.454335 27860 Fixation of ankle joint 177.312372 177.312372 193.71376641 168.4467534 27870 Fusion of ankle joint open 1065.315796 1065.315796 1163.85750713 1012.0500062 27871 Fusion of tibiofibular joint 713.57418 713.57418 779.57979165 677.895471 27880 Amputation of lower leg 947.82833 947.82833 1035.502450525 900.4369135 27881 Amputation of lower leg 897.37359 897.37359 980.380647075 852.5049105 27882 Amputation of lower leg 619.87252 619.87252 677.2107281 588.878894 27884 Amputation follow-up surgery 591.762022 591.762022 646.500009035 562.1739209 27886 Amputation follow-up surgery 680.778599 680.778599 743.7506194075 646.73966905 27888 Amputation of foot at ankle 686.905246 686.905246 750.443981255 652.5599837 27889 Amputation of foot at ankle 671.768824 671.768824 733.90744022 638.1803828 27892 Decompression of leg 570.859344 570.859344 623.66383332 542.3163768 27893 Decompression of leg 632.486205 632.486205 690.9911789625 600.86189475 27894 Decompression of leg 876.831303 876.831303 957.9381985275 832.98973785 27899 Leg/ankle surgery procedure 0 0 0 0 28001 Drainage of bursa of foot 176.59159 176.59159 192.926312075 167.7620105 28002 Treatment of foot infection 331.55972 331.55972 362.2289941 314.981734 28003 Treatment of foot infection 579.148337 579.148337 632.7195581725 550.19092015 28005 Treat foot bone lesion 598.969842 598.969842 654.374552385 569.0213499 28008 Incision of foot fascia 304.890786 304.890786 333.093183705 289.6462467 28010 Incision of toe tendon 215.874209 215.874209 235.8425733325 205.08049855 28011 Incision of toe tendons 293.358274 293.358274 320.493914345 278.6903603 28020 Exploration of foot joint 375.167031 375.167031 409.8699813675 356.40867945 28022 Exploration of foot joint 335.884412 335.884412 366.95372011 319.0901914 28024 Exploration of toe joint 312.458997 312.458997 341.3614542225 296.83604715 28035 Decompression of tibia nerve 369.761166 369.761166 403.964073855 351.2731077 28039 Exc foot/toe tum sc 1.5 cm/> 358.228654 358.228654 391.364804495 340.3172213 28041 Exc foot/toe tum dep 1.5cm/> 471.391428 471.391428 514.99513509 447.8218566 28043 Exc foot/toe tum sc < 1.5 cm 272.455596 272.455596 297.65773863 258.8328162 28045 Exc foot/toe tum deep <1.5cm 360.391 360.391 393.7271675 342.37145 28046 Resect foot/toe tumor < 3 cm 750.334062 750.334062 819.739962735 712.8173589 28047 Resect foot/toe tumor 3 cm/> 1087.660038 1087.660038 1188.268591515 1033.2770361 28050 Biopsy of foot joint lining 290.114755 290.114755 316.9503698375 275.60901725 28052 Biopsy of foot joint lining 293.718665 293.718665 320.8876415125 279.03273175 28054 Biopsy of toe joint lining 243.984707 243.984707 266.5532923975 231.78547165 28055 Neurectomy foot 396.4301 396.4301 433.09988425 376.608595 28060 Partial removal foot fascia 371.923512 371.923512 406.32643686 353.3273364 28062 Removal of foot fascia 421.65747 421.65747 460.660785975 400.5745965 28070 Removal of foot joint lining 370.842339 370.842339 405.1452553575 352.30022205 28072 Removal of foot joint lining 333.722066 333.722066 364.591357105 317.0359627 28080 Removal of foot lesion 381.293678 381.293678 416.563343215 362.2289941 28086 Excise foot tendon sheath 373.004685 373.004685 407.5076183625 354.35445075 28088 Excise foot tendon sheath 296.241402 296.241402 323.643731685 281.4293319 28090 Removal of foot lesion 319.306426 319.306426 348.842270405 303.3411047 28092 Removal of toe lesions 280.744589 280.744589 306.7134634825 266.70735955 28100 Removal of ankle/heel lesion 431.388027 431.388027 471.2914194975 409.81862565 28102 Remove/graft foot lesion 628.161513 628.161513 686.2664529525 596.75343735 28103 Remove/graft foot lesion 405.439875 405.439875 442.9430634375 385.16788125 28104 Removal of foot lesion 370.121557 370.121557 404.3578010225 351.61547915 28106 Remove/graft foot lesion 444.722494 444.722494 485.859324695 422.4863693 28107 Remove/graft foot lesion 361.472173 361.472173 394.9083490025 343.39856435 28108 Removal of toe lesions 299.12453 299.12453 326.793549025 284.1683035 28110 Part removal of metatarsal 301.647267 301.647267 329.5496391975 286.56490365 28111 Part removal of metatarsal 335.884412 335.884412 366.95372011 319.0901914 28112 Part removal of metatarsal 323.991509 323.991509 353.9607235825 307.79193355 28113 Part removal of metatarsal 439.67702 439.67702 480.34714435 417.693169 28114 Removal of metatarsal heads 863.496836 863.496836 943.37029333 820.3219942 28116 Revision of foot 598.609451 598.609451 653.9808252175 568.67897845 28118 Removal of heel bone 431.027636 431.027636 470.89769233 409.4762542 28119 Removal of heel spur 373.725467 373.725467 408.2950726975 355.03919365 28120 Part removal of ankle/heel 516.800694 516.800694 564.604758195 490.9606593 28122 Partial removal of foot bone 455.894615 455.894615 498.0648668875 433.09988425 28124 Partial removal of toe 343.813014 343.813014 375.615717795 326.6223633 28126 Partial removal of toe 257.319174 257.319174 281.121197595 244.4532153 28130 Removal of ankle bone 661.677876 661.677876 722.88307953 628.5939822 28140 Removal of metatarsal 453.732269 453.732269 495.7025038825 431.04565555 28150 Removal of toe 289.754364 289.754364 316.55664267 275.2666458 28153 Partial removal of toe 274.978333 274.978333 300.4138288025 261.22941635 28160 Partial removal of toe 277.50107 277.50107 303.169918975 263.6260165 28171 Resect tarsal tumor 1160.45902 1160.45902 1267.80147935 1102.436069 28173 Resect metatarsal tumor 767.993221 767.993221 839.0325939425 729.59355995 28175 Resect phalanx of toe tumor 493.73567 493.73567 539.406219475 469.0488865 28190 Removal of foot foreign body 138.750535 138.750535 151.5849594875 131.81300825 28192 Removal of foot foreign body 323.991509 323.991509 353.9607235825 307.79193355 28193 Removal of foot foreign body 383.456024 383.456024 418.92570622 364.2832228 28200 Repair of foot tendon 335.884412 335.884412 366.95372011 319.0901914 28202 Repair/graft of foot tendon 448.326404 448.326404 489.79659637 425.9100838 28208 Repair of foot tendon 327.595419 327.595419 357.8979952575 311.21564805 28210 Repair/graft of foot tendon 434.631546 434.631546 474.834964005 412.8999687 28220 Release of foot tendon 314.621343 314.621343 343.7238172275 298.89027585 28222 Release of foot tendons 369.040384 369.040384 403.17661952 350.5883648 28225 Release of foot tendon 275.699115 275.699115 301.2012831375 261.91415925 28226 Release of foot tendons 409.404176 409.404176 447.27406228 388.9339672 28230 Incision of foot tendon(s) 294.439447 294.439447 321.6750958475 279.71747465 28232 Incision of toe tendon 251.552918 251.552918 274.821562915 238.9752721 28234 Incision of foot tendon 273.536769 273.536769 298.8389201325 259.85993055 28238 Revision of foot tendon 504.907791 504.907791 551.6117616675 479.66240145 28240 Release of big toe 309.575869 309.575869 338.2116368825 294.09707555 28250 Revision of foot fascia 417.693169 417.693169 456.3297871325 396.80851055 28260 Release of midfoot joint 529.414379 529.414379 578.3852090575 502.94366005 28261 Revision of foot tendon 842.594158 842.594158 920.534117615 800.4644501 28262 Revision of foot and ankle 1173.793487 1173.793487 1282.3693845475 1115.10381265 28264 Release of midfoot joint 797.545283 797.545283 871.3182216775 757.66801885 28270 Release of foot contracture 347.416924 347.416924 379.55298947 330.0460778 28272 Release of toe joint each 262.004257 262.004257 286.2396507725 248.90404415 28280 Fusion of toes 360.751391 360.751391 394.1208946675 342.71382145 28285 Repair of hammertoe 393.186581 393.186581 429.5563397425 373.52725195 28286 Repair of hammertoe 308.855087 308.855087 337.4241825475 293.41233265 28288 Partial removal of foot bone 449.047186 449.047186 490.584050705 426.5948267 28289 Repair hallux rigidus 478.599248 478.599248 522.86967844 454.6692856 28291 Corrj halux rigdus w/implt 499.501926 499.501926 545.705854155 474.5268297 28292 Correction of bunion 504.187009 504.187009 550.8243073325 478.97765855 28295 Correction hallux valgus 564.372306 564.372306 616.576744305 536.1536907 28296 Correction of bunion 534.099462 534.099462 583.503662235 507.3944889 28297 Correction of bunion 625.278385 625.278385 683.1166356125 594.01446575 28298 Correction of bunion 516.440303 516.440303 564.2110310275 490.61828785 28299 Correction of bunion 605.45688 605.45688 661.4616414 575.184036 28300 Incision of heel bone 674.651952 674.651952 737.05725756 640.9193544 28302 Incision of ankle bone 741.324287 741.324287 809.8967835475 704.25807265 28304 Incision of midfoot bones 626.359558 626.359558 684.297817115 595.0415801 28305 Incise/graft midfoot bones 685.463682 685.463682 748.869072585 651.1904979 28306 Incision of metatarsal 418.413951 418.413951 457.1172414675 397.49325345 28307 Incision of metatarsal 443.641321 443.641321 484.6781431925 421.45925495 28308 Incision of metatarsal 393.546972 393.546972 429.95006691 373.8696234 28309 Incision of metatarsals 921.159396 921.159396 1006.36664013 875.1014262 28310 Revision of big toe 370.481948 370.481948 404.75152819 351.9578506 28312 Revision of toe 328.316201 328.316201 358.6854495925 311.90039095 28313 Repair deformity of toe 366.878038 366.878038 400.814256515 348.5341361 28315 Removal of sesamoid bone 337.686367 337.686367 368.9223559475 320.80204865 28320 Repair of foot bones 632.846596 632.846596 691.38490613 601.2042662 28322 Repair of metatarsals 597.528278 597.528278 652.799643715 567.6518641 28340 Resect enlarged toe tissue 428.144508 428.144508 467.74787499 406.7372826 28341 Resect enlarged toe 509.953265 509.953265 557.1239420125 484.45560175 28344 Repair extra toe(s) 290.835537 290.835537 317.7378241725 276.29376015 28345 Repair webbed toe(s) 378.41055 378.41055 413.413525875 359.4900225 28360 Reconstruct cleft foot 1132.348522 1132.348522 1237.090760285 1075.7310959 28400 Treatment of heel fracture 234.974932 234.974932 256.71011321 223.2261854 28405 Treatment of heel fracture 366.517647 366.517647 400.4205293475 348.19176465 28406 Treatment of heel fracture 546.352756 546.352756 596.89038593 519.0351182 28415 Treat heel fracture 1159.017456 1159.017456 1266.22657068 1101.0665832 28420 Treat/graft heel fracture 1322.63497 1322.63497 1444.978704725 1256.5032215 28430 Treatment of ankle fracture 216.594991 216.594991 236.6300276675 205.76524145 28435 Treatment of ankle fracture 334.442848 334.442848 365.37881144 317.7207056 28436 Treatment of ankle fracture 468.147909 468.147909 511.4515905825 444.74051355 28445 Treat ankle fracture 1090.903557 1090.903557 1191.8121360225 1036.35837915 28446 Osteochondral talus autogrft 1268.215929 1268.215929 1385.5259024325 1204.80513255 28450 Treat midfoot fracture each 197.133877 197.133877 215.3687606225 187.27718315 28455 Treat midfoot fracture each 267.049731 267.049731 291.7518311175 253.69724445 28456 Treat midfoot fracture 333.361675 333.361675 364.1976299375 316.69359125 28465 Treat midfoot fracture each 654.830447 654.830447 715.4022633475 622.08892465 28470 Treat metatarsal fracture 210.107953 210.107953 229.5429386525 199.60255535 28475 Treat metatarsal fracture 234.25415 234.25415 255.922658875 222.5414425 28476 Treat metatarsal fracture 364.355301 364.355301 398.0581663425 346.13753595 28485 Treat metatarsal fracture 564.372306 564.372306 616.576744305 536.1536907 28490 Treat big toe fracture 128.659587 128.659587 140.5605987975 122.22660765 28495 Treat big toe fracture 154.247348 154.247348 168.51522769 146.5349806 28496 Treat big toe fracture 253.354873 253.354873 276.7901987525 240.68712935 28505 Treat big toe fracture 516.440303 516.440303 564.2110310275 490.61828785 28510 Treatment of toe fracture 123.614113 123.614113 135.0484184525 117.43340735 28515 Treatment of toe fracture 147.039528 147.039528 160.64068434 139.6875516 28525 Treat toe fracture 415.891214 415.891214 454.361151295 395.0966533 28530 Treat sesamoid bone fracture 106.315345 106.315345 116.1495144125 100.99957775 28531 Treat sesamoid bone fracture 188.484493 188.484493 205.9193086025 179.06026835 28540 Treat foot dislocation 180.1955 180.1955 196.86358375 171.185725 28545 Treat foot dislocation 272.455596 272.455596 297.65773863 258.8328162 28546 Treat foot dislocation 352.462398 352.462398 385.065169815 334.8392781 28555 Repair foot dislocation 681.13899 681.13899 744.144346575 647.0820405 28570 Treat foot dislocation 198.575441 198.575441 216.9436692925 188.64666895 28575 Treat foot dislocation 343.452623 343.452623 375.2219906275 326.27999185 28576 Treat foot dislocation 405.800266 405.800266 443.336790605 385.5102527 28585 Repair foot dislocation 706.36636 706.36636 771.7052483 671.048042 28600 Treat foot dislocation 192.809185 192.809185 210.6440346125 183.16872575 28605 Treat foot dislocation 305.971959 305.971959 334.2743652075 290.67336105 28606 Treat foot dislocation 405.439875 405.439875 442.9430634375 385.16788125 28615 Repair foot dislocation 839.350639 839.350639 916.9905731075 797.38310705 28630 Treat toe dislocation 113.523165 113.523165 124.0240577625 107.84700675 28635 Treat toe dislocation 137.669362 137.669362 150.403777985 130.7858939 28636 Treat toe dislocation 212.991081 212.991081 232.6927559925 202.34152695 28645 Repair toe dislocation 504.187009 504.187009 550.8243073325 478.97765855 28660 Treat toe dislocation 92.260096 92.260096 100.79415488 87.6470912 28665 Treat toe dislocation 135.507016 135.507016 148.04141498 128.7316652 28666 Treat toe dislocation 163.257123 163.257123 178.3584068775 155.09426685 28675 Repair of toe dislocation 417.693169 417.693169 456.3297871325 396.80851055 28705 Fusion of foot bones 1280.829614 1280.829614 1399.306353295 1216.7881333 28715 Fusion of foot bones 977.020001 977.020001 1067.3943510925 928.16900095 28725 Fusion of foot bones 809.438186 809.438186 884.311218205 768.9662767 28730 Fusion of foot bones 762.226965 762.226965 832.7329592625 724.11561675 28735 Fusion of foot bones 809.077795 809.077795 883.9174910375 768.62390525 28737 Revision of foot bones 721.863173 721.863173 788.6355165025 685.77001435 28740 Fusion of foot bones 645.460281 645.460281 705.1653569925 613.18726695 28750 Fusion of big toe joint 606.538053 606.538053 662.6428229025 576.21115035 28755 Fusion of big toe joint 344.533796 344.533796 376.40317213 327.3071062 28760 Fusion of big toe joint 602.573752 602.573752 658.31182406 572.4450644 28800 Amputation of midfoot 554.641749 554.641749 605.9461107825 526.90966155 28805 Amputation thru metatarsal 754.298363 754.298363 824.0709615775 716.58344485 28810 Amputation toe & metatarsal 445.443276 445.443276 486.64677903 423.1711122 28820 Amputation of toe 408.323003 408.323003 446.0928807775 387.90685285 28825 Partial amputation of toe 383.456024 383.456024 418.92570622 364.2832228 28890 High energy eswt plantar f 230.65024 230.65024 251.9853872 219.117728 28899 Foot/toes surgery procedure 0 0 0 0 29000 Application of body cast 205.42287 205.42287 224.424485475 195.1517265 29010 Application of body cast 166.140251 166.140251 181.5082242175 157.83323845 29015 Application of body cast 187.763711 187.763711 205.1318542675 178.37552545 29035 Application of body cast 149.201874 149.201874 163.003047345 141.7417803 29040 Application of body cast 179.474718 179.474718 196.076129415 170.5009821 29044 Application of body cast 173.348071 173.348071 189.3827675675 164.68066745 29046 Application of body cast 194.61114 194.61114 212.61267045 184.880583 29049 Application of figure eight 72.0782 72.0782 78.7454335 68.47429 29055 Application of shoulder cast 142.354445 142.354445 155.5222311625 135.23672275 29058 Application of shoulder cast 96.945179 96.945179 105.9126080575 92.09792005 29065 Application of long arm cast 69.915854 69.915854 76.383070495 66.4200613 29075 Application of forearm cast 63.789207 63.789207 69.6897086475 60.59974665 29085 Apply hand/wrist cast 69.195072 69.195072 75.59561616 65.7353184 29086 Apply finger cast 52.256695 52.256695 57.0904392875 49.64386025 29105 Apply long arm splint 49.733958 49.733958 54.334349115 47.2472601 29125 Apply forearm splint 40.724183 40.724183 44.4911699275 38.68797385 29126 Apply forearm splint 50.094349 50.094349 54.7280762825 47.58963155 29130 Application of finger splint 29.912453 29.912453 32.6793549025 28.41683035 29131 Application of finger splint 34.597536 34.597536 37.79780808 32.8676592 29200 Strapping of chest 19.461114 19.461114 21.261267045 18.4880583 29240 Strapping of shoulder 19.461114 19.461114 21.261267045 18.4880583 29260 Strapping of elbow or wrist 20.181896 20.181896 22.04872138 19.1728012 29280 Strapping of hand or finger 20.902678 20.902678 22.836175715 19.8575441 29305 Application of hip cast 164.698687 164.698687 179.9333155475 156.46375265 29325 Application of hip casts 184.159801 184.159801 201.1945825925 174.95181095 29345 Application of long leg cast 103.432217 103.432217 112.9996970725 98.26060615 29355 Application of long leg cast 110.279646 110.279646 120.480513255 104.7656637 29358 Apply long leg cast brace 106.675736 106.675736 116.54324158 101.3419492 29365 Application of long leg cast 90.458141 90.458141 98.8255190425 85.93523395 29405 Apply short leg cast 61.26647 61.26647 66.933618475 58.2031465 29425 Apply short leg cast 57.66256 57.66256 62.9963468 54.779432 29435 Apply short leg cast 85.773058 85.773058 93.707065865 81.4844051 29440 Addition of walker to cast 29.552062 29.552062 32.285627735 28.0744589 29445 Apply rigid leg cast 105.954954 105.954954 115.755787245 100.6572063 29450 Application of leg cast 117.487466 117.487466 128.355056605 111.6130927 29505 Application long leg splint 52.256695 52.256695 57.0904392875 49.64386025 29515 Application lower leg splint 51.175522 51.175522 55.909257785 48.6167459 29520 Strapping of hip 19.821505 19.821505 21.6549942125 18.83042975 29530 Strapping of knee 19.461114 19.461114 21.261267045 18.4880583 29540 Strapping of ankle and/or ft 18.740332 18.740332 20.47381271 17.8033154 29550 Strapping of toes 11.892903 11.892903 12.9929965275 11.29825785 29580 Application of paste boot 28.470889 28.470889 31.1044462325 27.04734455 29581 Apply multlay comprs lwr leg 28.83128 28.83128 31.4981734 27.389716 29584 Appl multlay comprs arm/hand 16.938377 16.938377 18.5051768725 16.09145815 29700 Removal/revision of cast 34.597536 34.597536 37.79780808 32.8676592 29705 Removal/revision of cast 47.932003 47.932003 52.3657132775 45.53540285 29710 Removal/revision of cast 86.854231 86.854231 94.8882473675 82.51151945 29720 Repair of body cast 46.130048 46.130048 50.39707744 43.8235456 29730 Windowing of cast 45.769657 45.769657 50.0033502725 43.48117415 29740 Wedging of cast 72.798982 72.798982 79.532887835 69.1590329 29750 Wedging of clubfoot cast 81.448366 81.448366 88.982339855 77.3759477 29799 Casting/strapping procedure 0 0 0 0 29800 Jaw arthroscopy/surgery 548.154711 548.154711 598.8590217675 520.74697545 29804 Jaw arthroscopy/surgery 664.200613 664.200613 725.6391697025 630.99058235 29805 Shoulder arthroscopy dx 489.050587 489.050587 534.2877662975 464.59805765 29806 Shoulder arthroscopy/surgery 1101.354896 1101.354896 1203.23022388 1046.2871512 29807 Shoulder arthroscopy/surgery 1076.848308 1076.848308 1176.45677649 1023.0058926 29819 Shoulder arthroscopy/surgery 608.340008 608.340008 664.61145874 577.9230076 29820 Shoulder arthroscopy/surgery 553.200185 553.200185 604.3712021125 525.54017575 29821 Shoulder arthroscopy/surgery 606.898444 606.898444 663.03655007 576.5535218 29822 Shoulder arthroscopy/surgery 589.239285 589.239285 643.7439188625 559.77732075 29823 Shoulder arthroscopy/surgery 640.775198 640.775198 700.046903815 608.7364381 29824 Shoulder arthroscopy/surgery 690.869547 690.869547 754.7749800975 656.32606965 29825 Shoulder arthroscopy/surgery 598.24906 598.24906 653.58709805 568.336607 29826 Shoulder arthroscopy/surgery 182.718237 182.718237 199.6196739225 173.58232515 29827 Arthroscop rotator cuff repr 1094.147076 1094.147076 1195.35568053 1039.4397222 29828 Arthroscopy biceps tenodesis 942.422465 942.422465 1029.5965430125 895.30134175 29830 Elbow arthroscopy 471.391428 471.391428 514.99513509 447.8218566 29834 Elbow arthroscopy/surgery 503.466227 503.466227 550.0368529975 478.29291565 29835 Elbow arthroscopy/surgery 521.846168 521.846168 570.11693854 495.7538596 29836 Elbow arthroscopy/surgery 592.843195 592.843195 647.6811905375 563.20103525 29837 Elbow arthroscopy/surgery 543.830019 543.830019 594.1342957575 516.63851805 29838 Elbow arthroscopy/surgery 610.141963 610.141963 666.5800945775 579.63486485 29840 Wrist arthroscopy 466.345954 466.345954 509.482954745 443.0286563 29843 Wrist arthroscopy/surgery 500.94349 500.94349 547.280762825 475.8963155 29844 Wrist arthroscopy/surgery 514.638348 514.638348 562.24239519 488.9064306 29845 Wrist arthroscopy/surgery 598.24906 598.24906 653.58709805 568.336607 29846 Wrist arthroscopy/surgery 539.505327 539.505327 589.4095697475 512.53006065 29847 Wrist arthroscopy/surgery 555.362531 555.362531 606.7335651175 527.59440445 29848 Wrist endoscopy/surgery 530.135161 530.135161 579.1726633925 503.62840295 29850 Knee arthroscopy/surgery 646.181063 646.181063 705.9528113275 613.87200985 29851 Knee arthroscopy/surgery 965.127098 965.127098 1054.401354565 916.8707431 29855 Tibial arthroscopy/surgery 813.042096 813.042096 888.24848988 772.3899912 29856 Tibial arthroscopy/surgery 1029.637087 1029.637087 1124.8785175475 978.15523265 29860 Hip arthroscopy dx 686.184464 686.184464 749.65652692 651.8752408 29861 Hip arthro w/fb removal 743.486633 743.486633 812.2591465525 706.31230135 29862 Hip arthr0 w/debridement 834.665556 834.665556 911.87211993 792.9322782 29863 Hip arthr0 w/synovectomy 836.10712 836.10712 913.4470286 794.301764 29866 Autgrft implnt knee w/scope 1093.065903 1093.065903 1194.1744990275 1038.41260785 29867 Allgrft implnt knee w/scope 1324.076534 1324.076534 1446.553613395 1257.8727073 29868 Meniscal trnspl knee w/scpe 1744.29244 1744.29244 1905.6394907 1657.077818 29870 Knee arthroscopy dx 424.180207 424.180207 463.4168761475 402.97119665 29871 Knee arthroscopy/drainage 534.099462 534.099462 583.503662235 507.3944889 29873 Knee arthroscopy/surgery 545.631974 545.631974 596.102931595 518.3503753 29874 Knee arthroscopy/surgery 556.443704 556.443704 607.91474662 528.6215188 29875 Knee arthroscopy/surgery 513.917566 513.917566 561.454940855 488.2216877 29876 Knee arthroscopy/surgery 681.499381 681.499381 744.5380737425 647.42441195 29877 Knee arthroscopy/surgery 644.739499 644.739499 704.3779026575 612.50252405 29879 Knee arthroscopy/surgery 686.905246 686.905246 750.443981255 652.5599837 29880 Knee arthroscopy/surgery 582.391856 582.391856 636.26310268 553.2722632 29881 Knee arthroscopy/surgery 561.128787 561.128787 613.0331997975 533.07234765 29882 Knee arthroscopy/surgery 724.38591 724.38591 791.391606675 688.1666145 29883 Knee arthroscopy/surgery 878.272867 878.272867 959.5131071975 834.35922365 29884 Knee arthroscopy/surgery 636.090115 636.090115 694.9284506375 604.28560925 29885 Knee arthroscopy/surgery 771.957522 771.957522 843.363592785 733.3596459 29886 Knee arthroscopy/surgery 662.038267 662.038267 723.2768066975 628.93635365 29887 Knee arthroscopy/surgery 775.201041 775.201041 846.9071372925 736.44098895 29888 Knee arthroscopy/surgery 1021.708485 1021.708485 1116.2165198625 970.62306075 29889 Knee arthroscopy/surgery 1270.738666 1270.738666 1388.281992605 1207.2017327 29891 Ankle arthroscopy/surgery 696.635803 696.635803 761.0746147775 661.80401285 29892 Ankle arthroscopy/surgery 679.337035 679.337035 742.1757107375 645.37018325 29893 Scope plantar fasciotomy 444.362103 444.362103 485.4655975275 422.14399785 29894 Ankle arthroscopy/surgery 512.115611 512.115611 559.4863050175 486.50983045 29895 Ankle arthroscopy/surgery 485.807068 485.807068 530.74422179 461.5167146 29897 Ankle arthroscopy/surgery 521.846168 521.846168 570.11693854 495.7538596 29898 Ankle arthroscopy/surgery 583.112638 583.112638 637.050557015 553.9570061 29899 Ankle arthroscopy/surgery 1073.96518 1073.96518 1173.30695915 1020.266921 29900 Mcp joint arthroscopy dx 516.079912 516.079912 563.81730386 490.2759164 29901 Mcp joint arthroscopy surg 551.39823 551.39823 602.402566275 523.8283185 29902 Mcp joint arthroscopy surg 589.960067 589.960067 644.5313731975 560.46206365 29904 Subtalar arthro w/fb rmvl 655.190838 655.190838 715.795990515 622.4312961 29905 Subtalar arthro w/exc 537.703372 537.703372 587.44093391 510.8182034 29906 Subtalar arthro w/deb 702.76245 702.76245 767.767976625 667.6243275 29907 Subtalar arthro w/fusion 908.545711 908.545711 992.5861892675 863.11842545 29914 Hip arthro w/femoroplasty 1020.266921 1020.266921 1114.6416111925 969.25357495 29915 Hip arthro acetabuloplasty 1051.981329 1051.981329 1149.2896019325 999.38226255 29916 Hip arthro w/labral repair 1048.73781 1048.73781 1145.746057425 996.3009195 29999 Arthroscopy of joint 0 0 0 0 30000 Drainage of nose lesion 121.451767 121.451767 132.6860554475 115.37917865 30020 Drainage of nose lesion 121.451767 121.451767 132.6860554475 115.37917865 3006F Cxr doc rev 0 0 0 0 3008F Body mass index docd 0 0 0 0 30100 Intranasal biopsy 69.555463 69.555463 75.9893433275 66.07768985 30110 Removal of nose polyp(s) 132.984279 132.984279 145.2853248075 126.33506505 30115 Removal of nose polyp(s) 449.407577 449.407577 490.9777778725 426.93719815 30117 Removal of intranasal lesion 344.533796 344.533796 376.40317213 327.3071062 30118 Removal of intranasal lesion 797.905674 797.905674 871.711948845 758.0103903 3011F Lipid panel doc rev 0 0 0 0 30120 Revision of nose 444.722494 444.722494 485.859324695 422.4863693 30124 Removal of nose lesion 295.160229 295.160229 322.4625501825 280.40221755 30125 Removal of nose lesion 633.206987 633.206987 691.7786332975 601.54663765 30130 Excise inferior turbinate 397.150882 397.150882 433.887338585 377.2933379 30140 Resect inferior turbinate 184.520192 184.520192 201.58830976 175.2941824 3014F Screen mammo doc rev 0 0 0 0 30150 Partial removal of nose 795.382937 795.382937 868.9558586725 755.61379015 3015F Cerv cancer screen docd 0 0 0 0 30160 Removal of nose 800.06802 800.06802 874.07431185 760.064619 3016F Pt scrnd unhlthy OH use 0 0 0 0 3017F Colorectal ca screen doc rev 0 0 0 0 3018F Pre-prxd rsk et al docd 0 0 0 0 3019F Lvef assess planpost dschrge 0 0 0 0 30200 Injection treatment of nose 59.824906 59.824906 65.358709805 56.8336607 3020F Lvf assess 0 0 0 0 30210 Nasal sinus therapy 101.630262 101.630262 111.031061235 96.5487489 3021F Lvef mod/sever deprs syst 0 0 0 0 30220 Insert nasal septal button 127.938805 127.938805 139.7731444625 121.54186475 3022F Lvef >=40% systolic 0 0 0 0 3023F Spirom doc rev 0 0 0 0 3025F Spirom fev/fvc<70% w/copd 0 0 0 0 3027F Spirom fev/fvc>=70%/w/o copd 0 0 0 0 3028F O2 saturation doc rev 0 0 0 0 30300 Remove nasal foreign body 113.162774 113.162774 123.630330595 107.5046353 30310 Remove nasal foreign body 207.945607 207.945607 227.1805756475 197.54832665 30320 Remove nasal foreign body 469.589473 469.589473 513.0264992525 446.10999935 3035F O2 saturation<=88% /pao<=55 0 0 0 0 3037F O2 saturation> 88% /pao>55 0 0 0 0 3038F Pulm fx w/in 12 mon b/4 surg 0 0 0 0 30400 Reconstruction of nose 1116.491318 1116.491318 1219.766764915 1060.6667521 3040F Fev<40% predicted value 0 0 0 0 30410 Reconstruction of nose 1289.478998 1289.478998 1408.755805315 1225.0050481 30420 Reconstruction of nose 1420.661322 1420.661322 1552.072494285 1349.6282559 3042F Fev>=40% predicted value 0 0 0 0 30430 Revision of nose 981.705084 981.705084 1072.51280427 932.6198298 30435 Revision of nose 1217.761189 1217.761189 1330.4040989825 1156.87312955 3044F Hg a1c level lt 7.0% 0 0 0 0 30450 Revision of nose 1618.515981 1618.515981 1768.2287092425 1537.59018195 3045F Hg a1c level 7.0-9.0% 0 0 0 0 30460 Revision of nose 847.279241 847.279241 925.6525707925 804.91527895 30462 Revision of nose 1628.606929 1628.606929 1779.2530699325 1547.17658255 30465 Repair nasal stenosis 1013.779883 1013.779883 1107.5545221775 963.09088885 3046F Hemoglobin a1c level > 9.0% 0 0 0 0 3048F Ldl-c <100 mg/dl 0 0 0 0 3049F Ldl-c 100-129 mg/dl 0 0 0 0 3050F Ldl-c >= 130 mg/dl 0 0 0 0 30520 Repair of nasal septum 650.145364 650.145364 710.28381017 617.6380958 30540 Repair nasal defect 715.376135 715.376135 781.5484274875 679.60732825 30545 Repair nasal defect 978.101174 978.101174 1068.575532595 929.1961153 3055F Lvef less than/equal to 35% 0 0 0 0 30560 Release of nasal adhesions 142.354445 142.354445 155.5222311625 135.23672275 3056F Lvef greater than 35% 0 0 0 0 30580 Repair upper jaw fistula 514.998739 514.998739 562.6361223575 489.24880205 30600 Repair mouth/nose fistula 449.767968 449.767968 491.37150504 427.2795696 3060F Pos microalbuminuria rev 0 0 0 0 3061F Neg microalbuminuria rev 0 0 0 0 30620 Intranasal reconstruction 657.353184 657.353184 718.15835352 624.4855248 3062F Pos macroalbuminuria rev 0 0 0 0 30630 Repair nasal septum defect 651.226537 651.226537 711.4649916725 618.66521015 3066F Nephropathy doc tx 0 0 0 0 3072F Low risk for retinopathy 0 0 0 0 3073F Pre-surg eye measures docd 0 0 0 0 3074F Syst bp lt 130 mm hg 0 0 0 0 3075F Syst bp ge 130 - 139mm hg 0 0 0 0 3077F Syst bp >= 140 mm hg 0 0 0 0 3078F Diast bp < 80 mm hg 0 0 0 0 3079F Diast bp 80-89 mm hg 0 0 0 0 30801 Ablate inf turbinate superf 143.435618 143.435618 156.703412665 136.2638371 30802 Ablate inf turbinate submuc 197.494268 197.494268 215.76248779 187.6195546 3080F Diast bp >= 90 mm hg 0 0 0 0 3082F Kt/v <1.2 0 0 0 0 3083F Kt/v > 1.2 <1.7 0 0 0 0 3084F Kt/v ge 1.7 0 0 0 0 3085F Suicide risk assessed 0 0 0 0 3088F Mdd mild 0 0 0 0 3089F Mdd moderate 0 0 0 0 30901 Control of nosebleed 58.383342 58.383342 63.783801135 55.4641749 30903 Control of nosebleed 81.087975 81.087975 88.5886126875 77.03357625 30905 Control of nosebleed 108.477691 108.477691 118.5118774175 103.05380645 30906 Repeat control of nosebleed 140.55249 140.55249 153.553595325 133.5248655 3090F Mdd severe w/o psych 0 0 0 0 30915 Ligation nasal sinus artery 595.726323 595.726323 650.8310078775 565.94000685 3091F Mdd severe w/psych 0 0 0 0 30920 Ligation upper jaw artery 866.019573 866.019573 946.1263835025 822.71859435 3092F Mdd in remission 0 0 0 0 30930 Ther fx nasal inf turbinate 123.614113 123.614113 135.0484184525 117.43340735 3093F Doc new diag 1st/addl mdd 0 0 0 0 3095F Central dexa results docd 0 0 0 0 3096F Central dexa ordered 0 0 0 0 30999 Nasal surgery procedure 0 0 0 0 31000 Irrigation maxillary sinus 108.838082 108.838082 118.905604585 103.3961779 31002 Irrigation sphenoid sinus 194.250749 194.250749 212.2189432825 184.53821155 3100F Image test ref carot diam 0 0 0 0 31020 Exploration maxillary sinus 376.248204 376.248204 411.05116287 357.4357938 31030 Exploration maxillary sinus 540.5865 540.5865 590.59075125 513.557175 31032 Explore sinus remove polyps 595.365932 595.365932 650.43728071 565.5976354 31040 Exploration behind upper jaw 795.022546 795.022546 868.562131505 755.2714187 31050 Exploration sphenoid sinus 502.385054 502.385054 548.855671495 477.2658013 31051 Sphenoid sinus surgery 671.408433 671.408433 733.5137130525 637.83801135 31070 Exploration of frontal sinus 456.615397 456.615397 498.8523212225 433.78462715 31075 Exploration of frontal sinus 809.438186 809.438186 884.311218205 768.9662767 31080 Removal of frontal sinus 1064.955405 1064.955405 1163.4637799625 1011.70763475 31081 Removal of frontal sinus 1147.124553 1147.124553 1253.2335741525 1089.76832535 31084 Removal of frontal sinus 1184.605217 1184.605217 1294.1811995725 1125.37495615 31085 Removal of frontal sinus 1229.654092 1229.654092 1343.39709551 1168.1713874 31086 Removal of frontal sinus 1159.377847 1159.377847 1266.6202978475 1101.40895465 31087 Removal of frontal sinus 1113.247799 1113.247799 1216.2232204075 1057.58540905 31090 Exploration of sinuses 1069.640488 1069.640488 1168.58223314 1016.1584636 3110F Pres/absn hmrhg/lesion docd 0 0 0 0 3111F Ct/mri brain done w/in 24hrs 0 0 0 0 3112F Ct/mri brain done >24 hrs 0 0 0 0 3115F Quant results activity +symp 0 0 0 0 3117F Hf assessment tool completed 0 0 0 0 3118F Ny heart assoc class docd 0 0 0 0 3119F No eval activity clin symp 0 0 0 0 31200 Removal of ethmoid sinus 603.294534 603.294534 659.099278395 573.1298073 31201 Removal of ethmoid sinus 774.119868 774.119868 845.72595579 735.4138746 31205 Removal of ethmoid sinus 940.980901 940.980901 1028.0216343425 893.93185595 3120F 12-lead ecg performed 0 0 0 0 31225 Removal of upper jaw 1902.86448 1902.86448 2078.8794444 1807.721256 31230 Removal of upper jaw 2102.881485 2102.881485 2297.3980223625 1997.73741075 31231 Nasal endoscopy dx 67.032726 67.032726 73.233253155 63.6810897 31233 Nasal/sinus endoscopy dx 139.471317 139.471317 152.3724138225 132.49775115 31235 Nasal/sinus endoscopy dx 165.059078 165.059078 180.327042715 156.8061241 31237 Nasal/sinus endoscopy surg 165.059078 165.059078 180.327042715 156.8061241 31238 Nasal/sinus endoscopy surg 172.98768 172.98768 188.9890404 164.338296 31239 Nasal/sinus endoscopy surg 633.206987 633.206987 691.7786332975 601.54663765 31240 Nasal/sinus endoscopy surg 164.338296 164.338296 179.53958838 156.1213812 31241 Nsl/sins ndsc w/artery lig 462.742044 462.742044 505.54568307 439.6049418 31253 Nsl/sins ndsc total 520.404604 520.404604 568.54202987 494.3843738 31254 Revision of ethmoid sinus 252.634091 252.634091 276.0027444175 240.00238645 31255 Removal of ethmoid sinus 336.244803 336.244803 367.3474472775 319.43256285 31256 Exploration maxillary sinus 187.042929 187.042929 204.3443999325 177.69078255 31257 Nsl/sins ndsc tot w/sphendt 464.183608 464.183608 507.12059174 440.9744276 31259 Nsl/sins ndsc sphn tiss rmvl 491.573324 491.573324 537.04385647 466.9946578 31267 Endoscopy maxillary sinus 275.699115 275.699115 301.2012831375 261.91415925 3126F Esoph bx rprt w/dyspl info 0 0 0 0 31276 Sinus endoscopy surgical 393.546972 393.546972 429.95006691 373.8696234 31287 Nasal/sinus endoscopy surg 209.02678 209.02678 228.36175715 198.575441 31288 Nasal/sinus endoscopy surg 243.263925 243.263925 265.7658380625 231.10072875 31290 Nasal/sinus endoscopy surg 1182.442871 1182.442871 1291.8188365675 1123.32072745 31291 Nasal/sinus endoscopy surg 1259.566545 1259.566545 1376.0764504125 1196.58821775 31292 Nasal/sinus endoscopy surg 1022.068876 1022.068876 1116.61024703 970.9654322 31293 Nasal/sinus endoscopy surg 1110.364671 1110.364671 1213.0734030675 1054.84643745 31294 Nasal/sinus endoscopy surg 1271.459448 1271.459448 1389.06944694 1207.8864756 31295 Sinus endo w/balloon dil 163.977905 163.977905 179.1458612125 155.77900975 31296 Sinus endo w/balloon dil 186.322147 186.322147 203.5569455975 177.00603965 31297 Sinus endo w/balloon dil 149.201874 149.201874 163.003047345 141.7417803 31298 Nsl/sins ndsc w/sins dilat 265.608167 265.608167 290.1769224475 252.32775865 31299 Sinus surgery procedure 0 0 0 0 31300 Removal of larynx lesion 1319.751842 1319.751842 1441.828887385 1253.7642499 3130F Upper gi endoscopy performed 0 0 0 0 3132F Doc ref upper gi endoscopy 0 0 0 0 31360 Removal of larynx 2155.13818 2155.13818 2354.48846165 2047.381271 31365 Removal of larynx 2660.406362 2660.406362 2906.493950485 2527.3860439 31367 Partial removal of larynx 2278.752293 2278.752293 2489.5368801025 2164.81467835 31368 Partial removal of larynx 2531.025993 2531.025993 2765.1458973525 2404.47469335 31370 Partial removal of larynx 2142.884886 2142.884886 2341.101737955 2035.7406417 31375 Partial removal of larynx 2030.442894 2030.442894 2218.258861695 1928.9207493 31380 Partial removal of larynx 2004.494742 2004.494742 2189.910505635 1904.2700049 31382 Partial removal of larynx 2199.105882 2199.105882 2402.523176085 2089.1505879 31390 Removal of larynx & pharynx 2951.60229 2951.60229 3224.625501825 2804.0221755 31395 Reconstruct larynx & pharynx 3114.499022 3114.499022 3402.590181535 2958.7740709 31400 Revision of larynx 1013.419492 1013.419492 1107.16079501 962.7485174 3140F Upper gi endo shows barrtts 0 0 0 0 3141F Upper gi endo not barrtts 0 0 0 0 31420 Removal of epiglottis 849.801978 849.801978 928.408660965 807.3118791 3142F Barium swallow test ordered 0 0 0 0 31500 Insert emergency airway 146.679137 146.679137 160.2469571725 139.34518015 31502 Change of windpipe airway 36.399491 36.399491 39.7664439175 34.57951645 31505 Diagnostic laryngoscopy 50.094349 50.094349 54.7280762825 47.58963155 3150F Forceps esoph biopsy done 0 0 0 0 31510 Laryngoscopy with biopsy 124.695286 124.695286 136.229599955 118.4605217 31511 Remove foreign body larynx 136.227798 136.227798 148.828869315 129.4164081 31512 Removal of larynx lesion 133.34467 133.34467 145.679051975 126.6774365 31513 Injection into vocal cord 135.507016 135.507016 148.04141498 128.7316652 31515 Laryngoscopy for aspiration 112.441992 112.441992 122.84287626 106.8198924 31520 Dx laryngoscopy newborn 161.455168 161.455168 176.38977104 153.3824096 31525 Dx laryngoscopy excl nb 164.338296 164.338296 179.53958838 156.1213812 31526 Dx laryngoscopy w/oper scope 161.815559 161.815559 176.7834982075 153.72478105 31527 Laryngoscopy for treatment 201.098178 201.098178 219.699759465 191.0432691 31528 Laryngoscopy and dilation 148.841483 148.841483 162.6093201775 141.39940885 31529 Laryngoscopy and dilation 166.500642 166.500642 181.901951385 158.1756099 31530 Laryngoscopy w/fb removal 205.783261 205.783261 224.8182126425 195.49409795 31531 Laryngoscopy w/fb & op scope 219.117728 219.117728 239.38611784 208.1618416 31535 Laryngoscopy w/biopsy 195.331922 195.331922 213.400124785 185.5653259 31536 Laryngoscopy w/bx & op scope 217.676164 217.676164 237.81120917 206.7923558 31540 Laryngoscopy w/exc of tumor 249.030181 249.030181 272.0654727425 236.57867195 31541 Larynscop w/tumr exc + scope 272.095205 272.095205 297.2640114625 258.49044475 31545 Remove vc lesion w/scope 374.446249 374.446249 409.0825270325 355.72393655 31546 Remove vc lesion scope/graft 568.336607 568.336607 620.9077431475 539.91977665 31551 Laryngoplasty laryngeal sten 1484.81092 1484.81092 1622.1559301 1410.570374 31552 Laryngoplasty laryngeal sten 1494.541477 1494.541477 1632.7865636225 1419.81440315 31553 Laryngoplasty laryngeal sten 1631.129666 1631.129666 1782.009160105 1549.5731827 31554 Laryngoplasty laryngeal sten 1706.811776 1706.811776 1864.69186528 1621.4711872 3155F Cytogen test marrow b/4 tx 0 0 0 0 31560 Laryngoscop w/arytenoidectom 323.270727 323.270727 353.1732692475 307.10719065 31561 Larynscop remve cart + scop 353.903962 353.903962 386.640078485 336.2087639 31570 Laryngoscope w/vc inj 236.416496 236.416496 258.28502188 224.5956712 31571 Laryngoscop w/vc inj + scope 257.319174 257.319174 281.121197595 244.4532153 31572 Largsc w/laser dstrj les 186.682538 186.682538 203.950672765 177.3484111 31573 Largsc w/ther injection 153.886957 153.886957 168.1215005225 146.19260915 31574 Largsc w/njx augmentation 153.886957 153.886957 168.1215005225 146.19260915 31575 Diagnostic laryngoscopy 68.834681 68.834681 75.2018889925 65.39294695 31576 Laryngoscopy with biopsy 122.172549 122.172549 133.4735097825 116.06392155 31577 Remove foreign body larynx 138.390144 138.390144 151.19123232 131.4706368 31578 Removal of larynx lesion 153.886957 153.886957 168.1215005225 146.19260915 31579 Diagnostic laryngoscopy 123.253722 123.253722 134.654691285 117.0910359 31580 Revision of larynx 1289.478998 1289.478998 1408.755805315 1225.0050481 31584 Treat larynx fracture 1429.310706 1429.310706 1561.521946305 1357.8451707 31587 Revision of larynx 1196.137729 1196.137729 1306.7804689325 1136.33084255 31590 Reinnervate larynx 903.500237 903.500237 987.0740089225 858.32522515 31591 Laryngoplasty medialization 1084.056128 1084.056128 1184.33131984 1029.8533216 31592 Cricotracheal resection 1774.565284 1774.565284 1938.71257277 1685.8370198 31599 Larynx surgery procedure 0 0 0 0 31600 Incision of windpipe 321.108381 321.108381 350.8109062425 305.05296195 31601 Incision of windpipe 467.787518 467.787518 511.057863415 444.3981421 31603 Incision of windpipe 335.524021 335.524021 366.5599929425 318.74781995 31605 Incision of windpipe 346.335751 346.335751 378.3718079675 329.01896345 3160F Doc fe+ stores b/4 epo thx 0 0 0 0 31610 Incision of windpipe 981.705084 981.705084 1072.51280427 932.6198298 31611 Surgery/speech prosthesis 548.515102 548.515102 599.252748935 521.0893469 31612 Puncture/clear windpipe 50.094349 50.094349 54.7280762825 47.58963155 31613 Repair windpipe opening 456.615397 456.615397 498.8523212225 433.78462715 31614 Repair windpipe opening 758.983446 758.983446 829.189414755 721.0342737 31615 Visualization of windpipe 118.568639 118.568639 129.5362381075 112.64020705 31622 Dx bronchoscope/wash 136.227798 136.227798 148.828869315 129.4164081 31623 Dx bronchoscope/brush 137.308971 137.308971 150.0100508175 130.44352245 31624 Dx bronchoscope/lavage 139.110926 139.110926 151.978686655 132.1553797 31625 Bronchoscopy w/biopsy(s) 161.815559 161.815559 176.7834982075 153.72478105 31626 Bronchoscopy w/markers 206.143652 206.143652 225.21193981 195.8364694 31627 Navigational bronchoscopy 100.90948 100.90948 110.2436069 95.864006 31628 Bronchoscopy/lung bx each 182.357846 182.357846 199.225946755 173.2399537 31629 Bronchoscopy/needle bx each 193.890358 193.890358 211.825216115 184.1958401 31630 Bronchoscopy dilate/fx repr 205.783261 205.783261 224.8182126425 195.49409795 31631 Bronchoscopy dilate w/stent 237.137278 237.137278 259.072476215 225.2804141 31632 Bronchoscopy/lung bx addl 50.815131 50.815131 55.5155306175 48.27437445 31633 Bronchoscopy/needle bx addl 65.951553 65.951553 72.0520716525 62.65397535 31634 Bronch w/balloon occlusion 199.296223 199.296223 217.7311236275 189.33141185 31635 Bronchoscopy w/fb removal 182.357846 182.357846 199.225946755 173.2399537 31636 Bronchoscopy bronch stents 228.848285 228.848285 250.0167513625 217.40587075 31637 Bronchoscopy stent add-on 80.006802 80.006802 87.407431185 76.0064619 31638 Bronchoscopy revise stent 259.841911 259.841911 283.8772877675 246.84981545 31640 Bronchoscopy w/tumor excise 260.202302 260.202302 284.271014935 247.1921869 31641 Bronchoscopy treat blockage 266.328949 266.328949 290.9643767825 253.01250155 31643 Diag bronchoscope/catheter 183.439019 183.439019 200.4071282575 174.26706805 31645 Bronchoscopy clear airways 151.724611 151.724611 165.7591375175 144.13838045 31646 Bronchoscopy reclear airway 147.399919 147.399919 161.0344115075 140.02992305 31647 Bronchial valve init insert 219.83851 219.83851 240.173572175 208.8465845 31648 Bronchial valve remov init 209.02678 209.02678 228.36175715 198.575441 31649 Bronchial valve remov addl 69.915854 69.915854 76.383070495 66.4200613 31651 Bronchial valve addl insert 76.763283 76.763283 83.8638866775 72.92511885 31652 Bronch ebus samplng 1/2 node 230.289849 230.289849 251.5916600325 218.77535655 31653 Bronch ebus samplng 3/> node 255.156828 255.156828 278.75883459 242.3989866 31654 Bronch ebus ivntj perph les 69.915854 69.915854 76.383070495 66.4200613 31660 Bronch thermoplsty 1 lobe 202.539742 202.539742 221.274668135 192.4127549 31661 Bronch thermoplsty 2/> lobes 213.711863 213.711863 233.4802103275 203.02626985 3170F Flow cyto done b/4 tx 0 0 0 0 31717 Bronchial brush biopsy 114.604338 114.604338 125.205239265 108.8741211 31720 Clearance of airways 51.535913 51.535913 56.3029849525 48.95911735 31725 Clearance of airways 82.529539 82.529539 90.1635213575 78.40306205 31730 Intro windpipe wire/tube 155.688912 155.688912 170.09013636 147.9044664 31750 Repair of windpipe 1424.625623 1424.625623 1556.4034931275 1353.39434185 31755 Repair of windpipe 1801.594609 1801.594609 1968.2421103325 1711.51487855 31760 Repair of windpipe 1426.427578 1426.427578 1558.372128965 1355.1061991 31766 Reconstruction of windpipe 1855.292868 1855.292868 2026.90745829 1762.5282246 31770 Repair/graft of bronchus 1379.937139 1379.937139 1507.5813243575 1310.94028205 31775 Reconstruct bronchus 1458.862768 1458.862768 1593.80757404 1385.9196296 31780 Reconstruct windpipe 1236.14113 1236.14113 1350.484184525 1174.3340735 31781 Reconstruct windpipe 1437.599699 1437.599699 1570.5776711575 1365.71971405 31785 Remove windpipe lesion 1113.968581 1113.968581 1217.0106747425 1058.27015195 31786 Remove windpipe lesion 1504.272034 1504.272034 1643.417197145 1429.0584323 31800 Repair of windpipe injury 743.126242 743.126242 811.865419385 705.9699299 31805 Repair of windpipe injury 844.035722 844.035722 922.109026285 801.8339359 31820 Closure of windpipe lesion 336.965585 336.965585 368.1349016125 320.11730575 31825 Repair of windpipe defect 494.096061 494.096061 539.7999466425 469.39125795 31830 Revise windpipe scar 355.705917 355.705917 388.6087143225 337.92062115 31899 Airways surgical procedure 0 0 0 0 3200F Barium swallow test not req 0 0 0 0 32035 Thoracostomy w/rib resection 749.973671 749.973671 819.3462355675 712.47498745 32036 Thoracostomy w/flap drainage 806.915449 806.915449 881.5551280325 766.56967655 32096 Open wedge/bx lung infiltr 836.10712 836.10712 913.4470286 794.301764 32097 Open wedge/bx lung nodule 835.746729 835.746729 913.0533014325 793.95939255 32098 Open biopsy of lung pleura 791.779027 791.779027 865.0185869975 752.19007565 32100 Exploration of chest 842.954549 842.954549 920.9278447825 800.80682155 3210F Grp a strep test performed 0 0 0 0 32110 Explore/repair chest 1529.499404 1529.499404 1670.97809887 1453.0244338 32120 Re-exploration of chest 907.104147 907.104147 991.0112805975 861.74893965 32124 Explore chest free adhesions 962.604361 962.604361 1051.6452643925 914.47414295 32140 Removal of lung lesion(s) 1029.276696 1029.276696 1124.48479038 977.8128612 32141 Remove/treat lung lesions 1587.522355 1587.522355 1734.3681728375 1508.14623725 32150 Removal of lung lesion(s) 1044.413118 1044.413118 1141.021331415 992.1924621 32151 Remove lung foreign body 1039.367644 1039.367644 1135.50915107 987.3992618 3215F Pt immunity to hep a docd 0 0 0 0 32160 Open chest heart massage 827.097345 827.097345 903.6038494125 785.74247775 3216F Pt immunity to hep b docd 0 0 0 0 3218F Rna tstng hep c docd done 0 0 0 0 32200 Drain open lung lesion 1179.920134 1179.920134 1289.062746395 1120.9241273 3220F Hep c quant rna tstng docd 0 0 0 0 32215 Treat chest lining 826.736954 826.736954 903.210122245 785.4001063 32220 Release of lung 1650.230389 1650.230389 1802.8766999825 1567.71886955 32225 Partial release of lung 1033.601388 1033.601388 1129.20951639 981.9213186 3230F Note hring tst w/in 6 mon 0 0 0 0 32310 Removal of chest lining 948.909503 948.909503 1036.6836320275 901.46402785 32320 Free/remove chest lining 1662.483683 1662.483683 1816.2634236775 1579.35949885 32400 Needle biopsy chest lining 90.09775 90.09775 98.431791875 85.5928625 32405 Percut bx lung/mediastinum 94.062051 94.062051 102.7627907175 89.35894845 32440 Remove lung pneumonectomy 1627.886147 1627.886147 1778.4656155975 1546.49183965 32442 Sleeve pneumonectomy 3203.87599 3203.87599 3500.234519075 3043.6821905 32445 Removal of lung extrapleural 3688.601885 3688.601885 4029.7975593625 3504.17179075 32480 Partial removal of lung 1537.788397 1537.788397 1680.0338237225 1460.89897715 32482 Bilobectomy 1644.464133 1644.464133 1796.5770653025 1562.24092635 32484 Segmentectomy 1490.216785 1490.216785 1628.0618376125 1415.70594575 32486 Sleeve lobectomy 2455.343883 2455.343883 2682.4631921775 2332.57668885 32488 Completion pneumonectomy 2490.662201 2490.662201 2721.0484545925 2366.12909095 32491 Lung volume reduction 1531.301359 1531.301359 1672.9467347075 1454.73629105 32501 Repair bronchus add-on 254.796437 254.796437 278.3651074225 242.05661515 32503 Resect apical lung tumor 1871.150072 1871.150072 2044.23145366 1777.5925684 32504 Resect apical lung tum/chest 2134.956284 2134.956284 2332.43974027 2028.2084698 32505 Wedge resect of lung initial 968.731008 968.731008 1058.33862624 920.2944576 32506 Wedge resect of lung add-on 163.257123 163.257123 178.3584068775 155.09426685 32507 Wedge resect of lung diag 162.896732 162.896732 177.96467971 154.7518954 3250F Nonprim loc anat bx site tum 0 0 0 0 32540 Removal of lung lesion 1790.782879 1790.782879 1956.4302953075 1701.24373505 32550 Insert pleural cath 215.513818 215.513818 235.448846165 204.7381271 32551 Insertion of chest tube 163.257123 163.257123 178.3584068775 155.09426685 32552 Remove lung catheter 163.977905 163.977905 179.1458612125 155.77900975 32553 Ins mark thor for rt perq 186.682538 186.682538 203.950672765 177.3484111 32554 Aspirate pleura w/o imaging 92.980878 92.980878 101.581609215 88.3318341 32555 Aspirate pleura w/ imaging 116.045902 116.045902 126.780147935 110.2436069 32556 Insert cath pleura w/o image 127.938805 127.938805 139.7731444625 121.54186475 32557 Insert cath pleura w/ image 158.211649 158.211649 172.8462265325 150.30106655 32560 Treat pleurodesis w/agent 81.087975 81.087975 88.5886126875 77.03357625 32561 Lyse chest fibrin init day 70.997027 70.997027 77.5642519975 67.44717565 32562 Lyse chest fibrin subq day 63.428816 63.428816 69.29598148 60.2573752 32601 Thoracoscopy diagnostic 320.74799 320.74799 350.417179075 304.7105905 32604 Thoracoscopy wbx sac 500.94349 500.94349 547.280762825 475.8963155 32606 Thoracoscopy w/bx med space 481.121985 481.121985 525.6257686125 457.06588575 32607 Thoracoscopy w/bx infiltrate 320.387599 320.387599 350.0234519075 304.36821905 32608 Thoracoscopy w/bx nodule 393.186581 393.186581 429.5563397425 373.52725195 32609 Thoracoscopy w/bx pleura 268.491295 268.491295 293.3267397875 255.06673025 3260F Pt cat/pn cat/hist grd docd 0 0 0 0 32650 Thoracoscopy w/pleurodesis 691.590329 691.590329 755.5624344325 657.01081255 32651 Thoracoscopy remove cortex 1138.83556 1138.83556 1244.1778493 1081.893782 32652 Thoracoscopy rem totl cortex 1728.795627 1728.795627 1888.7092224975 1642.35584565 32653 Thoracoscopy remov fb/fibrin 1103.156851 1103.156851 1205.1988597175 1047.99900845 32654 Thoracoscopy contrl bleeding 1199.741639 1199.741639 1310.7177406075 1139.75455705 32655 Thoracoscopy resect bullae 993.597987 993.597987 1085.5058007975 943.91808765 32656 Thoracoscopy w/pleurectomy 832.142819 832.142819 909.1160297575 790.53567805 32658 Thoracoscopy w/sac fb remove 740.243114 740.243114 808.715602045 703.2309583 32659 Thoracoscopy w/sac drainage 760.42501 760.42501 830.764323425 722.4037595 3265F Rna tstng hepc vir ord/docd 0 0 0 0 32661 Thoracoscopy w/pericard exc 825.655781 825.655781 902.0289407425 784.37299195 32662 Thoracoscopy w/mediast exc 928.006825 928.006825 1013.8474563125 881.60648375 32663 Thoracoscopy w/lobectomy 1456.700422 1456.700422 1591.445211035 1383.8654009 32664 Thoracoscopy w/ th nrv exc 881.155995 881.155995 962.6629245375 837.09819525 32665 Thoracoscop w/esoph musc exc 1271.819839 1271.819839 1389.4631741075 1208.22884705 32666 Thoracoscopy w/wedge resect 904.941801 904.941801 988.6489175925 859.69471095 32667 Thoracoscopy w/w resect addl 163.617514 163.617514 178.752134045 155.4366383 32668 Thoracoscopy w/w resect diag 163.617514 163.617514 178.752134045 155.4366383 32669 Thoracoscopy remove segment 1397.956689 1397.956689 1527.2676827325 1328.05885455 3266F Hepc gn tstng docd b/4txmnt 0 0 0 0 32670 Thoracoscopy bilobectomy 1667.889548 1667.889548 1822.16933119 1584.4950706 32671 Thoracoscopy pneumonectomy 1841.59801 1841.59801 2011.945825925 1749.5181095 32672 Thoracoscopy for lvrs 1588.963919 1588.963919 1735.9430815075 1509.51572305 32673 Thoracoscopy w/thymus resect 1262.089282 1262.089282 1378.832540585 1198.9848179 32674 Thoracoscopy lymph node exc 224.883984 224.883984 245.68575252 213.6397848 3267F path rprt w/ pt pn cat et al 0 0 0 0 3268F Psa/t/glsc docd b/4 txmnt 0 0 0 0 3269F Bone scn b/4 txmnt/aftr Dx 0 0 0 0 32701 Thorax stereo rad targetw/tx 223.802811 223.802811 244.5045710175 212.61267045 3270F No bone scn b/4 txmnt/aftrDx 0 0 0 0 3271F Low risk prostate cancer 0 0 0 0 3272F Med risk prostate cancer 0 0 0 0 3273F High risk prostate cancer 0 0 0 0 3274F Prost Cncr rsk not lw/md/hgh 0 0 0 0 3278F Serum lvls CA/iPTH/lpd ord 0 0 0 0 3279F Hgb lvl >/= 13 g/dl 0 0 0 0 32800 Repair lung hernia 974.857655 974.857655 1065.0319880875 926.11477225 3280F Hgb lvl 11-12.9 g/dL 0 0 0 0 32810 Close chest after drainage 933.773081 933.773081 1020.1470909925 887.08442695 32815 Close bronchial fistula 2920.969055 2920.969055 3191.1586925875 2774.92060225 3281F Hgb lvl < 11 g/dl 0 0 0 0 32820 Reconstruct injured chest 1383.180658 1383.180658 1511.124868865 1314.0216251 3284F Iop down >15% of pre-svc lvl 0 0 0 0 32850 Donor pneumonectomy 0 0 0 0 32851 Lung transplant single 3436.328185 3436.328185 3754.1885421125 3264.51177575 32852 Lung transplant with bypass 3735.813106 3735.813106 4081.375818305 3549.0224507 32853 Lung transplant double 4811.940632 4811.940632 5257.04514046 4571.3436004 32854 Lung transplant with bypass 5107.100861 5107.100861 5579.5076906425 4851.74581795 32855 Prepare donor lung single 0 0 0 0 32856 Prepare donor lung double 0 0 0 0 3285F IOP down <15% of pre-svc lvl 0 0 0 0 3288F Fall risk assessment docd 0 0 0 0 32900 Removal of rib(s) 1473.278408 1473.278408 1609.55666074 1399.6144876 32905 Revise & repair chest wall 1379.216357 1379.216357 1506.7938700225 1310.25553915 32906 Revise & repair chest wall 1715.100769 1715.100769 1873.7475901325 1629.34573055 3290F Pt=D(Rh)- and unsensitized 0 0 0 0 3291F Pt=d(rh)+ or sensitized 0 0 0 0 3292F Hiv tstng asked/docd/revwd 0 0 0 0 3293F Abo rh blood typing docd 0 0 0 0 32940 Revision of lung 1276.504922 1276.504922 1394.581627285 1212.6796759 3294F Grp b strep screening docd 0 0 0 0 32960 Therapeutic pneumothorax 94.782833 94.782833 103.5502450525 90.04369135 32994 Ablate pulm tumor perq crybl 476.076511 476.076511 520.1135882675 452.27268545 32997 Total lung lavage 354.624744 354.624744 387.42753282 336.8935068 32998 Perq rf ablate tx pul tumor 462.021262 462.021262 504.758228735 438.9201989 32999 Chest surgery procedure 0 0 0 0 3300F AJCC stage docd b/4 thxpy 0 0 0 0 33010 Drainage of heart sac 112.081601 112.081601 122.4491490925 106.47752095 33011 Repeat drainage of heart sac 112.802383 112.802383 123.2366034275 107.16226385 33015 Incision of heart sac 532.297507 532.297507 581.5350263975 505.68263165 3301F Cancer stage docd metast 0 0 0 0 33020 Incision of heart sac 914.672358 914.672358 999.279551115 868.9387401 33025 Incision of heart sac 829.620082 829.620082 906.359939585 788.1390779 33030 Partial removal of heart sac 2084.861935 2084.861935 2277.7116639875 1980.61883825 33031 Partial removal of heart sac 2579.318387 2579.318387 2817.9053377975 2450.35246765 33050 Resect heart sac lesion 1044.413118 1044.413118 1141.021331415 992.1924621 33120 Removal of heart lesion 2186.492197 2186.492197 2388.7427252225 2077.16758715 33130 Removal of heart lesion 1429.671097 1429.671097 1561.9156734725 1358.18754215 33140 Heart revascularize (tmr) 1627.886147 1627.886147 1778.4656155975 1546.49183965 33141 Heart tmr w/other procedure 136.94858 136.94858 149.61632365 130.101151 3315F Er+ or pr+ breast cancer 0 0 0 0 3316F ER- or PR- breast cancer 0 0 0 0 3317F Path rpt malig cancer docd 0 0 0 0 3318F Path rpt malig cancer docd 0 0 0 0 3319F X-ray/ct/ultrsnd et al ord 0 0 0 0 33202 Insert epicard eltrd open 806.555058 806.555058 881.161400865 766.2273051 33203 Insert epicard eltrd endo 844.756504 844.756504 922.89648062 802.5186788 33206 Insert heart pm atrial 473.914165 473.914165 517.7512252625 450.21845675 33207 Insert heart pm ventricular 503.466227 503.466227 550.0368529975 478.29291565 33208 Insrt heart pm atrial & vent 545.992365 545.992365 596.4966587625 518.69274675 3320F No xray/ct/ et al ordd 0 0 0 0 33210 Insert electrd/pm cath sngl 171.546116 171.546116 187.41413173 162.9688102 33211 Insert card electrodes dual 178.393545 178.393545 194.8949479125 169.47386775 33212 Insert pulse gen sngl lead 335.524021 335.524021 366.5599929425 318.74781995 33213 Insert pulse gen dual leads 351.020834 351.020834 383.490261145 333.4697923 33214 Upgrade of pacemaker system 500.94349 500.94349 547.280762825 475.8963155 33215 Reposition pacing-defib lead 325.072682 325.072682 355.141905085 308.8190479 33216 Insert 1 electrode pm-defib 387.780716 387.780716 423.65043223 368.3916802 33217 Insert 2 electrode pm-defib 382.01446 382.01446 417.35079755 362.913737 33218 Repair lead pace-defib one 405.439875 405.439875 442.9430634375 385.16788125 3321F AJCC cncr 0/IA melan docd 0 0 0 0 33220 Repair lead pace-defib dual 408.323003 408.323003 446.0928807775 387.90685285 33221 Insert pulse gen mult leads 376.248204 376.248204 411.05116287 357.4357938 33222 Revise pocket pacemaker 353.543571 353.543571 386.2463513175 335.86639245 33223 Revise pocket for defib 427.784117 427.784117 467.3541478225 406.39491115 33224 Insert pacing lead & connect 541.307282 541.307282 591.378205585 514.2419179 33225 L ventric pacing lead add-on 492.654497 492.654497 538.2250379725 468.02177215 33226 Reposition l ventric lead 520.764995 520.764995 568.9357570375 494.72674525 33227 Remove&replace pm gen singl 353.903962 353.903962 386.640078485 336.2087639 33228 Remv&replc pm gen dual lead 369.761166 369.761166 403.964073855 351.2731077 33229 Remv&replc pm gen mult leads 391.745017 391.745017 427.9814310725 372.15776615 3322F Melanoma>ajcc stage 0 or ia 0 0 0 0 33230 Insrt pulse gen w/dual leads 399.673619 399.673619 436.6434287575 379.68993805 33231 Insrt pulse gen w/mult leads 419.855515 419.855515 458.6921501375 398.86273925 33233 Removal of pm generator 240.741188 240.741188 263.00974789 228.7041286 33234 Removal of pacemaker system 508.15131 508.15131 555.155306175 482.7437445 33235 Removal pacemaker electrode 667.444132 667.444132 729.18271421 634.0719254 33236 Remove electrode/thoracotomy 807.636231 807.636231 882.3425823675 767.25441945 33237 Remove electrode/thoracotomy 871.785829 871.785829 952.4260181825 828.19653755 33238 Remove electrode/thoracotomy 976.299219 976.299219 1066.6068967575 927.48425805 3323F Clin node stgng docdb/4 surg 0 0 0 0 33240 Insrt pulse gen w/singl lead 382.374851 382.374851 417.7445247175 363.25610845 33241 Remove pulse generator 224.883984 224.883984 245.68575252 213.6397848 33243 Remove eltrd/thoracotomy 1430.391879 1430.391879 1562.7031278075 1358.87228505 33244 Remove eltrd transven 904.221019 904.221019 987.8614632575 859.00996805 33249 Nsert pace-defib w/lead 961.162797 961.162797 1050.0703557225 913.10465715 3324F Mri ct scan ord rvwd rqstd 0 0 0 0 33250 Ablate heart dysrhythm focus 1506.073989 1506.073989 1645.3858329825 1430.77028955 33251 Ablate heart dysrhythm focus 1691.314963 1691.314963 1847.7615970775 1606.74921485 33254 Ablate atria lmtd 1410.570374 1410.570374 1541.048133595 1340.0418553 33255 Ablate atria w/o bypass ext 1705.370212 1705.370212 1863.11695661 1620.1017014 33256 Ablate atria w/bypass exten 2025.037029 2025.037029 2212.3529541825 1923.78517755 33257 Ablate atria lmtd add-on 605.817271 605.817271 661.8553685675 575.52640745 33258 Ablate atria x10sv add-on 679.697426 679.697426 742.569437905 645.7125547 33259 Ablate atria w/bypass add-on 879.714431 879.714431 961.0880158675 835.72870945 3325F Preop asses 4 cataract surg 0 0 0 0 33261 Ablate heart dysrhythm focus 1685.188316 1685.188316 1841.06823523 1600.9289002 33262 Remv&replc cvd gen sing lead 389.943062 389.943062 426.012795235 370.4459089 33263 Remv&replc cvd gen dual lead 406.160657 406.160657 443.7305177725 385.85262415 33264 Remv&replc cvd gen mult lead 423.819816 423.819816 463.02314898 402.6288252 33265 Ablate atria lmtd endo 1416.33663 1416.33663 1547.347768275 1345.5197985 33266 Ablate atria x10sv endo 1927.010677 1927.010677 2105.2591646225 1830.66014315 33270 Ins/rep subq defibrillator 593.563977 593.563977 648.4686448725 563.88577815 33271 Insj subq impltbl dfb elctrd 477.518075 477.518075 521.6884969375 453.64217125 33272 Rmvl of subq defibrillator 363.274128 363.274128 396.87698484 345.1104216 33273 Repos prev impltbl subq dfb 420.936688 420.936688 459.87333164 399.8898536 33274 512.115611 512.115611 559.4863050175 486.50983045 33275 544.19041 544.19041 594.528022925 516.9808895 33285 93.341269 93.341269 101.9753363825 88.67420555 33286 91.539314 91.539314 100.006700545 86.9623483 33289 342.731841 342.731841 374.4345362925 325.59524895 3328F Prfrmnc docd 2 wks b/4 surg 0 0 0 0 33300 Repair of heart wound 2559.496882 2559.496882 2796.250343585 2431.5220379 33305 Repair of heart wound 4291.175637 4291.175637 4688.1093834225 4076.61685515 3330F Imaging study ordered (bkp) 0 0 0 0 33310 Exploratory heart surgery 1222.085881 1222.085881 1335.1288249925 1160.98158695 33315 Exploratory heart surgery 1995.124576 1995.124576 2179.67359928 1895.3683472 3331F Bk imaging tst not ordered 0 0 0 0 33320 Repair major blood vessel(s) 1100.634114 1100.634114 1202.442769545 1045.6024083 33321 Repair major vessel 1224.248227 1224.248227 1337.4911879975 1163.03581565 33322 Repair major blood vessel(s) 1442.284782 1442.284782 1575.696124335 1370.1705429 33330 Insert major vessel graft 1489.856394 1489.856394 1627.668110445 1415.3635743 33335 Insert major vessel graft 1968.095251 1968.095251 2150.1440617175 1869.69048845 33340 Perq clsr tcat l atr apndge 829.259691 829.259691 905.9662124175 787.79670645 33361 Replace aortic valve perq 1422.823668 1422.823668 1554.43485729 1351.6824846 33362 Replace aortic valve open 1553.28521 1553.28521 1696.964091925 1475.6209495 33363 Replace aortic valve open 1608.785424 1608.785424 1757.59807572 1528.3461528 33364 Replace aortic valve open 1662.844074 1662.844074 1816.657150845 1579.7018703 33365 Replace aortic valve open 1867.906553 1867.906553 2040.6879091525 1774.51122535 33366 Trcath replace aortic valve 2019.270773 2019.270773 2206.0533195025 1918.30723435 33367 Replace aortic valve w/byp 659.155139 659.155139 720.1269893575 626.19738205 33368 Replace aortic valve w/byp 782.769252 782.769252 855.17540781 743.6307894 33369 Replace aortic valve w/byp 1033.240997 1033.240997 1128.8157892225 981.57894715 33390 Valvuloplasty aortic valve 2013.864908 2013.864908 2200.14741199 1913.1716626 33391 Valvuloplasty aortic valve 2383.265683 2383.265683 2603.7177586775 2264.10239885 33404 Prepare heart-aorta conduit 1837.9941 1837.9941 2008.00855425 1746.094395 33405 Replacement of aortic valve 2367.408479 2367.408479 2586.3937633075 2249.03805505 33406 Replacement of aortic valve 2998.45312 2998.45312 3275.8100336 2848.530464 3340F Mammo assess inc xray docd 0 0 0 0 33410 Replacement of aortic valve 2654.279715 2654.279715 2899.8005886375 2521.56572925 33411 Replacement of aortic valve 3508.045994 3508.045994 3832.540248445 3332.6436943 33412 Replacement of aortic valve 3282.441228 3282.441228 3586.06704159 3118.3191666 33413 Replacement of aortic valve 3342.986916 3342.986916 3652.21320573 3175.8375702 33414 Repair of aortic valve 2235.144982 2235.144982 2441.895892835 2123.3877329 33415 Revision subvalvular tissue 2118.378298 2118.378298 2314.328290565 2012.4593831 33416 Revise ventricle muscle 2111.89126 2111.89126 2307.24120155 2006.296697 33417 Repair of aortic valve 1735.643056 1735.643056 1896.19003868 1648.8609032 33418 Repair tcat mitral valve 1888.088449 1888.088449 2062.7366305325 1793.68402655 33419 Repair tcat mitral valve 445.803667 445.803667 487.0405061975 423.51348365 3341F Mammo assess negative docd 0 0 0 0 33420 Revision of mitral valve 1524.45393 1524.45393 1665.465918525 1448.2312335 33422 Revision of mitral valve 1729.8768 1729.8768 1889.890404 1643.38296 33425 Repair of mitral valve 2848.530464 2848.530464 3112.01953192 2706.1039408 33426 Repair of mitral valve 2485.616727 2485.616727 2715.5362742475 2361.33589065 33427 Repair of mitral valve 2551.56828 2551.56828 2787.5883459 2423.989866 3342F Mammo assess bengn docd 0 0 0 0 33430 Replacement of mitral valve 2921.329446 2921.329446 3191.552419755 2775.2629737 3343F Mammo probably bengn docd 0 0 0 0 33440 3535.43571 3535.43571 3862.463513175 3358.6639245 3344F Mammo assess susp docd 0 0 0 0 3345F Mammo assess hghlymalig doc 0 0 0 0 33460 Revision of tricuspid valve 2503.636277 2503.636277 2735.2226326225 2378.45446315 33463 Valvuloplasty tricuspid 3225.859841 3225.859841 3524.2518762925 3064.56684895 33464 Valvuloplasty tricuspid 2548.324761 2548.324761 2784.0448013925 2420.90852295 33465 Replace tricuspid valve 2879.884481 2879.884481 3146.2737954925 2735.89025695 33468 Revision of tricuspid valve 2518.772699 2518.772699 2751.7591736575 2392.83406405 33470 Revision of pulmonary valve 1293.80369 1293.80369 1413.480531325 1229.1135055 33471 Valvotomy pulmonary valve 1383.541049 1383.541049 1511.5185960325 1314.36399655 33474 Revision of pulmonary valve 2280.914639 2280.914639 2491.8992431075 2166.86890705 33475 Replacement pulmonary valve 2436.24316 2436.24316 2661.5956523 2314.431002 33476 Revision of heart chamber 1557.249511 1557.249511 1701.2950907675 1479.38703545 33477 Implant tcat pulm vlv perq 1431.473052 1431.473052 1563.88430931 1359.8993994 33478 Revision of heart chamber 1634.733576 1634.733576 1785.94643178 1552.9968972 33496 Repair prosth valve clot 1739.246966 1739.246966 1900.127310355 1652.2846177 33500 Repair heart vessel fistula 1624.282237 1624.282237 1774.5283439225 1543.06812515 33501 Repair heart vessel fistula 1164.06293 1164.06293 1271.738751025 1105.8597835 33502 Coronary artery correction 1321.193406 1321.193406 1443.403796055 1255.1337357 33503 Coronary artery graft 1385.343004 1385.343004 1513.48723187 1316.0758538 33504 Coronary artery graft 1511.479854 1511.479854 1651.291740495 1435.9058613 33505 Repair artery w/tunnel 2106.845786 2106.845786 2301.729021205 2001.5034967 33506 Repair artery translocation 2083.05998 2083.05998 2275.74302815 1978.906981 33507 Repair art intramural 1791.503661 1791.503661 1957.2177496425 1701.92847795 33508 Endoscopic vein harvest 16.938377 16.938377 18.5051768725 16.09145815 3350F Mammo bx proven malig docd 0 0 0 0 33510 Cabg vein single 2016.387645 2016.387645 2202.9035021625 1915.56826275 33511 Cabg vein two 2214.602695 2214.602695 2419.4534442875 2103.87256025 33512 Cabg vein three 2521.655827 2521.655827 2754.9089909975 2395.57303565 33513 Cabg vein four 2596.977546 2596.977546 2837.197969005 2467.1286687 33514 Cabg vein five 2730.682607 2730.682607 2983.2707481475 2594.14847665 33516 Cabg vein six or more 2815.734883 2815.734883 3076.1903596775 2674.94813885 33517 Cabg artery-vein single 194.971531 194.971531 213.0063976175 185.22295445 33518 Cabg artery-vein two 429.946463 429.946463 469.7165108275 408.44913985 33519 Cabg artery-vein three 568.696998 568.696998 621.301470315 540.2621481 3351F Neg scrn dep symp by deptool 0 0 0 0 33521 Cabg artery-vein four 682.220163 682.220163 745.3255280775 648.10915485 33522 Cabg artery-vein five 766.191266 766.191266 837.063958105 727.8817027 33523 Cabg art-vein six or more 864.9384 864.9384 944.945202 821.69148 3352F No sig dep symp by dep tool 0 0 0 0 33530 Coronary artery bypass/reop 549.596275 549.596275 600.4339304375 522.11646125 33533 Cabg arterial single 1949.354919 1949.354919 2129.6702490075 1851.88717305 33534 Cabg arterial two 2292.807542 2292.807542 2504.892239635 2178.1671649 33535 Cabg arterial three 2558.055318 2558.055318 2794.675434915 2430.1525521 33536 Cabg arterial four or more 2742.935901 2742.935901 2996.6574718425 2605.78910595 3353F Mild-mod dep symp by deptool 0 0 0 0 33542 Removal of heart lesion 2746.17942 2746.17942 3000.20101635 2608.870449 33545 Repair of heart damage 3219.372803 3219.372803 3517.1647872775 3058.40416285 33548 Restore/remodel ventricle 3089.992434 3089.992434 3375.816734145 2935.4928123 3354F Clin sig dep sym by dep tool 0 0 0 0 33572 Open coronary endarterectomy 240.380797 240.380797 262.6160207225 228.36175715 33600 Closure of valve 1777.808803 1777.808803 1942.2561172775 1688.91836285 33602 Closure of valve 1724.831326 1724.831326 1884.378223655 1638.5897597 33606 Anastomosis/artery-aorta 1859.61756 1859.61756 2031.6321843 1766.636682 33608 Repair anomaly w/conduit 1883.403366 1883.403366 2057.618177355 1789.2331977 33610 Repair by enlargement 1857.094823 1857.094823 2028.8760941275 1764.24008185 33611 Repair double ventricle 2043.777361 2043.777361 2232.8267668925 1941.58849295 33612 Repair double ventricle 2098.556793 2098.556793 2292.6732963525 1993.62895335 33615 Repair modified fontan 2090.2678 2090.2678 2283.6175715 1985.75441 33617 Repair single ventricle 2206.313702 2206.313702 2410.397719435 2095.9980169 33619 Repair single ventricle 2860.423367 2860.423367 3125.0125284475 2717.40219865 33620 Apply r&l pulm art bands 1719.425461 1719.425461 1878.4723161425 1633.45418795 33621 Transthor cath for stent 973.0557 973.0557 1063.06335225 924.402915 33622 Redo compl cardiac anomaly 3604.270391 3604.270391 3937.6654021675 3424.05687145 33641 Repair heart septum defect 1707.532558 1707.532558 1865.479319615 1622.1559301 33645 Revision of heart veins 1797.990699 1797.990699 1964.3048386575 1708.09116405 33647 Repair heart septum defects 1879.439065 1879.439065 2053.2871785125 1785.46711175 33660 Repair of heart defects 1822.857678 1822.857678 1991.472013215 1731.7147941 33665 Repair of heart defects 2004.494742 2004.494742 2189.910505635 1904.2700049 33670 Repair of heart chambers 2068.64434 2068.64434 2259.99394145 1965.212123 33675 Close mult vsd 2030.442894 2030.442894 2218.258861695 1928.9207493 33676 Close mult vsd w/resection 2120.540644 2120.540644 2316.69065357 2014.5136118 33677 Cl mult vsd w/rem pul band 2202.349401 2202.349401 2406.0667205925 2092.23193095 33681 Repair heart septum defect 1911.153473 1911.153473 2087.9351692525 1815.59579935 33684 Repair heart septum defect 1978.186199 1978.186199 2161.1684224075 1879.27688905 33688 Repair heart septum defect 1974.94268 1974.94268 2157.6248779 1876.195546 33690 Reinforce pulmonary artery 1253.439898 1253.439898 1369.383088565 1190.7679031 33692 Repair of heart defects 2050.985181 2050.985181 2240.7013102425 1948.43592195 33694 Repair of heart defects 2043.777361 2043.777361 2232.8267668925 1941.58849295 33697 Repair of heart defects 2152.615443 2152.615443 2351.7323714775 2044.98467085 33702 Repair of heart defects 1593.288611 1593.288611 1740.6678075175 1513.62418045 3370F AJCC brst cncr stage 0 docd 0 0 0 0 33710 Repair of heart defects 2149.732315 2149.732315 2348.5825541375 2042.24569925 33720 Repair of heart defect 1609.866597 1609.866597 1758.7792572225 1529.37326715 33722 Repair of heart defect 1702.487084 1702.487084 1859.96713927 1617.3627298 33724 Repair venous anomaly 1593.288611 1593.288611 1740.6678075175 1513.62418045 33726 Repair pul venous stenosis 2129.91081 2129.91081 2326.927559925 2023.4152695 3372F Ajcc brst cncr stage 1 docd 0 0 0 0 33730 Repair heart-vein defect(s) 2045.218925 2045.218925 2234.4016755625 1942.95797875 33732 Repair heart-vein defect 1637.256313 1637.256313 1788.7025219525 1555.39349735 33735 Revision of heart chamber 1353.988987 1353.988987 1479.2329682975 1286.28953765 33736 Revision of heart chamber 1428.229533 1428.229533 1560.3407648025 1356.81805635 33737 Revision of heart chamber 1356.511724 1356.511724 1481.98905847 1288.6861378 3374F Ajcc brst cncr stage 1 docd 0 0 0 0 33750 Major vessel shunt 1320.112233 1320.112233 1442.2226145525 1254.10662135 33755 Major vessel shunt 1375.972838 1375.972838 1503.250325515 1307.1741961 33762 Major vessel shunt 1341.014911 1341.014911 1465.0587902675 1273.96416545 33764 Major vessel shunt & graft 1375.972838 1375.972838 1503.250325515 1307.1741961 33766 Major vessel shunt 1393.992388 1393.992388 1522.93668389 1324.2927686 33767 Major vessel shunt 1488.775221 1488.775221 1626.4869289425 1414.33645995 33768 Cavopulmonary shunting 436.07311 436.07311 476.409872675 414.2694545 3376F AJCC brstcncr stage 2 docd 0 0 0 0 33770 Repair great vessels defect 2218.927387 2218.927387 2424.1781702975 2107.98101765 33771 Repair great vessels defect 2284.158158 2284.158158 2495.442787615 2169.9502501 33774 Repair great vessels defect 1882.322193 1882.322193 2056.4369958525 1788.20608335 33775 Repair great vessels defect 1940.345144 1940.345144 2119.82706982 1843.3278868 33776 Repair great vessels defect 1980.708936 1980.708936 2163.92451258 1881.6734892 33777 Repair great vessels defect 1980.708936 1980.708936 2163.92451258 1881.6734892 33778 Repair great vessels defect 2461.47053 2461.47053 2689.156554025 2338.3970035 33779 Repair great vessels defect 2439.126288 2439.126288 2664.74546964 2317.1699736 33780 Repair great vessels defect 2395.158586 2395.158586 2616.710755205 2275.4006567 33781 Repair great vessels defect 2425.43143 2425.43143 2649.783837275 2304.1598585 33782 Nikaidoh proc 3388.396182 3388.396182 3701.822828835 3218.9763729 33783 Nikaidoh proc w/ostia implt 3663.734906 3663.734906 4002.630384805 3480.5481607 33786 Repair arterial trunk 2386.148811 2386.148811 2606.8675760175 2266.84137045 33788 Revision of pulmonary artery 1604.100341 1604.100341 1752.4796225425 1523.89532395 3378F AJCC brstcncr stage 3 docd 0 0 0 0 33800 Aortic suspension 1020.627312 1020.627312 1115.03533836 969.5959464 33802 Repair vessel defect 1133.429695 1133.429695 1238.2719417875 1076.75821025 33803 Repair vessel defect 1203.70594 1203.70594 1315.04873945 1143.520643 3380F AJCC brstcncr stage 4 docd 0 0 0 0 33813 Repair septal defect 1232.53722 1232.53722 1346.54691285 1170.910359 33814 Repair septal defect 1592.567829 1592.567829 1739.8803531825 1512.93943755 33820 Revise major vessel 1001.166198 1001.166198 1093.774071315 951.1078881 33822 Revise major vessel 1067.478142 1067.478142 1166.219870135 1014.1042349 33824 Revise major vessel 1232.53722 1232.53722 1346.54691285 1170.910359 3382F AJCC cln cncr stage 0 docd 0 0 0 0 33840 Remove aorta constriction 1295.245254 1295.245254 1415.055439995 1230.4829913 33845 Remove aorta constriction 1366.602672 1366.602672 1493.01341916 1298.2725384 3384F AJCC cln cncr stage 1 docd 0 0 0 0 33851 Remove aorta constriction 1329.84279 1329.84279 1452.853248075 1263.3506505 33852 Repair septal defect 1390.388478 1390.388478 1518.999412215 1320.8690541 33853 Repair septal defect 1868.987726 1868.987726 2041.869090655 1775.5383397 33860 Ascending aortic graft 3358.84412 3358.84412 3669.5372011 3190.901914 33863 Ascending aortic graft 3293.252958 3293.252958 3597.878856615 3128.5903101 33864 Ascending aortic graft 3373.620151 3373.620151 3685.6800149675 3204.93914345 33866 1075.767135 1075.767135 1175.2755949875 1021.97877825 3386F AJCC cln cncr stage 2 docd 0 0 0 0 33870 Transverse aortic arch graft 2644.188767 2644.188767 2888.7762279475 2511.97932865 33875 Thoracic aortic graft 2873.037052 2873.037052 3138.79297931 2729.3851994 33877 Thoracoabdominal graft 3789.511365 3789.511365 4140.0411662625 3600.03579675 33880 Endovasc taa repr incl subcl 1874.393591 1874.393591 2047.7749981675 1780.67391145 33881 Endovasc taa repr w/o subcl 1608.785424 1608.785424 1757.59807572 1528.3461528 33883 Insert endovasc prosth taa 1164.783712 1164.783712 1272.52620536 1106.5445264 33884 Endovasc prosth taa add-on 411.206131 411.206131 449.2426981175 390.64582445 33886 Endovasc prosth delayed 998.28307 998.28307 1090.624253975 948.3689165 33889 Artery transpose/endovas taa 823.493435 823.493435 899.6665777375 782.31876325 3388F AJCC cln cncr stage 3 docd 0 0 0 0 33891 Car-car bp grft/endovas taa 998.643461 998.643461 1091.0179811425 948.71128795 3390F AJCC cln cncr stage 4 docd 0 0 0 0 33910 Remove lung artery emboli 2746.900202 2746.900202 3000.988470685 2609.5551919 33915 Remove lung artery emboli 1432.554225 1432.554225 1565.0654908125 1360.92651375 33916 Surgery of great vessel 4438.935947 4438.935947 4849.5375220975 4216.98914965 33917 Repair pulmonary artery 1516.885719 1516.885719 1657.1976480075 1441.04143305 33920 Repair pulmonary atresia 1896.017051 1896.017051 2071.3986282175 1801.21619845 33922 Transect pulmonary artery 1438.320481 1438.320481 1571.3651254925 1366.40445695 33924 Remove pulmonary shunt 295.52062 295.52062 322.85627735 280.744589 33925 Rpr pul art unifocal w/o cpb 1798.711481 1798.711481 1965.0922929925 1708.77590695 33926 Repr pul art unifocal w/cpb 2533.54873 2533.54873 2767.901987525 2406.8712935 33927 Impltj tot rplcmt hrt sys 2676.623957 2676.623957 2924.2116730225 2542.79275915 33928 Rmvl & rplcmt tot hrt sys 0 0 0 0 33929 Rmvl rplcmt hrt sys f/trnspl 0 0 0 0 33930 Removal of donor heart/lung 0 0 0 0 33933 Prepare donor heart/lung 0 0 0 0 33935 Transplantation heart/lung 5186.02649 5186.02649 5665.733940325 4926.7251655 33940 Removal of donor heart 0 0 0 0 33944 Prepare donor heart 0 0 0 0 33945 Transplantation of heart 5093.766394 5093.766394 5564.939785445 4839.0780743 33946 Ecmo/ecls initiation venous 323.991509 323.991509 353.9607235825 307.79193355 33947 Ecmo/ecls initiation artery 359.309827 359.309827 392.5459859975 341.34433565 33948 Ecmo/ecls daily mgmt-venous 249.030181 249.030181 272.0654727425 236.57867195 33949 Ecmo/ecls daily mgmt artery 242.182752 242.182752 264.58465656 230.0736144 3394F Quant her2 ihc eval brst cx 0 0 0 0 33951 Ecmo/ecls insj prph cannula 446.164058 446.164058 487.434233365 423.8558551 33952 Ecmo/ecls insj prph cannula 447.966013 447.966013 489.4028692025 425.56771235 33953 Ecmo/ecls insj prph cannula 498.781144 498.781144 544.91839982 473.8420868 33954 Ecmo/ecls insj prph cannula 500.222708 500.222708 546.49330849 475.2115726 33955 Ecmo/ecls insj ctr cannula 874.308566 874.308566 955.182108355 830.5931377 33956 Ecmo/ecls insj ctr cannula 872.867002 872.867002 953.607199685 829.2236519 33957 Ecmo/ecls repos perph cnula 193.890358 193.890358 211.825216115 184.1958401 33958 Ecmo/ecls repos perph cnula 193.529967 193.529967 211.4314889475 183.85346865 33959 Ecmo/ecls repos perph cnula 246.507444 246.507444 269.30938257 234.1820718 3395F Quant nonher2 ihc brst cx 0 0 0 0 33962 Ecmo/ecls repos perph cnula 245.06588 245.06588 267.7344739 232.812586 33963 Ecmo/ecls repos perph cnula 493.014888 493.014888 538.61876514 468.3641436 33964 Ecmo/ecls repos perph cnula 514.277957 514.277957 561.8486680225 488.56405915 33965 Ecmo/ecls rmvl perph cannula 193.890358 193.890358 211.825216115 184.1958401 33966 Ecmo/ecls rmvl prph cannula 249.030181 249.030181 272.0654727425 236.57867195 33967 Insert ia percut device 272.455596 272.455596 297.65773863 258.8328162 33968 Remove aortic assist device 35.318318 35.318318 38.585262415 33.5524021 33969 Ecmo/ecls rmvl perph cannula 287.592018 287.592018 314.194279665 273.2124171 33970 Aortic circulation assist 370.481948 370.481948 404.75152819 351.9578506 33971 Aortic circulation assist 739.161941 739.161941 807.5344205425 702.20384395 33973 Insert balloon device 541.667673 541.667673 591.7719327525 514.58428935 33974 Remove intra-aortic balloon 929.80878 929.80878 1015.81609215 883.318341 33975 Implant ventricular device 1367.683845 1367.683845 1494.1946006625 1299.29965275 33976 Implant ventricular device 1667.529157 1667.529157 1821.7756040225 1584.15269915 33977 Remove ventricular device 1176.676615 1176.676615 1285.5192018875 1117.84278425 33978 Remove ventricular device 1401.560599 1401.560599 1531.2049544075 1331.48256905 33979 Insert intracorporeal device 2042.335797 2042.335797 2231.2518582225 1940.21900715 33980 Remove intracorporeal device 1867.546162 1867.546162 2040.294181985 1774.1688539 33981 Replace vad pump ext 876.470912 876.470912 957.54447136 832.6473664 33982 Replace vad intra w/o bp 2055.309873 2055.309873 2245.4260362525 1952.54437935 33983 Replace vad intra w/bp 2419.304783 2419.304783 2643.0904754275 2298.33954385 33984 Ecmo/ecls rmvl prph cannula 297.322575 297.322575 324.8249131875 282.45644625 33985 Ecmo/ecls rmvl ctr cannula 541.307282 541.307282 591.378205585 514.2419179 33986 Ecmo/ecls rmvl ctr cannula 545.992365 545.992365 596.4966587625 518.69274675 33987 Artery expos/graft artery 218.757337 218.757337 238.9923906725 207.81947015 33988 Insertion of left heart vent 811.960923 811.960923 887.0673083775 771.36287685 33989 Removal of left heart vent 508.511701 508.511701 555.5490333425 483.08611595 33990 Insert vad artery access 446.88484 446.88484 488.2216877 424.540598 33991 Insert vad art&vein access 655.551229 655.551229 716.1897176825 622.77366755 33992 Remove vad different session 209.02678 209.02678 228.36175715 198.575441 33993 Reposition vad diff session 183.439019 183.439019 200.4071282575 174.26706805 33999 Cardiac surgery procedure 0 0 0 0 34001 Removal of artery clot 1004.409717 1004.409717 1097.3176158225 954.18923115 34051 Removal of artery clot 1032.520215 1032.520215 1128.0283348875 980.89420425 34101 Removal of artery clot 624.197212 624.197212 681.93545411 592.9873514 34111 Removal of arm artery clot 626.719949 626.719949 684.6915442825 595.38395155 34151 Removal of artery clot 1455.97964 1455.97964 1590.6577567 1383.180658 34201 Removal of artery clot 1073.244398 1073.244398 1172.519504815 1019.5821781 34203 Removal of leg artery clot 992.156423 992.156423 1083.9308921275 942.54860185 34401 Removal of vein clot 1528.05784 1528.05784 1669.4031902 1451.654948 34421 Removal of vein clot 769.074394 769.074394 840.213775445 730.6206743 34451 Removal of vein clot 1480.846619 1480.846619 1617.8249312575 1406.80428805 34471 Removal of vein clot 1121.176401 1121.176401 1224.8852180925 1065.11758095 34490 Removal of vein clot 668.885696 668.885696 730.75762288 635.4414112 34501 Repair valve femoral vein 920.799005 920.799005 1005.9729129625 874.75905475 34502 Reconstruct vena cava 1610.226988 1610.226988 1759.17298439 1529.7156386 3450F Dyspnea scrnd no-mild dysp 0 0 0 0 34510 Transposition of vein valve 1061.351495 1061.351495 1159.5265082875 1008.28392025 3451F Dyspnea scrnd mod-high dysp 0 0 0 0 34520 Cross-over vein graft 1019.90653 1019.90653 1114.247884025 968.9112035 3452F Dyspnea not screened 0 0 0 0 34530 Leg vein fusion 935.935427 935.935427 1022.5094539975 889.13865565 3455F TB scrng done-interpd 6mon 0 0 0 0 34701 Evasc rpr a-ao ndgft 1292.001735 1292.001735 1411.5118954875 1227.40164825 34702 Evasc rpr a-ao ndgft rpt 1929.533414 1929.533414 2108.015254795 1833.0567433 34703 Evasc rpr a-unilac ndgft 1454.538076 1454.538076 1589.08284803 1381.8111722 34704 Evasc rpr a-unilac ndgft rpt 2423.989866 2423.989866 2648.208928605 2302.7903727 34705 Evac rpr a-biiliac ndgft 1599.775649 1599.775649 1747.7548965325 1519.78686655 34706 Evasc rpr a-biiliac rpt 2410.295008 2410.295008 2633.24729624 2289.7802576 34707 Evasc rpr ilio-iliac ndgft 1205.147504 1205.147504 1316.62364812 1144.8901288 34708 Evasc rpr ilio-iliac rpt 1934.578888 1934.578888 2113.52743514 1837.8499436 34709 Plmt xtn prosth evasc rpr 338.046758 338.046758 369.316083115 321.1444201 3470F Ra disease activity low 0 0 0 0 34710 Dlyd plmt xtn prosth 1st vsl 837.548684 837.548684 915.02193727 795.6712498 34711 Dlyd plmt xtn prosth ea addl 312.098606 312.098606 340.967727055 296.4936757 34712 Tcat dlvr enhncd fixj dev 715.376135 715.376135 781.5484274875 679.60732825 34713 Perq access & clsr fem art 134.425843 134.425843 146.8602334775 127.70455085 34714 Opn fem art expos cndt crtj 282.546544 282.546544 308.68209932 268.4192168 34715 Opn ax/subcla art expos 316.783689 316.783689 346.0861802325 300.94450455 34716 Opn ax/subcla art expos cndt 391.745017 391.745017 427.9814310725 372.15776615 3471F Ra disease activity mod 0 0 0 0 3472F Ra disease activity high 0 0 0 0 3475F Disease progn RA poor docd 0 0 0 0 3476F Disease progn RA good docd 0 0 0 0 34808 Endovas iliac a device addon 220.198901 220.198901 240.5672993425 209.18895595 34812 Xpose for endoprosth femorl 216.2346 216.2346 236.2363005 205.42287 34813 Femoral endovas graft add-on 246.867835 246.867835 269.7031097375 234.52444325 34820 Xpose for endoprosth iliac 363.634519 363.634519 397.2707120075 345.45279305 34830 Open aortic tube prosth repr 1830.78628 1830.78628 2000.1340109 1739.246966 34831 Open aortoiliac prosth repr 2017.829209 2017.829209 2204.4784108325 1916.93774855 34832 Open aortofemor prosth repr 1944.669836 1944.669836 2124.55179583 1847.4363442 34833 Xpose for endoprosth iliac 422.378252 422.378252 461.44824031 401.2593394 34834 Xpose endoprosth brachial 135.146625 135.146625 147.6476878125 128.38929375 34839 Plnning pt spec fenest graft 0 0 0 0 34841 Endovasc visc aorta 1 graft 0 0 0 0 34842 Endovasc visc aorta 2 graft 0 0 0 0 34843 Endovasc visc aorta 3 graft 0 0 0 0 34844 Endovasc visc aorta 4 graft 0 0 0 0 34845 Visc & infraren abd 1 prosth 0 0 0 0 34846 Visc & infraren abd 2 prosth 0 0 0 0 34847 Visc & infraren abd 3 prosth 0 0 0 0 34848 Visc & infraren abd 4+ prost 0 0 0 0 3490F History aids-defining cond 0 0 0 0 3491F HIV unsure baby of HIV+moms 0 0 0 0 3492F History cd4+ cell count <350 0 0 0 0 3493F No hist cd4+ cell count<350 0 0 0 0 3494F CD4+cell count <200cells/mm3 0 0 0 0 3495F Cd4+cell cnt 200-499 cells 0 0 0 0 3496F Cd4+ cell count + 500 cells 0 0 0 0 3497F CD4+ cell percentage <15% 0 0 0 0 3498F Cd4+ cell >=15% (hiv) 0 0 0 0 35001 Repair defect of artery 1160.45902 1160.45902 1267.80147935 1102.436069 35002 Repair artery rupture neck 1173.433096 1173.433096 1281.97565738 1114.7614412 35005 Repair defect of artery 1033.601388 1033.601388 1129.20951639 981.9213186 3500F Cd4+cell cnt/% docd as done 0 0 0 0 35011 Repair defect of artery 1046.935855 1046.935855 1143.7774215875 994.58906225 35013 Repair artery rupture arm 1310.021285 1310.021285 1431.1982538625 1244.52022075 35021 Repair defect of artery 1312.183631 1312.183631 1433.5606168675 1246.57444945 35022 Repair artery rupture chest 1465.710197 1465.710197 1601.2883902225 1392.42468715 3502F HIV rna vrl ld <lmts quantif 0 0 0 0 3503F HIV rna vrl ldnot<lmts quntf 0 0 0 0 35045 Repair defect of arm artery 1025.312395 1025.312395 1120.1537915375 974.04677525 35081 Repair defect of artery 1809.883602 1809.883602 1977.297835185 1719.3894219 35082 Repair artery rupture aorta 2283.797767 2283.797767 2495.0490604475 2169.60787865 35091 Repair defect of artery 1867.546162 1867.546162 2040.294181985 1774.1688539 35092 Repair artery rupture aorta 2722.393614 2722.393614 2974.215023295 2586.2739333 35102 Repair defect of artery 1964.491341 1964.491341 2146.2067900425 1866.26677395 35103 Repair artery rupture groin 2342.181109 2342.181109 2558.8328615825 2225.07205355 3510F Doc tb scrng-rslts interpd 0 0 0 0 35111 Repair defect of artery 1373.450101 1373.450101 1500.4942353425 1304.77759595 35112 Repair artery rupture spleen 1701.04552 1701.04552 1858.3922306 1615.993244 3511F Chlmyd/gonrh tsts docd done 0 0 0 0 35121 Repair defect of artery 1740.68853 1740.68853 1901.702219025 1653.6541035 35122 Repair artery rupture belly 1968.816033 1968.816033 2150.9315160525 1870.37523135 3512F Syph scrng docd as done 0 0 0 0 35131 Repair defect of artery 1449.492602 1449.492602 1583.570667685 1377.0179719 35132 Repair artery rupture groin 1694.198091 1694.198091 1850.9114144175 1609.48818645 3513F Hep B scrng docd as done 0 0 0 0 35141 Repair defect of artery 1152.170027 1152.170027 1258.7457544975 1094.56152565 35142 Repair artery rupture thigh 1387.865741 1387.865741 1516.2433220425 1318.47245395 3514F Hep C scrng docd as done 0 0 0 0 35151 Repair defect of artery 1293.082908 1293.082908 1412.69307699 1228.4287626 35152 Repair artery rupture knee 1439.401654 1439.401654 1572.546306995 1367.4315713 3515F Pt has docd immun to hep C 0 0 0 0 3517F Hbv assess&results intrp 1yr 0 0 0 0 35180 Repair blood vessel lesion 916.834704 916.834704 1001.64191412 870.9929688 35182 Repair blood vessel lesion 1870.789681 1870.789681 2043.8377264925 1777.25019695 35184 Repair blood vessel lesion 1000.445416 1000.445416 1092.98661698 950.4231452 35188 Repair blood vessel lesion 1336.329828 1336.329828 1459.94033709 1269.5133366 35189 Repair blood vessel lesion 1557.609902 1557.609902 1701.688817935 1479.7294069 35190 Repair blood vessel lesion 793.941373 793.941373 867.3809500025 754.24430435 35201 Repair blood vessel lesion 983.146648 983.146648 1074.08771294 933.9893156 35206 Repair blood vessel lesion 817.006397 817.006397 892.5794887225 776.15607715 35207 Repair blood vessel lesion 784.210816 784.210816 856.75031648 745.0002752 3520F Cdifficile testing performe 0 0 0 0 35211 Repair blood vessel lesion 1443.005564 1443.005564 1576.48357867 1370.8552858 35216 Repair blood vessel lesion 2151.894661 2151.894661 2350.9449171425 2044.29992795 35221 Repair blood vessel lesion 1530.940968 1530.940968 1672.55300754 1454.3939196 35226 Repair blood vessel lesion 870.344265 870.344265 950.8511095125 826.82705175 35231 Repair blood vessel lesion 1288.758216 1288.758216 1407.96835098 1224.3203052 35236 Repair blood vessel lesion 1045.854682 1045.854682 1142.596240085 993.5619479 35241 Repair blood vessel lesion 1502.470079 1502.470079 1641.4485613075 1427.34657505 35246 Repair blood vessel lesion 1631.129666 1631.129666 1782.009160105 1549.5731827 35251 Repair blood vessel lesion 1816.37064 1816.37064 1984.3849242 1725.552108 35256 Repair blood vessel lesion 1070.000879 1070.000879 1168.9759603075 1016.50083505 35261 Repair blood vessel lesion 1017.023402 1017.023402 1111.098066685 966.1722319 35266 Repair blood vessel lesion 906.022974 906.022974 989.830099095 860.7218253 35271 Repair blood vessel lesion 1442.284782 1442.284782 1575.696124335 1370.1705429 35276 Repair blood vessel lesion 1524.814321 1524.814321 1665.8596456925 1448.57360495 35281 Repair blood vessel lesion 1687.711053 1687.711053 1843.8243254025 1603.32550035 35286 Repair blood vessel lesion 972.334918 972.334918 1062.275897915 923.7181721 35301 Rechanneling of artery 1181.722089 1181.722089 1291.0313822325 1122.63598455 35302 Rechanneling of artery 1171.27075 1171.27075 1279.613294375 1112.7072125 35303 Rechanneling of artery 1295.605645 1295.605645 1415.4491671625 1230.82536275 35304 Rechanneling of artery 1334.167482 1334.167482 1457.577974085 1267.4591079 35305 Rechanneling of artery 1283.352351 1283.352351 1402.0624434675 1219.18473345 35306 Rechanneling of artery 463.102435 463.102435 505.9394102375 439.94731325 35311 Rechanneling of artery 1625.003019 1625.003019 1775.3157982575 1543.75286805 35321 Rechanneling of artery 931.971126 931.971126 1018.178455155 885.3725697 35331 Rechanneling of artery 1526.255885 1526.255885 1667.4345543625 1449.94309075 35341 Rechanneling of artery 1439.401654 1439.401654 1572.546306995 1367.4315713 35351 Rechanneling of artery 1336.690219 1336.690219 1460.3340642575 1269.85570805 35355 Rechanneling of artery 1076.848308 1076.848308 1176.45677649 1023.0058926 35361 Rechanneling of artery 1578.51258 1578.51258 1724.52499365 1499.586951 35363 Rechanneling of artery 1687.711053 1687.711053 1843.8243254025 1603.32550035 35371 Rechanneling of artery 854.12667 854.12667 933.133386975 811.4203365 35372 Rechanneling of artery 1022.429267 1022.429267 1117.0039741975 971.30780365 35390 Reoperation carotid add-on 166.140251 166.140251 181.5082242175 157.83323845 35400 Angioscopy 155.688912 155.688912 170.09013636 147.9044664 35500 Harvest vein for bypass 334.803239 334.803239 365.7725386075 318.06307705 35501 Artery bypass graft 1561.934594 1561.934594 1706.413543945 1483.8378643 35506 Artery bypass graft 1320.472624 1320.472624 1442.61634172 1254.4489928 35508 Artery bypass graft 1360.836416 1360.836416 1486.71378448 1292.7945952 35509 Artery bypass graft 1464.629024 1464.629024 1600.10720872 1391.3975728 3550F Low rsk thromboembolism 0 0 0 0 35510 Artery bypass graft 1273.261403 1273.261403 1391.0380827775 1209.59833285 35511 Artery bypass graft 1142.43947 1142.43947 1248.115120975 1085.3174965 35512 Artery bypass graft 1254.881462 1254.881462 1370.957997235 1192.1373889 35515 Artery bypass graft 1307.138157 1307.138157 1428.0484365225 1241.78124915 35516 Artery bypass graft 1269.657493 1269.657493 1387.1008111025 1206.17461835 35518 Artery bypass graft 1179.559743 1179.559743 1288.6690192275 1120.58175585 3551F Intrmed rsk thromboembolism 0 0 0 0 35521 Artery bypass graft 1272.901012 1272.901012 1390.64435561 1209.2559614 35522 Artery bypass graft 1260.287327 1260.287327 1376.8639047475 1197.27296065 35523 Artery bypass graft 1337.771392 1337.771392 1461.51524576 1270.8828224 35525 Artery bypass graft 1192.173428 1192.173428 1302.44947009 1132.5647566 35526 Artery bypass graft 1819.97455 1819.97455 1988.322195875 1728.9758225 3552F Hgh risk for thromboembolism 0 0 0 0 35531 Artery bypass graft 2023.595465 2023.595465 2210.7780455125 1922.41569175 35533 Artery bypass graft 1561.934594 1561.934594 1706.413543945 1483.8378643 35535 Artery bypass graft 1981.790109 1981.790109 2165.1056940825 1882.70060355 35536 Artery bypass graft 1759.789253 1759.789253 1922.5697589025 1671.79979035 35537 Artery bypass graft 2154.057007 2154.057007 2353.3072801475 2046.35415665 35538 Artery bypass graft 2416.421655 2416.421655 2639.9406580875 2295.60057225 35539 Artery bypass graft 2267.219781 2267.219781 2476.9376107425 2153.85879195 35540 Artery bypass graft 2547.243588 2547.243588 2782.86361989 2419.8814086 35556 Artery bypass graft 1460.304332 1460.304332 1595.38248271 1387.2891154 35558 Artery bypass graft 1284.073133 1284.073133 1402.8498978025 1219.86947635 3555F Pt inr measurement performed 0 0 0 0 35560 Artery bypass graft 1750.419087 1750.419087 1912.3328525475 1662.89813265 35563 Artery bypass graft 1376.69362 1376.69362 1504.03777985 1307.858939 35565 Artery bypass graft 1373.450101 1373.450101 1500.4942353425 1304.77759595 35566 Artery bypass graft 1742.850876 1742.850876 1904.06458203 1655.7083322 35570 Artery bypass graft 1575.989843 1575.989843 1721.7689034775 1497.19035085 35571 Artery bypass graft 1382.099485 1382.099485 1509.9436873625 1312.99451075 35572 Harvest femoropopliteal vein 362.192955 362.192955 395.6958033375 344.08330725 35583 Vein bypass graft 1507.875944 1507.875944 1647.35446882 1432.4821468 35585 Vein bypass graft 1746.815177 1746.815177 1908.3955808725 1659.47441815 35587 Vein bypass graft 1423.904841 1423.904841 1555.6160387925 1352.70959895 35600 Harvest art for cabg add-on 267.770513 267.770513 292.5392854525 254.38198735 35601 Artery bypass graft 1458.862768 1458.862768 1593.80757404 1385.9196296 35606 Artery bypass graft 1225.689791 1225.689791 1339.0660966675 1164.40530145 35612 Artery bypass graft 1079.371045 1079.371045 1179.2128666625 1025.40249275 35616 Artery bypass graft 1140.637515 1140.637515 1246.1464851375 1083.60563925 35621 Artery bypass graft 1144.241425 1144.241425 1250.0837568125 1087.02935375 35623 Bypass graft not vein 1363.359153 1363.359153 1489.4698746525 1295.19119535 35626 Artery bypass graft 1658.158991 1658.158991 1811.5386976675 1575.25104145 35631 Artery bypass graft 1936.020452 1936.020452 2115.10234381 1839.2194294 35632 Artery bypass graft 1863.942252 1863.942252 2036.35691031 1770.7451394 35633 Artery bypass graft 2083.420371 2083.420371 2276.1367553175 1979.24935245 35634 Artery bypass graft 1832.948626 1832.948626 2002.496373905 1741.3011947 35636 Artery bypass graft 1659.600555 1659.600555 1813.1136063375 1576.62052725 35637 Artery bypass graft 1721.227416 1721.227416 1880.44095198 1635.1660452 35638 Artery bypass graft 1835.110972 1835.110972 2004.85873691 1743.3554234 35642 Artery bypass graft 1025.672786 1025.672786 1120.547518705 974.3891467 35645 Artery bypass graft 984.227821 984.227821 1075.2688944425 935.01642995 35646 Artery bypass graft 1792.584834 1792.584834 1958.398931145 1702.9555923 35647 Artery bypass graft 1622.840673 1622.840673 1772.9534352525 1541.69863935 35650 Artery bypass graft 1130.906958 1130.906958 1235.515851615 1074.3616101 35654 Artery bypass graft 1429.671097 1429.671097 1561.9156734725 1358.18754215 35656 Artery bypass graft 1129.465394 1129.465394 1233.940942945 1072.9921243 35661 Artery bypass graft 1132.708913 1132.708913 1237.4844874525 1076.07346735 35663 Artery bypass graft 1263.530846 1263.530846 1380.407449255 1200.3543037 35665 Artery bypass graft 1225.3294 1225.3294 1338.6723695 1164.06293 35666 Artery bypass graft 1320.472624 1320.472624 1442.61634172 1254.4489928 35671 Artery bypass graft 1163.702539 1163.702539 1271.3450238575 1105.51741205 35681 Composite bypass graft 84.331494 84.331494 92.132157195 80.1149193 35682 Composite bypass graft 368.319602 368.319602 402.389165185 349.9036219 35683 Composite bypass graft 426.342553 426.342553 465.7792391525 405.02542535 35685 Bypass graft patency/patch 207.585216 207.585216 226.78684848 197.2059552 35686 Bypass graft/av fist patency 167.221424 167.221424 182.68940572 158.8603528 35691 Arterial transposition 982.786257 982.786257 1073.6939857725 933.64694415 35693 Arterial transposition 850.52276 850.52276 929.1961153 807.996622 35694 Arterial transposition 1024.952004 1024.952004 1119.76006437 973.7044038 35695 Arterial transposition 1055.585239 1055.585239 1153.2268736075 1002.80597705 35697 Reimplant artery each 154.96813 154.96813 169.302682025 147.2197235 35700 Reoperation bypass graft 159.292822 159.292822 174.027408035 151.3281809 35701 Exploration carotid artery 591.04124 591.04124 645.7125547 561.489178 3570F Rprt bone scint xref w xray 0 0 0 0 35721 Exploration femoral artery 475.355729 475.355729 519.3261339325 451.58794255 3572F Pt consid poss risk fx 0 0 0 0 3573F Pt not consid poss risk fx 0 0 0 0 35741 Exploration popliteal artery 540.5865 540.5865 590.59075125 513.557175 35761 Exploration of artery/vein 410.124958 410.124958 448.061516615 389.6187101 35800 Explore neck vessels 751.054844 751.054844 820.52741707 713.5021018 35820 Explore chest vessels 2101.800312 2101.800312 2296.21684086 1996.7102964 35840 Explore abdominal vessels 1248.394424 1248.394424 1363.87090822 1185.9747028 35860 Explore limb vessels 873.948175 873.948175 954.7883811875 830.25076625 35870 Repair vessel graft defect 1289.839389 1289.839389 1409.1495324825 1225.34741955 35875 Removal of clot in graft 621.674475 621.674475 679.1793639375 590.59075125 35876 Removal of clot in graft 988.192122 988.192122 1079.599893285 938.7825159 35879 Revise graft w/vein 966.929053 966.929053 1056.3699904025 918.58260035 35881 Revise graft w/vein 1062.432668 1062.432668 1160.70768979 1009.3110346 35883 Revise graft w/nonauto graft 1254.521071 1254.521071 1370.5642700675 1191.79501745 35884 Revise graft w/vein 1288.037434 1288.037434 1407.180896645 1223.6355623 35901 Excision graft neck 488.329805 488.329805 533.5003119625 463.91331475 35903 Excision graft extremity 588.518503 588.518503 642.9564645275 559.09257785 35905 Excision graft thorax 1740.328139 1740.328139 1901.3084918575 1653.31173205 35907 Excision graft abdomen 1991.160275 1991.160275 2175.3426004375 1891.60226125 36000 Place needle in vein 9.730557 9.730557 10.6306335225 9.24402915 36002 Pseudoaneurysm injection trt 109.558864 109.558864 119.69305892 104.0809208 36005 Injection ext venography 50.45474 50.45474 55.12180345 47.932003 36010 Place catheter in vein 114.964729 114.964729 125.5989664325 109.21649255 36011 Place catheter in vein 163.617514 163.617514 178.752134045 155.4366383 36012 Place catheter in vein 181.276673 181.276673 198.0447652525 172.21283935 36013 Place catheter in artery 126.857632 126.857632 138.59196296 120.5147504 36014 Place catheter in artery 157.851258 157.851258 172.452499365 149.9586951 36015 Place catheter in artery 179.474718 179.474718 196.076129415 170.5009821 36100 Establish access to artery 163.617514 163.617514 178.752134045 155.4366383 36140 Establish access to artery 94.422442 94.422442 103.156517885 89.7013199 36160 Establish access to aorta 129.380369 129.380369 141.3480531325 122.91135055 36200 Place catheter in aorta 145.958355 145.958355 159.4595028375 138.66043725 36215 Place catheter in artery 222.000856 222.000856 242.53593518 210.9008132 36216 Place catheter in artery 285.790063 285.790063 312.2256438275 271.50055985 36217 Place catheter in artery 342.731841 342.731841 374.4345362925 325.59524895 36218 Place catheter in artery 54.419041 54.419041 59.4528022925 51.69808895 36221 Place cath thoracic aorta 209.02678 209.02678 228.36175715 198.575441 36222 Place cath carotid/inom art 296.241402 296.241402 323.643731685 281.4293319 36223 Place cath carotid/inom art 330.838938 330.838938 361.441539765 314.2969911 36224 Place cath carotd art 377.689768 377.689768 412.62607154 358.8052796 36225 Place cath subclavian art 330.118156 330.118156 360.65408543 313.6122482 36226 Place cath vertebral art 372.283903 372.283903 406.7201640275 353.66970785 36227 Place cath xtrnl carotid 122.893331 122.893331 134.2609641175 116.74866445 36228 Place cath intracranial art 253.354873 253.354873 276.7901987525 240.68712935 36245 Ins cath abd/l-ext art 1st 248.309399 248.309399 271.2780184075 235.89392905 36246 Ins cath abd/l-ext art 2nd 266.328949 266.328949 290.9643767825 253.01250155 36247 Ins cath abd/l-ext art 3rd 316.423298 316.423298 345.692453065 300.6021331 36248 Ins cath abd/l-ext art addl 51.175522 51.175522 55.909257785 48.6167459 36251 Ins cath ren art 1st unilat 272.095205 272.095205 297.2640114625 258.49044475 36252 Ins cath ren art 1st bilat 378.050159 378.050159 413.0197987075 359.14765105 36253 Ins cath ren art 2nd+ unilat 373.725467 373.725467 408.2950726975 355.03919365 36254 Ins cath ren art 2nd+ bilat 437.154283 437.154283 477.5910541775 415.29656885 36260 Insertion of infusion pump 677.53508 677.53508 740.2070749 643.658326 36261 Revision of infusion pump 419.495124 419.495124 458.29842297 398.5203678 36262 Removal of infusion pump 320.74799 320.74799 350.417179075 304.7105905 36299 Vessel injection procedure 0 0 0 0 36400 Bl draw < 3 yrs fem/jugular 19.100723 19.100723 20.8675398775 18.14568685 36405 Bl draw < 3 yrs scalp vein 15.857204 15.857204 17.32399537 15.0643438 36406 Bl draw < 3 yrs other vein 9.009775 9.009775 9.8431791875 8.55928625 36410 Non-routine bl draw > 3 yrs 9.730557 9.730557 10.6306335225 9.24402915 36415 Routine venipuncture 0 0 0 0 36416 Capillary blood draw 0 0 0 0 36420 Vein access cutdown < 1 yr 48.652785 48.652785 53.1531676125 46.22014575 36425 Vein access cutdown > 1 yr 41.805356 41.805356 45.67235143 39.7150882 36430 Blood transfusion service 35.678709 35.678709 38.9789895825 33.89477355 36440 Bl push transfuse 2 yr or < 52.617086 52.617086 57.484166455 49.9862317 36450 Bl exchange/transfuse nb 178.033154 178.033154 194.501220745 169.1314963 36455 Bl exchange/transfuse non-nb 132.623888 132.623888 144.89159764 125.9926936 36456 Prtl exchange transfuse nb 109.198473 109.198473 119.2993317525 103.73854935 36460 Transfusion service fetal 354.624744 354.624744 387.42753282 336.8935068 36465 Njx noncmpnd sclrsnt 1 vein 124.334895 124.334895 135.8358727875 118.11815025 36466 Njx noncmpnd sclrsnt mlt vn 158.211649 158.211649 172.8462265325 150.30106655 36468 Injection(s) spider veins 0 0 0 0 36470 Injection therapy of vein 40.003401 40.003401 43.7037155925 38.00323095 36471 Injection therapy of veins 79.646411 79.646411 87.0137040175 75.66409045 36473 Endovenous mchnchem 1st vein 185.601365 185.601365 202.7694912625 176.32129675 36474 Endovenous mchnchem add-on 92.620487 92.620487 101.1878820475 87.98946265 36475 Endovenous rf 1st vein 292.277101 292.277101 319.3127328425 277.66324595 36476 Endovenous rf vein add-on 141.633663 141.633663 154.7347768275 134.55197985 36478 Endovenous laser 1st vein 290.475146 290.475146 317.344097005 275.9513887 36479 Endovenous laser vein addon 142.354445 142.354445 155.5222311625 135.23672275 36481 Insertion of catheter vein 348.498097 348.498097 380.7341709725 331.07319215 36482 Endoven ther chem adhes 1st 184.520192 184.520192 201.58830976 175.2941824 36483 Endoven ther chem adhes sbsq 92.620487 92.620487 101.1878820475 87.98946265 36500 Insertion of catheter vein 191.00723 191.00723 208.675398775 181.4568685 3650F Eeg ordered rvwd reqstd 0 0 0 0 36510 Insertion of catheter vein 55.500214 55.500214 60.633983795 52.7252033 36511 Apheresis wbc 111.72121 111.72121 122.055421925 106.1351495 36512 Apheresis rbc 112.081601 112.081601 122.4491490925 106.47752095 36513 Apheresis platelets 113.883556 113.883556 124.41778493 108.1893782 36514 Apheresis plasma 99.467916 99.467916 108.66869823 94.4945202 36516 Apheresis selective 88.656186 88.656186 96.856883205 84.2233767 36522 Photopheresis 100.549089 100.549089 109.8498797325 95.52163455 36555 Insert non-tunnel cv cath 88.656186 88.656186 96.856883205 84.2233767 36556 Insert non-tunnel cv cath 88.295795 88.295795 96.4631560375 83.88100525 36557 Insert tunneled cv cath 330.838938 330.838938 361.441539765 314.2969911 36558 Insert tunneled cv cath 271.734814 271.734814 296.870284295 258.1480733 36560 Insert tunneled cv cath 397.871664 397.871664 434.67479292 377.9780808 36561 Insert tunneled cv cath 351.020834 351.020834 383.490261145 333.4697923 36563 Insert tunneled cv cath 382.01446 382.01446 417.35079755 362.913737 36565 Insert tunneled cv cath 347.056533 347.056533 379.1592623025 329.70370635 36566 Insert tunneled cv cath 376.968986 376.968986 411.838617205 358.1205367 36568 Insert picc cath 95.503615 95.503615 104.3376993875 90.72843425 36569 Insert picc cath 98.026352 98.026352 107.09378956 93.1250344 36570 Insert picvad cath 344.533796 344.533796 376.40317213 327.3071062 36571 Insert picvad cath 324.3519 324.3519 354.35445075 308.134305 36572 95.503615 95.503615 104.3376993875 90.72843425 36573 88.295795 88.295795 96.4631560375 83.88100525 36575 Repair tunneled cv cath 36.399491 36.399491 39.7664439175 34.57951645 36576 Repair tunneled cv cath 192.088403 192.088403 209.8565802775 182.48398285 36578 Replace tunneled cv cath 211.189126 211.189126 230.724120155 200.6296697 36580 Replace cvad cath 69.195072 69.195072 75.59561616 65.7353184 36581 Replace tunneled cv cath 191.367621 191.367621 209.0691259425 181.79923995 36582 Replace tunneled cv cath 302.007658 302.007658 329.943366365 286.9072751 36583 Replace tunneled cv cath 340.209104 340.209104 371.67844612 323.1986488 36584 Replace picc cath 62.347643 62.347643 68.1147999775 59.23026085 36585 Replace picvad cath 281.10498 281.10498 307.10719065 267.049731 36589 Removal tunneled cv cath 142.714836 142.714836 155.91595833 135.5790942 36590 Removal tunneled cv cath 197.854659 197.854659 216.1562149575 187.96192605 36591 Draw blood off venous device 24.866979 24.866979 27.1671745575 23.62363005 36592 Collect blood from picc 27.750107 27.750107 30.3169918975 26.36260165 36593 Declot vascular device 32.074799 32.074799 35.0417179075 30.47105905 36595 Mech remov tunneled cv cath 191.00723 191.00723 208.675398775 181.4568685 36596 Mech remov tunneled cv cath 46.130048 46.130048 50.39707744 43.8235456 36597 Reposition venous catheter 63.789207 63.789207 69.6897086475 60.59974665 36598 Inj w/fluor eval cv device 38.201446 38.201446 41.735079755 36.2913737 36600 Withdrawal of arterial blood 16.217595 16.217595 17.7177225375 15.40671525 36620 Insertion catheter artery 46.130048 46.130048 50.39707744 43.8235456 36625 Insertion catheter artery 109.919255 109.919255 120.0867860875 104.42329225 36640 Insertion catheter artery 118.92903 118.92903 129.929965275 112.9825785 36660 Insertion catheter artery 71.357418 71.357418 77.957979165 67.7895471 36680 Insert needle bone cavity 60.906079 60.906079 66.5398913075 57.86077505 36800 Insertion of cannula 127.218023 127.218023 138.9856901275 120.85712185 36810 Insertion of cannula 218.036555 218.036555 238.2049363375 207.13472725 36815 Insertion of cannula 140.912881 140.912881 153.9473224925 133.86723695 36818 Av fuse uppr arm cephalic 724.746301 724.746301 791.7853338425 688.50898595 36819 Av fuse uppr arm basilic 763.668529 763.668529 834.3078679325 725.48510255 36820 Av fusion/forearm vein 765.830875 765.830875 836.6702309375 727.53933125 36821 Av fusion direct any site 693.752675 693.752675 757.9247974375 659.06504125 36823 Insertion of cannula(s) 1455.97964 1455.97964 1590.6577567 1383.180658 36825 Artery-vein autograft 830.701255 830.701255 907.5411210875 789.16619225 36830 Artery-vein nonautograft 696.996194 696.996194 761.468341945 662.1463843 36831 Open thrombect av fistula 643.297935 643.297935 702.8029939875 611.13303825 36832 Av fistula revision open 789.25629 789.25629 862.262496825 749.7934755 36833 Av fistula revision 848.360414 848.360414 926.833752295 805.9423933 36835 Artery to vein shunt 499.141535 499.141535 545.3121269875 474.18445825 36838 Dist revas ligation hemo 1194.696165 1194.696165 1305.2055602625 1134.96135675 36860 External cannula declotting 115.32512 115.32512 125.9926936 109.558864 36861 Cannula declotting 144.877182 144.877182 158.278321335 137.6333229 36901 Intro cath dialysis circuit 175.870808 175.870808 192.13885774 167.0772676 36902 Intro cath dialysis circuit 251.552918 251.552918 274.821562915 238.9752721 36903 Intro cath dialysis circuit 332.640893 332.640893 363.4101756025 316.00884835 36904 Thrmbc/nfs dialysis circuit 388.141107 388.141107 424.0441593975 368.73405165 36905 Thrmbc/nfs dialysis circuit 465.264781 465.264781 508.3017732425 442.00154195 36906 Thrmbc/nfs dialysis circuit 536.98259 536.98259 586.653479575 510.1334605 36907 Balo angiop ctr dialysis seg 153.526566 153.526566 167.727773355 145.8502377 36908 Stent plmt ctr dialysis seg 217.315773 217.315773 237.4174820025 206.44998435 36909 Dialysis circuit embolj 210.468344 210.468344 229.93666582 199.9449268 3700F Psych disorders assessed 0 0 0 0 37140 Revision of circulation 2429.03534 2429.03534 2653.72110895 2307.583573 37145 Revision of circulation 2252.44375 2252.44375 2460.794796875 2139.8215625 37160 Revision of circulation 2314.431002 2314.431002 2528.515869685 2198.7094519 37180 Revision of circulation 2224.693643 2224.693643 2430.4778049775 2113.45896085 37181 Splice spleen/kidney veins 2429.03534 2429.03534 2653.72110895 2307.583573 37182 Insert hepatic shunt (tips) 857.370189 857.370189 936.6769314825 814.50167955 37183 Remove hepatic shunt (tips) 392.105408 392.105408 428.37515824 372.5001376 37184 Prim art mech thrombectomy 467.427127 467.427127 510.6641362475 444.05577065 37185 Prim art m-thrombect add-on 174.789635 174.789635 190.9576762375 166.05015325 37186 Sec art m-thrombect add-on 255.87761 255.87761 279.546288925 243.0837295 37187 Venous mech thrombectomy 410.84574 410.84574 448.84897095 390.303453 37188 Venous m-thrombectomy add-on 289.393973 289.393973 316.1629155025 274.92427435 37191 Ins endovas vena cava filtr 233.893759 233.893759 255.5289317075 222.19907105 37192 Redo endovas vena cava filtr 359.670218 359.670218 392.939713165 341.6867071 37193 Rem endovas vena cava filter 365.796865 365.796865 399.6330750125 347.50702175 37195 Thrombolytic therapy stroke 0 0 0 0 37197 Remove intrvas foreign body 316.423298 316.423298 345.692453065 300.6021331 37200 Transcatheter biopsy 227.04633 227.04633 248.048115525 215.6940135 3720F Cognit impairment assessed 0 0 0 0 37211 Thrombolytic art therapy 403.998311 403.998311 441.3681547675 383.79839545 37212 Thrombolytic venous therapy 353.543571 353.543571 386.2463513175 335.86639245 37213 Thromblytic art/ven therapy 243.624316 243.624316 266.15956523 231.4431002 37214 Cessj therapy cath removal 128.659587 128.659587 140.5605987975 122.22660765 37215 Transcath stent cca w/eps 1052.702111 1052.702111 1150.0770562675 1000.06700545 37216 Transcath stent cca w/o eps 1055.585239 1055.585239 1153.2268736075 1002.80597705 37217 Stent placemt retro carotid 1131.267349 1131.267349 1235.9095787825 1074.70398155 37218 Stent placemt ante carotid 855.568234 855.568234 934.708295645 812.7898223 37220 Iliac revasc 420.936688 420.936688 459.87333164 399.8898536 37221 Iliac revasc w/stent 520.044213 520.044213 568.1483027025 494.04200235 37222 Iliac revasc add-on 195.331922 195.331922 213.400124785 185.5653259 37223 Iliac revasc w/stent add-on 223.44242 223.44242 244.11084385 212.270299 37224 Fem/popl revas w/tla 466.345954 466.345954 509.482954745 443.0286563 37225 Fem/popl revas w/ather 634.648551 634.648551 693.3535419675 602.91612345 37226 Fem/popl revasc w/stent 547.073538 547.073538 597.677840265 519.7198611 37227 Fem/popl revasc stnt & ather 762.947747 762.947747 833.5204135975 724.80035965 37228 Tib/per revasc w/tla 569.778171 569.778171 622.4826518175 541.28926245 37229 Tib/per revasc w/ather 740.963896 740.963896 809.50305638 703.9157012 37230 Tib/per revasc w/stent 734.837249 734.837249 802.8096945325 698.09538655 37231 Tib/per revasc stent & ather 798.626456 798.626456 872.49940318 758.6951332 37232 Tib/per revasc add-on 210.828735 210.828735 230.3303929875 200.28729825 37233 Tibper revasc w/ather add-on 343.452623 343.452623 375.2219906275 326.27999185 37234 Revsc opn/prq tib/pero stent 299.845312 299.845312 327.58100336 284.8530464 37235 Tib/per revasc stnt & ather 420.936688 420.936688 459.87333164 399.8898536 37236 Open/perq place stent 1st 466.345954 466.345954 509.482954745 443.0286563 37237 Open/perq place stent ea add 223.082029 223.082029 243.7171166825 211.92792755 37238 Open/perq place stent same 317.864862 317.864862 347.267361735 301.9716189 37239 Open/perq place stent ea add 159.292822 159.292822 174.027408035 151.3281809 37241 Vasc embolize/occlude venous 463.462826 463.462826 506.333137405 440.2896847 37242 Vasc embolize/occlude artery 499.501926 499.501926 545.705854155 474.5268297 37243 Vasc embolize/occlude organ 588.518503 588.518503 642.9564645275 559.09257785 37244 Vasc embolize/occlude bleed 695.915021 695.915021 760.2871604425 661.11926995 37246 Trluml balo angiop 1st art 364.715692 364.715692 398.45189351 346.4799074 37247 Trluml balo angiop addl art 179.114327 179.114327 195.6824022475 170.15861065 37248 Trluml balo angiop 1st vein 312.098606 312.098606 340.967727055 296.4936757 37249 Trluml balo angiop addl vein 152.085002 152.085002 166.152864685 144.4807519 37252 Intrvasc us noncoronary 1st 95.503615 95.503615 104.3376993875 90.72843425 37253 Intrvasc us noncoronary addl 76.763283 76.763283 83.8638866775 72.92511885 3725F Screen depression performed 0 0 0 0 37500 Endoscopy ligate perf veins 659.51553 659.51553 720.520716525 626.5397535 37501 Vascular endoscopy procedure 0 0 0 0 3750F Ptnotrcvngsteroid>/=10mg/day 0 0 0 0 3751F Electrodiag polyneuro 6 mn 0 0 0 0 3752F No electrodiag polyneuro 6mn 0 0 0 0 3753F Pt has symp&signs neuropathy 0 0 0 0 3754F Screening tests dm done 0 0 0 0 3755F Cog&behav imprmnt scrng done 0 0 0 0 37565 Ligation of neck vein 748.892498 748.892498 818.165054065 711.4478731 3756F Pt w/pseudobulb affect/als 0 0 0 0 3757F Pt w/o pseudobulbaffect/als 0 0 0 0 3758F Pt ref pulm fx test/peakflow 0 0 0 0 3759F Pt scrn dysphag/wt loss/nutr 0 0 0 0 37600 Ligation of neck artery 759.343837 759.343837 829.5831419225 721.37664515 37605 Ligation of neck artery 764.749702 764.749702 835.489049435 726.5122169 37606 Ligation of neck artery 736.639204 736.639204 804.77833037 699.8072438 37607 Ligation of a-v fistula 390.303453 390.303453 426.4065224025 370.78828035 37609 Temporal artery procedure 214.072254 214.072254 233.873937495 203.3686413 3760F Pt w/ dysphag/wt loss/nutr 0 0 0 0 37615 Ligation of neck artery 546.352756 546.352756 596.89038593 519.0351182 37616 Ligation of chest artery 1155.053155 1155.053155 1261.8955718375 1097.30049725 37617 Ligation of abdomen artery 1399.758644 1399.758644 1529.23631857 1329.7707118 37618 Ligation of extremity artery 400.394401 400.394401 437.4308830925 380.37468095 37619 Ligation of inf vena cava 1803.756955 1803.756955 1970.6044733375 1713.56910725 3761F Pt w/o dysphag/wt loss/nutr 0 0 0 0 3762F Patient is dysarthric 0 0 0 0 3763F Patient is not dysarthric 0 0 0 0 37650 Revision of major vein 476.436902 476.436902 520.507315435 452.6150569 37660 Revision of major vein 1372.008537 1372.008537 1498.9193266725 1303.40811015 37700 Revise leg vein 254.796437 254.796437 278.3651074225 242.05661515 37718 Ligate/strip short leg vein 448.686795 448.686795 490.1903235375 426.25245525 37722 Ligate/strip long leg vein 494.456452 494.456452 540.19367381 469.7336294 37735 Removal of leg veins/lesion 603.654925 603.654925 659.4930055625 573.47217875 3775F Adenoma detected screening 0 0 0 0 37760 Ligate leg veins radical 651.586928 651.586928 711.85871884 619.0075816 37761 Ligate leg veins open 564.011915 564.011915 616.1830171375 535.81131925 37765 Stab phleb veins xtr 10-20 467.066736 467.066736 510.27040908 443.7133992 37766 Phleb veins - extrem 20+ 570.138562 570.138562 622.876378985 541.6316339 3776F Adenoma not detect screening 0 0 0 0 37780 Revision of leg vein 243.263925 243.263925 265.7658380625 231.10072875 37785 Ligate/divide/excise vein 268.491295 268.491295 293.3267397875 255.06673025 37788 Revascularization penis 1318.310278 1318.310278 1440.253978715 1252.3947641 37790 Penile venous occlusion 507.790919 507.790919 554.7615790075 482.40137305 37799 Vascular surgery procedure 0 0 0 0 38100 Removal of spleen total 1205.507895 1205.507895 1317.0173752875 1145.23250025 38101 Removal of spleen partial 1208.751414 1208.751414 1320.560919795 1148.3138433 38102 Removal of spleen total 275.699115 275.699115 301.2012831375 261.91415925 38115 Repair of ruptured spleen 1334.888264 1334.888264 1458.36542842 1268.1438508 38120 Laparoscopy splenectomy 1099.913332 1099.913332 1201.65531521 1044.9176654 38129 Laparoscope proc spleen 0 0 0 0 38200 Injection for spleen x-ray 138.390144 138.390144 151.19123232 131.4706368 38204 Bl donor search management 109.198473 109.198473 119.2993317525 103.73854935 38205 Harvest allogenic stem cells 85.773058 85.773058 93.707065865 81.4844051 38206 Harvest auto stem cells 86.133449 86.133449 94.1007930325 81.82677655 38207 Cryopreserve stem cells 48.652785 48.652785 53.1531676125 46.22014575 38208 Thaw preserved stem cells 30.993626 30.993626 33.860536405 29.4439447 38209 Wash harvest stem cells 12.974076 12.974076 14.17417803 12.3253722 38210 T-cell depletion of harvest 86.49384 86.49384 94.4945202 82.169148 38211 Tumor cell deplete of harvst 77.844456 77.844456 85.04506818 73.9522332 38212 Rbc depletion of harvest 51.535913 51.535913 56.3029849525 48.95911735 38213 Platelet deplete of harvest 12.974076 12.974076 14.17417803 12.3253722 38214 Volume deplete of harvest 44.328093 44.328093 48.4284416025 42.11168835 38215 Harvest stem cell concentrte 51.535913 51.535913 56.3029849525 48.95911735 38220 Bone marrow aspiration 71.717809 71.717809 78.3517063325 68.13191855 38221 Bone marrow biopsy 72.0782 72.0782 78.7454335 68.47429 38222 Dx bone marrow bx & aspir 80.727584 80.727584 88.19488552 76.6912048 38230 Bone marrow harvest allogen 215.153427 215.153427 235.0551189975 204.39575565 38232 Bone marrow harvest autolog 207.224825 207.224825 226.3931213125 196.86358375 38240 Bn marrow/stm transplt allo 235.335323 235.335323 257.1038403775 223.56855685 38241 Bn marrow/stm transplt auto 175.870808 175.870808 192.13885774 167.0772676 38242 Lymphocyte infuse transplant 124.334895 124.334895 135.8358727875 118.11815025 38243 Transplj hematopoietic boost 125.055677 125.055677 136.6233271225 118.80289315 38300 Drainage lymph node lesion 210.828735 210.828735 230.3303929875 200.28729825 38305 Drainage lymph node lesion 504.5474 504.5474 551.2180345 479.32003 38308 Incision of lymph channels 468.5083 468.5083 511.84531775 445.082885 38380 Thoracic duct procedure 587.43733 587.43733 641.775283025 558.0654635 38381 Thoracic duct procedure 836.467511 836.467511 913.8407557675 794.64413545 38382 Thoracic duct procedure 699.879322 699.879322 764.618159285 664.8853559 38500 Biopsy/removal lymph nodes 265.247776 265.247776 289.78319528 251.9853872 38505 Needle biopsy lymph nodes 72.798982 72.798982 79.532887835 69.1590329 38510 Biopsy/removal lymph nodes 435.352328 435.352328 475.62241834 413.5847116 38520 Biopsy/removal lymph nodes 482.92394 482.92394 527.59440445 458.777743 38525 Biopsy/removal lymph nodes 455.534224 455.534224 497.67113972 432.7575128 38530 Biopsy/removal lymph nodes 581.310683 581.310683 635.0819211775 552.24514885 38531 454.09266 454.09266 496.09623105 431.388027 38542 Explore deep node(s) neck 536.622199 536.622199 586.2597524075 509.79108905 38550 Removal neck/armpit lesion 532.657898 532.657898 581.928753565 506.0250031 38555 Removal neck/armpit lesion 1051.981329 1051.981329 1149.2896019325 999.38226255 38562 Removal pelvic lymph nodes 738.441159 738.441159 806.7469662075 701.51910105 38564 Removal abdomen lymph nodes 736.278813 736.278813 804.3846032025 699.46487235 38570 Laparoscopy lymph node biop 530.855943 530.855943 579.9601177275 504.31314585 38571 Laparoscopy lymphadenectomy 690.509156 690.509156 754.38125293 655.9836982 38572 Laparoscopy lymphadenectomy 962.24397 962.24397 1051.251537225 914.1317715 38573 Laps pelvic lymphadec 1217.040407 1217.040407 1329.6166446475 1156.18838665 38589 Laparoscope proc lymphatic 0 0 0 0 38700 Removal of lymph nodes neck 832.863601 832.863601 909.9034840925 791.22042095 38720 Removal of lymph nodes neck 1391.10926 1391.10926 1519.78686655 1321.553797 38724 Removal of lymph nodes neck 1501.749297 1501.749297 1640.6611069725 1426.66183215 38740 Remove armpit lymph nodes 726.548256 726.548256 793.75396968 690.2208432 38745 Remove armpit lymph nodes 916.834704 916.834704 1001.64191412 870.9929688 38746 Remove thoracic lymph nodes 224.523593 224.523593 245.2920253525 213.29741335 38747 Remove abdominal lymph nodes 280.023807 280.023807 305.9260091475 266.02261665 38760 Remove groin lymph nodes 878.272867 878.272867 959.5131071975 834.35922365 38765 Remove groin lymph nodes 1356.151333 1356.151333 1481.5953313025 1288.34376635 38770 Remove pelvis lymph nodes 843.675331 843.675331 921.7152991175 801.49156445 38780 Remove abdomen lymph nodes 1073.244398 1073.244398 1172.519504815 1019.5821781 38790 Inject for lymphatic x-ray 86.133449 86.133449 94.1007930325 81.82677655 38792 Ra tracer id of sentinl node 34.597536 34.597536 37.79780808 32.8676592 38794 Access thoracic lymph duct 308.855087 308.855087 337.4241825475 293.41233265 38900 Io map of sent lymph node 144.1564 144.1564 157.490867 136.94858 38999 Blood/lymph system procedure 0 0 0 0 39000 Exploration of chest 517.521476 517.521476 565.39221253 491.6454022 39010 Exploration of chest 819.168743 819.168743 894.9418517275 778.21030585 39200 Resect mediastinal cyst 903.860628 903.860628 987.46773609 858.6675966 39220 Resect mediastinal tumor 1181.361698 1181.361698 1290.637655065 1122.2936131 39401 Mediastinoscpy w/medstnl bx 322.910336 322.910336 352.77954208 306.7648192 39402 Mediastinoscpy w/lmph nod bx 422.738643 422.738643 461.8419674775 401.60171085 39499 Chest procedure 0 0 0 0 39501 Repair diaphragm laceration 888.363815 888.363815 970.5374678875 843.94562425 39503 Repair of diaphragm hernia 6263.235189 6263.235189 6842.5844439825 5950.07342955 39540 Repair of diaphragm hernia 908.18532 908.18532 992.1924621 862.776054 39541 Repair of diaphragm hernia 982.065475 982.065475 1072.9065314375 932.96220125 39545 Revision of diaphragm 926.565261 926.565261 1012.2725476425 880.23699795 39560 Resect diaphragm simple 835.386338 835.386338 912.659574265 793.6170211 39561 Resect diaphragm complex 1294.884863 1294.884863 1414.6617128275 1230.14061985 39599 Diaphragm surgery procedure 0 0 0 0 4000F Tobacco use txmnt counseling 0 0 0 0 4001F Tobacco use txmnt pharmacol 0 0 0 0 4003F Pt ed write/oral pts w/ hf 0 0 0 0 4004F Pt tobacco screen rcvd tlk 0 0 0 0 4005F Pharm thx for op rxd 0 0 0 0 4008F Beta-blocker therapy rxd/tkn 0 0 0 0 4010F ACE/ARB therapy rxd/taken 0 0 0 0 4011F Oral antiplatelet therapy rx 0 0 0 0 4012F Warfarin therapy rx 0 0 0 0 4013F Statin therapy/currently tkn 0 0 0 0 4014F Written discharge instr prvd 0 0 0 0 4015F Persist asthma medicine ctrl 0 0 0 0 4016F Anti-inflm/anlgsc agent rx 0 0 0 0 4017F Gi prophylaxis for nsaid rx 0 0 0 0 4018F Therapy exercise joint rx 0 0 0 0 4019F Doc recpt counsl vit d/calc+ 0 0 0 0 4025F Inhaled bronchodilator rx 0 0 0 0 4030F Oxygen therapy rx 0 0 0 0 4033F Pulmonary rehab rec 0 0 0 0 4035F Influenza imm rec 0 0 0 0 4037F Influenza imm order/admin 0 0 0 0 4040F Pneumoc vac/admin/rcvd 0 0 0 0 4041F Doc order cefazolin/cefurox 0 0 0 0 4042F Doc antibio not given 0 0 0 0 4043F Doc order given stop antibio 0 0 0 0 4044F Doc order given vte prophylx 0 0 0 0 4045F Empiric antibiotic rx 0 0 0 0 4046F Doc antibio given b/4 surg 0 0 0 0 4047F Doc antibio given b/4 surg 0 0 0 0 4048F Doc antibio given b/4 surg 0 0 0 0 40490 Biopsy of lip 75.321719 75.321719 82.2889780075 71.55563305 4049F Doc order given stop antibio 0 0 0 0 40500 Partial excision of lip 377.329377 377.329377 412.2323443725 358.46290815 4050F Ht care plan doc 0 0 0 0 40510 Partial excision of lip 367.238429 367.238429 401.2079836825 348.87650755 4051F Referred for an AV fistula 0 0 0 0 40520 Partial excision of lip 370.842339 370.842339 405.1452553575 352.30022205 40525 Reconstruct lip with flap 571.940517 571.940517 624.8450148225 543.34349115 40527 Reconstruct lip with flap 638.252461 638.252461 697.2908136425 606.33983795 4052F Hemodialysis via AV fistula 0 0 0 0 40530 Partial removal of lip 416.972387 416.972387 455.5423327975 396.12376765 4053F Hemodialysis via AV graft 0 0 0 0 4054F Hemodialysis via catheter 0 0 0 0 4055F Pt rcvng periton dialysis 0 0 0 0 4056F Approp oral rehyd recommd 0 0 0 0 4058F Ped gastro ed given caregvr 0 0 0 0 4060F Psych svcs provided 0 0 0 0 4062F Pt referral psych docd 0 0 0 0 4063F Antidepres rxthxpy not rxd 0 0 0 0 4064F Antidepressant rx 0 0 0 0 40650 Repair lip 313.900561 313.900561 342.9363628925 298.20553295 40652 Repair lip 366.517647 366.517647 400.4205293475 348.19176465 40654 Repair lip 441.478975 441.478975 482.3157801875 419.40502625 4065F Antipsychotic rx 0 0 0 0 4066F ECT provided 0 0 0 0 4067F Pt referral for ect docd 0 0 0 0 4069F Vte prophylaxis rcvd 0 0 0 0 40700 Repair cleft lip/nasal 1048.017028 1048.017028 1144.95860309 995.6161766 40701 Repair cleft lip/nasal 1241.907386 1241.907386 1356.783819205 1179.8120167 40702 Repair cleft lip/nasal 1041.890381 1041.890381 1138.2652412425 989.79586195 4070F Dvt prophylx recvd day 2 0 0 0 0 40720 Repair cleft lip/nasal 1070.721661 1070.721661 1169.7634146425 1017.18557795 4073F Oral antiplat thx rx dischrg 0 0 0 0 4075F Anticoag thx rx at dischrg 0 0 0 0 40761 Repair cleft lip/nasal 1129.105003 1129.105003 1233.5472157775 1072.64975285 4077F Doc t-pa admin considered 0 0 0 0 40799 Lip surgery procedure 0 0 0 0 4079F Doc rehab svcs considered 0 0 0 0 40800 Drainage of mouth lesion 134.065452 134.065452 146.46650631 127.3621794 40801 Drainage of mouth lesion 225.604766 225.604766 246.473206855 214.3245277 40804 Removal foreign body mouth 121.091376 121.091376 132.29232828 115.0368072 40805 Removal foreign body mouth 231.731413 231.731413 253.1665687025 220.14484235 40806 Incision of lip fold 33.516363 33.516363 36.6166265775 31.84054485 40808 Biopsy of mouth lesion 110.279646 110.279646 120.480513255 104.7656637 40810 Excision of mouth lesion 131.182324 131.182324 143.31668897 124.6232078 40812 Excise/repair mouth lesion 202.900133 202.900133 221.6683953025 192.75512635 40814 Excise/repair mouth lesion 313.900561 313.900561 342.9363628925 298.20553295 40816 Excision of mouth lesion 325.072682 325.072682 355.141905085 308.8190479 40818 Excise oral mucosa for graft 285.069281 285.069281 311.4381894925 270.81581695 40819 Excise lip or cheek fold 244.705489 244.705489 267.3407467325 232.47021455 40820 Treatment of mouth lesion 176.951981 176.951981 193.3200392425 168.10438195 40830 Repair mouth laceration 172.627289 172.627289 188.5953132325 163.99592455 40831 Repair mouth laceration 236.056105 236.056105 257.8912947125 224.25329975 40840 Reconstruction of mouth 651.947319 651.947319 712.2524460075 619.34995305 40842 Reconstruction of mouth 637.89207 637.89207 696.897086475 605.9974665 40843 Reconstruction of mouth 851.603933 851.603933 930.3772968025 809.02373635 40844 Reconstruction of mouth 1146.403771 1146.403771 1252.4461198175 1089.08358245 40845 Reconstruction of mouth 1270.378275 1270.378275 1387.8882654375 1206.85936125 4084F Aspirin recvd w/in 24 hrs 0 0 0 0 4086F Aspirin/clopidogrel rxd 0 0 0 0 40899 Mouth surgery procedure 0 0 0 0 4090F Pt rcvng epo thxpy 0 0 0 0 4095F Pt not rcvng epo thxpy 0 0 0 0 41000 Drainage of mouth lesion 116.045902 116.045902 126.780147935 110.2436069 41005 Drainage of mouth lesion 127.578414 127.578414 139.379417295 121.1994933 41006 Drainage of mouth lesion 265.247776 265.247776 289.78319528 251.9853872 41007 Drainage of mouth lesion 256.598392 256.598392 280.33374326 243.7684724 41008 Drainage of mouth lesion 278.942634 278.942634 304.744827645 264.9955023 41009 Drainage of mouth lesion 304.890786 304.890786 333.093183705 289.6462467 4100F Biphos thxpy vein ord/recvd 0 0 0 0 41010 Incision of tongue fold 112.081601 112.081601 122.4491490925 106.47752095 41015 Drainage of mouth lesion 343.452623 343.452623 375.2219906275 326.27999185 41016 Drainage of mouth lesion 362.553346 362.553346 396.089530505 344.4256787 41017 Drainage of mouth lesion 366.517647 366.517647 400.4205293475 348.19176465 41018 Drainage of mouth lesion 427.784117 427.784117 467.3541478225 406.39491115 41019 Place needles h&n for rt 496.258407 496.258407 542.1623096475 471.44548665 41100 Biopsy of tongue 110.640037 110.640037 120.8742404225 105.10803515 41105 Biopsy of tongue 114.964729 114.964729 125.5989664325 109.21649255 41108 Biopsy of floor of mouth 92.980878 92.980878 101.581609215 88.3318341 4110F Int mam art used for cabg 0 0 0 0 41110 Excision of tongue lesion 135.867407 135.867407 148.4351421475 129.07403665 41112 Excision of tongue lesion 260.202302 260.202302 284.271014935 247.1921869 41113 Excision of tongue lesion 287.592018 287.592018 314.194279665 273.2124171 41114 Excision of tongue lesion 652.30771 652.30771 712.646173175 619.6923245 41115 Excision of tongue fold 150.283047 150.283047 164.1842288475 142.76889465 41116 Excision of mouth lesion 227.406721 227.406721 248.4418426925 216.03638495 41120 Partial removal of tongue 1112.166626 1112.166626 1215.042038905 1056.5582947 41130 Partial removal of tongue 1372.729319 1372.729319 1499.7067810075 1304.09285305 41135 Tongue and neck surgery 2267.580172 2267.580172 2477.33133791 2154.2011634 41140 Removal of tongue 2270.823691 2270.823691 2480.8748824175 2157.28250645 41145 Tongue removal neck surgery 2876.640962 2876.640962 3142.730250985 2732.8089139 41150 Tongue mouth jaw surgery 2289.203632 2289.203632 2500.95496796 2174.7434504 41153 Tongue mouth neck surgery 2481.292035 2481.292035 2710.8115482375 2357.22743325 41155 Tongue jaw & neck surgery 3143.690693 3143.690693 3434.4820821025 2986.50615835 4115F Beta blckr admin w/in 24 hrs 0 0 0 0 4120F Antibiot rxd/given 0 0 0 0 4124F Antibiot not rxd/given 0 0 0 0 41250 Repair tongue laceration 159.292822 159.292822 174.027408035 151.3281809 41251 Repair tongue laceration 191.00723 191.00723 208.675398775 181.4568685 41252 Repair tongue laceration 216.594991 216.594991 236.6300276675 205.76524145 4130F Topical prep rx aoe 0 0 0 0 4131F Syst antimicrobial thx rx 0 0 0 0 4132F No syst antimicrobial thx rx 0 0 0 0 4133F Antihist/decong rx/recom 0 0 0 0 4134F No antihist/decong rx/recom 0 0 0 0 4135F Systemic corticosteroids rx 0 0 0 0 4136F Syst corticosteroids not rx 0 0 0 0 4140F Inhaled corticosteroids rxd 0 0 0 0 4142F Corticoster sparng txmnt rxd 0 0 0 0 4144F Alt long-term cntrl med rxd 0 0 0 0 4145F 2+ anti-hyprtnsv agents tkn 0 0 0 0 4148F Hep A vac injxn admin/recvd 0 0 0 0 4149F Hep B vac injxn admin/recvd 0 0 0 0 4150F Pt recvng antivir txmnt hepc 0 0 0 0 41510 Tongue to lip surgery 468.868691 468.868691 512.2390449175 445.42525645 41512 Tongue suspension 682.940945 682.940945 746.1129824125 648.79389775 4151F Pt not recvng antiv hep c 0 0 0 0 41520 Reconstruction tongue fold 256.238001 256.238001 279.9400160925 243.42610095 41530 Tongue base vol reduction 386.339152 386.339152 422.07552356 367.0221944 4153F Combo pegintf/rib rx 0 0 0 0 4155F Hep A vac series prev recvd 0 0 0 0 4157F Hep B vac series prev recvd 0 0 0 0 4158F Pt edu re alcoh drnkng done 0 0 0 0 41599 Tongue and mouth surgery 0 0 0 0 4159F Contrcp talk b/4 antiv txmnt 0 0 0 0 4163F Pt couns 4 txmnt opt prost 0 0 0 0 4164F Adjv hrmnl thxpy rxd 0 0 0 0 4165F 3d-crt/imrt received 0 0 0 0 4167F Hd bed tilted 1st day vent 0 0 0 0 4168F Pt care icu&vent w/in 24hrs 0 0 0 0 4169F No pt care ICU/vent in 24hrs 0 0 0 0 4171F Pt rcvng esa thxpy 0 0 0 0 4172F Pt not rcvng esa thxpy 0 0 0 0 4174F Couns potent glauc impct 0 0 0 0 4175F Vis of >= 20/40 w/in 90 days 0 0 0 0 4176F Talk re uv light pt/crgvr 0 0 0 0 4177F Talk pt/crgvr re areds prev 0 0 0 0 4178F Antid glbln rcvd w/in 26wks 0 0 0 0 4179F Tamoxifen/AI prescribed 0 0 0 0 41800 Drainage of gum lesion 156.770085 156.770085 171.2713178625 148.93158075 41805 Removal foreign body gum 195.692313 195.692313 213.7938519525 185.90769735 41806 Removal foreign body jawbone 285.069281 285.069281 311.4381894925 270.81581695 4180F Adjv thxpyrxd/rcvd colon ca 0 0 0 0 4181F Conformal radn thxpy rcvd 0 0 0 0 41820 Excision gum each quadrant 0 0 0 0 41821 Excision of gum flap 0 0 0 0 41822 Excision of gum lesion 183.078628 183.078628 200.01340109 173.9246966 41823 Excision of gum lesion 334.082457 334.082457 364.9850842725 317.37833415 41825 Excision of gum lesion 127.218023 127.218023 138.9856901275 120.85712185 41826 Excision of gum lesion 219.83851 219.83851 240.173572175 208.8465845 41827 Excision of gum lesion 318.946035 318.946035 348.4485432375 302.99873325 41828 Excision of gum lesion 218.036555 218.036555 238.2049363375 207.13472725 4182F No conformal radn thxpy 0 0 0 0 41830 Removal of gum tissue 290.835537 290.835537 317.7378241725 276.29376015 41850 Treatment of gum lesion 0 0 0 0 4185F Continuous ppi or h2ra rcvd 0 0 0 0 4186F No cont ppi or h2ra rcvd 0 0 0 0 41870 Gum graft 0 0 0 0 41872 Repair gum 277.140679 277.140679 302.7761918075 263.28364505 41874 Repair tooth socket 267.049731 267.049731 291.7518311175 253.69724445 4187F Anti rheum drugthxpyrxd/gvn 0 0 0 0 4188F Approp ACE/ARB tstng done 0 0 0 0 41899 Dental surgery procedure 0 0 0 0 4189F Approp digoxin tstng done 0 0 0 0 4190F Approp diuretic tstng done 0 0 0 0 4191F Approp anticonvuls tstng 0 0 0 0 4192F Pt not rcvng glucoco thxpy 0 0 0 0 4193F Pt rcvng<10mg daily predniso 0 0 0 0 4194F Pt rcvng>10mg daily predniso 0 0 0 0 4195F Pt rcvng anti-rheum thxpy RA 0 0 0 0 4196F Ptnot rcvng anti-rhm thxpyRA 0 0 0 0 42000 Drainage mouth roof lesion 107.036127 107.036127 116.9369687475 101.68432065 4200F External beam to prost only 0 0 0 0 4201F Extrnl beam other than prost 0 0 0 0 42100 Biopsy roof of mouth 113.162774 113.162774 123.630330595 107.5046353 42104 Excision lesion mouth roof 143.435618 143.435618 156.703412665 136.2638371 42106 Excision lesion mouth roof 182.357846 182.357846 199.225946755 173.2399537 42107 Excision lesion mouth roof 358.228654 358.228654 391.364804495 340.3172213 4210F Ace/arb thxpy for mos/> 0 0 0 0 42120 Remove palate/lesion 1050.179374 1050.179374 1147.320966095 997.6704053 42140 Excision of uvula 160.734386 160.734386 175.602316705 152.6976667 42145 Repair palate pharynx/uvula 720.421609 720.421609 787.0606078325 684.40052855 42160 Treatment mouth roof lesion 151.724611 151.724611 165.7591375175 144.13838045 42180 Repair palate 189.926057 189.926057 207.4942172725 180.42975415 42182 Repair palate 264.166603 264.166603 288.6020137775 250.95827285 42200 Reconstruct cleft palate 982.425866 982.425866 1073.300258605 933.3045727 42205 Reconstruct cleft palate 1025.672786 1025.672786 1120.547518705 974.3891467 4220F Digoxin thxpy for 6 mos/> 0 0 0 0 42210 Reconstruct cleft palate 1143.160252 1143.160252 1248.90257531 1086.0022394 42215 Reconstruct cleft palate 746.369761 746.369761 815.4089638925 709.05127295 4221F Diuretic thxpy for 6 mos/> 0 0 0 0 42220 Reconstruct cleft palate 615.187437 615.187437 672.0922749225 584.42806515 42225 Reconstruct cleft palate 1024.231222 1024.231222 1118.972610035 973.0196609 42226 Lengthening of palate 912.510012 912.510012 996.91718811 866.8845114 42227 Lengthening of palate 859.532535 859.532535 939.0392944875 816.55590825 42235 Repair palate 750.334062 750.334062 819.739962735 712.8173589 42260 Repair nose to lip fistula 683.661727 683.661727 746.9004367475 649.47864065 42280 Preparation palate mold 115.685511 115.685511 126.3864207675 109.90123545 42281 Insertion palate prosthesis 171.185725 171.185725 187.0204045625 162.62643875 42299 Palate/uvula surgery 0 0 0 0 42300 Drainage of salivary gland 157.851258 157.851258 172.452499365 149.9586951 42305 Drainage of salivary gland 443.641321 443.641321 484.6781431925 421.45925495 4230F Anticonv thxpy for 6 mos/> 0 0 0 0 42310 Drainage of salivary gland 141.273272 141.273272 154.34104966 134.2096084 42320 Drainage of salivary gland 181.997455 181.997455 198.8322195875 172.89758225 42330 Removal of salivary stone 170.104552 170.104552 185.83922306 161.5993244 42335 Removal of salivary stone 265.968558 265.968558 290.570649615 252.6701301 42340 Removal of salivary stone 350.660443 350.660443 383.0965339775 333.12742085 42400 Biopsy of salivary gland 55.860605 55.860605 61.0277109625 53.06757475 42405 Biopsy of salivary gland 234.25415 234.25415 255.922658875 222.5414425 42408 Excision of salivary cyst 369.040384 369.040384 403.17661952 350.5883648 42409 Drainage of salivary cyst 231.010631 231.010631 252.3791143675 219.46009945 4240F Instr xrcz 4bk pn >12 weeks 0 0 0 0 42410 Excise parotid gland/lesion 645.460281 645.460281 705.1653569925 613.18726695 42415 Excise parotid gland/lesion 1092.345121 1092.345121 1193.3870446925 1037.72786495 42420 Excise parotid gland/lesion 1227.491746 1227.491746 1341.034732505 1166.1171587 42425 Excise parotid gland/lesion 864.217618 864.217618 944.157747665 821.0067371 42426 Excise parotid gland/lesion 1398.677471 1398.677471 1528.0551370675 1328.74359745 4242F Sprvsd xrcz bk pn >12 weeks 0 0 0 0 42440 Excise submaxillary gland 426.342553 426.342553 465.7792391525 405.02542535 42450 Excise sublingual gland 369.761166 369.761166 403.964073855 351.2731077 4245F Pt instr nrml lifest 0 0 0 0 4248F Pt instr no bd rest 4 days/> 0 0 0 0 42500 Repair salivary duct 353.18318 353.18318 385.85262415 335.524021 42505 Repair salivary duct 468.147909 468.147909 511.4515905825 444.74051355 42507 Parotid duct diversion 522.206559 522.206559 570.5106657075 496.09623105 42509 Parotid duct diversion 863.496836 863.496836 943.37029333 820.3219942 4250F Wrmng 4 surg normothermia 0 0 0 0 42510 Parotid duct diversion 640.775198 640.775198 700.046903815 608.7364381 42550 Injection for salivary x-ray 66.311944 66.311944 72.44579882 62.9963468 4255F Anesth 60 min/> as docd 0 0 0 0 4256F Anesthe <60 min as docd 0 0 0 0 42600 Closure of salivary fistula 360.751391 360.751391 394.1208946675 342.71382145 4260F Wound srfc culturetech used 0 0 0 0 4261F Tech other than surfc cultr 0 0 0 0 42650 Dilation of salivary duct 59.824906 59.824906 65.358709805 56.8336607 4265F Wet-dry dressings rx recmd 0 0 0 0 42660 Dilation of salivary duct 92.620487 92.620487 101.1878820475 87.98946265 42665 Ligation of salivary duct 214.793036 214.793036 234.66139183 204.0533842 4266F No wet-dry drssings rx recmd 0 0 0 0 4267F Comprssion thxpy prescribed 0 0 0 0 4268F Pt ed re comp thxpy rcvd 0 0 0 0 42699 Salivary surgery procedure 0 0 0 0 4269F Appropos mthd offloading Rxd 0 0 0 0 42700 Drainage of tonsil abscess 139.831708 139.831708 152.76614099 132.8401226 4270F Pt rcvng anti r-viral thxpy 0 0 0 0 4271F Pt rcvng anti r-viral thxpy 0 0 0 0 42720 Drainage of throat abscess 405.800266 405.800266 443.336790605 385.5102527 42725 Drainage of throat abscess 846.91885 846.91885 925.258843625 804.5729075 4274F Flu immuno admind rcvd 0 0 0 0 4276F Potent antivir thxpy Rxd 0 0 0 0 4279F PCP prophylaxis Rxd 0 0 0 0 42800 Biopsy of throat 116.406293 116.406293 127.1738751025 110.58597835 42804 Biopsy of upper nose/throat 118.208248 118.208248 129.14251094 112.2978356 42806 Biopsy of upper nose/throat 137.308971 137.308971 150.0100508175 130.44352245 42808 Excise pharynx lesion 168.302597 168.302597 183.8705872225 159.88746715 42809 Remove pharynx foreign body 127.218023 127.218023 138.9856901275 120.85712185 4280F PCP prophylax Rxd 3mon low % 0 0 0 0 42810 Excision of neck cyst 295.52062 295.52062 322.85627735 280.744589 42815 Excision of neck cyst 569.057389 569.057389 621.6951974825 540.60451955 42820 Remove tonsils and adenoids 299.12453 299.12453 326.793549025 284.1683035 42821 Remove tonsils and adenoids 310.657042 310.657042 339.392818385 295.1241899 42825 Removal of tonsils 270.653641 270.653641 295.6891027925 257.12095895 42826 Removal of tonsils 259.841911 259.841911 283.8772877675 246.84981545 42830 Removal of adenoids 214.432645 214.432645 234.2676646625 203.71101275 42831 Removal of adenoids 231.731413 231.731413 253.1665687025 220.14484235 42835 Removal of adenoids 199.296223 199.296223 217.7311236275 189.33141185 42836 Removal of adenoids 248.309399 248.309399 271.2780184075 235.89392905 42842 Extensive surgery of throat 1047.296246 1047.296246 1144.171148755 994.9314337 42844 Extensive surgery of throat 1439.762045 1439.762045 1572.9400341625 1367.77394275 42845 Extensive surgery of throat 2318.034912 2318.034912 2532.45314136 2202.1331664 42860 Excision of tonsil tags 194.250749 194.250749 212.2189432825 184.53821155 42870 Excision of lingual tonsil 613.025091 613.025091 669.7299119175 582.37383645 42890 Partial removal of pharynx 1487.333657 1487.333657 1624.9120202725 1412.96697415 42892 Revision of pharyngeal walls 1952.238047 1952.238047 2132.8200663475 1854.62614465 42894 Revision of pharyngeal walls 2470.480305 2470.480305 2698.9997332125 2346.95628975 42900 Repair throat wound 347.777315 347.777315 379.9467166375 330.38844925 4290F Pt scrned for inj drug use 0 0 0 0 4293F Pt scrnd hgh-risk sex behav 0 0 0 0 42950 Reconstruction of throat 838.990248 838.990248 916.59684594 797.0407356 42953 Repair throat esophagus 1006.211672 1006.211672 1099.28625166 955.9010884 42955 Surgical opening of throat 795.022546 795.022546 868.562131505 755.2714187 42960 Control throat bleeding 174.068853 174.068853 190.1702219025 165.36541035 42961 Control throat bleeding 431.748418 431.748418 471.685146665 410.1609971 42962 Control throat bleeding 534.459853 534.459853 583.8973894025 507.73686035 42970 Control nose/throat bleeding 424.900989 424.900989 464.2043304825 403.65593955 42971 Control nose/throat bleeding 470.310255 470.310255 513.8139535875 446.79474225 42972 Control nose/throat bleeding 526.531251 526.531251 575.2353917175 500.20468845 42999 Throat surgery procedure 0 0 0 0 4300F Pt rcvng warf thxpy 0 0 0 0 4301F Pt not rcvng warf thxpy 0 0 0 0 43020 Incision of esophagus 582.752247 582.752247 636.6568298475 553.61463465 43030 Throat muscle surgery 537.703372 537.703372 587.44093391 510.8182034 43045 Incision of esophagus 1357.592897 1357.592897 1483.1702399725 1289.71325215 4305F Pt ed re ft care inspct rcvd 0 0 0 0 4306F Pt tlk psych & Rx opd addic 0 0 0 0 43100 Excision of esophagus lesion 647.622627 647.622627 707.5277199975 615.24149565 43101 Excision of esophagus lesion 1046.935855 1046.935855 1143.7774215875 994.58906225 43107 Removal of esophagus 3117.38215 3117.38215 3405.739998875 2961.5130425 43108 Removal of esophagus 4682.199872 4682.199872 5115.30336016 4448.0898784 43112 Removal of esophagus 3663.374515 3663.374515 4002.2366576375 3480.20578925 43113 Removal of esophagus 4570.839053 4570.839053 4993.6416654025 4342.29710035 43116 Partial removal of esophagus 5248.374133 5248.374133 5733.8487403025 4985.95542635 43117 Partial removal of esophagus 3401.730649 3401.730649 3716.3907340325 3231.64411655 43118 Partial removal of esophagus 3809.33287 3809.33287 4161.696160475 3618.8662265 43121 Partial removal of esophagus 2966.01793 2966.01793 3240.374588525 2817.7170335 43122 Partial removal of esophagus 2670.857701 2670.857701 2917.9120383425 2537.31481595 43123 Partial removal of esophagus 4685.803782 4685.803782 5119.240631835 4451.5135929 43124 Removal of esophagus 3981.239377 3981.239377 4349.5040193725 3782.17740815 43130 Removal of esophagus pouch 815.564833 815.564833 891.0045800525 774.78659135 43135 Removal of esophagus pouch 1533.463705 1533.463705 1675.3090977125 1456.79051975 43180 Esophagoscopy rigid trnso 567.615825 567.615825 620.1202888125 539.23503375 43191 Esophagoscopy rigid trnso dx 161.094777 161.094777 175.9960438725 153.04003815 43192 Esophagoscp rig trnso inject 175.870808 175.870808 192.13885774 167.0772676 43193 Esophagoscp rig trnso biopsy 175.870808 175.870808 192.13885774 167.0772676 43194 Esophagoscp rig trnso rem fb 201.098178 201.098178 219.699759465 191.0432691 43195 Esophagoscopy rigid balloon 191.728012 191.728012 209.46285311 182.1416114 43196 Esophagoscp guide wire dilat 204.341697 204.341697 223.2433039725 194.12461215 43197 Esophagoscopy flex dx brush 86.49384 86.49384 94.4945202 82.169148 43198 Esophagosc flex trnsn biopy 103.071826 103.071826 112.605969905 97.9182347 43200 Esophagus endoscopy 91.178923 91.178923 99.6129733775 86.61997685 43201 Esoph scope w/submucous inj 107.756909 107.756909 117.7244230825 102.36906355 43202 Esophagus endoscopy biopsy 108.1173 108.1173 118.11815025 102.711435 43204 Esoph scope w/sclerosis inj 142.714836 142.714836 155.91595833 135.5790942 43205 Esophagus endoscopy/ligation 148.841483 148.841483 162.6093201775 141.39940885 43206 Esoph optical endomicroscopy 140.55249 140.55249 153.553595325 133.5248655 4320F Pt talk psychsoc&rx oh dpnd 0 0 0 0 43210 Egd esophagogastrc fndoplsty 452.290705 452.290705 494.1275952125 429.67616975 43211 Esophagoscop mucosal resect 247.588617 247.588617 270.4905640725 235.20918615 43212 Esophagoscop stent placement 199.656614 199.656614 218.124850795 189.6737833 43213 Esophagoscopy retro balloon 272.455596 272.455596 297.65773863 258.8328162 43214 Esophagosc dilate balloon 30 202.179351 202.179351 220.8809409675 192.07038345 43215 Esophagus endoscopy 149.201874 149.201874 163.003047345 141.7417803 43216 Esophagus endoscopy/lesion 139.110926 139.110926 151.978686655 132.1553797 43217 Esophagus endoscopy 169.023379 169.023379 184.6580415575 160.57221005 43220 Esoph endoscopy dilation 123.614113 123.614113 135.0484184525 117.43340735 43226 Esoph endoscopy dilation 136.94858 136.94858 149.61632365 130.101151 43227 Esoph endoscopy repair 174.429244 174.429244 190.56394907 165.7077818 43229 Esophagoscopy lesion ablate 207.945607 207.945607 227.1805756475 197.54832665 4322F Crgvr prov w/ ed addl rsrcs 0 0 0 0 43231 Esoph endoscopy w/us exam 167.581815 167.581815 183.0831328875 159.20272425 43232 Esoph endoscopy w/us fn bx 209.747562 209.747562 229.149211485 199.2601839 43233 Egd balloon dil esoph30 mm/> 240.741188 240.741188 263.00974789 228.7041286 43235 Uppr gi endoscopy diagnosis 129.019978 129.019978 140.954325965 122.5689791 43236 Uppr gi scope w/submuc inj 145.958355 145.958355 159.4595028375 138.66043725 43237 Endoscopic us exam esoph 206.504043 206.504043 225.6056669775 196.17884085 43238 Uppr gi endoscopy w/us fn bx 245.426271 245.426271 268.1282010675 233.15495745 43239 Upper gi endoscopy biopsy 145.958355 145.958355 159.4595028375 138.66043725 43240 Esoph endoscope w/drain cyst 414.44965 414.44965 452.786242625 393.7271675 43241 Upper GI endoscopy with tube 150.283047 150.283047 164.1842288475 142.76889465 43242 Uppr gi endoscopy w/us fn bx 277.140679 277.140679 302.7761918075 263.28364505 43243 Upper gi endoscopy & inject 250.111354 250.111354 273.246654245 237.6057863 43244 Upper GI endoscopy/ligation 258.400347 258.400347 282.3023790975 245.48032965 43245 Uppr gi scope dilate strictr 184.880583 184.880583 201.9820369275 175.63655385 43246 Place gastrostomy tube 211.189126 211.189126 230.724120155 200.6296697 43247 Operative upper GI endoscopy 186.682538 186.682538 203.950672765 177.3484111 43248 Uppr gi endoscopy/guide wire 175.150026 175.150026 191.351403405 166.3925247 43249 Esoph endoscopy dilation 161.815559 161.815559 176.7834982075 153.72478105 4324F Pt queried prkns complic 0 0 0 0 43250 Upper GI endoscopy/tumor 179.114327 179.114327 195.6824022475 170.15861065 43251 Operative upper GI endoscopy 206.864434 206.864434 225.999394145 196.5212123 43252 Egd optical endomicroscopy 178.393545 178.393545 194.8949479125 169.47386775 43253 Egd us transmural injxn/mark 277.50107 277.50107 303.169918975 263.6260165 43254 Egd endo mucosal resection 285.069281 285.069281 311.4381894925 270.81581695 43255 Operative upper GI endoscopy 211.549517 211.549517 231.1178473225 200.97204115 43257 Uppr gi scope w/thrml txmnt 245.06588 245.06588 267.7344739 232.812586 43259 Endoscopic ultrasound exam 238.578842 238.578842 260.647384885 226.6498999 4325F Med txmnt options rvwd w/pt 0 0 0 0 43260 Endo cholangiopancreatograph 340.569495 340.569495 372.0721732875 323.54102025 43261 Endo cholangiopancreatograph 357.507872 357.507872 390.57735016 339.6324784 43262 Endo cholangiopancreatograph 376.968986 376.968986 411.838617205 358.1205367 43263 Endo cholangiopancreatograph 377.329377 377.329377 412.2323443725 358.46290815 43264 Endo cholangiopancreatograph 384.176806 384.176806 419.713160555 364.9679657 43265 Endo cholangiopancreatograph 457.336179 457.336179 499.6397755575 434.46937005 43266 Egd endoscopic stent place 230.289849 230.289849 251.5916600325 218.77535655 4326F Pt asked re symp auto dysfxn 0 0 0 0 43270 Egd lesion ablation 236.776887 236.776887 258.6787490475 224.93804265 43273 Endoscopic pancreatoscopy 125.776459 125.776459 137.4107814575 119.48763605 43274 Ercp duct stent placement 488.690196 488.690196 533.89403913 464.2556862 43275 Ercp remove forgn body duct 397.871664 397.871664 434.67479292 377.9780808 43276 Ercp stent exchange w/dilate 508.872092 508.872092 555.94276051 483.4284874 43277 Ercp ea duct/ampulla dilate 399.673619 399.673619 436.6434287575 379.68993805 43278 Ercp lesion ablate w/dilate 456.975788 456.975788 499.24604839 434.1269986 43279 Lap myotomy heller 1347.501949 1347.501949 1472.1458792825 1280.12685155 43280 Laparoscopy fundoplasty 1129.105003 1129.105003 1233.5472157775 1072.64975285 43281 Lap paraesophag hern repair 1613.830898 1613.830898 1763.110256065 1533.1393531 43282 Lap paraesoph her rpr w/mesh 1814.568685 1814.568685 1982.4162883625 1723.84025075 43283 Lap esoph lengthening 165.77986 165.77986 181.11449705 157.490867 43284 Laps esophgl sphnctr agmntj 673.210388 673.210388 735.48234889 639.5498686 43285 Rmvl esophgl sphnctr dev 684.7429 684.7429 748.08161825 650.505755 43286 Esphg tot w/laps moblj 3279.197709 3279.197709 3582.5234970825 3115.23782355 43287 Esphg dstl 2/3 w/laps moblj 3753.111874 3753.111874 4100.274722345 3565.4562803 43288 Esphg thrsc moblj 3908.440395 3908.440395 4269.9711315375 3713.01837525 43289 Laparoscope proc esoph 0 0 0 0 4328F Pt asked re sleep disturb 0 0 0 0 43300 Repair of esophagus 636.090115 636.090115 694.9284506375 604.28560925 43305 Repair esophagus and fistula 1128.02383 1128.02383 1232.366034275 1071.6226385 4330F Cnslng epi spec sfty issues 0 0 0 0 43310 Repair of esophagus 1546.798172 1546.798172 1689.87700291 1469.4582634 43312 Repair esophagus and fistula 1662.844074 1662.844074 1816.657150845 1579.7018703 43313 Esophagoplasty congenital 2858.621412 2858.621412 3123.04389261 2715.6903414 43314 Tracheo-esophagoplasty cong 2971.784186 2971.784186 3246.674223205 2823.1949767 43320 Fuse esophagus & stomach 1458.141986 1458.141986 1593.020119705 1385.2348867 43325 Revise esophagus & stomach 1418.498976 1418.498976 1549.71013128 1347.5740272 43327 Esoph fundoplasty lap 856.289016 856.289016 935.49574998 813.4745652 43328 Esoph fundoplasty thor 1174.87466 1174.87466 1283.55056605 1116.130927 43330 Esophagomyotomy abdominal 1394.71317 1394.71317 1523.724138225 1324.9775115 43331 Esophagomyotomy thoracic 1395.794343 1395.794343 1524.9053197275 1326.00462585 43332 Transab esoph hiat hern rpr 1210.91376 1210.91376 1322.9232828 1150.368072 43333 Transab esoph hiat hern rpr 1318.310278 1318.310278 1440.253978715 1252.3947641 43334 Transthor diaphrag hern rpr 1304.975811 1304.975811 1425.6860735175 1239.72702045 43335 Transthor diaphrag hern rpr 1396.154734 1396.154734 1525.299046895 1326.3469973 43336 Thorabd diaphr hern repair 1579.233362 1579.233362 1725.312447985 1500.2716939 43337 Thorabd diaphr hern repair 1606.983469 1606.983469 1755.6294398825 1526.63429555 43338 Esoph lengthening 121.451767 121.451767 132.6860554475 115.37917865 43340 Fuse esophagus & intestine 1436.878917 1436.878917 1569.7902168225 1365.03497115 43341 Fuse esophagus & intestine 1463.18746 1463.18746 1598.53230005 1390.028087 43351 Surgical opening esophagus 1357.953288 1357.953288 1483.56396714 1290.0556236 43352 Surgical opening esophagus 1112.887408 1112.887408 1215.82949324 1057.2430376 43360 Gastrointestinal repair 2350.830493 2350.830493 2568.2823136025 2233.28896835 43361 Gastrointestinal repair 2822.582312 2822.582312 3083.67117586 2681.4531964 43400 Ligate esophagus veins 1594.369784 1594.369784 1741.84898902 1514.6512948 43401 Esophagus surgery for veins 1591.486656 1591.486656 1738.69917168 1511.9123232 43405 Ligate/staple esophagus 1513.281809 1513.281809 1653.2603763325 1437.61771855 4340F Cnslng chldbrng women epi 0 0 0 0 43410 Repair esophagus wound 1060.991104 1060.991104 1159.13278112 1007.9415488 43415 Repair esophagus wound 2690.679206 2690.679206 2939.567032555 2556.1452457 43420 Repair esophagus opening 1051.981329 1051.981329 1149.2896019325 999.38226255 43425 Repair esophagus opening 1500.668124 1500.668124 1639.47992547 1425.6347178 43450 Dilate esophagus 83.250321 83.250321 90.9509756925 79.08780495 43453 Dilate esophagus 90.09775 90.09775 98.431791875 85.5928625 43460 Pressure treatment esophagus 224.163202 224.163202 244.898298185 212.9550419 43496 Free jejunum flap microvasc 0 0 0 0 43499 Esophagus surgery procedure 0 0 0 0 43500 Surgical opening of stomach 819.529134 819.529134 895.335578895 778.5526773 43501 Surgical repair of stomach 1406.966464 1406.966464 1537.11086192 1336.6181408 43502 Surgical repair of stomach 1585.7204 1585.7204 1732.399537 1506.43438 4350F Cnslng provided symp mngmnt 0 0 0 0 43510 Surgical opening of stomach 989.633686 989.633686 1081.174801955 940.1520017 43520 Incision of pyloric muscle 718.980045 718.980045 785.4856991625 683.03104275 43605 Biopsy of stomach 876.831303 876.831303 957.9381985275 832.98973785 43610 Excision of stomach lesion 1027.474741 1027.474741 1122.5161545425 976.10100395 43611 Excision of stomach lesion 1281.910787 1281.910787 1400.4875347975 1217.81524765 43620 Removal of stomach 2054.2287 2054.2287 2244.24485475 1951.517265 43621 Removal of stomach 2378.220209 2378.220209 2598.2055783325 2259.30919855 43622 Removal of stomach 2414.6197 2414.6197 2637.97202225 2293.888715 43631 Removal of stomach partial 1516.885719 1516.885719 1657.1976480075 1441.04143305 43632 Removal of stomach partial 2129.190028 2129.190028 2326.14010559 2022.7305266 43633 Removal of stomach partial 2011.342171 2011.342171 2197.3913218175 1910.77506245 43634 Removal of stomach partial 2215.683868 2215.683868 2420.63462579 2104.8996746 43635 Removal of stomach partial 117.487466 117.487466 128.355056605 111.6130927 43640 Vagotomy & pylorus repair 1232.176829 1232.176829 1346.1531856825 1170.56798755 43641 Vagotomy & pylorus repair 1248.394424 1248.394424 1363.87090822 1185.9747028 43644 Lap gastric bypass/roux-en-y 1810.604384 1810.604384 1978.08528952 1720.0741648 43645 Lap gastr bypass incl smll i 1937.822407 1937.822407 2117.0709796475 1840.93128665 43647 Lap impl electrode antrum 0 0 0 0 43648 Lap revise/remv eltrd antrum 0 0 0 0 43651 Laparoscopy vagus nerve 680.418208 680.418208 743.35689224 646.3972976 43652 Laparoscopy vagus nerve 799.707629 799.707629 873.6805846825 759.72224755 43653 Laparoscopy gastrostomy 598.969842 598.969842 654.374552385 569.0213499 43659 Laparoscope proc stom 0 0 0 0 43752 Nasal/orogastric w/stent 42.165747 42.165747 46.0660785975 40.05745965 43753 Tx gastro intub w/asp 22.704633 22.704633 24.8048115525 21.56940135 43754 Dx gastr intub w/asp spec 37.480664 37.480664 40.94762542 35.6066308 43755 Dx gastr intub w/asp specs 62.708034 62.708034 68.508527145 59.5726323 43756 Dx duod intub w/asp spec 53.337868 53.337868 58.27162079 50.6709746 43757 Dx duod intub w/asp specs 80.367193 80.367193 87.8011583525 76.34883335 43761 Reposition gastrostomy tube 107.396518 107.396518 117.330695915 102.0266921 43762 39.282619 39.282619 42.9162612575 37.31848805 43763 86.854231 86.854231 94.8882473675 82.51151945 43770 Lap place gastr adj device 1174.153878 1174.153878 1282.763111715 1115.4461841 43771 Lap revise gastr adj device 1325.157707 1325.157707 1447.7347948975 1258.89982165 43772 Lap rmvl gastr adj device 988.912904 988.912904 1080.38734762 939.4672588 43773 Lap replace gastr adj device 1327.320053 1327.320053 1450.0971579025 1260.95405035 43774 Lap rmvl gastr adj all parts 1002.607762 1002.607762 1095.348979985 952.4773739 43775 Lap sleeve gastrectomy 1166.225276 1166.225276 1274.10111403 1107.9140122 43800 Reconstruction of pylorus 972.695309 972.695309 1062.6696250825 924.06054355 43810 Fusion of stomach and bowel 1059.909931 1059.909931 1157.9515996175 1006.91443445 43820 Fusion of stomach and bowel 1404.443727 1404.443727 1534.3547717475 1334.22154065 43825 Fusion of stomach and bowel 1365.161108 1365.161108 1491.43851049 1296.9030526 43830 Place gastrostomy tube 731.59373 731.59373 799.266150025 695.0140435 43831 Place gastrostomy tube 625.278385 625.278385 683.1166356125 594.01446575 43832 Place gastrostomy tube 1084.056128 1084.056128 1184.33131984 1029.8533216 43840 Repair of stomach lesion 1421.382104 1421.382104 1552.85994862 1350.3129988 43842 V-band gastroplasty 1246.592469 1246.592469 1361.9022723825 1184.26284555 43843 Gastroplasty w/o v-band 1319.03106 1319.03106 1441.04143305 1253.079507 43845 Gastroplasty duodenal switch 2036.20915 2036.20915 2224.558496375 1934.3986925 43846 Gastric bypass for obesity 1694.198091 1694.198091 1850.9114144175 1609.48818645 43847 Gastric bypass incl small i 1877.63711 1877.63711 2051.318542675 1783.7552545 43848 Revision gastroplasty 2014.946081 2014.946081 2201.3285934925 1914.19877695 43850 Revise stomach-bowel fusion 1693.477309 1693.477309 1850.1239600825 1608.80344355 43855 Revise stomach-bowel fusion 1681.944797 1681.944797 1837.5246907225 1597.84755715 43860 Revise stomach-bowel fusion 1709.334513 1709.334513 1867.4479554525 1623.86778735 43865 Revise stomach-bowel fusion 1781.052322 1781.052322 1945.799661785 1691.9997059 43870 Repair stomach opening 742.40546 742.40546 811.07796505 705.285187 43880 Repair stomach-bowel fistula 1664.285638 1664.285638 1818.232059515 1581.0713561 43881 Impl/redo electrd antrum 0 0 0 0 43882 Revise/remove electrd antrum 0 0 0 0 43886 Revise gastric port open 377.689768 377.689768 412.62607154 358.8052796 43887 Remove gastric port open 340.209104 340.209104 371.67844612 323.1986488 43888 Change gastric port open 480.040812 480.040812 524.44458711 456.0387714 43999 Stomach surgery procedure 0 0 0 0 44005 Freeing of bowel adhesion 1144.601816 1144.601816 1250.47748398 1087.3717252 4400F Rehab thxpy options w/pt 0 0 0 0 44010 Incision of small bowel 898.815154 898.815154 981.955555745 853.8743963 44015 Insert needle cath bowel 148.841483 148.841483 162.6093201775 141.39940885 44020 Explore small intestine 1018.104575 1018.104575 1112.2792481875 967.19934625 44021 Decompress small bowel 1019.90653 1019.90653 1114.247884025 968.9112035 44025 Incision of large bowel 1028.555914 1028.555914 1123.697336045 977.1281183 44050 Reduce bowel obstruction 977.380392 977.380392 1067.78807826 928.5113724 44055 Correct malrotation of bowel 1564.09694 1564.09694 1708.77590695 1485.892093 44100 Biopsy of bowel 113.162774 113.162774 123.630330595 107.5046353 44110 Excise intestine lesion(s) 887.643033 887.643033 969.7500135525 843.26088135 44111 Excision of bowel lesion(s) 1027.474741 1027.474741 1122.5161545425 976.10100395 44120 Removal of small intestine 1278.667268 1278.667268 1396.94399029 1214.7339046 44121 Removal of small intestine 253.715264 253.715264 277.18392592 241.0295008 44125 Removal of small intestine 1232.53722 1232.53722 1346.54691285 1170.910359 44126 Enterectomy w/o taper cong 2570.308612 2570.308612 2808.06215861 2441.7931814 44127 Enterectomy w/taper cong 2990.884909 2990.884909 3267.5417630825 2841.34066355 44128 Enterectomy cong add-on 255.87761 255.87761 279.546288925 243.0837295 44130 Bowel to bowel fusion 1373.810492 1373.810492 1500.88796251 1305.1199674 44132 Enterectomy cadaver donor 0 0 0 0 44133 Enterectomy live donor 0 0 0 0 44135 Intestine transplnt cadaver 0 0 0 0 44136 Intestine transplant live 0 0 0 0 44137 Remove intestinal allograft 0 0 0 0 44139 Mobilization of colon 126.497241 126.497241 138.1982357925 120.17237895 44140 Partial removal of colon 1402.641772 1402.641772 1532.38613591 1332.5096834 44141 Partial removal of colon 1907.189172 1907.189172 2083.60417041 1811.8297134 44143 Partial removal of colon 1739.607357 1739.607357 1900.5210375225 1652.62698915 44144 Partial removal of colon 1850.247394 1850.247394 2021.395277945 1757.7350243 44145 Partial removal of colon 1731.678755 1731.678755 1891.8590398375 1645.09481725 44146 Partial removal of colon 2211.359176 2211.359176 2415.90989978 2100.7912172 44147 Partial removal of colon 2030.803285 2030.803285 2218.6525888625 1929.26312075 44150 Removal of colon 1949.354919 1949.354919 2129.6702490075 1851.88717305 44151 Removal of colon/ileostomy 2258.210006 2258.210006 2467.094431555 2145.2995057 44155 Removal of colon/ileostomy 2167.751865 2167.751865 2368.2689125125 2059.36427175 44156 Removal of colon/ileostomy 2397.681323 2397.681323 2619.4668453775 2277.79725685 44157 Colectomy w/ileoanal anast 2292.08676 2292.08676 2504.1047853 2177.482422 44158 Colectomy w/neo-rectum pouch 2352.992839 2352.992839 2570.6446766075 2235.34319705 44160 Removal of colon 1297.767991 1297.767991 1417.8115301675 1232.87959145 44180 Lap enterolysis 961.162797 961.162797 1050.0703557225 913.10465715 44186 Lap jejunostomy 679.697426 679.697426 742.569437905 645.7125547 44187 Lap ileo/jejuno-stomy 1148.926508 1148.926508 1255.20220999 1091.4801826 44188 Lap colostomy 1277.946486 1277.946486 1396.156535955 1214.0491617 44202 Lap enterectomy 1446.249083 1446.249083 1580.0271231775 1373.93662885 44203 Lap resect s/intestine addl 250.832136 250.832136 274.03410858 238.2905292 44204 Laparo partial colectomy 1607.704251 1607.704251 1756.4168942175 1527.31903845 44205 Lap colectomy part w/ileum 1396.875516 1396.875516 1526.08650123 1327.0317402 44206 Lap part colectomy w/stoma 1826.821979 1826.821979 1995.8030120575 1735.48088005 44207 L colectomy/coloproctostomy 1898.539788 1898.539788 2074.15471839 1803.6127986 44208 L colectomy/coloproctostomy 2068.64434 2068.64434 2259.99394145 1965.212123 44210 Laparo total proctocolectomy 1856.01365 1856.01365 2027.694912625 1763.2129675 44211 Lap colectomy w/proctectomy 2268.661345 2268.661345 2478.5125194125 2155.22827775 44212 Laparo total proctocolectomy 2132.073156 2132.073156 2329.28992293 2025.4694982 44213 Lap mobil splenic fl add-on 196.413095 196.413095 214.5813062875 186.59244025 44227 Lap close enterostomy 1739.607357 1739.607357 1900.5210375225 1652.62698915 44238 Laparoscope proc intestine 0 0 0 0 44300 Open bowel to skin 880.795604 880.795604 962.26919737 836.7558238 44310 Ileostomy/jejunostomy 1089.822384 1089.822384 1190.63095452 1035.3312648 44312 Revision of ileostomy 617.349783 617.349783 674.4546379275 586.48229385 44314 Revision of ileostomy 1048.73781 1048.73781 1145.746057425 996.3009195 44316 Devise bowel pouch 1480.486228 1480.486228 1617.43120409 1406.4619166 44320 Colostomy 1255.962635 1255.962635 1372.1391787375 1193.16450325 44322 Colostomy with biopsies 1044.052727 1044.052727 1140.6276042475 991.85009065 44340 Revision of colostomy 650.145364 650.145364 710.28381017 617.6380958 44345 Revision of colostomy 1097.030204 1097.030204 1198.50549787 1042.1786938 44346 Revision of colostomy 1235.059957 1235.059957 1349.3030030225 1173.30695915 44360 Small bowel endoscopy 151.36422 151.36422 165.36541035 143.796009 44361 Small bowel endoscopy/biopsy 167.581815 167.581815 183.0831328875 159.20272425 44363 Small bowel endoscopy 202.539742 202.539742 221.274668135 192.4127549 44364 Small bowel endoscopy 215.874209 215.874209 235.8425733325 205.08049855 44365 Small bowel endoscopy 191.728012 191.728012 209.46285311 182.1416114 44366 Small bowel endoscopy 252.994482 252.994482 276.396471585 240.3447579 44369 Small bowel endoscopy 259.121129 259.121129 283.0898334325 246.16507255 44370 Small bowel endoscopy/stent 281.10498 281.10498 307.10719065 267.049731 44372 Small bowel endoscopy 252.994482 252.994482 276.396471585 240.3447579 44373 Small bowel endoscopy 202.539742 202.539742 221.274668135 192.4127549 44376 Small bowel endoscopy 300.205703 300.205703 327.9747305275 285.19541785 44377 Small bowel endoscopy/biopsy 316.062907 316.062907 345.2987258975 300.25976165 44378 Small bowel endoscopy 406.521048 406.521048 444.12424494 386.1949956 44379 S bowel endoscope w/stent 432.108809 432.108809 472.0788738325 410.50336855 44380 Small bowel endoscopy 59.104124 59.104124 64.57125547 56.1489178 44381 Small bowel endoscopy br/wa 87.935404 87.935404 96.06942887 83.5386338 44382 Small bowel endoscopy 77.123674 77.123674 84.257613845 73.2674903 44384 Small bowel endoscopy 161.094777 161.094777 175.9960438725 153.04003815 44385 Endoscopy of bowel pouch 75.321719 75.321719 82.2889780075 71.55563305 44386 Endoscopy bowel pouch/biop 93.70166 93.70166 102.36906355 89.016577 44388 Colonoscopy 81.448366 81.448366 88.982339855 77.3759477 53 44388 Colonoscopy 164.338296 164.338296 179.53958838 156.1213812 44389 Colonoscopy with biopsy 180.916282 180.916282 197.651038085 171.8704679 44390 Colonoscopy for foreign body 222.361247 222.361247 242.9296623475 211.24318465 44391 Colonoscopy for bleeding 242.182752 242.182752 264.58465656 230.0736144 44392 Colonoscopy & polypectomy 209.747562 209.747562 229.149211485 199.2601839 44394 Colonoscopy w/snare 237.85806 237.85806 259.85993055 225.965157 44401 Colonoscopy with ablation 255.517219 255.517219 279.1525617575 242.74135805 44402 Colonoscopy w/stent plcmt 276.059506 276.059506 301.595010305 262.2565307 44403 Colonoscopy w/resection 320.387599 320.387599 350.0234519075 304.36821905 44404 Colonoscopy w/injection 181.276673 181.276673 198.0447652525 172.21283935 44405 Colonoscopy w/dilation 193.529967 193.529967 211.4314889475 183.85346865 44406 Colonoscopy w/ultrasound 242.543143 242.543143 264.9783837275 230.41598585 44407 Colonoscopy w/ndl aspir/bx 291.195928 291.195928 318.13155134 276.6361316 44408 Colonoscopy w/decompression 244.705489 244.705489 267.3407467325 232.47021455 44500 Intro gastrointestinal tube 20.181896 20.181896 22.04872138 19.1728012 4450F Self-care ed provided to pt 0 0 0 0 44602 Suture small intestine 1476.161536 1476.161536 1612.70647808 1402.3534592 44603 Suture small intestine 1694.198091 1694.198091 1850.9114144175 1609.48818645 44604 Suture large intestine 1106.760761 1106.760761 1209.1361313925 1051.42272295 44605 Repair of bowel lesion 1361.557198 1361.557198 1487.501238815 1293.4793381 44615 Intestinal stricturoplasty 1122.257574 1122.257574 1226.066399595 1066.1446953 44620 Repair bowel opening 906.022974 906.022974 989.830099095 860.7218253 44625 Repair bowel opening 1060.630713 1060.630713 1158.7390539525 1007.59917735 44626 Repair bowel opening 1673.295413 1673.295413 1828.0752387025 1589.63064235 44640 Repair bowel-skin fistula 1464.989415 1464.989415 1600.5009358875 1391.73994425 44650 Repair bowel fistula 1508.957117 1508.957117 1648.5356503225 1433.50926115 44660 Repair bowel-bladder fistula 1394.71317 1394.71317 1523.724138225 1324.9775115 44661 Repair bowel-bladder fistula 1621.038718 1621.038718 1770.984799415 1539.9867821 44680 Surgical revision intestine 1119.734837 1119.734837 1223.3103094225 1063.74809515 44700 Suspend bowel w/prosthesis 1050.900156 1050.900156 1148.10842043 998.3551482 44701 Intraop colon lavage add-on 178.033154 178.033154 194.501220745 169.1314963 44705 Prepare fecal microbiota 77.844456 77.844456 85.04506818 73.9522332 4470F Icd counseling provided 0 0 0 0 44715 Prepare donor intestine 0 0 0 0 44720 Prep donor intestine/venous 287.952409 287.952409 314.5880068325 273.55478855 44721 Prep donor intestine/artery 402.556747 402.556747 439.7932460975 382.42890965 44799 Unlisted procedure intestine 0 0 0 0 44800 Excision of bowel pouch 801.149193 801.149193 875.2554933525 761.09173335 4480F Pt rcvng ace/arb b-blockertx 0 0 0 0 4481F Pt rcvng ace/arb blker<3mons 0 0 0 0 44820 Excision of mesentery lesion 874.668957 874.668957 955.5758355225 830.93550915 44850 Repair of mesentery 782.04847 782.04847 854.387953475 742.9460465 44899 Bowel surgery procedure 0 0 0 0 44900 Drain app abscess open 807.636231 807.636231 882.3425823675 767.25441945 44950 Appendectomy 671.048042 671.048042 733.119985885 637.4956399 44955 Appendectomy add-on 88.295795 88.295795 96.4631560375 83.88100525 44960 Appendectomy 915.753531 915.753531 1000.4607326175 869.96585445 44970 Laparoscopy appendectomy 627.801122 627.801122 685.872725785 596.4110659 44979 Laparoscope proc app 0 0 0 0 45000 Drainage of pelvic abscess 442.199757 442.199757 483.1032345225 420.08976915 45005 Drainage of rectal abscess 167.942206 167.942206 183.476860055 159.5450957 4500F Ref to outpt card rehab prog 0 0 0 0 45020 Drainage of rectal abscess 597.528278 597.528278 652.799643715 567.6518641 45100 Biopsy of rectum 311.377824 311.377824 340.18027272 295.8089328 45108 Removal of anorectal lesion 385.61837 385.61837 421.288069225 366.3374515 4510F Prev cardrehab qualcardevent 0 0 0 0 45110 Removal of rectum 1921.965203 1921.965203 2099.7469842775 1825.86694285 45111 Partial removal of rectum 1134.510868 1134.510868 1239.45312329 1077.7853246 45112 Removal of rectum 1946.832182 1946.832182 2126.914158835 1849.4905729 45113 Partial proctectomy 1970.978379 1970.978379 2153.2938790575 1872.42946005 45114 Partial removal of rectum 1896.017051 1896.017051 2071.3986282175 1801.21619845 45116 Partial removal of rectum 1626.084192 1626.084192 1776.49697976 1544.7799824 45119 Remove rectum w/reservoir 2016.387645 2016.387645 2202.9035021625 1915.56826275 45120 Removal of rectum 1659.240164 1659.240164 1812.71987917 1576.2781558 45121 Removal of rectum and colon 1800.873827 1800.873827 1967.4546559975 1710.83013565 45123 Partial proctectomy 1170.910359 1170.910359 1279.2195672075 1112.36484105 45126 Pelvic exenteration 2903.309896 2903.309896 3171.86606138 2758.1444012 45130 Excision of rectal prolapse 1134.150477 1134.150477 1239.0593961225 1077.44295315 45135 Excision of rectal prolapse 1358.313679 1358.313679 1483.9576943075 1290.39799505 45136 Excise ileoanal reservior 1923.767158 1923.767158 2101.715620115 1827.5788001 45150 Excision of rectal stricture 433.189982 433.189982 473.260055335 411.5304829 45160 Excision of rectal lesion 1070.36127 1070.36127 1169.369687475 1016.8432065 45171 Exc rect tum transanal part 628.161513 628.161513 686.2664529525 596.75343735 45172 Exc rect tum transanal full 847.279241 847.279241 925.6525707925 804.91527895 45190 Destruction rectal tumor 726.548256 726.548256 793.75396968 690.2208432 4525F Neuropsychia interven order 0 0 0 0 4526F Neuropsychia interven rcvd 0 0 0 0 45300 Proctosigmoidoscopy dx 50.815131 50.815131 55.5155306175 48.27437445 45303 Proctosigmoidoscopy dilate 89.016577 89.016577 97.2506103725 84.56574815 45305 Proctosigmoidoscopy w/bx 76.042501 76.042501 83.0764323425 72.24037595 45307 Proctosigmoidoscopy fb 100.549089 100.549089 109.8498797325 95.52163455 45308 Proctosigmoidoscopy removal 87.575013 87.575013 95.6757017025 83.19626235 45309 Proctosigmoidoscopy removal 93.341269 93.341269 101.9753363825 88.67420555 45315 Proctosigmoidoscopy removal 110.640037 110.640037 120.8742404225 105.10803515 45317 Proctosigmoidoscopy bleed 116.766684 116.766684 127.56760227 110.9283498 45320 Proctosigmoidoscopy ablate 109.558864 109.558864 119.69305892 104.0809208 45321 Proctosigmoidoscopy volvul 107.756909 107.756909 117.7244230825 102.36906355 45327 Proctosigmoidoscopy w/stent 121.812158 121.812158 133.079782615 115.7215501 45330 Diagnostic sigmoidoscopy 58.743733 58.743733 64.1775283025 55.80654635 45331 Sigmoidoscopy and biopsy 74.961328 74.961328 81.89525084 71.2132616 45332 Sigmoidoscopy w/fb removal 110.279646 110.279646 120.480513255 104.7656637 45333 Sigmoidoscopy & polypectomy 98.386743 98.386743 107.4875167275 93.46740585 45334 Sigmoidoscopy for bleeding 123.974504 123.974504 135.44214562 117.7757788 45335 Sigmoidoscopy w/submuc inj 69.555463 69.555463 75.9893433275 66.07768985 45337 Sigmoidoscopy & decompress 121.451767 121.451767 132.6860554475 115.37917865 45338 Sigmoidoscopy w/tumr remove 126.13685 126.13685 137.804508625 119.8300075 45340 Sig w/balloon dilation 81.448366 81.448366 88.982339855 77.3759477 45341 Sigmoidoscopy w/ultrasound 130.101151 130.101151 142.1355074675 123.59609345 45342 Sigmoidoscopy w/us guide bx 178.753936 178.753936 195.28867508 169.8162392 45346 Sigmoidoscopy w/ablation 169.38377 169.38377 185.051768725 160.9145815 45347 Sigmoidoscopy w/plcmt stent 162.896732 162.896732 177.96467971 154.7518954 45349 Sigmoidoscopy w/resection 209.02678 209.02678 228.36175715 198.575441 45350 Sgmdsc w/band ligation 105.954954 105.954954 115.755787245 100.6572063 45378 Diagnostic colonoscopy 97.30557 97.30557 106.306335225 92.4402915 53 45378 Diagnostic colonoscopy 194.971531 194.971531 213.0063976175 185.22295445 45379 Colonoscopy w/fb removal 252.2737 252.2737 275.60901725 239.660015 45380 Colonoscopy and biopsy 211.549517 211.549517 231.1178473225 200.97204115 45381 Colonoscopy submucous inj 211.549517 211.549517 231.1178473225 200.97204115 45382 Colonoscopy/control bleeding 273.176378 273.176378 298.445192965 259.5175591 45384 Lesion remove colonoscopy 240.741188 240.741188 263.00974789 228.7041286 45385 Lesion removal colonoscopy 268.491295 268.491295 293.3267397875 255.06673025 45386 Colonoscopy dilate stricture 223.44242 223.44242 244.11084385 212.270299 45388 Colonoscopy w/ablation 285.429672 285.429672 311.83191666 271.1581884 45389 Colonoscopy w/stent plcmt 305.971959 305.971959 334.2743652075 290.67336105 45390 Colonoscopy w/resection 351.020834 351.020834 383.490261145 333.4697923 45391 Colonoscopy w/endoscope us 272.095205 272.095205 297.2640114625 258.49044475 45392 Colonoscopy w/endoscopic fnb 321.108381 321.108381 350.8109062425 305.05296195 45393 Colonoscopy w/decompression 267.049731 267.049731 291.7518311175 253.69724445 45395 Lap removal of rectum 2058.913783 2058.913783 2249.3633079275 1955.96809385 45397 Lap remove rectum w/pouch 2239.830065 2239.830065 2447.0143460125 2127.83856175 45398 Colonoscopy w/band ligation 247.949008 247.949008 270.88429124 235.5515576 45399 Unlisted procedure colon 0 0 0 0 45400 Laparoscopic proc 1187.848736 1187.848736 1297.72474408 1128.4562992 45402 Lap proctopexy w/sig resect 1579.593753 1579.593753 1725.7061751525 1500.61406535 4540F Disease modif pharmacothxpy 0 0 0 0 4541F Pt offered tx for pseudobulb 0 0 0 0 45499 Laparoscope proc rectum 0 0 0 0 45500 Repair of rectum 582.391856 582.391856 636.26310268 553.2722632 45505 Repair of rectum 618.430956 618.430956 675.63581943 587.5094082 4550F Noninvas resp support talk 0 0 0 0 4551F Nutritional support offered 0 0 0 0 45520 Treatment of rectal prolapse 41.805356 41.805356 45.67235143 39.7150882 4552F Pt ref for speech lang path 0 0 0 0 4553F Pt asst re end life issues 0 0 0 0 45540 Correct rectal prolapse 1103.156851 1103.156851 1205.1988597175 1047.99900845 45541 Correct rectal prolapse 984.948603 984.948603 1076.0563487775 935.70117285 4554F Pt recvd inhal anesthetic 0 0 0 0 45550 Repair rectum/remove sigmoid 1528.418231 1528.418231 1669.7969173675 1451.99731945 4555F Pt recvd no inhal anesthic 0 0 0 0 45560 Repair of rectocele 712.493007 712.493007 778.3986101475 676.86835665 45562 Exploration/repair of rectum 1169.468795 1169.468795 1277.6446585375 1110.99535525 45563 Exploration/repair of rectum 1720.146243 1720.146243 1879.2597704775 1634.13893085 4556F Pt w/ 3+ post-op nausea&vom 0 0 0 0 4557F Pt w/o 3+ post-opnausea&vom 0 0 0 0 4558F Pt recvd 2 rx anti-emet agt 0 0 0 0 4559F 1 bodytemp >=35.5cw/in 30min 0 0 0 0 4560F Anesth w/o gen/neurax anesth 0 0 0 0 4561F Pt w/ coronary artery stent 0 0 0 0 4562F Pt w/o coronary artery stent 0 0 0 0 4563F Pt recvd aspirin w/in 24 hrs 0 0 0 0 45800 Repair rect/bladder fistula 1315.066759 1315.066759 1436.7104342075 1249.31342105 45805 Repair fistula w/colostomy 1533.824096 1533.824096 1675.70282488 1457.1328912 45820 Repair rectourethral fistula 1322.63497 1322.63497 1444.978704725 1256.5032215 45825 Repair fistula w/colostomy 1601.577604 1601.577604 1749.72353237 1521.4987238 45900 Reduction of rectal prolapse 210.107953 210.107953 229.5429386525 199.60255535 45905 Dilation of anal sphincter 175.510417 175.510417 191.7451305725 166.73489615 45910 Dilation of rectal narrowing 199.296223 199.296223 217.7311236275 189.33141185 45915 Remove rectal obstruction 237.497669 237.497669 259.4662033825 225.62278555 45990 Surg dx exam anorectal 111.360819 111.360819 121.6616947575 105.79277805 45999 Rectum surgery procedure 0 0 0 0 46020 Placement of seton 244.705489 244.705489 267.3407467325 232.47021455 46030 Removal of rectal marker 93.341269 93.341269 101.9753363825 88.67420555 46040 Incision of rectal abscess 433.910764 433.910764 474.04750967 412.2152258 46045 Incision of rectal abscess 453.732269 453.732269 495.7025038825 431.04565555 46050 Incision of anal abscess 101.630262 101.630262 111.031061235 96.5487489 46060 Incision of rectal abscess 498.781144 498.781144 544.91839982 473.8420868 46070 Incision of anal septum 271.014032 271.014032 296.08282996 257.4633304 46080 Incision of anal sphincter 165.419469 165.419469 180.7207698825 157.14849555 46083 Incise external hemorrhoid 111.000428 111.000428 121.26796759 105.4504066 46200 Removal of anal fissure 340.569495 340.569495 372.0721732875 323.54102025 46220 Excise anal ext tag/papilla 123.974504 123.974504 135.44214562 117.7757788 46221 Ligation of hemorrhoid(s) 198.575441 198.575441 216.9436692925 188.64666895 46230 Removal of anal tags 179.835109 179.835109 196.4698565825 170.84335355 46250 Remove ext hem groups 2+ 329.036983 329.036983 359.4729039275 312.58513385 46255 Remove int/ext hem 1 group 369.761166 369.761166 403.964073855 351.2731077 46257 Remove in/ex hem grp & fiss 441.118584 441.118584 481.92205302 419.0626548 46258 Remove in/ex hem grp w/fistu 488.690196 488.690196 533.89403913 464.2556862 46260 Remove in/ex hem groups 2+ 496.979189 496.979189 542.9497639825 472.13022955 46261 Remove in/ex hem grps & fiss 543.469628 543.469628 593.74056859 516.2961466 46262 Remove in/ex hem grps w/fist 576.985991 576.985991 630.3571951675 548.13669145 46270 Remove anal fist subq 409.764567 409.764567 447.6677894475 389.27633865 46275 Remove anal fist inter 432.108809 432.108809 472.0788738325 410.50336855 46280 Remove anal fist complex 491.933715 491.933715 537.4375836375 467.33702925 46285 Remove anal fist 2 stage 432.108809 432.108809 472.0788738325 410.50336855 46288 Repair anal fistula 571.580126 571.580126 624.451287655 543.0011197 46320 Removal of hemorrhoid clot 116.045902 116.045902 126.780147935 110.2436069 46500 Injection into hemorrhoid(s) 184.520192 184.520192 201.58830976 175.2941824 46505 Chemodenervation anal musc 249.750963 249.750963 272.8529270775 237.26341485 46600 Diagnostic anoscopy 42.526138 42.526138 46.459805765 40.3998311 46601 Diagnostic anoscopy 97.30557 97.30557 106.306335225 92.4402915 46604 Anoscopy and dilation 68.47429 68.47429 74.808161825 65.0505755 46606 Anoscopy and biopsy 78.204847 78.204847 85.4387953475 74.29460465 46607 Diagnostic anoscopy & biopsy 131.182324 131.182324 143.31668897 124.6232078 46608 Anoscopy remove for body 87.575013 87.575013 95.6757017025 83.19626235 46610 Anoscopy remove lesion 83.610712 83.610712 91.34470286 79.4301764 46611 Anoscopy 83.971103 83.971103 91.7384300275 79.77254785 46612 Anoscopy remove lesions 98.747134 98.747134 107.881243895 93.8097773 46614 Anoscopy control bleeding 67.393117 67.393117 73.6269803225 64.02346115 46615 Anoscopy 95.143224 95.143224 103.94397222 90.3860628 46700 Repair of anal stricture 684.022118 684.022118 747.294163915 649.8210121 46705 Repair of anal stricture 580.589901 580.589901 634.2944668425 551.56040595 46706 Repr of anal fistula w/glue 183.79941 183.79941 200.800855425 174.6094395 46707 Repair anorectal fist w/plug 511.394829 511.394829 558.6988506825 485.82508755 46710 Repr per/vag pouch sngl proc 1157.575892 1157.575892 1264.65166201 1099.6970974 46712 Repr per/vag pouch dbl proc 2333.171334 2333.171334 2548.989682395 2216.5127673 46715 Rep perf anoper fistu 568.336607 568.336607 620.9077431475 539.91977665 46716 Rep perf anoper/vestib fistu 1265.693192 1265.693192 1382.76981226 1202.4085324 46730 Construction of absent anus 2056.030655 2056.030655 2246.2134905875 1953.22912225 46735 Construction of absent anus 2372.814344 2372.814344 2592.29967082 2254.1736268 46740 Construction of absent anus 2247.037885 2247.037885 2454.8888893625 2134.68599075 46742 Repair of imperforated anus 2603.104193 2603.104193 2843.8913308525 2472.94898335 46744 Repair of cloacal anomaly 3648.958875 3648.958875 3986.4875709375 3466.51093125 46746 Repair of cloacal anomaly 4074.941037 4074.941037 4451.8730829225 3871.19398515 46748 Repair of cloacal anomaly 4423.078743 4423.078743 4832.2135267275 4201.92480585 46750 Repair of anal sphincter 778.44456 778.44456 850.4506818 739.522332 46751 Repair of anal sphincter 685.103291 685.103291 748.4753454175 650.84812645 46753 Reconstruction of anus 640.054416 640.054416 699.25944948 608.0516952 46754 Removal of suture from anus 243.263925 243.263925 265.7658380625 231.10072875 46760 Repair of anal sphincter 1138.83556 1138.83556 1244.1778493 1081.893782 46761 Repair of anal sphincter 952.513413 952.513413 1040.6209037025 904.88774235 46900 Destruction anal lesion(s) 141.273272 141.273272 154.34104966 134.2096084 46910 Destruction anal lesion(s) 139.110926 139.110926 151.978686655 132.1553797 46916 Cryosurgery anal lesion(s) 149.201874 149.201874 163.003047345 141.7417803 46917 Laser surgery anal lesions 134.425843 134.425843 146.8602334775 127.70455085 46922 Excision of anal lesion(s) 141.273272 141.273272 154.34104966 134.2096084 46924 Destruction anal lesion(s) 187.763711 187.763711 205.1318542675 178.37552545 46930 Destroy internal hemorrhoids 154.247348 154.247348 168.51522769 146.5349806 46940 Treatment of anal fissure 151.36422 151.36422 165.36541035 143.796009 46942 Treatment of anal fissure 136.227798 136.227798 148.828869315 129.4164081 46945 Remove by ligat int hem grp 235.695714 235.695714 257.497567545 223.9109283 46946 Remove by ligat int hem grps 234.25415 234.25415 255.922658875 222.5414425 46947 Hemorrhoidopexy by stapling 399.673619 399.673619 436.6434287575 379.68993805 46999 Anus surgery procedure 0 0 0 0 47000 Needle biopsy of liver 92.980878 92.980878 101.581609215 88.3318341 47001 Needle biopsy liver add-on 108.838082 108.838082 118.905604585 103.3961779 47010 Open drainage liver lesion 1267.495147 1267.495147 1384.7384480975 1204.12038965 47015 Inject/aspirate liver cyst 1217.761189 1217.761189 1330.4040989825 1156.87312955 47100 Wedge biopsy of liver 882.95795 882.95795 964.631560375 838.8100525 47120 Partial removal of liver 2443.090589 2443.090589 2669.0764684825 2320.93605955 47122 Extensive removal of liver 3592.017097 3592.017097 3924.2786784725 3412.41624215 47125 Partial removal of liver 3226.941014 3226.941014 3525.433057795 3065.5939633 47130 Partial removal of liver 3466.96142 3466.96142 3787.65535135 3293.613349 47133 Removal of donor liver 0 0 0 0 47135 Transplantation of liver 5632.91133 5632.91133 6153.955628025 5351.2657635 47140 Partial removal donor liver 3735.813106 3735.813106 4081.375818305 3549.0224507 47141 Partial removal donor liver 4472.091919 4472.091919 4885.7604215075 4248.48732305 47142 Partial removal donor liver 4920.778714 4920.778714 5375.950745045 4674.7397783 47143 Prep donor liver whole 0 0 0 0 47144 Prep donor liver 3-segment 0 0 0 0 47145 Prep donor liver lobe split 0 0 0 0 47146 Prep donor liver/venous 339.848713 339.848713 371.2847189525 322.85627735 47147 Prep donor liver/arterial 400.394401 400.394401 437.4308830925 380.37468095 47300 Surgery for liver lesion 1182.08248 1182.08248 1291.4251094 1122.978356 47350 Repair liver wound 1430.75227 1430.75227 1563.096854975 1359.2146565 47360 Repair liver wound 1963.410168 1963.410168 2145.02560854 1865.2396596 47361 Repair liver wound 3171.4408 3171.4408 3464.799074 3012.86876 47362 Repair liver wound 1517.966892 1517.966892 1658.37882951 1442.0685474 47370 Laparo ablate liver tumor rf 1307.858939 1307.858939 1428.8358908575 1242.46599205 47371 Laparo ablate liver cryosurg 1278.306877 1278.306877 1396.5502631225 1214.39153315 47379 Laparoscope procedure liver 0 0 0 0 47380 Open ablate liver tumor rf 1507.875944 1507.875944 1647.35446882 1432.4821468 47381 Open ablate liver tumor cryo 1530.580577 1530.580577 1672.1592803725 1454.05154815 47382 Percut ablate liver rf 776.282214 776.282214 848.088318795 737.4681033 47383 Perq abltj lvr cryoablation 477.518075 477.518075 521.6884969375 453.64217125 47399 Liver surgery procedure 0 0 0 0 47400 Incision of liver duct 2256.768442 2256.768442 2465.519522885 2143.9300199 47420 Incision of bile duct 1401.92099 1401.92099 1531.598681575 1331.8249405 47425 Incision of bile duct 1431.112661 1431.112661 1563.4905821425 1359.55702795 47460 Incise bile duct sphincter 1322.995361 1322.995361 1445.3724318925 1256.84559295 47480 Incision of gallbladder 916.113922 916.113922 1000.854459785 870.3082259 47490 Incision of gallbladder 344.533796 344.533796 376.40317213 327.3071062 47531 Injection for cholangiogram 74.240546 74.240546 81.107796505 70.5285187 47532 Injection for cholangiogram 222.721638 222.721638 243.323389515 211.5855561 47533 Plmt biliary drainage cath 278.942634 278.942634 304.744827645 264.9955023 47534 Plmt biliary drainage cath 389.582671 389.582671 425.6190680675 370.10353745 47535 Conversion ext bil drg cath 207.224825 207.224825 226.3931213125 196.86358375 47536 Exchange biliary drg cath 138.390144 138.390144 151.19123232 131.4706368 47537 Removal biliary drg cath 100.549089 100.549089 109.8498797325 95.52163455 47538 Perq plmt bile duct stent 247.949008 247.949008 270.88429124 235.5515576 47539 Perq plmt bile duct stent 447.966013 447.966013 489.4028692025 425.56771235 47540 Perq plmt bile duct stent 462.381653 462.381653 505.1519559025 439.26257035 47541 Plmt access bil tree sm bwl 347.416924 347.416924 379.55298947 330.0460778 47542 Dilate biliary duct/ampulla 141.994054 141.994054 155.128503995 134.8943513 47543 Endoluminal bx biliary tree 151.36422 151.36422 165.36541035 143.796009 47544 Removal duct glbldr calculi 166.140251 166.140251 181.5082242175 157.83323845 47550 Bile duct endoscopy add-on 172.98768 172.98768 188.9890404 164.338296 47552 Biliary endoscopy thru skin 324.712291 324.712291 354.7481779175 308.47667645 47553 Biliary endoscopy thru skin 321.108381 321.108381 350.8109062425 305.05296195 47554 Biliary endoscopy thru skin 539.865718 539.865718 589.803296915 512.8724321 47555 Biliary endoscopy thru skin 340.929886 340.929886 372.465900455 323.8833917 47556 Biliary endoscopy thru skin 386.339152 386.339152 422.07552356 367.0221944 47562 Laparoscopic cholecystectomy 687.265637 687.265637 750.8377084225 652.90235515 47563 Laparo cholecystectomy/graph 747.811325 747.811325 816.9838725625 710.42075875 47564 Laparo cholecystectomy/explr 1162.981757 1162.981757 1270.5575695225 1104.83266915 47570 Laparo cholecystoenterostomy 810.87975 810.87975 885.886126875 770.3357625 47579 Laparoscope proc biliary 0 0 0 0 47600 Removal of gallbladder 1116.130927 1116.130927 1219.3730377475 1060.32438065 47605 Removal of gallbladder 1174.87466 1174.87466 1283.55056605 1116.130927 47610 Removal of gallbladder 1311.462849 1311.462849 1432.7731625325 1245.88970655 47612 Removal of gallbladder 1321.914188 1321.914188 1444.19125039 1255.8184786 47620 Removal of gallbladder 1426.427578 1426.427578 1558.372128965 1355.1061991 47700 Exploration of bile ducts 1103.517242 1103.517242 1205.592586885 1048.3413799 47701 Bile duct revision 1786.097796 1786.097796 1951.31184213 1696.7929062 47711 Excision of bile duct tumor 1626.444583 1626.444583 1776.8907069275 1545.12235385 47712 Excision of bile duct tumor 2085.943108 2085.943108 2278.89284549 1981.6459526 47715 Excision of bile duct cyst 1386.063786 1386.063786 1514.274686205 1316.7605967 47720 Fuse gallbladder & bowel 1204.787113 1204.787113 1316.2299209525 1144.54775735 47721 Fuse upper gi structures 1418.138585 1418.138585 1549.3164041125 1347.23165575 47740 Fuse gallbladder & bowel 1360.836416 1360.836416 1486.71378448 1292.7945952 47741 Fuse gallbladder & bowel 1541.392307 1541.392307 1683.9710953975 1464.32269165 47760 Fuse bile ducts and bowel 2359.479877 2359.479877 2577.7317656225 2241.50588315 47765 Fuse liver ducts & bowel 3170.359627 3170.359627 3463.6178924975 3011.84164565 47780 Fuse bile ducts and bowel 2590.850899 2590.850899 2830.5046071575 2461.30835405 47785 Fuse bile ducts and bowel 3403.172213 3403.172213 3717.9656427025 3233.01360235 47800 Reconstruction of bile ducts 1641.581005 1641.581005 1793.4272479625 1559.50195475 47801 Placement bile duct support 1165.144103 1165.144103 1272.9199325275 1106.88689785 47802 Fuse liver duct & intestine 1598.334085 1598.334085 1746.1799878625 1518.41738075 47900 Suture bile duct injury 1432.554225 1432.554225 1565.0654908125 1360.92651375 47999 Bile tract surgery procedure 0 0 0 0 48000 Drainage of abdomen 1970.978379 1970.978379 2153.2938790575 1872.42946005 48001 Placement of drain pancreas 2402.726797 2402.726797 2624.9790257225 2282.59045715 48020 Removal of pancreatic stone 1232.176829 1232.176829 1346.1531856825 1170.56798755 48100 Biopsy of pancreas open 930.889953 930.889953 1016.9972736525 884.34545535 48102 Needle biopsy pancreas 250.471745 250.471745 273.6403814125 237.94815775 48105 Resect/debride pancreas 2971.063404 2971.063404 3245.88676887 2822.5102338 48120 Removal of pancreas lesion 1156.134328 1156.134328 1263.07675334 1098.3276116 48140 Partial removal of pancreas 1637.977095 1637.977095 1789.4899762875 1556.07824025 48145 Partial removal of pancreas 1706.090994 1706.090994 1863.904410945 1620.7864443 48146 Pancreatectomy 1964.491341 1964.491341 2146.2067900425 1866.26677395 48148 Removal of pancreatic duct 1303.894638 1303.894638 1424.504892015 1238.6999061 48150 Partial removal of pancreas 3265.14246 3265.14246 3567.16813755 3101.885337 48152 Pancreatectomy 3022.959708 3022.959708 3302.58348099 2871.8117226 48153 Pancreatectomy 3250.006038 3250.006038 3550.631596515 3087.5057361 48154 Pancreatectomy 3041.339649 3041.339649 3322.6635665325 2889.27266655 48155 Removal of pancreas 1898.179397 1898.179397 2073.7609912225 1803.27042715 48160 Pancreas removal/transplant 0 0 0 0 48400 Injection intraop add-on 110.640037 110.640037 120.8742404225 105.10803515 48500 Surgery of pancreatic cyst 1204.426722 1204.426722 1315.836193785 1144.2053859 48510 Drain pancreatic pseudocyst 1145.682989 1145.682989 1251.6586654825 1088.39883955 48520 Fuse pancreas cyst and bowel 1138.114778 1138.114778 1243.390394965 1081.2090391 48540 Fuse pancreas cyst and bowel 1364.440326 1364.440326 1490.651056155 1296.2183097 48545 Pancreatorrhaphy 1402.281381 1402.281381 1531.9924087425 1332.16731195 48547 Duodenal exclusion 1870.42929 1870.42929 2043.443999325 1776.9078255 48548 Fuse pancreas and bowel 1737.805402 1737.805402 1898.552401685 1650.9151319 48550 Donor pancreatectomy 0 0 0 0 48551 Prep donor pancreas 0 0 0 0 48552 Prep donor pancreas/venous 247.588617 247.588617 270.4905640725 235.20918615 48554 Transpl allograft pancreas 2663.28949 2663.28949 2909.643767825 2530.1250155 48556 Removal allograft pancreas 1331.644745 1331.644745 1454.8218839125 1265.06250775 48999 Pancreas surgery procedure 0 0 0 0 49000 Exploration of abdomen 804.392712 804.392712 878.79903786 764.1730764 49002 Reopening of abdomen 1093.426294 1093.426294 1194.568226195 1038.7549793 49010 Exploration behind abdomen 969.45179 969.45179 1059.126080575 920.9792005 49020 Drain abdominal abscess 1662.483683 1662.483683 1816.2634236775 1579.35949885 49040 Drain open abdom abscess 1041.52999 1041.52999 1137.871514075 989.4534905 49060 Drain open retrop abscess 1147.484944 1147.484944 1253.62730132 1090.1106968 49062 Drain to peritoneal cavity 770.876349 770.876349 842.1824112825 732.33253155 49082 Abd paracentesis 76.402892 76.402892 83.47015951 72.5827474 49083 Abd paracentesis w/imaging 112.081601 112.081601 122.4491490925 106.47752095 49084 Peritoneal lavage 112.802383 112.802383 123.2366034275 107.16226385 49180 Biopsy abdominal mass 88.656186 88.656186 96.856883205 84.2233767 49185 Sclerotx fluid collection 125.416068 125.416068 137.01705429 119.1452646 49203 Exc abd tum 5 cm or less 1250.55677 1250.55677 1366.233271225 1188.0289315 49204 Exc abd tum over 5 cm 1599.415258 1599.415258 1747.361169365 1519.4444951 49205 Exc abd tum over 10 cm 1839.796055 1839.796055 2009.9771900875 1747.80625225 49215 Excise sacral spine tumor 2316.593348 2316.593348 2530.87823269 2200.7636806 49220 Multiple surgery abdomen 1016.663011 1016.663011 1110.7043395175 965.82986045 49250 Excision of umbilicus 615.187437 615.187437 672.0922749225 584.42806515 49255 Removal of omentum 826.376563 826.376563 902.8163950775 785.05773485 49320 Diag laparo separate proc 339.848713 339.848713 371.2847189525 322.85627735 49321 Laparoscopy biopsy 359.309827 359.309827 392.5459859975 341.34433565 49322 Laparoscopy aspiration 385.61837 385.61837 421.288069225 366.3374515 49323 Laparo drain lymphocele 659.51553 659.51553 720.520716525 626.5397535 49324 Lap insert tunnel ip cath 403.63792 403.63792 440.9744276 383.456024 49325 Lap revision perm ip cath 430.667245 430.667245 470.5039651625 409.13388275 49326 Lap w/omentopexy add-on 197.133877 197.133877 215.3687606225 187.27718315 49327 Lap ins device for rt 135.867407 135.867407 148.4351421475 129.07403665 49329 Laparo proc abdm/per/oment 0 0 0 0 49400 Air injection into abdomen 96.584788 96.584788 105.51888089 91.7555486 49402 Remove foreign body adbomen 894.850853 894.850853 977.6245569025 850.10831035 49405 Image cath fluid colxn visc 206.143652 206.143652 225.21193981 195.8364694 49406 Image cath fluid peri/retro 206.143652 206.143652 225.21193981 195.8364694 49407 Image cath fluid trns/vgnl 218.396946 218.396946 238.598663505 207.4770987 49411 Ins mark abd/pel for rt perq 192.448794 192.448794 210.250307445 182.8263543 49412 Ins device for rt guide open 86.854231 86.854231 94.8882473675 82.51151945 49418 Insert tun ip cath perc 212.270299 212.270299 231.9053016575 201.65678405 49419 Insert tun ip cath w/port 460.219307 460.219307 502.7895928975 437.20834165 49421 Ins tun ip cath for dial opn 239.299624 239.299624 261.43483922 227.3346428 49422 Remove tunneled ip cath 232.812586 232.812586 254.347750205 221.1719567 49423 Exchange drainage catheter 74.600937 74.600937 81.5015236725 70.87089015 49424 Assess cyst contrast inject 39.64301 39.64301 43.309988425 37.6608595 49425 Insert abdomen-venous drain 751.415235 751.415235 820.9211442375 713.84447325 49426 Revise abdomen-venous shunt 643.658326 643.658326 703.196721155 611.4754097 49427 Injection abdominal shunt 47.571612 47.571612 51.97198611 45.1930314 49428 Ligation of shunt 450.849141 450.849141 492.5526865425 428.30668395 49429 Removal of shunt 478.959639 478.959639 523.2634056075 455.01165705 49435 Insert subq exten to ip cath 124.334895 124.334895 135.8358727875 118.11815025 49436 Embedded ip cath exit-site 193.169576 193.169576 211.03776178 183.5110972 49440 Place gastrostomy tube perc 214.793036 214.793036 234.66139183 204.0533842 49441 Place duod/jej tube perc 252.2737 252.2737 275.60901725 239.660015 49442 Place cecostomy tube perc 217.676164 217.676164 237.81120917 206.7923558 49446 Change g-tube to g-j perc 154.96813 154.96813 169.302682025 147.2197235 49450 Replace g/c tube perc 69.195072 69.195072 75.59561616 65.7353184 49451 Replace duod/jej tube perc 94.422442 94.422442 103.156517885 89.7013199 49452 Replace g-j tube perc 144.516791 144.516791 157.8845941675 137.29095145 49460 Fix g/colon tube w/device 50.094349 50.094349 54.7280762825 47.58963155 49465 Fluoro exam of g/colon tube 32.074799 32.074799 35.0417179075 30.47105905 49491 Rpr hern preemie reduc 830.340864 830.340864 907.14739392 788.8238208 49492 Rpr ing hern premie blocked 1001.526589 1001.526589 1094.1677984825 951.45025955 49495 Rpr ing hernia baby reduc 427.423726 427.423726 466.960420655 406.0525397 49496 Rpr ing hernia baby blocked 641.135589 641.135589 700.4406309825 609.07880955 49500 Rpr ing hernia init reduce 421.65747 421.65747 460.660785975 400.5745965 49501 Rpr ing hernia init blocked 632.486205 632.486205 690.9911789625 600.86189475 49505 Prp i/hern init reduc >5 yr 543.109237 543.109237 593.3468414225 515.95377515 49507 Prp i/hern init block >5 yr 611.583527 611.583527 668.1550032475 581.00435065 49520 Rerepair ing hernia reduce 659.875921 659.875921 720.9144436925 626.88212495 49521 Rerepair ing hernia blocked 748.532107 748.532107 817.7713268975 711.10550165 49525 Repair ing hernia sliding 598.609451 598.609451 653.9808252175 568.67897845 49540 Repair lumbar hernia 703.483232 703.483232 768.55543096 668.3090704 49550 Rpr rem hernia init reduce 601.132188 601.132188 656.73691539 571.0755786 49553 Rpr fem hernia init blocked 659.875921 659.875921 720.9144436925 626.88212495 49555 Rerepair fem hernia reduce 624.557603 624.557603 682.3291812775 593.32972285 49557 Rerepair fem hernia blocked 755.739927 755.739927 825.6458702475 717.95293065 49560 Rpr ventral hern init reduc 770.515958 770.515958 841.788684115 731.9901601 49561 Rpr ventral hern init block 970.893354 970.893354 1060.700989245 922.3486863 49565 Rerepair ventrl hern reduce 802.230366 802.230366 876.436674855 762.1188477 49566 Rerepair ventrl hern block 979.542738 979.542738 1070.150441265 930.5656011 49568 Hernia repair w/mesh 280.023807 280.023807 305.9260091475 266.02261665 49570 Rpr epigastric hern reduce 434.991937 434.991937 475.2286911725 413.24234015 49572 Rpr epigastric hern blocked 538.784545 538.784545 588.6221154125 511.84531775 49580 Rpr umbil hern reduc < 5 yr 337.686367 337.686367 368.9223559475 320.80204865 49582 Rpr umbil hern block < 5 yr 481.842767 481.842767 526.4132229475 457.75062865 49585 Rpr umbil hern reduc > 5 yr 463.823217 463.823217 506.7268645725 440.63205615 49587 Rpr umbil hern block > 5 yr 495.898016 495.898016 541.76858248 471.1031152 49590 Repair spigelian hernia 597.528278 597.528278 652.799643715 567.6518641 49600 Repair umbilical lesion 757.902273 757.902273 828.0082332525 720.00715935 49605 Repair umbilical lesion 5136.292532 5136.292532 5611.39959121 4879.4779054 49606 Repair umbilical lesion 1186.046781 1186.046781 1295.7561082425 1126.74444195 49610 Repair umbilical lesion 720.421609 720.421609 787.0606078325 684.40052855 49611 Repair umbilical lesion 634.28816 634.28816 692.9598148 602.573752 49650 Lap ing hernia repair init 447.245231 447.245231 488.6154148675 424.88296945 49651 Lap ing hernia repair recur 582.031465 582.031465 635.8693755125 552.92989175 49652 Lap vent/abd hernia repair 776.642605 776.642605 848.4820459625 737.81047475 49653 Lap vent/abd hern proc comp 969.812181 969.812181 1059.5198077425 921.32157195 49654 Lap inc hernia repair 882.597559 882.597559 964.2378332075 838.46768105 49655 Lap inc hern repair comp 1077.929481 1077.929481 1177.6379579925 1024.03300695 49656 Lap inc hernia repair recur 957.198496 957.198496 1045.73935688 909.3385712 49657 Lap inc hern recur comp 1378.135184 1378.135184 1505.61268852 1309.2284248 49659 Laparo proc hernia repair 0 0 0 0 49900 Repair of abdominal wall 851.964324 851.964324 930.77102397 809.3661078 49904 Omental flap extra-abdom 1476.161536 1476.161536 1612.70647808 1402.3534592 49905 Omental flap intra-abdom 369.400775 369.400775 403.5703466875 350.93073625 49906 Free omental flap microvasc 0 0 0 0 49999 Abdomen surgery procedure 0 0 0 0 50010 Exploration of kidney 764.749702 764.749702 835.489049435 726.5122169 50020 Renal abscess open drain 1055.94563 1055.94563 1153.620600775 1003.1483485 50040 Drainage of kidney 965.84788 965.84788 1055.1888089 917.555486 50045 Exploration of kidney 971.974527 971.974527 1061.8821707475 923.37580065 5005F Pt counsld on exam for moles 0 0 0 0 50060 Removal of kidney stone 1189.2903 1189.2903 1299.29965275 1129.825785 50065 Incision of kidney 1260.647718 1260.647718 1377.257631915 1197.6153321 50070 Incision of kidney 1236.501521 1236.501521 1350.8779116925 1174.67644495 50075 Removal of kidney stone 1518.327283 1518.327283 1658.7725566775 1442.41091885 50080 Removal of kidney stone 906.383365 906.383365 990.2238262625 861.06419675 50081 Removal of kidney stone 1332.005136 1332.005136 1455.21561108 1265.4048792 50100 Revise kidney blood vessels 1096.309422 1096.309422 1197.718043535 1041.4939509 5010F Macul result to phy mng dm 0 0 0 0 50120 Exploration of kidney 989.633686 989.633686 1081.174801955 940.1520017 50125 Explore and drain kidney 1024.591613 1024.591613 1119.3663372025 973.36203235 50130 Removal of kidney stone 1076.487917 1076.487917 1176.0630493225 1022.66352115 50135 Exploration of kidney 1170.189577 1170.189577 1278.4321128725 1111.68009815 5015F Doc fx & test/txmnt for op 0 0 0 0 50200 Renal biopsy perq 133.705061 133.705061 146.0727791425 127.01980795 50205 Renal biopsy open 787.814726 787.814726 860.687588155 748.4239897 5020F Txmnts 2 main Dr by 1 mon 0 0 0 0 50220 Remove kidney open 1092.705512 1092.705512 1193.78077186 1038.0702364 50225 Removal kidney open complex 1256.323026 1256.323026 1372.532905905 1193.5068747 50230 Removal kidney open radical 1337.411001 1337.411001 1461.1215185925 1270.54045095 50234 Removal of kidney & ureter 1359.034461 1359.034461 1484.7451486425 1291.08273795 50236 Removal of kidney & ureter 1528.418231 1528.418231 1669.7969173675 1451.99731945 50240 Partial removal of kidney 1382.099485 1382.099485 1509.9436873625 1312.99451075 50250 Cryoablate renal mass open 1267.855538 1267.855538 1385.132175265 1204.4627611 50280 Removal of kidney lesion 997.201897 997.201897 1089.4430724725 947.34180215 50290 Removal of kidney lesion 936.656209 936.656209 1023.2969083325 889.82339855 50300 Remove cadaver donor kidney 0 0 0 0 50320 Remove kidney living donor 1565.898895 1565.898895 1710.7445427875 1487.60395025 50323 Prep cadaver renal allograft 0 0 0 0 50325 Prep donor renal graft 0 0 0 0 50327 Prep renal graft/venous 226.685939 226.685939 247.6543883575 215.35164205 50328 Prep renal graft/arterial 198.575441 198.575441 216.9436692925 188.64666895 50329 Prep renal graft/ureteral 188.844884 188.844884 206.31303577 179.4026398 50340 Removal of kidney 989.994077 989.994077 1081.5685291225 940.49437315 50360 Transplantation of kidney 2525.259737 2525.259737 2758.8462626725 2398.99675015 50365 Transplantation of kidney 2991.605691 2991.605691 3268.3292174175 2842.02540645 50370 Remove transplanted kidney 1257.043808 1257.043808 1373.32036024 1194.1916176 50380 Reimplantation of kidney 2084.861935 2084.861935 2277.7116639875 1980.61883825 50382 Change ureter stent percut 268.851686 268.851686 293.720466955 255.4091017 50384 Remove ureter stent percut 240.741188 240.741188 263.00974789 228.7041286 50385 Change stent via transureth 228.487894 228.487894 249.623024195 217.0634993 50386 Remove stent via transureth 169.38377 169.38377 185.051768725 160.9145815 50387 Change ext/int ureter stent 87.575013 87.575013 95.6757017025 83.19626235 50389 Remove renal tube w/fluoro 56.220996 56.220996 61.42143813 53.4099462 50390 Drainage of kidney lesion 100.188698 100.188698 109.456152565 95.1792631 50391 Instll rx agnt into rnal tub 102.351044 102.351044 111.81851557 97.2334918 50396 Measure kidney pressure 121.812158 121.812158 133.079782615 115.7215501 50400 Revision of kidney/ureter 1209.472196 1209.472196 1321.34837413 1148.9985862 50405 Revision of kidney/ureter 1454.898467 1454.898467 1589.4765751975 1382.15354365 50430 Njx px nfrosgrm &/urtrgrm 160.734386 160.734386 175.602316705 152.6976667 50431 Njx px nfrosgrm &/urtrgrm 68.47429 68.47429 74.808161825 65.0505755 50432 Plmt nephrostomy catheter 215.513818 215.513818 235.448846165 204.7381271 50433 Plmt nephroureteral catheter 268.130904 268.130904 292.93301262 254.7243588 50434 Convert nephrostomy catheter 201.81896 201.81896 220.4872138 191.728012 50435 Exchange nephrostomy cath 104.51339 104.51339 114.180878575 99.2877205 50436 157.490867 157.490867 172.0587721975 149.61632365 50437 262.725039 262.725039 287.0271051075 249.58878705 50500 Repair of kidney wound 1344.979212 1344.979212 1469.38978911 1277.7302514 5050F Plan 2 main dr by 1 month 0 0 0 0 50520 Close kidney-skin fistula 1210.91376 1210.91376 1322.9232828 1150.368072 50525 Repair renal-abdomen fistula 1536.707224 1536.707224 1678.85264222 1459.8718628 50526 Repair renal-abdomen fistula 1647.347261 1647.347261 1799.7268826425 1564.97989795 50540 Revision of horseshoe kidney 1192.89421 1192.89421 1303.236924425 1133.2494995 50541 Laparo ablate renal cyst 958.279669 958.279669 1046.9205383825 910.36568555 50542 Laparo ablate renal mass 1216.680016 1216.680016 1329.22291748 1155.8460152 50543 Laparo partial nephrectomy 1552.204037 1552.204037 1695.7829104225 1474.59383515 50544 Laparoscopy pyeloplasty 1298.488773 1298.488773 1418.5989845025 1233.56433435 50545 Laparo radical nephrectomy 1397.235907 1397.235907 1526.4802283975 1327.37411165 50546 Laparoscopic nephrectomy 1255.962635 1255.962635 1372.1391787375 1193.16450325 50547 Laparo removal donor kidney 1675.457759 1675.457759 1830.4376017075 1591.68487105 50548 Laparo remove w/ureter 1405.164509 1405.164509 1535.1422260825 1334.90628355 50549 Laparoscope proc renal 0 0 0 0 50551 Kidney endoscopy 307.773914 307.773914 336.243001045 292.3852183 50553 Kidney endoscopy 327.595419 327.595419 357.8979952575 311.21564805 50555 Kidney endoscopy & biopsy 356.066308 356.066308 389.00244149 338.2629926 50557 Kidney endoscopy & treatment 360.751391 360.751391 394.1208946675 342.71382145 50561 Kidney endoscopy & treatment 411.206131 411.206131 449.2426981175 390.64582445 50562 Renal scope w/tumor resect 605.817271 605.817271 661.8553685675 575.52640745 50570 Kidney endoscopy 512.836393 512.836393 560.2737593525 487.19457335 50572 Kidney endoscopy 555.00214 555.00214 606.33983795 527.252033 50574 Kidney endoscopy & biopsy 590.320458 590.320458 644.925100365 560.8044351 50575 Kidney endoscopy 745.288588 745.288588 814.22778239 708.0241586 50576 Kidney endoscopy & treatment 588.878894 588.878894 643.350191695 559.4349493 50580 Kidney endoscopy & treatment 633.927769 633.927769 692.5660876325 602.23138055 50590 Fragmenting of kidney stone 592.843195 592.843195 647.6811905375 563.20103525 50592 Perc rf ablate renal tumor 357.868263 357.868263 390.9710773275 339.97484985 50593 Perc cryo ablate renal tum 480.761594 480.761594 525.232041445 456.7235143 50600 Exploration of ureter 978.821956 978.821956 1069.36298693 929.8808582 50605 Insert ureteral support 1033.240997 1033.240997 1128.8157892225 981.57894715 50606 Endoluminal bx urtr rnl plvs 159.653213 159.653213 174.4211352025 151.67055235 5060F Fndngs mammo 2pt w/in 3 days 0 0 0 0 50610 Removal of ureter stone 982.786257 982.786257 1073.6939857725 933.64694415 50620 Removal of ureter stone 940.62051 940.62051 1027.627907175 893.5894845 5062F Mammo result com to pt 5 day 0 0 0 0 50630 Removal of ureter stone 930.889953 930.889953 1016.9972736525 884.34545535 50650 Removal of ureter 1082.254173 1082.254173 1182.3626840025 1028.14146435 50660 Removal of ureter 1191.092255 1191.092255 1301.2682885875 1131.53764225 50684 Injection for ureter x-ray 52.256695 52.256695 57.0904392875 49.64386025 50686 Measure ureter pressure 91.899705 91.899705 100.4004277125 87.30471975 50688 Change of ureter tube/stent 81.087975 81.087975 88.5886126875 77.03357625 50690 Injection for ureter x-ray 72.798982 72.798982 79.532887835 69.1590329 50693 Plmt ureteral stent prq 214.072254 214.072254 233.873937495 203.3686413 50694 Plmt ureteral stent prq 280.023807 280.023807 305.9260091475 266.02261665 50695 Plmt ureteral stent prq 358.589045 358.589045 391.7585316625 340.65959275 50700 Revision of ureter 964.766707 964.766707 1054.0076273975 916.52837165 50705 Ureteral embolization/occl 205.062479 205.062479 224.0307583075 194.80935505 50706 Balloon dilate urtrl strix 191.367621 191.367621 209.0691259425 181.79923995 50715 Release of ureter 1270.378275 1270.378275 1387.8882654375 1206.85936125 50722 Release of ureter 1048.377419 1048.377419 1145.3523302575 995.95854805 50725 Release/revise ureter 1149.64729 1149.64729 1255.989664325 1092.1649255 50727 Revise ureter 530.135161 530.135161 579.1726633925 503.62840295 50728 Revise ureter 765.110093 765.110093 835.8827766025 726.85458835 50740 Fusion of ureter & kidney 1278.667268 1278.667268 1396.94399029 1214.7339046 50750 Fusion of ureter & kidney 1203.345549 1203.345549 1314.6550122825 1143.17827155 50760 Fusion of ureters 1176.316224 1176.316224 1285.12547472 1117.5004128 50770 Splicing of ureters 1201.903985 1201.903985 1313.0801036125 1141.80878575 50780 Reimplant ureter in bladder 1152.530418 1152.530418 1259.139481665 1094.9038971 50782 Reimplant ureter in bladder 1119.734837 1119.734837 1223.3103094225 1063.74809515 50783 Reimplant ureter in bladder 1175.955833 1175.955833 1284.7317475525 1117.15804135 50785 Reimplant ureter in bladder 1266.413974 1266.413974 1383.557266595 1203.0932753 50800 Implant ureter in bowel 968.010226 968.010226 1057.551171905 919.6097147 50810 Fusion of ureter & bowel 1462.106287 1462.106287 1597.3511185475 1389.00097265 50815 Urine shunt to intestine 1274.702967 1274.702967 1392.6129914475 1210.96781865 50820 Construct bowel bladder 1370.566973 1370.566973 1497.3444180025 1302.03862435 50825 Construct bowel bladder 1732.759928 1732.759928 1893.04022134 1646.1219316 50830 Revise urine flow 1879.439065 1879.439065 2053.2871785125 1785.46711175 50840 Replace ureter by bowel 1281.550396 1281.550396 1400.09380763 1217.4728762 50845 Appendico-vesicostomy 1303.173856 1303.173856 1423.71743768 1238.0151632 50860 Transplant ureter to skin 984.948603 984.948603 1076.0563487775 935.70117285 50900 Repair of ureter 877.552085 877.552085 958.7256528625 833.67448075 50920 Closure ureter/skin fistula 914.672358 914.672358 999.279551115 868.9387401 50930 Closure ureter/bowel fistula 1149.286899 1149.286899 1255.5959371575 1091.82255405 50940 Release of ureter 923.682133 923.682133 1009.1227303025 877.49802635 50945 Laparoscopy ureterolithotomy 1012.69871 1012.69871 1106.373340675 962.0637745 50947 Laparo new ureter/bladder 1448.051038 1448.051038 1581.995759015 1375.6484861 50948 Laparo new ureter/bladder 1328.401226 1328.401226 1451.278339405 1261.9811647 50949 Laparoscope proc ureter 0 0 0 0 50951 Endoscopy of ureter 320.387599 320.387599 350.0234519075 304.36821905 50953 Endoscopy of ureter 340.929886 340.929886 372.465900455 323.8833917 50955 Ureter endoscopy & biopsy 367.59882 367.59882 401.60171085 349.218879 50957 Ureter endoscopy & treatment 369.761166 369.761166 403.964073855 351.2731077 50961 Ureter endoscopy & treatment 330.478547 330.478547 361.0478125975 313.95461965 50970 Ureter endoscopy 386.339152 386.339152 422.07552356 367.0221944 50972 Ureter endoscopy & catheter 373.725467 373.725467 408.2950726975 355.03919365 50974 Ureter endoscopy & biopsy 493.375279 493.375279 539.0124923075 468.70651505 50976 Ureter endoscopy & treatment 486.888241 486.888241 531.9254032925 462.54382895 50980 Ureter endoscopy & treatment 371.563121 371.563121 405.9327096925 352.98496495 5100F Rsk fx ref w/n 24 hrs xray 0 0 0 0 51020 Incise & treat bladder 486.888241 486.888241 531.9254032925 462.54382895 51030 Incise & treat bladder 490.492151 490.492151 535.8626749675 465.96754345 51040 Incise & drain bladder 301.286876 301.286876 329.15591203 286.2225322 51045 Incise bladder/drain ureter 511.75522 511.75522 559.09257785 486.167459 51050 Removal of bladder stone 492.294106 492.294106 537.831310805 467.6794007 51060 Removal of ureter stone 606.177662 606.177662 662.249095735 575.8687789 51065 Remove ureter calculus 604.015316 604.015316 659.88673273 573.8145502 51080 Drainage of bladder abscess 425.621771 425.621771 464.9917848175 404.34068245 51100 Drain bladder by needle 40.724183 40.724183 44.4911699275 38.68797385 51101 Drain bladder by trocar/cath 54.05865 54.05865 59.059075125 51.3557175 51102 Drain bl w/cath insertion 150.643438 150.643438 164.577956015 143.1112661 51500 Removal of bladder cyst 663.11944 663.11944 724.4579882 629.963468 51520 Removal of bladder lesion 619.87252 619.87252 677.2107281 588.878894 51525 Removal of bladder lesion 895.211244 895.211244 978.01828407 850.4506818 51530 Removal of bladder lesion 801.869975 801.869975 876.0429476875 761.77647625 51535 Repair of ureter lesion 812.321314 812.321314 887.461035545 771.7052483 51550 Partial removal of bladder 1005.49089 1005.49089 1098.498797325 955.2163455 51555 Partial removal of bladder 1322.274579 1322.274579 1444.5849775575 1256.16085005 51565 Revise bladder & ureter(s) 1353.268205 1353.268205 1478.4455139625 1285.60479475 51570 Removal of bladder 1536.707224 1536.707224 1678.85264222 1459.8718628 51575 Removal of bladder & nodes 1901.422916 1901.422916 2077.30453573 1806.3517702 51580 Remove bladder/revise tract 1973.861507 1973.861507 2156.4436963975 1875.16843165 51585 Removal of bladder & nodes 2200.187055 2200.187055 2403.7043575875 2090.17770225 51590 Remove bladder/revise tract 2017.108427 2017.108427 2203.6909564975 1916.25300565 51595 Remove bladder/revise tract 2283.076985 2283.076985 2494.2616061125 2168.92313575 51596 Remove bladder/create pouch 2456.785447 2456.785447 2684.0381008475 2333.94617465 51597 Removal of pelvic structures 2391.554676 2391.554676 2612.77348353 2271.9769422 51600 Injection for bladder x-ray 46.490439 46.490439 50.7908046075 44.16591705 51605 Preparation for bladder xray 40.003401 40.003401 43.7037155925 38.00323095 51610 Injection for bladder x-ray 66.672335 66.672335 72.8395259875 63.33871825 51700 Irrigation of bladder 31.354017 31.354017 34.2542635725 29.78631615 51701 Insert bladder catheter 26.308543 26.308543 28.7420832275 24.99311585 51702 Insert temp bladder cath 26.308543 26.308543 28.7420832275 24.99311585 51703 Insert bladder cath complex 80.367193 80.367193 87.8011583525 76.34883335 51705 Change of bladder tube 54.05865 54.05865 59.059075125 51.3557175 51710 Change of bladder tube 82.88993 82.88993 90.557248525 78.7454335 51715 Endoscopic injection/implant 207.585216 207.585216 226.78684848 197.2059552 51720 Treatment of bladder lesion 45.769657 45.769657 50.0033502725 43.48117415 51725 Simple cystometrogram 205.062479 205.062479 224.0307583075 194.80935505 51725 Simple cystometrogram 126.13685 126.13685 137.804508625 119.8300075 TC 51725 Simple cystometrogram 78.925629 78.925629 86.2262496825 74.97934755 26 51726 Complex cystometrogram 197.494268 197.494268 215.76248779 187.6195546 TC 51726 Complex cystometrogram 88.656186 88.656186 96.856883205 84.2233767 26 51726 Complex cystometrogram 286.150454 286.150454 312.619370995 271.8429313 51727 Cystometrogram w/up 228.127503 228.127503 249.2292970275 216.72112785 TC 51727 Cystometrogram w/up 110.279646 110.279646 120.480513255 104.7656637 26 51727 Cystometrogram w/up 338.407149 338.407149 369.7098102825 321.48679155 51728 Cystometrogram w/vp 235.695714 235.695714 257.497567545 223.9109283 TC 51728 Cystometrogram w/vp 108.477691 108.477691 118.5118774175 103.05380645 26 51728 Cystometrogram w/vp 344.173405 344.173405 376.0094449625 326.96473475 51729 Cystometrogram w/vp&up 237.137278 237.137278 259.072476215 225.2804141 TC 51729 Cystometrogram w/vp&up 130.821933 130.821933 142.9229618025 124.28083635 26 51729 Cystometrogram w/vp&up 367.959211 367.959211 401.9954380175 349.56125045 51736 Urine flow measurement 14.41564 14.41564 15.7490867 13.694858 51736 Urine flow measurement 5.766256 5.766256 6.29963468 5.4779432 TC 51736 Urine flow measurement 8.649384 8.649384 9.44945202 8.2169148 26 51741 Electro-uroflowmetry first 14.776031 14.776031 16.1428138675 14.03722945 51741 Electro-uroflowmetry first 6.126647 6.126647 6.6933618475 5.82031465 TC 51741 Electro-uroflowmetry first 8.649384 8.649384 9.44945202 8.2169148 26 51784 Anal/urinary muscle study 30.633235 30.633235 33.4668092375 29.10157325 TC 51784 Anal/urinary muscle study 38.922228 38.922228 42.52253409 36.9761166 26 51784 Anal/urinary muscle study 69.555463 69.555463 75.9893433275 66.07768985 51785 Anal/urinary muscle study 234.614541 234.614541 256.3163860425 222.88381395 TC 51785 Anal/urinary muscle study 95.864006 95.864006 104.731426555 91.0708057 26 51785 Anal/urinary muscle study 330.478547 330.478547 361.0478125975 313.95461965 51792 Urinary reflex study 236.776887 236.776887 258.6787490475 224.93804265 51792 Urinary reflex study 179.474718 179.474718 196.076129415 170.5009821 TC 51792 Urinary reflex study 57.302169 57.302169 62.6026196325 54.43706055 26 51797 Intraabdominal pressure test 142.354445 142.354445 155.5222311625 135.23672275 51797 Intraabdominal pressure test 100.549089 100.549089 109.8498797325 95.52163455 TC 51797 Intraabdominal pressure test 41.805356 41.805356 45.67235143 39.7150882 26 51798 Us urine capacity measure 12.974076 12.974076 14.17417803 12.3253722 51800 Revision of bladder/urethra 1095.228249 1095.228249 1196.5368620325 1040.46683655 51820 Revision of urinary tract 1130.546567 1130.546567 1235.1221244475 1074.01923865 51840 Attach bladder/urethra 695.55463 695.55463 759.893433275 660.7768985 51841 Attach bladder/urethra 809.798577 809.798577 884.7049453725 769.30864815 51845 Repair bladder neck 606.538053 606.538053 662.6428229025 576.21115035 51860 Repair of bladder wound 776.642605 776.642605 848.4820459625 737.81047475 51865 Repair of bladder wound 935.214645 935.214645 1021.7219996625 888.45391275 51880 Repair of bladder opening 486.888241 486.888241 531.9254032925 462.54382895 51900 Repair bladder/vagina lesion 858.451362 858.451362 937.858112985 815.5287939 51920 Close bladder-uterus fistula 795.743328 795.743328 869.34958584 755.9561616 51925 Hysterectomy/bladder repair 1064.234623 1064.234623 1162.6763256275 1011.02289185 51940 Correction of bladder defect 1712.578032 1712.578032 1870.99149996 1626.9491304 51960 Revision of bladder & bowel 1443.365955 1443.365955 1576.8773058375 1371.19765725 51980 Construct bladder opening 743.126242 743.126242 811.865419385 705.9699299 51990 Laparo urethral suspension 779.525733 779.525733 851.6318633025 740.54944635 51992 Laparo sling operation 865.659182 865.659182 945.732656335 822.3762229 51999 Laparoscope proc bla 0 0 0 0 52000 Cystoscopy 84.331494 84.331494 92.132157195 80.1149193 52001 Cystoscopy removal of clots 299.484921 299.484921 327.1872761925 284.51067495 52005 Cystoscopy & ureter catheter 138.390144 138.390144 151.19123232 131.4706368 52007 Cystoscopy and biopsy 172.98768 172.98768 188.9890404 164.338296 5200F Eval appros surg thxpy epi 0 0 0 0 52010 Cystoscopy & duct catheter 172.266898 172.266898 188.201586065 163.6535531 52204 Cystoscopy w/biopsy(s) 147.039528 147.039528 160.64068434 139.6875516 52214 Cystoscopy and treatment 183.79941 183.79941 200.800855425 174.6094395 52224 Cystoscopy and treatment 212.270299 212.270299 231.9053016575 201.65678405 52234 Cystoscopy and treatment 256.598392 256.598392 280.33374326 243.7684724 52235 Cystoscopy and treatment 300.566094 300.566094 328.368457695 285.5377893 52240 Cystoscopy and treatment 408.683394 408.683394 446.486607945 388.2492243 52250 Cystoscopy and radiotracer 249.390572 249.390572 272.45919991 236.9210434 52260 Cystoscopy and treatment 218.757337 218.757337 238.9923906725 207.81947015 52265 Cystoscopy and treatment 168.302597 168.302597 183.8705872225 159.88746715 52270 Cystoscopy & revise urethra 189.926057 189.926057 207.4942172725 180.42975415 52275 Cystoscopy & revise urethra 259.121129 259.121129 283.0898334325 246.16507255 52276 Cystoscopy and treatment 275.699115 275.699115 301.2012831375 261.91415925 52277 Cystoscopy and treatment 336.965585 336.965585 368.1349016125 320.11730575 52281 Cystoscopy and treatment 158.57204 158.57204 173.2399537 150.643438 52282 Cystoscopy implant stent 351.741616 351.741616 384.27771548 334.1545352 52283 Cystoscopy and treatment 210.107953 210.107953 229.5429386525 199.60255535 52285 Cystoscopy and treatment 203.981306 203.981306 222.849576805 193.7822407 52287 Cystoscopy chemodenervation 176.231199 176.231199 192.5325849075 167.41963905 52290 Cystoscopy and treatment 254.796437 254.796437 278.3651074225 242.05661515 52300 Cystoscopy and treatment 291.556319 291.556319 318.5252785075 276.97850305 52301 Cystoscopy and treatment 302.007658 302.007658 329.943366365 286.9072751 52305 Cystoscopy and treatment 290.475146 290.475146 317.344097005 275.9513887 52310 Cystoscopy and treatment 157.851258 157.851258 172.452499365 149.9586951 52315 Cystoscopy and treatment 286.150454 286.150454 312.619370995 271.8429313 52317 Remove bladder stone 362.192955 362.192955 395.6958033375 344.08330725 52318 Remove bladder stone 494.096061 494.096061 539.7999466425 469.39125795 52320 Cystoscopy and treatment 256.958783 256.958783 280.7274704275 244.11084385 52325 Cystoscopy stone removal 334.082457 334.082457 364.9850842725 317.37833415 52327 Cystoscopy inject material 273.536769 273.536769 298.8389201325 259.85993055 52330 Cystoscopy and treatment 274.978333 274.978333 300.4138288025 261.22941635 52332 Cystoscopy and treatment 162.17595 162.17595 177.177225375 154.0671525 52334 Create passage to kidney 191.00723 191.00723 208.675398775 181.4568685 52341 Cysto w/ureter stricture tx 295.881011 295.881011 323.2500045175 281.08696045 52342 Cysto w/up stricture tx 321.829163 321.829163 351.5983605775 305.73770485 52343 Cysto w/renal stricture tx 358.949436 358.949436 392.15225883 341.0019642 52344 Cysto/uretero stricture tx 385.257979 385.257979 420.8943420575 365.99508005 52345 Cysto/uretero w/up stricture 411.206131 411.206131 449.2426981175 390.64582445 52346 Cystouretero w/renal strict 465.625172 465.625172 508.69550041 442.3439134 52351 Cystouretero & or pyeloscope 315.342125 315.342125 344.5112715625 299.57501875 52352 Cystouretero w/stone remove 369.761166 369.761166 403.964073855 351.2731077 52353 Cystouretero w/lithotripsy 408.683394 408.683394 446.486607945 388.2492243 52354 Cystouretero w/biopsy 435.352328 435.352328 475.62241834 413.5847116 52355 Cystouretero w/excise tumor 487.609023 487.609023 532.7128576275 463.22857185 52356 Cysto/uretero w/lithotripsy 434.271155 434.271155 474.4412368375 412.55759725 52400 Cystouretero w/congen repr 498.420753 498.420753 544.5246726525 473.49971535 52402 Cystourethro cut ejacul duct 278.582243 278.582243 304.3511004775 264.65313085 52441 Cystourethro w/implant 236.056105 236.056105 257.8912947125 224.25329975 52442 Cystourethro w/addl implant 63.068425 63.068425 68.9022543125 59.91500375 52450 Incision of prostate 489.771369 489.771369 535.0752206325 465.28280055 52500 Revision of bladder neck 509.232483 509.232483 556.3364876775 483.77085885 5250F Asthma discharge plan presnt 0 0 0 0 52601 Prostatectomy (TURP) 760.064619 760.064619 830.3705962575 722.06138805 52630 Remove prostate regrowth 417.693169 417.693169 456.3297871325 396.80851055 52640 Relieve bladder contracture 329.397374 329.397374 359.866631095 312.9275053 52647 Laser surgery of prostate 675.372734 675.372734 737.844711895 641.6040973 52648 Laser surgery of prostate 719.700827 719.700827 786.2731534975 683.71578565 52649 Prostate laser enucleation 859.172144 859.172144 938.64556732 816.2135368 52700 Drainage of prostate abscess 459.858916 459.858916 502.39586573 436.8659702 53000 Incision of urethra 154.247348 154.247348 168.51522769 146.5349806 53010 Incision of urethra 306.692741 306.692741 335.0618195425 291.35810395 53020 Incision of urethra 100.90948 100.90948 110.2436069 95.864006 53025 Incision of urethra 70.997027 70.997027 77.5642519975 67.44717565 53040 Drainage of urethra abscess 409.043785 409.043785 446.8803351125 388.59159575 53060 Drainage of urethra abscess 169.023379 169.023379 184.6580415575 160.57221005 53080 Drainage of urinary leakage 437.875065 437.875065 478.3785085125 415.98131175 53085 Drainage of urinary leakage 676.814298 676.814298 739.419620565 642.9735831 53200 Biopsy of urethra 148.481092 148.481092 162.21559301 141.0570374 53210 Removal of urethra 802.230366 802.230366 876.436674855 762.1188477 53215 Removal of urethra 967.649835 967.649835 1057.1574447375 919.26734325 53220 Treatment of urethra lesion 470.670646 470.670646 514.207680755 447.1371137 53230 Removal of urethra lesion 631.044641 631.044641 689.4162702925 599.49240895 53235 Removal of urethra lesion 659.155139 659.155139 720.1269893575 626.19738205 53240 Surgery for urethra pouch 442.560148 442.560148 483.49696169 420.4321406 53250 Removal of urethra gland 412.287304 412.287304 450.42387962 391.6729388 53260 Treatment of urethra lesion 187.40332 187.40332 204.7381271 178.033154 53265 Treatment of urethra lesion 193.890358 193.890358 211.825216115 184.1958401 53270 Removal of urethra gland 191.728012 191.728012 209.46285311 182.1416114 53275 Repair of urethra defect 273.176378 273.176378 298.445192965 259.5175591 53400 Revise urethra stage 1 833.584383 833.584383 910.6909384275 791.90516385 53405 Revise urethra stage 2 910.708057 910.708057 994.9485522725 865.17265415 53410 Reconstruction of urethra 1019.90653 1019.90653 1114.247884025 968.9112035 53415 Reconstruction of urethra 1178.47857 1178.47857 1287.487837725 1119.5546415 53420 Reconstruct urethra stage 1 877.191694 877.191694 958.331925695 833.3321093 53425 Reconstruct urethra stage 2 976.65961 976.65961 1067.000623925 927.8266295 53430 Reconstruction of urethra 1007.292845 1007.292845 1100.4674331625 956.92820275 53431 Reconstruct urethra/bladder 1202.985158 1202.985158 1314.261285115 1142.8359001 53440 Male sling procedure 784.931598 784.931598 857.537770815 745.6850181 53442 Remove/revise male sling 815.925224 815.925224 891.39830722 775.1289628 53444 Insert tandem cuff 826.376563 826.376563 902.8163950775 785.05773485 53445 Insert uro/ves nck sphincter 784.931598 784.931598 857.537770815 745.6850181 53446 Remove uro sphincter 669.246087 669.246087 731.1513500475 635.78378265 53447 Remove/replace ur sphincter 842.233767 842.233767 920.1403904475 800.12207865 53448 Remov/replc ur sphinctr comp 1332.725918 1332.725918 1456.003065415 1266.0896221 53449 Repair uro sphincter 637.531679 637.531679 696.5033593075 605.65509505 53450 Revision of urethra 425.982162 425.982162 465.385511985 404.6830539 53460 Revision of urethra 477.157684 477.157684 521.29476977 453.2997998 53500 Urethrlys transvag w/ scope 776.282214 776.282214 848.088318795 737.4681033 53502 Repair of urethra injury 506.709746 506.709746 553.580397505 481.3742587 53505 Repair of urethra injury 506.349355 506.349355 553.1866703375 481.03188725 53510 Repair of urethra injury 658.073966 658.073966 718.945807855 625.1702677 53515 Repair of urethra injury 829.620082 829.620082 906.359939585 788.1390779 53520 Repair of urethra defect 580.950292 580.950292 634.68819401 551.9027774 53600 Dilate urethra stricture 66.311944 66.311944 72.44579882 62.9963468 53601 Dilate urethra stricture 55.860605 55.860605 61.0277109625 53.06757475 53605 Dilate urethra stricture 67.393117 67.393117 73.6269803225 64.02346115 53620 Dilate urethra stricture 90.818532 90.818532 99.21924621 86.2776054 53621 Dilate urethra stricture 75.321719 75.321719 82.2889780075 71.55563305 53660 Dilation of urethra 43.24692 43.24692 47.2472601 41.084574 53661 Dilation of urethra 42.165747 42.165747 46.0660785975 40.05745965 53665 Dilation of urethra 40.363792 40.363792 44.09744276 38.3456024 53850 Prostatic microwave thermotx 363.99491 363.99491 397.664439175 345.7951645 53852 Prostatic rf thermotx 391.384626 391.384626 427.587703905 371.8153947 53854 392.465799 392.465799 428.7688854075 372.84250905 53855 Insert prost urethral stent 86.133449 86.133449 94.1007930325 81.82677655 53860 Transurethral rf treatment 233.533368 233.533368 255.13520454 221.8566996 53899 Urology surgery procedure 0 0 0 0 54000 Slitting of prepuce 113.162774 113.162774 123.630330595 107.5046353 54001 Slitting of prepuce 144.877182 144.877182 158.278321335 137.6333229 54015 Drain penis lesion 321.468772 321.468772 351.20463341 305.3953334 54050 Destruction penis lesion(s) 109.919255 109.919255 120.0867860875 104.42329225 54055 Destruction penis lesion(s) 96.945179 96.945179 105.9126080575 92.09792005 54056 Cryosurgery penis lesion(s) 114.604338 114.604338 125.205239265 108.8741211 54057 Laser surg penis lesion(s) 99.467916 99.467916 108.66869823 94.4945202 54060 Excision of penis lesion(s) 135.507016 135.507016 148.04141498 128.7316652 54065 Destruction penis lesion(s) 179.114327 179.114327 195.6824022475 170.15861065 54100 Biopsy of penis 129.380369 129.380369 141.3480531325 122.91135055 54105 Biopsy of penis 222.000856 222.000856 242.53593518 210.9008132 54110 Treatment of penis lesion 650.505755 650.505755 710.6775373375 617.98046725 54111 Treat penis lesion graft 832.863601 832.863601 909.9034840925 791.22042095 54112 Treat penis lesion graft 978.101174 978.101174 1068.575532595 929.1961153 54115 Treatment of penis lesion 442.560148 442.560148 483.49696169 420.4321406 54120 Partial removal of penis 659.155139 659.155139 720.1269893575 626.19738205 54125 Removal of penis 849.441587 849.441587 928.0149337975 806.96950765 54130 Remove penis & nodes 1244.790514 1244.790514 1359.933636545 1182.5509883 54135 Remove penis & nodes 1577.071016 1577.071016 1722.95008498 1498.2174652 54150 Circumcision w/regionl block 101.990653 101.990653 111.4247884025 96.89112035 54160 Circumcision neonate 150.283047 150.283047 164.1842288475 142.76889465 54161 Circum 28 days or older 205.42287 205.42287 224.424485475 195.1517265 54162 Lysis penil circumic lesion 207.945607 207.945607 227.1805756475 197.54832665 54163 Repair of circumcision 227.406721 227.406721 248.4418426925 216.03638495 54164 Frenulotomy of penis 201.81896 201.81896 220.4872138 191.728012 54200 Treatment of penis lesion 87.214622 87.214622 95.281974535 82.8538909 54205 Treatment of penis lesion 555.00214 555.00214 606.33983795 527.252033 54220 Treatment of penis lesion 139.471317 139.471317 152.3724138225 132.49775115 54230 Prepare penis study 82.88993 82.88993 90.557248525 78.7454335 54231 Dynamic cavernosometry 121.091376 121.091376 132.29232828 115.0368072 54235 Penile injection 76.042501 76.042501 83.0764323425 72.24037595 54240 Penis study 37.480664 37.480664 40.94762542 35.6066308 TC 54240 Penis study 69.555463 69.555463 75.9893433275 66.07768985 26 54240 Penis study 107.036127 107.036127 116.9369687475 101.68432065 54250 Penis study 126.13685 126.13685 137.804508625 119.8300075 54250 Penis study 12.253294 12.253294 13.386723695 11.6406293 TC 54250 Penis study 113.883556 113.883556 124.41778493 108.1893782 26 54300 Revision of penis 672.129215 672.129215 734.3011673875 638.52275425 54304 Revision of penis 780.967297 780.967297 853.2067719725 741.91893215 54308 Reconstruction of urethra 745.648979 745.648979 814.6215095575 708.36653005 54312 Reconstruction of urethra 853.405888 853.405888 932.34593264 810.7355936 54316 Reconstruction of urethra 1040.448817 1040.448817 1136.6903325725 988.42637615 54318 Reconstruction of urethra 740.963896 740.963896 809.50305638 703.9157012 54322 Reconstruction of urethra 814.48366 814.48366 889.82339855 773.759477 54324 Reconstruction of urethra 1010.175973 1010.175973 1103.6172505025 959.66717435 54326 Reconstruction of urethra 985.669385 985.669385 1076.8438031125 936.38591575 54328 Revise penis/urethra 979.182347 979.182347 1069.7567140975 930.22322965 54332 Revise penis/urethra 1057.387194 1057.387194 1155.195509445 1004.5178343 54336 Revise penis/urethra 1240.826213 1240.826213 1355.6026377025 1178.78490235 54340 Secondary urethral surgery 593.924368 593.924368 648.86237204 564.2281496 54344 Secondary urethral surgery 987.831731 987.831731 1079.2061661175 938.44014445 54348 Secondary urethral surgery 1057.387194 1057.387194 1155.195509445 1004.5178343 54352 Reconstruct urethra/penis 1477.963491 1477.963491 1614.6751139175 1404.06531645 54360 Penis plastic surgery 751.054844 751.054844 820.52741707 713.5021018 54380 Repair penis 833.584383 833.584383 910.6909384275 791.90516385 54385 Repair penis 968.731008 968.731008 1058.33862624 920.2944576 54390 Repair penis and bladder 1294.884863 1294.884863 1414.6617128275 1230.14061985 54400 Insert semi-rigid prosthesis 552.839794 552.839794 603.977474945 525.1978043 54401 Insert self-contd prosthesis 684.022118 684.022118 747.294163915 649.8210121 54405 Insert multi-comp penis pros 843.31494 843.31494 921.32157195 801.149193 54406 Remove muti-comp penis pros 761.506183 761.506183 831.9455049275 723.43087385 54408 Repair multi-comp penis pros 824.214217 824.214217 900.4540320725 783.00350615 54410 Remove/replace penis prosth 897.013199 897.013199 979.9869199075 852.16253905 54411 Remov/replc penis pros comp 1070.36127 1070.36127 1169.369687475 1016.8432065 54415 Remove self-contd penis pros 551.39823 551.39823 602.402566275 523.8283185 54416 Remv/repl penis contain pros 741.684678 741.684678 810.290510715 704.6004441 54417 Remv/replc penis pros compl 935.935427 935.935427 1022.5094539975 889.13865565 54420 Revision of penis 733.756076 733.756076 801.62851303 697.0682722 54430 Revision of penis 667.804523 667.804523 729.5764413775 634.41429685 54435 Revision of penis 433.550373 433.550373 473.6537825025 411.87285435 54437 Repair corporeal tear 702.041668 702.041668 766.98052229 666.9395846 54438 Replantation of penis 1395.794343 1395.794343 1524.9053197275 1326.00462585 54440 Repair of penis 0 0 0 0 54450 Preputial stretching 60.185297 60.185297 65.7524369725 57.17603215 54500 Biopsy of testis 77.484065 77.484065 84.6513410125 73.60986175 54505 Biopsy of testis 218.757337 218.757337 238.9923906725 207.81947015 54512 Excise lesion testis 562.570351 562.570351 614.6081084675 534.44183345 54520 Removal of testis 340.569495 340.569495 372.0721732875 323.54102025 54522 Orchiectomy partial 614.466655 614.466655 671.3048205875 583.74332225 54530 Removal of testis 527.252033 527.252033 576.0228460525 500.88943135 54535 Extensive testis surgery 774.480259 774.480259 846.1196829575 735.75624605 54550 Exploration for testis 512.836393 512.836393 560.2737593525 487.19457335 54560 Exploration for testis 716.096917 716.096917 782.3358818225 680.29207115 54600 Reduce testis torsion 472.11221 472.11221 515.782589425 448.5065995 54620 Suspension of testis 312.098606 312.098606 340.967727055 296.4936757 54640 Suspension of testis 498.781144 498.781144 544.91839982 473.8420868 54650 Orchiopexy (Fowler-Stephens) 741.324287 741.324287 809.8967835475 704.25807265 54660 Revision of testis 372.283903 372.283903 406.7201640275 353.66970785 54670 Repair testis injury 423.459425 423.459425 462.6294218125 402.28645375 54680 Relocation of testis(es) 820.970698 820.970698 896.910487565 779.9221631 54690 Laparoscopy orchiectomy 684.382509 684.382509 747.6878910825 650.16338355 54692 Laparoscopy orchiopexy 790.697854 790.697854 863.837405495 751.1629613 54699 Laparoscope proc testis 0 0 0 0 54700 Drainage of scrotum 222.000856 222.000856 242.53593518 210.9008132 54800 Biopsy of epididymis 131.182324 131.182324 143.31668897 124.6232078 54830 Remove epididymis lesion 388.501498 388.501498 424.437886565 369.0764231 54840 Remove epididymis lesion 334.803239 334.803239 365.7725386075 318.06307705 54860 Removal of epididymis 436.793892 436.793892 477.19732701 414.9541974 54861 Removal of epididymis 590.680849 590.680849 645.3188275325 561.14680655 54865 Explore epididymis 373.725467 373.725467 408.2950726975 355.03919365 54900 Fusion of spermatic ducts 835.025947 835.025947 912.2658470975 793.27464965 54901 Fusion of spermatic ducts 1102.436069 1102.436069 1204.4114053825 1047.31426555 55000 Drainage of hydrocele 88.295795 88.295795 96.4631560375 83.88100525 55040 Removal of hydrocele 352.102007 352.102007 384.6714426475 334.49690665 55041 Removal of hydroceles 532.297507 532.297507 581.5350263975 505.68263165 55060 Repair of hydrocele 396.790491 396.790491 433.4936114175 376.95096645 55100 Drainage of scrotum abscess 172.98768 172.98768 188.9890404 164.338296 55110 Explore scrotum 403.63792 403.63792 440.9744276 383.456024 55120 Removal of scrotum lesion 368.679993 368.679993 402.7828923525 350.24599335 55150 Removal of scrotum 512.836393 512.836393 560.2737593525 487.19457335 55175 Revision of scrotum 378.41055 378.41055 413.413525875 359.4900225 55180 Revision of scrotum 717.898872 717.898872 784.30451766 682.0039284 55200 Incision of sperm duct 289.754364 289.754364 316.55664267 275.2666458 55250 Removal of sperm duct(s) 237.137278 237.137278 259.072476215 225.2804141 55300 Prepare sperm duct x-ray 195.331922 195.331922 213.400124785 185.5653259 55400 Repair of sperm duct 518.602649 518.602649 566.5733940325 492.67251655 55500 Removal of hydrocele 411.566522 411.566522 449.636425285 390.9881959 55520 Removal of sperm cord lesion 472.832992 472.832992 516.57004376 449.1913424 55530 Revise spermatic cord veins 366.517647 366.517647 400.4205293475 348.19176465 55535 Revise spermatic cord veins 448.326404 448.326404 489.79659637 425.9100838 55540 Revise hernia & sperm veins 576.6256 576.6256 629.963468 547.79432 55550 Laparo ligate spermatic vein 446.524449 446.524449 487.8279605325 424.19822655 55559 Laparo proc spermatic cord 0 0 0 0 55600 Incise sperm duct pouch 439.316629 439.316629 479.9534171825 417.35079755 55605 Incise sperm duct pouch 544.19041 544.19041 594.528022925 516.9808895 55650 Remove sperm duct pouch 746.730152 746.730152 815.80269106 709.3936444 55680 Remove sperm pouch lesion 357.507872 357.507872 390.57735016 339.6324784 55700 Biopsy of prostate 135.867407 135.867407 148.4351421475 129.07403665 55705 Biopsy of prostate 276.780288 276.780288 302.38246464 262.9412736 55706 Prostate saturation sampling 388.501498 388.501498 424.437886565 369.0764231 55720 Drainage of prostate abscess 470.670646 470.670646 514.207680755 447.1371137 55725 Drainage of prostate abscess 619.151738 619.151738 676.423273765 588.1941511 55801 Removal of prostate 1140.277124 1140.277124 1245.75275797 1083.2632678 55810 Extensive prostate surgery 1370.206582 1370.206582 1496.950690835 1301.6962529 55812 Extensive prostate surgery 1678.701278 1678.701278 1833.981146215 1594.7662141 55815 Extensive prostate surgery 1833.309017 1833.309017 2002.8901010725 1741.64356615 55821 Removal of prostate 911.068448 911.068448 995.34227944 865.5150256 55831 Removal of prostate 985.669385 985.669385 1076.8438031125 936.38591575 55840 Extensive prostate surgery 1222.085881 1222.085881 1335.1288249925 1160.98158695 55842 Extensive prostate surgery 1223.167054 1223.167054 1336.310006495 1162.0087013 55845 Extensive prostate surgery 1422.823668 1422.823668 1554.43485729 1351.6824846 55860 Surgical exposure prostate 912.870403 912.870403 997.3109152775 867.22688285 55862 Extensive prostate surgery 1143.881034 1143.881034 1249.690029645 1086.6869823 55865 Extensive prostate surgery 1383.180658 1383.180658 1511.124868865 1314.0216251 55866 Laparo radical prostatectomy 1505.713598 1505.713598 1644.992105815 1430.4279181 55870 Electroejaculation 147.76031 147.76031 161.428138675 140.3722945 55873 Cryoablate prostate 796.824501 796.824501 870.5307673425 756.98327595 55874 Tprnl plmt biodegrdabl matrl 172.98768 172.98768 188.9890404 164.338296 55875 Transperi needle place pros 797.905674 797.905674 871.711948845 758.0103903 55876 Place rt device/marker pros 104.873781 104.873781 114.5746057425 99.63009195 55899 Genital surgery procedure 0 0 0 0 55920 Place needles pelvic for rt 468.868691 468.868691 512.2390449175 445.42525645 55970 Sex transformation m to f 0 0 0 0 55980 Sex transformation f to m 0 0 0 0 56405 I & D of vulva/perineum 116.045902 116.045902 126.780147935 110.2436069 56420 Drainage of gland abscess 99.107525 99.107525 108.2749710625 94.15214875 56440 Surgery for vulva lesion 185.601365 185.601365 202.7694912625 176.32129675 56441 Lysis of labial lesion(s) 147.399919 147.399919 161.0344115075 140.02992305 56442 Hymenotomy 48.292394 48.292394 52.759440445 45.8777743 56501 Destroy vulva lesions sim 122.893331 122.893331 134.2609641175 116.74866445 56515 Destroy vulva lesion/s compl 209.02678 209.02678 228.36175715 198.575441 56605 Biopsy of vulva/perineum 61.626861 61.626861 67.3273456425 58.54551795 56606 Biopsy of vulva/perineum 30.633235 30.633235 33.4668092375 29.10157325 56620 Partial removal of vulva 558.60605 558.60605 610.277109625 530.6757475 56625 Complete removal of vulva 669.606478 669.606478 731.545077215 636.1261541 56630 Extensive vulva surgery 982.425866 982.425866 1073.300258605 933.3045727 56631 Extensive vulva surgery 1242.267777 1242.267777 1357.1775463725 1180.15438815 56632 Extensive vulva surgery 1466.070588 1466.070588 1601.68211739 1392.7670586 56633 Extensive vulva surgery 1274.342576 1274.342576 1392.21926428 1210.6254472 56634 Extensive vulva surgery 1365.521499 1365.521499 1491.8322376575 1297.24542405 56637 Extensive vulva surgery 1583.197663 1583.197663 1729.6434468275 1504.03777985 56640 Extensive vulva surgery 1571.30476 1571.30476 1716.6504503 1492.739522 56700 Partial removal of hymen 193.890358 193.890358 211.825216115 184.1958401 56740 Remove vagina gland lesion 312.098606 312.098606 340.967727055 296.4936757 56800 Repair of vagina 249.390572 249.390572 272.45919991 236.9210434 56805 Repair clitoris 1171.27075 1171.27075 1279.613294375 1112.7072125 56810 Repair of perineum 269.932859 269.932859 294.9016484575 256.43621605 56820 Exam of vulva w/scope 88.656186 88.656186 96.856883205 84.2233767 56821 Exam/biopsy of vulva w/scope 118.208248 118.208248 129.14251094 112.2978356 57000 Exploration of vagina 196.052704 196.052704 214.18757912 186.2500688 57010 Drainage of pelvic abscess 447.966013 447.966013 489.4028692025 425.56771235 57020 Drainage of pelvic fluid 82.529539 82.529539 90.1635213575 78.40306205 57022 I & d vaginal hematoma pp 175.150026 175.150026 191.351403405 166.3925247 57023 I & d vag hematoma non-ob 318.225253 318.225253 347.6610889025 302.31399035 57061 Destroy vag lesions simple 105.234172 105.234172 114.96833291 99.9724634 57065 Destroy vag lesions complex 183.078628 183.078628 200.01340109 173.9246966 57100 Biopsy of vagina 68.834681 68.834681 75.2018889925 65.39294695 57105 Biopsy of vagina 135.146625 135.146625 147.6476878125 128.38929375 57106 Remove vagina wall partial 524.008514 524.008514 572.479301545 497.8080883 57107 Remove vagina tissue part 1511.119463 1511.119463 1650.8980133275 1435.56348985 57109 Vaginectomy partial w/nodes 1834.029799 1834.029799 2003.6775554075 1742.32830905 57110 Remove vagina wall complete 915.032749 915.032749 999.6732782825 869.28111155 57111 Remove vagina tissue compl 1837.273318 1837.273318 2007.221099915 1745.4096521 57112 Vaginectomy w/nodes compl 1972.419943 1972.419943 2154.8687877275 1873.79894585 57120 Closure of vagina 526.17086 526.17086 574.84166455 499.862317 57130 Remove vagina lesion 165.77986 165.77986 181.11449705 157.490867 57135 Remove vagina lesion 181.997455 181.997455 198.8322195875 172.89758225 57150 Treat vagina infection 27.029325 27.029325 29.5295375625 25.67785875 57155 Insert uteri tandems/ovoids 291.556319 291.556319 318.5252785075 276.97850305 57156 Ins vag brachytx device 153.886957 153.886957 168.1215005225 146.19260915 57160 Insert pessary/other device 47.932003 47.932003 52.3657132775 45.53540285 57170 Fitting of diaphragm/cap 49.373567 49.373567 53.9406219475 46.90488865 57180 Treat vaginal bleeding 112.081601 112.081601 122.4491490925 106.47752095 57200 Repair of vagina 319.666817 319.666817 349.2359975725 303.68347615 57210 Repair vagina/perineum 383.095633 383.095633 418.5319790525 363.94085135 57220 Revision of urethra 333.001284 333.001284 363.80390277 316.3512198 57230 Repair of urethral lesion 408.683394 408.683394 446.486607945 388.2492243 57240 Repair bladder & vagina 612.6647 612.6647 669.33618475 582.031465 57250 Repair rectum & vagina 614.106264 614.106264 670.91109342 583.4009508 57260 Repair of vagina 784.210816 784.210816 856.75031648 745.0002752 57265 Extensive repair of vagina 880.435213 880.435213 961.8754702025 836.41345235 57267 Insert mesh/pelvic flr addon 261.283475 261.283475 285.4521964375 248.21930125 57268 Repair of bowel bulge 502.385054 502.385054 548.855671495 477.2658013 57270 Repair of bowel pouch 829.980473 829.980473 906.7536667525 788.48144935 57280 Suspension of vagina 982.786257 982.786257 1073.6939857725 933.64694415 57282 Colpopexy extraperitoneal 524.729296 524.729296 573.26675588 498.4928312 57283 Colpopexy intraperitoneal 707.087142 707.087142 772.492702635 671.7327849 57284 Repair paravag defect open 841.152594 841.152594 918.959208945 799.0949643 57285 Repair paravag defect vag 694.833848 694.833848 759.10597894 660.0921556 57287 Revise/remove sling repair 718.980045 718.980045 785.4856991625 683.03104275 57288 Repair bladder defect 743.486633 743.486633 812.2591465525 706.31230135 57289 Repair bladder & vagina 784.931598 784.931598 857.537770815 745.6850181 57291 Construction of vagina 543.830019 543.830019 594.1342957575 516.63851805 57292 Construct vagina with graft 832.863601 832.863601 909.9034840925 791.22042095 57295 Revise vag graft via vagina 496.258407 496.258407 542.1623096475 471.44548665 57296 Revise vag graft open abd 969.45179 969.45179 1059.126080575 920.9792005 57300 Repair rectum-vagina fistula 593.924368 593.924368 648.86237204 564.2281496 57305 Repair rectum-vagina fistula 985.308994 985.308994 1076.450075945 936.0435443 57307 Fistula repair & colostomy 1073.96518 1073.96518 1173.30695915 1020.266921 57308 Fistula repair transperine 684.022118 684.022118 747.294163915 649.8210121 57310 Repair urethrovaginal lesion 489.050587 489.050587 534.2877662975 464.59805765 57311 Repair urethrovaginal lesion 556.083313 556.083313 607.5210194525 528.27914735 57320 Repair bladder-vagina lesion 559.687223 559.687223 611.4582911275 531.70286185 57330 Repair bladder-vagina lesion 779.165342 779.165342 851.238136135 740.2070749 57335 Repair vagina 1182.442871 1182.442871 1291.8188365675 1123.32072745 57400 Dilation of vagina 137.308971 137.308971 150.0100508175 130.44352245 57410 Pelvic examination 109.919255 109.919255 120.0867860875 104.42329225 57415 Remove vaginal foreign body 169.38377 169.38377 185.051768725 160.9145815 57420 Exam of vagina w/scope 94.422442 94.422442 103.156517885 89.7013199 57421 Exam/biopsy of vag w/scope 126.857632 126.857632 138.59196296 120.5147504 57423 Repair paravag defect lap 941.341292 941.341292 1028.41536151 894.2742274 57425 Laparoscopy surg colpopexy 997.562288 997.562288 1089.83679964 947.6841736 57426 Revise prosth vag graft lap 872.867002 872.867002 953.607199685 829.2236519 57452 Exam of cervix w/scope 94.422442 94.422442 103.156517885 89.7013199 57454 Bx/curett of cervix w/scope 137.308971 137.308971 150.0100508175 130.44352245 57455 Biopsy of cervix w/scope 112.441992 112.441992 122.84287626 106.8198924 57456 Endocerv curettage w/scope 104.51339 104.51339 114.180878575 99.2877205 57460 Bx of cervix w/scope leep 165.059078 165.059078 180.327042715 156.8061241 57461 Conz of cervix w/scope leep 190.286448 190.286448 207.88794444 180.7721256 57500 Biopsy of cervix 76.763283 76.763283 83.8638866775 72.92511885 57505 Endocervical curettage 99.107525 99.107525 108.2749710625 94.15214875 57510 Cauterization of cervix 116.766684 116.766684 127.56760227 110.9283498 57511 Cryocautery of cervix 139.110926 139.110926 151.978686655 132.1553797 57513 Laser surgery of cervix 143.796009 143.796009 157.0971398325 136.60620855 57520 Conization of cervix 289.033582 289.033582 315.769188335 274.5819029 57522 Conization of cervix 251.552918 251.552918 274.821562915 238.9752721 57530 Removal of cervix 362.192955 362.192955 395.6958033375 344.08330725 57531 Removal of cervix radical 1725.191717 1725.191717 1884.7719508225 1638.93213115 57540 Removal of residual cervix 792.139418 792.139418 865.412314165 752.5324471 57545 Remove cervix/repair pelvis 839.71103 839.71103 917.384300275 797.7254785 57550 Removal of residual cervix 420.576297 420.576297 459.4796044725 399.54748215 57555 Remove cervix/repair vagina 616.629001 616.629001 673.6671835925 585.79755095 57556 Remove cervix repair bowel 583.473029 583.473029 637.4442841825 554.29937755 57558 D&c of cervical stump 120.010203 120.010203 131.1111467775 114.00969285 57700 Revision of cervix 329.036983 329.036983 359.4729039275 312.58513385 57720 Revision of cervix 320.387599 320.387599 350.0234519075 304.36821905 57800 Dilation of cervical canal 49.373567 49.373567 53.9406219475 46.90488865 58100 Biopsy of uterus lining 72.438591 72.438591 79.1391606675 68.81666145 58110 Bx done w/colposcopy add-on 42.165747 42.165747 46.0660785975 40.05745965 58120 Dilation and curettage 228.848285 228.848285 250.0167513625 217.40587075 58140 Myomectomy abdom method 943.503638 943.503638 1030.777724515 896.3284561 58145 Myomectomy vag method 568.696998 568.696998 621.301470315 540.2621481 58146 Myomectomy abdom complex 1173.072705 1173.072705 1281.5819302125 1114.41906975 58150 Total hysterectomy 1048.73781 1048.73781 1145.746057425 996.3009195 58152 Total hysterectomy 1282.631569 1282.631569 1401.2749891325 1218.49999055 58180 Partial hysterectomy 987.110949 987.110949 1078.4187117825 937.75540155 58200 Extensive hysterectomy 1431.112661 1431.112661 1563.4905821425 1359.55702795 58210 Extensive hysterectomy 1925.208722 1925.208722 2103.290528785 1828.9482859 58240 Removal of pelvis contents 3056.836462 3056.836462 3339.593834735 2903.9946389 58260 Vaginal hysterectomy 846.198068 846.198068 924.47138929 803.8881646 58262 Vag hyst including t/o 940.62051 940.62051 1027.627907175 893.5894845 58263 Vag hyst w/t/o & vag repair 1011.257146 1011.257146 1104.798432005 960.6942887 58267 Vag hyst w/urinary repair 1075.767135 1075.767135 1175.2755949875 1021.97877825 58270 Vag hyst w/enterocele repair 903.860628 903.860628 987.46773609 858.6675966 58275 Hysterectomy/revise vagina 1006.211672 1006.211672 1099.28625166 955.9010884 58280 Hysterectomy/revise vagina 1071.442443 1071.442443 1170.5508689775 1017.87032085 58285 Extensive hysterectomy 1508.596726 1508.596726 1648.141923155 1433.1668897 58290 Vag hyst complex 1174.153878 1174.153878 1282.763111715 1115.4461841 58291 Vag hyst incl t/o complex 1282.99196 1282.99196 1401.6687163 1218.842362 58292 Vag hyst t/o & repair compl 1333.807091 1333.807091 1457.1842469175 1267.11673645 58293 Vag hyst w/uro repair compl 1389.307305 1389.307305 1517.8182307125 1319.84193975 58294 Vag hyst w/enterocele compl 1239.024258 1239.024258 1353.634001865 1177.0730451 58300 Insert intrauterine device 55.500214 55.500214 60.633983795 52.7252033 58301 Remove intrauterine device 68.834681 68.834681 75.2018889925 65.39294695 58321 Artificial insemination 49.733958 49.733958 54.334349115 47.2472601 58322 Artificial insemination 59.464515 59.464515 64.9649826375 56.49128925 58323 Sperm washing 12.613685 12.613685 13.7804508625 11.98300075 58340 Catheter for hysterography 59.104124 59.104124 64.57125547 56.1489178 58345 Reopen fallopian tube 286.150454 286.150454 312.619370995 271.8429313 58346 Insert heyman uteri capsule 477.878466 477.878466 522.082224105 453.9845427 58350 Reopen fallopian tube 84.331494 84.331494 92.132157195 80.1149193 58353 Endometr ablate thermal 225.965157 225.965157 246.8669340225 214.66689915 58356 Endometrial cryoablation 354.624744 354.624744 387.42753282 336.8935068 58400 Suspension of uterus 457.69657 457.69657 500.033502725 434.8117415 58410 Suspension of uterus 821.331089 821.331089 897.3042147325 780.26453455 58520 Repair of ruptured uterus 804.032321 804.032321 878.4053106925 763.83070495 58540 Revision of uterus 926.565261 926.565261 1012.2725476425 880.23699795 58541 Lsh uterus 250 g or less 733.395685 733.395685 801.2347858625 696.72590075 58542 Lsh w/t/o ut 250 g or less 839.350639 839.350639 916.9905731075 797.38310705 58543 Lsh uterus above 250 g 846.91885 846.91885 925.258843625 804.5729075 58544 Lsh w/t/o uterus above 250 g 920.078223 920.078223 1005.1854586275 874.07431185 58545 Laparoscopic myomectomy 923.321742 923.321742 1008.729003135 877.1556549 58546 Laparo-myomectomy complex 1139.556342 1139.556342 1244.965303635 1082.5785249 58548 Lap radical hyst 1984.312846 1984.312846 2167.861784255 1885.0972037 58550 Laparo-asst vag hysterectomy 898.094372 898.094372 981.16810141 853.1896534 58552 Laparo-vag hyst incl t/o 1010.896755 1010.896755 1104.4047048375 960.35191725 58553 Laparo-vag hyst complex 1146.04338 1146.04338 1252.05239265 1088.741211 58554 Laparo-vag hyst w/t/o compl 1355.430551 1355.430551 1480.8078769675 1287.65902345 58555 Hysteroscopy dx sep proc 156.770085 156.770085 171.2713178625 148.93158075 58558 Hysteroscopy biopsy 238.939233 238.939233 261.0411120525 226.99227135 58559 Hysteroscopy lysis 295.52062 295.52062 322.85627735 280.744589 58560 Hysteroscopy resect septum 322.189554 322.189554 351.992087745 306.0800763 58561 Hysteroscopy remove myoma 369.761166 369.761166 403.964073855 351.2731077 58562 Hysteroscopy remove fb 228.487894 228.487894 249.623024195 217.0634993 58563 Hysteroscopy ablation 254.075655 254.075655 277.5776530875 241.37187225 58565 Hysteroscopy sterilization 447.245231 447.245231 488.6154148675 424.88296945 58570 Tlh uterus 250 g or less 807.996622 807.996622 882.736309535 767.5967909 58571 Tlh w/t/o 250 g or less 930.889953 930.889953 1016.9972736525 884.34545535 58572 Tlh uterus over 250 g 1058.828758 1058.828758 1156.770418115 1005.8873201 58573 Tlh w/t/o uterus over 250 g 1261.3685 1261.3685 1378.04508625 1198.300075 58575 Laps tot hyst resj mal 1961.608213 1961.608213 2143.0569727025 1863.52780235 58578 Laparo proc uterus 0 0 0 0 58579 Hysteroscope procedure 0 0 0 0 58600 Division of fallopian tube 372.283903 372.283903 406.7201640275 353.66970785 58605 Division of fallopian tube 336.965585 336.965585 368.1349016125 320.11730575 58611 Ligate oviduct(s) add-on 78.204847 78.204847 85.4387953475 74.29460465 58615 Occlude fallopian tube(s) 250.471745 250.471745 273.6403814125 237.94815775 58660 Laparoscopy lysis 692.311111 692.311111 756.3498887675 657.69555545 58661 Laparoscopy remove adnexa 668.525305 668.525305 730.3638957125 635.09903975 58662 Laparoscopy excise lesions 728.710602 728.710602 796.116332685 692.2750719 58670 Laparoscopy tubal cautery 372.283903 372.283903 406.7201640275 353.66970785 58671 Laparoscopy tubal block 372.644294 372.644294 407.113891195 354.0120793 58672 Laparoscopy fimbrioplasty 746.00937 746.00937 815.015236725 708.7089015 58673 Laparoscopy salpingostomy 808.717404 808.717404 883.52376387 768.2815338 58674 Laps abltj uterine fibroids 829.259691 829.259691 905.9662124175 787.79670645 58679 Laparo proc oviduct-ovary 0 0 0 0 58700 Removal of fallopian tube 806.194667 806.194667 880.7676736975 765.88493365 58720 Removal of ovary/tube(s) 768.353612 768.353612 839.42632111 729.9359314 58740 Adhesiolysis tube ovary 920.438614 920.438614 1005.579185795 874.4166833 58750 Repair oviduct 918.99705 918.99705 1004.004277125 873.0471975 58752 Revise ovarian tube(s) 916.474313 916.474313 1001.2481869525 870.65059735 58760 Fimbrioplasty 826.736954 826.736954 903.210122245 785.4001063 58770 Create new tubal opening 869.983874 869.983874 950.457382345 826.4846803 58800 Drainage of ovarian cyst(s) 307.773914 307.773914 336.243001045 292.3852183 58805 Drainage of ovarian cyst(s) 418.413951 418.413951 457.1172414675 397.49325345 58820 Drain ovary abscess open 325.072682 325.072682 355.141905085 308.8190479 58822 Drain ovary abscess percut 713.934571 713.934571 779.9735188175 678.23784245 58825 Transposition ovary(s) 708.889097 708.889097 774.4613384725 673.44464215 58900 Biopsy of ovary(s) 426.342553 426.342553 465.7792391525 405.02542535 58920 Partial removal of ovary(s) 715.736526 715.736526 781.942154655 679.9496997 58925 Removal of ovarian cyst(s) 773.399086 773.399086 844.938501455 734.7291317 58940 Removal of ovary(s) 551.758621 551.758621 602.7962934425 524.17068995 58943 Removal of ovary(s) 1232.176829 1232.176829 1346.1531856825 1170.56798755 58950 Resect ovarian malignancy 1188.209127 1188.209127 1298.1184712475 1128.79867065 58951 Resect ovarian malignancy 1519.048065 1519.048065 1659.5600110125 1443.09566175 58952 Resect ovarian malignancy 1723.389762 1723.389762 1882.803314985 1637.2202739 58953 Tah rad dissect for debulk 2123.423772 2123.423772 2319.84047091 2017.2525834 58954 Tah rad debulk/lymph remove 2305.781618 2305.781618 2519.066417665 2190.4925371 58956 Bso omentectomy w/tah 1440.843218 1440.843218 1574.121215665 1368.8010571 58957 Resect recurrent gyn mal 1668.249939 1668.249939 1822.5630583575 1584.83744205 58958 Resect recur gyn mal w/lym 1846.643484 1846.643484 2017.45800627 1754.3113098 58960 Exploration of abdomen 1018.464966 1018.464966 1112.672975355 967.5417177 58970 Retrieval of oocyte 202.539742 202.539742 221.274668135 192.4127549 58974 Transfer of embryo 0 0 0 0 58976 Transfer of embryo 218.396946 218.396946 238.598663505 207.4770987 58999 Genital surgery procedure 0 0 0 0 59000 Amniocentesis diagnostic 83.971103 83.971103 91.7384300275 79.77254785 59001 Amniocentesis therapeutic 185.601365 185.601365 202.7694912625 176.32129675 59012 Fetal cord puncture prenatal 209.747562 209.747562 229.149211485 199.2601839 59015 Chorion biopsy 136.227798 136.227798 148.828869315 129.4164081 59020 Fetal contract stress test 71.717809 71.717809 78.3517063325 68.13191855 59020 Fetal contract stress test 33.516363 33.516363 36.6166265775 31.84054485 TC 59020 Fetal contract stress test 38.201446 38.201446 41.735079755 36.2913737 26 59025 Fetal non-stress test 49.373567 49.373567 53.9406219475 46.90488865 59025 Fetal non-stress test 18.740332 18.740332 20.47381271 17.8033154 TC 59025 Fetal non-stress test 30.633235 30.633235 33.4668092375 29.10157325 26 59030 Fetal scalp blood sample 117.127075 117.127075 127.9613294375 111.27072125 59050 Fetal monitor w/report 52.617086 52.617086 57.484166455 49.9862317 59051 Fetal monitor/interpret only 43.607311 43.607311 47.6409872675 41.42694545 59070 Transabdom amnioinfus w/us 321.468772 321.468772 351.20463341 305.3953334 59072 Umbilical cord occlud w/us 542.748846 542.748846 592.953114255 515.6114037 59074 Fetal fluid drainage w/us 321.468772 321.468772 351.20463341 305.3953334 59076 Fetal shunt placement w/us 542.748846 542.748846 592.953114255 515.6114037 59100 Remove uterus lesion 871.785829 871.785829 952.4260181825 828.19653755 59120 Treat ectopic pregnancy 830.340864 830.340864 907.14739392 788.8238208 59121 Treat ectopic pregnancy 831.422037 831.422037 908.3285754225 789.85093515 59130 Treat ectopic pregnancy 969.091399 969.091399 1058.7323534075 920.63682905 59135 Treat ectopic pregnancy 957.198496 957.198496 1045.73935688 909.3385712 59136 Treat ectopic pregnancy 917.915877 917.915877 1002.8230956225 872.02008315 59140 Treat ectopic pregnancy 419.855515 419.855515 458.6921501375 398.86273925 59150 Treat ectopic pregnancy 804.753103 804.753103 879.1927650275 764.51544785 59151 Treat ectopic pregnancy 782.769252 782.769252 855.17540781 743.6307894 59160 D & c after delivery 184.159801 184.159801 201.1945825925 174.95181095 59200 Insert cervical dilator 46.490439 46.490439 50.7908046075 44.16591705 59300 Episiotomy or vaginal repair 153.526566 153.526566 167.727773355 145.8502377 59320 Revision of cervix 157.490867 157.490867 172.0587721975 149.61632365 59325 Revision of cervix 250.832136 250.832136 274.03410858 238.2905292 59350 Repair of uterus 291.195928 291.195928 318.13155134 276.6361316 59400 Obstetrical care 2177.842813 2177.842813 2379.2932732025 2068.95067235 59409 Obstetrical care 842.233767 842.233767 920.1403904475 800.12207865 59410 Obstetrical care 1079.010654 1079.010654 1178.819139495 1025.0601213 59412 Antepartum manipulation 106.315345 106.315345 116.1495144125 100.99957775 59414 Deliver placenta 95.503615 95.503615 104.3376993875 90.72843425 59425 Antepartum care only 367.59882 367.59882 401.60171085 349.218879 59426 Antepartum care only 648.343409 648.343409 708.3151743325 615.92623855 59430 Care after delivery 143.075227 143.075227 156.3096854975 135.92146565 59510 Cesarean delivery 2414.6197 2414.6197 2637.97202225 2293.888715 59514 Cesarean delivery only 948.909503 948.909503 1036.6836320275 901.46402785 59515 Cesarean delivery 1311.82324 1311.82324 1433.1668897 1246.232078 59525 Remove uterus after cesarean 503.105836 503.105836 549.64312583 477.9505442 59610 Vbac delivery 2285.239331 2285.239331 2496.6239691175 2170.97736445 59612 Vbac delivery only 949.269894 949.269894 1037.077359195 901.8063993 59614 Vbac care after delivery 1177.037006 1177.037006 1285.912929055 1118.1851557 59618 Attempted vbac delivery 2446.334108 2446.334108 2672.62001299 2324.0174026 59620 Attempted vbac delivery only 975.218046 975.218046 1065.425715255 926.4571437 59622 Attempted vbac after care 1351.105859 1351.105859 1476.0831509575 1283.55056605 59812 Treatment of miscarriage 309.575869 309.575869 338.2116368825 294.09707555 59820 Care of miscarriage 376.248204 376.248204 411.05116287 357.4357938 59821 Treatment of miscarriage 374.446249 374.446249 409.0825270325 355.72393655 59830 Treat uterus infection 459.858916 459.858916 502.39586573 436.8659702 59840 Abortion 219.117728 219.117728 239.38611784 208.1618416 59841 Abortion 376.968986 376.968986 411.838617205 358.1205367 59850 Abortion 367.238429 367.238429 401.2079836825 348.87650755 59851 Abortion 395.709318 395.709318 432.312429915 375.9238521 59852 Abortion 541.667673 541.667673 591.7719327525 514.58428935 59855 Abortion 432.4692 432.4692 472.472601 410.84574 59856 Abortion 508.15131 508.15131 555.155306175 482.7437445 59857 Abortion 542.748846 542.748846 592.953114255 515.6114037 59866 Abortion (mpr) 224.163202 224.163202 244.898298185 212.9550419 59870 Evacuate mole of uterus 506.349355 506.349355 553.1866703375 481.03188725 59871 Remove cerclage suture 137.669362 137.669362 150.403777985 130.7858939 59897 Fetal invas px w/us 0 0 0 0 59898 Laparo proc ob care/deliver 0 0 0 0 59899 Maternity care procedure 0 0 0 0 60000 Drain thyroid/tongue cyst 156.770085 156.770085 171.2713178625 148.93158075 6005F Care level rationale doc 0 0 0 0 60100 Biopsy of thyroid 81.808757 81.808757 89.3760670225 77.71831915 6010F Dysphag test done b/4 eating 0 0 0 0 6015F Dysphag test done b/4 eating 0 0 0 0 60200 Remove thyroid lesion 686.184464 686.184464 749.65652692 651.8752408 6020F Npo (nothing-mouth) ordered 0 0 0 0 60210 Partial thyroid excision 734.116467 734.116467 802.0222401975 697.41064365 60212 Partial thyroid excision 1047.656637 1047.656637 1144.5648759225 995.27380515 60220 Partial removal of thyroid 732.314512 732.314512 800.05360436 695.6987864 60225 Partial removal of thyroid 964.766707 964.766707 1054.0076273975 916.52837165 60240 Removal of thyroid 953.954977 953.954977 1042.1958123725 906.25722815 60252 Removal of thyroid 1370.206582 1370.206582 1496.950690835 1301.6962529 60254 Extensive thyroid surgery 1734.922274 1734.922274 1895.402584345 1648.1761603 60260 Repeat thyroid surgery 1133.790086 1133.790086 1238.665668955 1077.1005817 60270 Removal of thyroid 1421.382104 1421.382104 1552.85994862 1350.3129988 60271 Removal of thyroid 1097.390595 1097.390595 1198.8992250375 1042.52106525 60280 Remove thyroid duct lesion 457.336179 457.336179 499.6397755575 434.46937005 60281 Remove thyroid duct lesion 606.177662 606.177662 662.249095735 575.8687789 60300 Aspir/inj thyroid cyst 51.896304 51.896304 56.69671212 49.3014888 6030F Max sterile barriers follwd 0 0 0 0 6040F Appro rad ds dvcs techs docd 0 0 0 0 6045F Radxps in end rprt4fluro pxd 0 0 0 0 60500 Explore parathyroid glands 1004.409717 1004.409717 1097.3176158225 954.18923115 60502 Re-explore parathyroids 1343.898039 1343.898039 1468.2086076075 1276.70313705 60505 Explore parathyroid glands 1447.330256 1447.330256 1581.20830468 1374.9637432 60512 Autotransplant parathyroid 253.354873 253.354873 276.7901987525 240.68712935 60520 Removal of thymus gland 1088.38082 1088.38082 1189.05604585 1033.961779 60521 Removal of thymus gland 1168.027231 1168.027231 1276.0697498675 1109.62586945 60522 Removal of thymus gland 1423.904841 1423.904841 1555.6160387925 1352.70959895 60540 Explore adrenal gland 1112.887408 1112.887408 1215.82949324 1057.2430376 60545 Explore adrenal gland 1273.982185 1273.982185 1391.8255371125 1210.28307575 60600 Remove carotid body lesion 1428.229533 1428.229533 1560.3407648025 1356.81805635 60605 Remove carotid body lesion 1728.435236 1728.435236 1888.31549533 1642.0134742 60650 Laparoscopy adrenalectomy 1243.709341 1243.709341 1358.7524550425 1181.52387395 60659 Laparo proc endocrine 0 0 0 0 60699 Endocrine surgery procedure 0 0 0 0 6070F Pt asked/cnsld aed effects 0 0 0 0 6080F Pt/caregiver queried falls 0 0 0 0 6090F Pt/caregiver counsel safety 0 0 0 0 61000 Remove cranial cavity fluid 114.964729 114.964729 125.5989664325 109.21649255 61001 Remove cranial cavity fluid 113.883556 113.883556 124.41778493 108.1893782 6100F Verify pt site pxd docd 0 0 0 0 6101F Safety counseling dementia 0 0 0 0 61020 Remove brain cavity fluid 103.432217 103.432217 112.9996970725 98.26060615 61026 Injection into brain canal 109.919255 109.919255 120.0867860875 104.42329225 6102F Safety counseling dem order 0 0 0 0 61050 Remove brain canal fluid 88.295795 88.295795 96.4631560375 83.88100525 61055 Injection into brain canal 130.461542 130.461542 142.529234635 123.9384649 61070 Brain canal shunt procedure 59.104124 59.104124 64.57125547 56.1489178 61105 Twist drill hole 486.888241 486.888241 531.9254032925 462.54382895 61107 Drill skull for implantation 331.55972 331.55972 362.2289941 314.981734 61108 Drill skull for drainage 938.097773 938.097773 1024.8718170025 891.19288435 6110F Counsel prov driving risks 0 0 0 0 61120 Burr hole for puncture 784.210816 784.210816 856.75031648 745.0002752 61140 Pierce skull for biopsy 1331.284354 1331.284354 1454.428156745 1264.7201363 61150 Pierce skull for drainage 1434.35618 1434.35618 1567.03412665 1362.638371 61151 Pierce skull for drainage 1051.620938 1051.620938 1148.895874765 999.0398911 61154 Pierce skull & remove clot 1338.492174 1338.492174 1462.302700095 1271.5675653 61156 Pierce skull for drainage 1316.147932 1316.147932 1437.89161571 1250.3405354 61210 Pierce skull implant device 391.384626 391.384626 427.587703905 371.8153947 61215 Insert brain-fluid device 536.261808 536.261808 585.86602524 509.4487176 61250 Pierce skull & explore 910.347666 910.347666 994.554825105 864.8302827 61253 Pierce skull & explore 1040.809208 1040.809208 1137.08405974 988.7687476 61304 Open skull for exploration 1735.282665 1735.282665 1895.7963115125 1648.51853175 61305 Open skull for exploration 2114.053606 2114.053606 2309.603564555 2008.3509257 61312 Open skull for drainage 2194.420799 2194.420799 2397.4047229075 2084.69975905 61313 Open skull for drainage 2091.709364 2091.709364 2285.19248017 1987.1238958 61314 Open skull for drainage 1919.802857 1919.802857 2097.3846212725 1823.81271415 61315 Open skull for drainage 2177.842813 2177.842813 2379.2932732025 2068.95067235 61316 Implt cran bone flap to abdo 93.70166 93.70166 102.36906355 89.016577 61320 Open skull for drainage 2002.332396 2002.332396 2187.54814263 1902.2157762 61321 Open skull for drainage 2223.61247 2223.61247 2429.296623475 2112.4318465 61322 Decompressive craniotomy 2513.727225 2513.727225 2746.2469933125 2388.04086375 61323 Decompressive lobectomy 2516.249962 2516.249962 2749.003083485 2390.4374639 61330 Decompress eye socket 1883.042975 1883.042975 2057.2244501875 1788.89082625 61333 Explore orbit/remove lesion 2149.371924 2149.371924 2348.18882697 2041.9033278 61340 Subtemporal decompression 1492.739522 1492.739522 1630.817927785 1418.1025459 61343 Incise skull (press relief) 2309.025137 2309.025137 2522.6099621725 2193.57388015 61345 Relieve cranial pressure 2150.092706 2150.092706 2348.976281305 2042.5880707 61450 Incise skull for surgery 2018.1896 2018.1896 2204.872138 1917.28012 61458 Incise skull for brain wound 2121.982208 2121.982208 2318.26556224 2015.8830976 61460 Incise skull for surgery 2223.972861 2223.972861 2429.6903506425 2112.77421795 61500 Removal of skull lesion 1377.054011 1377.054011 1504.4315070175 1308.20131045 61501 Remove infected skull bone 1195.416947 1195.416947 1305.9930145975 1135.64609965 6150F Pt notrcvng1st antitnf txmnt 0 0 0 0 61510 Removal of brain lesion 2309.745919 2309.745919 2523.3974165075 2194.25862305 61512 Remove brain lining lesion 2696.085071 2696.085071 2945.4729400675 2561.28081745 61514 Removal of brain abscess 2016.748036 2016.748036 2203.29722933 1915.9106342 61516 Removal of brain lesion 1962.689386 1962.689386 2144.238154205 1864.5549167 61517 Implt brain chemotx add-on 93.341269 93.341269 101.9753363825 88.67420555 61518 Removal of brain lesion 2920.608664 2920.608664 3190.76496542 2774.5782308 61519 Remove brain lining lesion 3126.391925 3126.391925 3415.5831780625 2970.07232875 61520 Removal of brain lesion 3976.554294 3976.554294 4344.385566195 3777.7265793 61521 Removal of brain lesion 3377.944843 3377.944843 3690.4047409775 3209.04760085 61522 Removal of brain abscess 2268.661345 2268.661345 2478.5125194125 2155.22827775 61524 Removal of brain lesion 2193.700017 2193.700017 2396.6172685725 2084.01501615 61526 Removal of brain lesion 3529.669454 3529.669454 3856.163878495 3353.1859813 61530 Removal of brain lesion 3282.441228 3282.441228 3586.06704159 3118.3191666 61531 Implant brain electrodes 1271.099057 1271.099057 1388.6757197725 1207.54410415 61533 Implant brain electrodes 1602.298386 1602.298386 1750.510986705 1522.1834667 61534 Removal of brain lesion 1709.694904 1709.694904 1867.84168262 1624.2101588 61535 Remove brain electrodes 1050.539765 1050.539765 1147.7146932625 998.01277675 61536 Removal of brain lesion 2711.221493 2711.221493 2962.0094811025 2575.66041835 61537 Removal of brain tissue 2611.393186 2611.393186 2852.947055705 2480.8235267 61538 Removal of brain tissue 2821.501139 2821.501139 3082.4899943575 2680.42608205 61539 Removal of brain tissue 2509.762924 2509.762924 2741.91599447 2384.2747778 61540 Removal of brain tissue 2272.986037 2272.986037 2483.2372454225 2159.33673515 61541 Incision of brain tissue 2260.011961 2260.011961 2469.0630673925 2147.01136295 61543 Removal of brain tissue 2224.333252 2224.333252 2430.08407781 2113.1165894 61544 Remove & treat brain lesion 2018.1896 2018.1896 2204.872138 1917.28012 61545 Excision of brain tumor 3352.357082 3352.357082 3662.450112085 3184.7392279 61546 Removal of pituitary gland 2430.837295 2430.837295 2655.6897447875 2309.29543025 61548 Removal of pituitary gland 1652.392735 1652.392735 1805.2390629875 1569.77309825 61550 Release of skull seams 1157.936283 1157.936283 1265.0453891775 1100.03946885 61552 Release of skull seams 1568.421632 1568.421632 1713.50063296 1490.0005504 61556 Incise skull/sutures 1808.081647 1808.081647 1975.3291993475 1717.67756465 61557 Incise skull/sutures 1781.052322 1781.052322 1945.799661785 1691.9997059 61558 Excision of skull/sutures 1992.241448 1992.241448 2176.52378194 1892.6293756 61559 Excision of skull/sutures 2397.320932 2397.320932 2619.07311821 2277.4548854 61563 Excision of skull tumor 2073.329423 2073.329423 2265.1123946275 1969.66295185 61564 Excision of skull tumor 2556.974145 2556.974145 2793.4942534125 2429.12543775 61566 Removal of brain tissue 2337.856417 2337.856417 2554.1081355725 2220.96359615 61567 Incision of brain tissue 2628.691954 2628.691954 2871.845959745 2497.2573563 61570 Remove foreign body brain 1964.491341 1964.491341 2146.2067900425 1866.26677395 61571 Incise skull for brain wound 2066.121603 2066.121603 2257.2378512775 1962.81552285 61575 Skull base/brainstem surgery 2653.198542 2653.198542 2898.619407135 2520.5386149 61576 Skull base/brainstem surgery 4366.136965 4366.136965 4770.0046342625 4147.83011675 61580 Craniofacial approach skull 2536.792249 2536.792249 2771.4455320325 2409.95263655 61581 Craniofacial approach skull 2744.737856 2744.737856 2998.62610768 2607.5009632 61582 Craniofacial approach skull 3192.343478 3192.343478 3487.635249715 3032.7263041 61583 Craniofacial approach skull 3035.933784 3035.933784 3316.75765902 2884.1370948 61584 Orbitocranial approach/skull 3017.193452 3017.193452 3296.28384631 2866.3337794 61585 Orbitocranial approach/skull 3430.561929 3430.561929 3747.8889074325 3259.03383255 61586 Resect nasopharynx skull 2542.198114 2542.198114 2777.351439545 2415.0882083 61590 Infratemporal approach/skull 3177.927838 3177.927838 3471.886163015 3019.0314461 61591 Infratemporal approach/skull 3212.525374 3212.525374 3509.683971095 3051.8991053 61592 Orbitocranial approach/skull 3336.139487 3336.139487 3644.7323895475 3169.33251265 61595 Transtemporal approach/skull 2455.704274 2455.704274 2682.856919345 2332.9190603 61596 Transcochlear approach/skull 2526.34091 2526.34091 2760.027444175 2400.0238645 61597 Transcondylar approach/skull 3081.703441 3081.703441 3366.7610092925 2927.61826895 61598 Transpetrosal approach/skull 2987.64139 2987.64139 3263.998218575 2838.2593205 61600 Resect/excise cranial lesion 2219.287778 2219.287778 2424.571897465 2108.3233891 61601 Resect/excise cranial lesion 2526.34091 2526.34091 2760.027444175 2400.0238645 61605 Resect/excise cranial lesion 2239.830065 2239.830065 2447.0143460125 2127.83856175 61606 Resect/excise cranial lesion 3088.55087 3088.55087 3374.241825475 2934.1233265 61607 Resect/excise cranial lesion 2804.923153 2804.923153 3064.3785446525 2664.67699535 61608 Resect/excise cranial lesion 3448.94187 3448.94187 3767.968992975 3276.4947765 61611 Transect artery sinus 500.222708 500.222708 546.49330849 475.2115726 61613 Remove aneurysm sinus 3495.071918 3495.071918 3818.366070415 3320.3183221 61615 Resect/excise lesion skull 2952.323072 2952.323072 3225.41295616 2804.7069184 61616 Resect/excise lesion skull 3506.60443 3506.60443 3830.965339775 3331.2742085 61618 Repair dura 1353.628596 1353.628596 1478.83924113 1285.9471662 61619 Repair dura 1491.658349 1491.658349 1629.6367462825 1417.07543155 61623 Endovasc tempory vessel occl 598.609451 598.609451 653.9808252175 568.67897845 61624 Transcath occlusion cns 1214.878061 1214.878061 1327.2542816425 1154.13415795 61626 Transcath occlusion non-cns 921.519787 921.519787 1006.7603672975 875.44379765 61630 Intracranial angioplasty 1464.629024 1464.629024 1600.10720872 1391.3975728 61635 Intracran angioplsty w/stent 1535.626051 1535.626051 1677.6714607175 1458.84474845 61640 Dilate ic vasospasm init 504.907791 504.907791 551.6117616675 479.66240145 61641 Dilate ic vasospasm add-on 177.312372 177.312372 193.71376641 168.4467534 61642 Dilate ic vasospasm add-on 354.624744 354.624744 387.42753282 336.8935068 61645 Perq art m-thrombect &/nfs 876.831303 876.831303 957.9381985275 832.98973785 61650 Evasc prlng admn rx agnt 1st 580.22951 580.22951 633.900739675 551.2180345 61651 Evasc prlng admn rx agnt add 252.634091 252.634091 276.0027444175 240.00238645 61680 Intracranial vessel surgery 2382.18451 2382.18451 2602.536577175 2263.0752845 61682 Intracranial vessel surgery 4450.82885 4450.82885 4862.530518625 4228.2874075 61684 Intracranial vessel surgery 2996.651165 2996.651165 3273.8413977625 2846.81860675 61686 Intracranial vessel surgery 4916.814413 4916.814413 5371.6197462025 4670.97369235 61690 Intracranial vessel surgery 2294.609497 2294.609497 2506.8608754725 2179.87902215 61692 Intracranial vessel surgery 3921.414471 3921.414471 4284.1453095675 3725.34374745 61697 Brain aneurysm repr complx 4521.825877 4521.825877 4940.0947706225 4295.73458315 61698 Brain aneurysm repr complx 5045.834391 5045.834391 5512.5740721675 4793.54267145 61700 Brain aneurysm repr simple 3630.939325 3630.939325 3966.8012125625 3449.39235875 61702 Inner skull vessel surgery 4263.065139 4263.065139 4657.3986643575 4049.91188205 61703 Clamp neck artery 1406.245682 1406.245682 1536.323407585 1335.9333979 61705 Revise circulation to head 2652.47776 2652.47776 2897.8319528 2519.853872 61708 Revise circulation to head 2709.419538 2709.419538 2960.040845265 2573.9485611 61710 Revise circulation to head 2284.518549 2284.518549 2495.8365147825 2170.29262155 61711 Fusion of skull arteries 2731.76378 2731.76378 2984.45192965 2595.175591 61720 Incise skull/brain surgery 1345.339603 1345.339603 1469.7835162775 1278.07262285 61735 Incise skull/brain surgery 1686.62988 1686.62988 1842.6431439 1602.298386 61750 Incise skull/brain biopsy 1492.739522 1492.739522 1630.817927785 1418.1025459 61751 Brain biopsy w/ct/mr guide 1458.862768 1458.862768 1593.80757404 1385.9196296 61760 Implant brain electrodes 1659.600555 1659.600555 1813.1136063375 1576.62052725 61770 Incise skull for treatment 1721.948198 1721.948198 1881.228406315 1635.8507881 61781 Scan proc cranial intra 250.111354 250.111354 273.246654245 237.6057863 61782 Scan proc cranial extra 180.916282 180.916282 197.651038085 171.8704679 61783 Scan proc spinal 245.06588 245.06588 267.7344739 232.812586 61790 Treat trigeminal nerve 929.087998 929.087998 1015.028637815 882.6335981 61791 Treat trigeminal tract 1190.371473 1190.371473 1300.4808342525 1130.85289935 61796 Srs cranial lesion simple 1071.802834 1071.802834 1170.944596145 1018.2126923 61797 Srs cran les simple addl 233.533368 233.533368 255.13520454 221.8566996 61798 Srs cranial lesion complex 1461.745896 1461.745896 1596.95739138 1388.6586012 61799 Srs cran les complex addl 323.631118 323.631118 353.566996415 307.4495621 61800 Apply srs headframe add-on 162.896732 162.896732 177.96467971 154.7518954 61850 Implant neuroelectrodes 1015.581838 1015.581838 1109.523158015 964.8027461 61860 Implant neuroelectrodes 1649.869998 1649.869998 1802.482972815 1567.3764981 61863 Implant neuroelectrode 1584.999618 1584.999618 1731.612082665 1505.7496371 61864 Implant neuroelectrde addl 301.286876 301.286876 329.15591203 286.2225322 61867 Implant neuroelectrode 2410.295008 2410.295008 2633.24729624 2289.7802576 61868 Implant neuroelectrde addl 530.855943 530.855943 579.9601177275 504.31314585 61870 Implant neuroelectrodes 1253.800289 1253.800289 1369.7768157325 1191.11027455 61880 Revise/remove neuroelectrode 601.132188 601.132188 656.73691539 571.0755786 61885 Insrt/redo neurostim 1 array 539.505327 539.505327 589.4095697475 512.53006065 61886 Implant neurostim arrays 892.688507 892.688507 975.2621938975 848.05408165 61888 Revise/remove neuroreceiver 416.972387 416.972387 455.5423327975 396.12376765 62000 Treat skull fracture 1090.182775 1090.182775 1191.0246816875 1035.67363625 62005 Treat skull fracture 1320.472624 1320.472624 1442.61634172 1254.4489928 62010 Treatment of head injury 1612.028943 1612.028943 1761.1416202275 1531.42749585 62100 Repair brain fluid leakage 1672.935022 1672.935022 1827.681511535 1589.2882709 62115 Reduction of skull defect 1773.484111 1773.484111 1937.5313912675 1684.80990545 62117 Reduction of skull defect 2084.501544 2084.501544 2277.31793682 1980.2764668 62120 Repair skull cavity lesion 2232.622245 2232.622245 2439.1398026625 2120.99113275 62121 Incise skull repair 1648.068043 1648.068043 1800.5143369775 1565.66464085 62140 Repair of skull defect 1079.371045 1079.371045 1179.2128666625 1025.40249275 62141 Repair of skull defect 1196.137729 1196.137729 1306.7804689325 1136.33084255 62142 Remove skull plate/flap 929.80878 929.80878 1015.81609215 883.318341 62143 Replace skull plate/flap 1094.867858 1094.867858 1196.143134865 1040.1244651 62145 Repair of skull & brain 1478.684273 1478.684273 1615.4625682525 1404.75005935 62146 Repair of skull with graft 1235.059957 1235.059957 1349.3030030225 1173.30695915 62147 Repair of skull with graft 1512.561027 1512.561027 1652.4729219975 1436.93297565 62148 Retr bone flap to fix skull 134.425843 134.425843 146.8602334775 127.70455085 62160 Neuroendoscopy add-on 202.179351 202.179351 220.8809409675 192.07038345 62161 Dissect brain w/scope 1590.765874 1590.765874 1737.911717345 1511.2275803 62162 Remove colloid cyst w/scope 1994.764185 1994.764185 2179.2798721125 1895.02597575 62163 Zneuroendoscopy w/fb removal 1240.465822 1240.465822 1355.208910535 1178.4425309 62164 Remove brain tumor w/scope 2200.907837 2200.907837 2404.4918119225 2090.86244515 62165 Remove pituit tumor w/scope 1607.704251 1607.704251 1756.4168942175 1527.31903845 62180 Establish brain cavity shunt 1696.360437 1696.360437 1853.2737774225 1611.54241515 62190 Establish brain cavity shunt 977.740783 977.740783 1068.1818054275 928.85374385 62192 Establish brain cavity shunt 1030.357869 1030.357869 1125.6659718825 978.83997555 62194 Replace/irrigate catheter 510.674047 510.674047 557.9113963475 485.14034465 62200 Establish brain cavity shunt 1452.015339 1452.015339 1586.3267578575 1379.41457205 62201 Brain cavity shunt w/scope 1275.423749 1275.423749 1393.4004457825 1211.65256155 62220 Establish brain cavity shunt 1055.224848 1055.224848 1152.83314644 1002.4636056 62223 Establish brain cavity shunt 1094.147076 1094.147076 1195.35568053 1039.4397222 62225 Replace/irrigate catheter 554.281358 554.281358 605.552383615 526.5672901 62230 Replace/revise brain shunt 884.759905 884.759905 966.6001962125 840.52190975 62252 Csf shunt reprogram 84.331494 84.331494 92.132157195 80.1149193 62252 Csf shunt reprogram 35.678709 35.678709 38.9789895825 33.89477355 TC 62252 Csf shunt reprogram 48.652785 48.652785 53.1531676125 46.22014575 26 62256 Remove brain cavity shunt 632.125814 632.125814 690.597451795 600.5195233 62258 Replace brain cavity shunt 1173.433096 1173.433096 1281.97565738 1114.7614412 62263 Epidural lysis mult sessions 321.468772 321.468772 351.20463341 305.3953334 62264 Epidural lysis on single day 248.309399 248.309399 271.2780184075 235.89392905 62267 Interdiscal perq aspir dx 163.977905 163.977905 179.1458612125 155.77900975 62268 Drain spinal cord cyst 266.68934 266.68934 291.35810395 253.354873 62269 Needle biopsy spinal cord 276.059506 276.059506 301.595010305 262.2565307 62270 Spinal fluid tap diagnostic 80.367193 80.367193 87.8011583525 76.34883335 62272 Drain cerebro spinal fluid 86.854231 86.854231 94.8882473675 82.51151945 62273 Inject epidural patch 117.487466 117.487466 128.355056605 111.6130927 62280 Treat spinal cord lesion 171.546116 171.546116 187.41413173 162.9688102 62281 Treat spinal cord lesion 165.059078 165.059078 180.327042715 156.8061241 62282 Treat spinal canal lesion 149.922656 149.922656 163.79050168 142.4265232 62284 Injection for myelogram 91.539314 91.539314 100.006700545 86.9623483 62287 Percutaneous diskectomy 602.934143 602.934143 658.7055512275 572.78743585 62290 Inject for spine disk x-ray 173.348071 173.348071 189.3827675675 164.68066745 62291 Inject for spine disk x-ray 167.581815 167.581815 183.0831328875 159.20272425 62292 Injection into disk lesion 593.203586 593.203586 648.074917705 563.5434067 62294 Injection into spinal artery 1003.688935 1003.688935 1096.5301614875 953.50448825 62302 Myelography lumbar injection 126.497241 126.497241 138.1982357925 120.17237895 62303 Myelography lumbar injection 126.497241 126.497241 138.1982357925 120.17237895 62304 Myelography lumbar injection 124.334895 124.334895 135.8358727875 118.11815025 62305 Myelography lumbar injection 129.74076 129.74076 141.7417803 123.253722 62320 Njx interlaminar crv/thrc 102.711435 102.711435 112.2122427375 97.57586325 62321 Njx interlaminar crv/thrc 110.640037 110.640037 120.8742404225 105.10803515 62322 Njx interlaminar lmbr/sac 88.656186 88.656186 96.856883205 84.2233767 62323 Njx interlaminar lmbr/sac 102.351044 102.351044 111.81851557 97.2334918 62324 Njx interlaminar crv/thrc 93.70166 93.70166 102.36906355 89.016577 62325 Njx interlaminar crv/thrc 111.000428 111.000428 121.26796759 105.4504066 62326 Njx interlaminar lmbr/sac 92.260096 92.260096 100.79415488 87.6470912 62327 Njx interlaminar lmbr/sac 100.188698 100.188698 109.456152565 95.1792631 62350 Implant spinal canal cath 414.44965 414.44965 452.786242625 393.7271675 62351 Implant spinal canal cath 897.013199 897.013199 979.9869199075 852.16253905 62355 Remove spinal canal catheter 278.582243 278.582243 304.3511004775 264.65313085 62360 Insert spine infusion device 329.036983 329.036983 359.4729039275 312.58513385 62361 Implant spine infusion pump 449.047186 449.047186 490.584050705 426.5948267 62362 Implant spine infusion pump 397.871664 397.871664 434.67479292 377.9780808 62365 Remove spine infusion device 307.053132 307.053132 335.45554671 291.7004754 62367 Analyze spine infus pump 25.948152 25.948152 28.34835606 24.6507444 62368 Analyze sp inf pump w/reprog 36.399491 36.399491 39.7664439175 34.57951645 62369 Anal sp inf pmp w/reprg&fill 36.399491 36.399491 39.7664439175 34.57951645 62370 Anl sp inf pmp w/mdreprg&fil 47.932003 47.932003 52.3657132775 45.53540285 62380 Ndsc dcmprn 1 ntrspc lumbar 0 0 0 0 63001 Removal of spinal lamina 1300.290728 1300.290728 1420.56762034 1235.2761916 63003 Removal of spinal lamina 1298.128382 1298.128382 1418.205257335 1233.2219629 63005 Removal of spinal lamina 1241.907386 1241.907386 1356.783819205 1179.8120167 63011 Removal of spinal lamina 1140.997906 1140.997906 1246.540212305 1083.9480107 63012 Removal of spinal lamina 1249.115206 1249.115206 1364.658362555 1186.6594457 63015 Removal of spinal lamina 1556.88912 1556.88912 1700.9013636 1479.044664 63016 Removal of spinal lamina 1599.775649 1599.775649 1747.7548965325 1519.78686655 63017 Removal of spinal lamina 1322.63497 1322.63497 1444.978704725 1256.5032215 63020 Neck spine disk surgery 1214.157279 1214.157279 1326.4668273075 1153.44941505 63030 Low back disk surgery 1016.30262 1016.30262 1110.31061235 965.487489 63035 Spinal disk surgery add-on 201.098178 201.098178 219.699759465 191.0432691 63040 Laminotomy single cervical 1458.862768 1458.862768 1593.80757404 1385.9196296 63042 Laminotomy single lumbar 1356.151333 1356.151333 1481.5953313025 1288.34376635 63043 Laminotomy addl cervical 0 0 0 0 63044 Laminotomy addl lumbar 0 0 0 0 63045 Removal of spinal lamina 1347.501949 1347.501949 1472.1458792825 1280.12685155 63046 Removal of spinal lamina 1284.433524 1284.433524 1403.24362497 1220.2118478 63047 Removal of spinal lamina 1152.170027 1152.170027 1258.7457544975 1094.56152565 63048 Remove spinal lamina add-on 222.361247 222.361247 242.9296623475 211.24318465 63050 Cervical laminoplasty 1567.70085 1567.70085 1712.713178625 1489.3158075 63051 C-laminoplasty w/graft/plate 1791.503661 1791.503661 1957.2177496425 1701.92847795 63055 Decompress spinal cord 1711.496859 1711.496859 1869.8103184575 1625.92201605 63056 Decompress spinal cord 1560.132639 1560.132639 1704.4449081075 1482.12600705 63057 Decompress spine cord add-on 335.884412 335.884412 366.95372011 319.0901914 63064 Decompress spinal cord 1870.42929 1870.42929 2043.443999325 1776.9078255 63066 Decompress spine cord add-on 217.315773 217.315773 237.4174820025 206.44998435 63075 Neck spine disk surgery 1415.615848 1415.615848 1546.56031394 1344.8350556 63076 Neck spine disk surgery 259.48152 259.48152 283.4835606 246.507444 63077 Spine disk surgery thorax 1594.369784 1594.369784 1741.84898902 1514.6512948 63078 Spine disk surgery thorax 218.396946 218.396946 238.598663505 207.4770987 63081 Removal of vertebral body 1843.039574 1843.039574 2013.520734595 1750.8875953 63082 Remove vertebral body add-on 280.023807 280.023807 305.9260091475 266.02261665 63085 Removal of vertebral body 2017.829209 2017.829209 2204.4784108325 1916.93774855 63086 Remove vertebral body add-on 201.098178 201.098178 219.699759465 191.0432691 63087 Removal of vertebral body 2534.269512 2534.269512 2768.68944186 2407.5560364 63088 Remove vertebral body add-on 271.374423 271.374423 296.4765571275 257.80570185 63090 Removal of vertebral body 2053.507918 2053.507918 2243.457400415 1950.8325221 63091 Remove vertebral body add-on 186.682538 186.682538 203.950672765 177.3484111 63101 Removal of vertebral body 2444.171762 2444.171762 2670.257649985 2321.9631739 63102 Removal of vertebral body 2381.103337 2381.103337 2601.3553956725 2262.04817015 63103 Remove vertebral body add-on 309.93626 309.93626 338.60536405 294.439447 63170 Incise spinal cord tract(s) 1673.295413 1673.295413 1828.0752387025 1589.63064235 63172 Drainage of spinal cyst 1458.141986 1458.141986 1593.020119705 1385.2348867 63173 Drainage of spinal cyst 1805.919301 1805.919301 1972.9668363425 1715.62333595 63180 Revise spinal cord ligaments 1501.028515 1501.028515 1639.8736526375 1425.97708925 63182 Revise spinal cord ligaments 1586.801573 1586.801573 1733.5807185025 1507.46149435 63185 Incise spinal column/nerves 1197.939684 1197.939684 1308.74910477 1138.0426998 63190 Incise spinal column/nerves 1297.047209 1297.047209 1417.0240758325 1232.19484855 63191 Incise spinal column/nerves 1460.304332 1460.304332 1595.38248271 1387.2891154 63194 Incise spinal column & cord 1692.035745 1692.035745 1848.5490514125 1607.43395775 63195 Incise spinal column & cord 1627.165365 1627.165365 1777.6781612625 1545.80709675 63196 Incise spinal column & cord 1889.169622 1889.169622 2063.917812035 1794.7111409 63197 Incise spinal column & cord 1663.564856 1663.564856 1817.44460518 1580.3866132 63198 Incise spinal column & cord 2219.287778 2219.287778 2424.571897465 2108.3233891 63199 Incise spinal column & cord 2325.603123 2325.603123 2540.7214118775 2209.32296685 63200 Release of spinal cord 1611.308161 1611.308161 1760.3541658925 1530.74275295 63250 Revise spinal cord vessels 3086.028133 3086.028133 3371.4857353025 2931.72672635 63251 Revise spinal cord vessels 3223.337104 3223.337104 3521.49578612 3062.1702488 63252 Revise spinal cord vessels 3204.596772 3204.596772 3501.02197341 3044.3669334 63265 Excise intraspinal lesion 1753.302215 1753.302215 1915.4826698875 1665.63710425 63266 Excise intraspinal lesion 1811.685557 1811.685557 1979.2664710225 1721.10127915 63267 Excise intraspinal lesion 1435.437353 1435.437353 1568.2153081525 1363.66548535 63268 Excise intraspinal lesion 1484.81092 1484.81092 1622.1559301 1410.570374 63270 Excise intraspinal lesion 2177.842813 2177.842813 2379.2932732025 2068.95067235 63271 Excise intraspinal lesion 2177.842813 2177.842813 2379.2932732025 2068.95067235 63272 Excise intraspinal lesion 1988.637538 1988.637538 2172.586510265 1889.2056611 63273 Excise intraspinal lesion 1962.689386 1962.689386 2144.238154205 1864.5549167 63275 Biopsy/excise spinal tumor 1896.017051 1896.017051 2071.3986282175 1801.21619845 63276 Biopsy/excise spinal tumor 1883.763757 1883.763757 2058.0119045225 1789.57556915 63277 Biopsy/excise spinal tumor 1634.733576 1634.733576 1785.94643178 1552.9968972 63278 Biopsy/excise spinal tumor 1668.249939 1668.249939 1822.5630583575 1584.83744205 63280 Biopsy/excise spinal tumor 2232.622245 2232.622245 2439.1398026625 2120.99113275 63281 Biopsy/excise spinal tumor 2206.674093 2206.674093 2410.7914466025 2096.34038835 63282 Biopsy/excise spinal tumor 2079.45607 2079.45607 2271.805756475 1975.4832665 63283 Biopsy/excise spinal tumor 1994.043403 1994.043403 2178.4924177775 1894.34123285 63285 Biopsy/excise spinal tumor 2768.523662 2768.523662 3024.612100735 2630.0974789 63286 Biopsy/excise spinal tumor 2726.718306 2726.718306 2978.939749305 2590.3823907 63287 Biopsy/excise spinal tumor 2887.813083 2887.813083 3154.9357931775 2743.42242885 63290 Biopsy/excise spinal tumor 2931.420394 2931.420394 3202.576780445 2784.8493743 63295 Repair of laminectomy defect 351.741616 351.741616 384.27771548 334.1545352 63300 Removal of vertebral body 1932.416542 1932.416542 2111.165072135 1835.7957149 63301 Removal of vertebral body 2312.629047 2312.629047 2526.5472338475 2196.99759465 63302 Removal of vertebral body 2281.635421 2281.635421 2492.6866974425 2167.55364995 63303 Removal of vertebral body 2277.310729 2277.310729 2487.9619714325 2163.44519255 63304 Removal of vertebral body 2433.360032 2433.360032 2658.44583496 2311.6920304 63305 Removal of vertebral body 2659.325189 2659.325189 2905.3127689825 2526.35892955 63306 Removal of vertebral body 2531.746775 2531.746775 2765.9333516875 2405.15943625 63307 Removal of vertebral body 2558.7761 2558.7761 2795.46288925 2430.837295 63308 Remove vertebral body add-on 340.929886 340.929886 372.465900455 323.8833917 63600 Remove spinal cord lesion 1155.773937 1155.773937 1262.6830261725 1097.98524015 63610 Stimulation of spinal cord 618.070565 618.070565 675.2420922625 587.16703675 63620 Srs spinal lesion 1185.325999 1185.325999 1294.9686539075 1126.05969905 63621 Srs spinal lesion addl 269.572468 269.572468 294.50792129 256.0938446 63650 Implant neuroelectrodes 425.982162 425.982162 465.385511985 404.6830539 63655 Implant neuroelectrodes 868.54231 868.54231 948.882473675 825.1151945 63661 Remove spine eltrd perq aray 335.884412 335.884412 366.95372011 319.0901914 63662 Remove spine eltrd plate 879.35404 879.35404 960.6942887 835.386338 63663 Revise spine eltrd perq aray 466.706345 466.706345 509.8766819125 443.37102775 63664 Revise spine eltrd plate 911.428839 911.428839 995.7360066075 865.85739705 63685 Insrt/redo spine n generator 374.80664 374.80664 409.4762542 356.066308 63688 Revise/remove neuroreceiver 386.699543 386.699543 422.4692507275 367.36456585 63700 Repair of spinal herniation 1368.765018 1368.765018 1495.375782165 1300.3267671 63702 Repair of spinal herniation 1507.515553 1507.515553 1646.9607416525 1432.13977535 63704 Repair of spinal herniation 1680.142842 1680.142842 1835.556054885 1596.1356999 63706 Repair of spinal herniation 1862.861079 1862.861079 2035.1757288075 1769.71802505 63707 Repair spinal fluid leakage 972.334918 972.334918 1062.275897915 923.7181721 63709 Repair spinal fluid leakage 1155.053155 1155.053155 1261.8955718375 1097.30049725 63710 Graft repair of spine defect 1138.83556 1138.83556 1244.1778493 1081.893782 63740 Install spinal shunt 1023.150049 1023.150049 1117.7914285325 971.99254655 63741 Install spinal shunt 709.97027 709.97027 775.642519975 674.4717565 63744 Revision of spinal shunt 703.483232 703.483232 768.55543096 668.3090704 63746 Removal of spinal shunt 626.359558 626.359558 684.297817115 595.0415801 64400 N block inj trigeminal 74.961328 74.961328 81.89525084 71.2132616 64402 N block inj facial 88.295795 88.295795 96.4631560375 83.88100525 64405 N block inj occipital 55.500214 55.500214 60.633983795 52.7252033 64408 N block inj vagus 87.935404 87.935404 96.06942887 83.5386338 64410 N block inj phrenic 87.214622 87.214622 95.281974535 82.8538909 64413 N block inj cervical plexus 84.331494 84.331494 92.132157195 80.1149193 64415 N block inj brachial plexus 67.393117 67.393117 73.6269803225 64.02346115 64416 N block cont infuse b plex 82.169148 82.169148 89.76979419 78.0606906 64417 N block inj axillary 72.798982 72.798982 79.532887835 69.1590329 64418 N block inj suprascapular 59.104124 59.104124 64.57125547 56.1489178 64420 N block inj intercost sng 69.195072 69.195072 75.59561616 65.7353184 64421 N block inj intercost mlt 95.143224 95.143224 103.94397222 90.3860628 64425 N block inj ilio-ing/hypogi 98.026352 98.026352 107.09378956 93.1250344 64430 N block inj pudendal 82.88993 82.88993 90.557248525 78.7454335 64435 N block inj paracervical 84.691885 84.691885 92.5258843625 80.45729075 64445 N block inj sciatic sng 75.321719 75.321719 82.2889780075 71.55563305 64446 N blk inj sciatic cont inf 82.169148 82.169148 89.76979419 78.0606906 64447 N block inj fem single 68.834681 68.834681 75.2018889925 65.39294695 64448 N block inj fem cont inf 73.880155 73.880155 80.7140693375 70.18614725 64449 N block inj lumbar plexus 87.935404 87.935404 96.06942887 83.5386338 64450 N block other peripheral 46.130048 46.130048 50.39707744 43.8235456 64455 N block inj plantar digit 36.0391 36.0391 39.37271675 34.237145 64461 Pvb thoracic single inj site 83.971103 83.971103 91.7384300275 79.77254785 64462 Pvb thoracic 2nd+ inj site 52.977477 52.977477 57.8778936225 50.32860315 64463 Pvb thoracic cont infusion 87.214622 87.214622 95.281974535 82.8538909 64479 Inj foramen epidural c/t 135.507016 135.507016 148.04141498 128.7316652 64480 Inj foramen epidural add-on 64.87038 64.87038 70.87089015 61.626861 64483 Inj foramen epidural l/s 114.964729 114.964729 125.5989664325 109.21649255 64484 Inj foramen epidural add-on 53.698259 53.698259 58.6653479575 51.01334605 64486 Tap block unil by injection 58.022951 58.022951 63.3900739675 55.12180345 64487 Tap block uni by infusion 67.393117 67.393117 73.6269803225 64.02346115 64488 Tap block bi injection 72.798982 72.798982 79.532887835 69.1590329 64489 Tap block bi by infusion 81.808757 81.808757 89.3760670225 77.71831915 64490 Inj paravert f jnt c/t 1 lev 109.198473 109.198473 119.2993317525 103.73854935 64491 Inj paravert f jnt c/t 2 lev 61.987252 61.987252 67.72107281 58.8878894 64492 Inj paravert f jnt c/t 3 lev 62.708034 62.708034 68.508527145 59.5726323 64493 Inj paravert f jnt l/s 1 lev 92.980878 92.980878 101.581609215 88.3318341 64494 Inj paravert f jnt l/s 2 lev 53.698259 53.698259 58.6653479575 51.01334605 64495 Inj paravert f jnt l/s 3 lev 54.419041 54.419041 59.4528022925 51.69808895 64505 N block spenopalatine gangl 96.945179 96.945179 105.9126080575 92.09792005 64510 N block stellate ganglion 76.763283 76.763283 83.8638866775 72.92511885 64517 N block inj hypogas plxs 129.74076 129.74076 141.7417803 123.253722 64520 N block lumbar/thoracic 84.331494 84.331494 92.132157195 80.1149193 64530 N block inj celiac pelus 94.782833 94.782833 103.5502450525 90.04369135 64553 Implant neuroelectrodes 366.878038 366.878038 400.814256515 348.5341361 64555 Implant neuroelectrodes 354.985135 354.985135 387.8212599875 337.23587825 64561 Implant neuroelectrodes 315.342125 315.342125 344.5112715625 299.57501875 64566 Neuroeltrd stim post tibial 31.354017 31.354017 34.2542635725 29.78631615 64568 Inc for vagus n elect impl 664.200613 664.200613 725.6391697025 630.99058235 64569 Revise/repl vagus n eltrd 796.824501 796.824501 870.5307673425 756.98327595 64570 Remove vagus n eltrd 767.272439 767.272439 838.2451396075 728.90881705 64575 Implant neuroelectrodes 345.97536 345.97536 377.9780808 328.676592 64580 Implant neuroelectrodes 319.306426 319.306426 348.842270405 303.3411047 64581 Implant neuroelectrodes 687.986419 687.986419 751.6251627575 653.58709805 64585 Revise/remove neuroelectrode 149.201874 149.201874 163.003047345 141.7417803 64590 Insrt/redo pn/gastr stimul 167.221424 167.221424 182.68940572 158.8603528 64595 Revise/rmv pn/gastr stimul 130.821933 130.821933 142.9229618025 124.28083635 64600 Injection treatment of nerve 240.020406 240.020406 262.222293555 228.0193857 64605 Injection treatment of nerve 363.634519 363.634519 397.2707120075 345.45279305 64610 Injection treatment of nerve 514.277957 514.277957 561.8486680225 488.56405915 64611 Chemodenerv saliv glands 109.198473 109.198473 119.2993317525 103.73854935 64612 Destroy nerve face muscle 122.172549 122.172549 133.4735097825 116.06392155 64615 Chemodenerv musc migraine 129.019978 129.019978 140.954325965 122.5689791 64616 Chemodenerv musc neck dyston 114.604338 114.604338 125.205239265 108.8741211 64617 Chemodener muscle larynx emg 113.162774 113.162774 123.630330595 107.5046353 64620 Injection treatment of nerve 180.1955 180.1955 196.86358375 171.185725 64630 Injection treatment of nerve 197.133877 197.133877 215.3687606225 187.27718315 64632 N block inj common digit 70.636636 70.636636 77.17052483 67.1048042 64633 Destroy cerv/thor facet jnt 231.731413 231.731413 253.1665687025 220.14484235 64634 Destroy c/th facet jnt addl 70.276245 70.276245 76.7767976625 66.76243275 64635 Destroy lumb/sac facet jnt 228.487894 228.487894 249.623024195 217.0634993 64636 Destroy l/s facet jnt addl 61.626861 61.626861 67.3273456425 58.54551795 64640 Injection treatment of nerve 96.945179 96.945179 105.9126080575 92.09792005 64642 Chemodenerv 1 extremity 1-4 112.441992 112.441992 122.84287626 106.8198924 64643 Chemodenerv 1 extrem 1-4 ea 74.961328 74.961328 81.89525084 71.2132616 64644 Chemodenerv 1 extrem 5/> mus 123.253722 123.253722 134.654691285 117.0910359 64645 Chemodenerv 1 extrem 5/> ea 86.49384 86.49384 94.4945202 82.169148 64646 Chemodenerv trunk musc 1-5 120.370594 120.370594 131.504873945 114.3520643 64647 Chemodenerv trunk musc 6/> 142.714836 142.714836 155.91595833 135.5790942 64650 Chemodenerv eccrine glands 43.607311 43.607311 47.6409872675 41.42694545 64653 Chemodenerv eccrine glands 55.860605 55.860605 61.0277109625 53.06757475 64680 Injection treatment of nerve 167.942206 167.942206 183.476860055 159.5450957 64681 Injection treatment of nerve 283.627717 283.627717 309.8632808225 269.44633115 64702 Revise finger/toe nerve 521.485777 521.485777 569.7232113725 495.41148815 64704 Revise hand/foot nerve 332.640893 332.640893 363.4101756025 316.00884835 64708 Revise arm/leg nerve 519.683822 519.683822 567.754575535 493.6996309 64712 Revision of sciatic nerve 605.096489 605.096489 661.0679142325 574.84166455 64713 Revision of arm nerve(s) 810.158968 810.158968 885.09867254 769.6510196 64714 Revise low back nerve(s) 749.973671 749.973671 819.3462355675 712.47498745 64716 Revision of cranial nerve 540.5865 540.5865 590.59075125 513.557175 64718 Revise ulnar nerve at elbow 614.106264 614.106264 670.91109342 583.4009508 64719 Revise ulnar nerve at wrist 416.611996 416.611996 455.14860563 395.7813962 64721 Carpal tunnel surgery 444.001712 444.001712 485.07187036 421.8016264 64722 Relieve pressure on nerve(s) 369.400775 369.400775 403.5703466875 350.93073625 64726 Release foot/toe nerve 281.10498 281.10498 307.10719065 267.049731 64727 Internal nerve revision 191.367621 191.367621 209.0691259425 181.79923995 64732 Incision of brow nerve 464.543999 464.543999 507.5143189075 441.31679905 64734 Incision of cheek nerve 525.089687 525.089687 573.6604830475 498.83520265 64736 Incision of chin nerve 386.699543 386.699543 422.4692507275 367.36456585 64738 Incision of jaw nerve 481.842767 481.842767 526.4132229475 457.75062865 64740 Incision of tongue nerve 504.907791 504.907791 551.6117616675 479.66240145 64742 Incision of facial nerve 508.511701 508.511701 555.5490333425 483.08611595 64744 Incise nerve back of head 514.998739 514.998739 562.6361223575 489.24880205 64746 Incise diaphragm nerve 447.605622 447.605622 489.009142035 425.2253409 64755 Incision of stomach nerves 948.188721 948.188721 1035.8961776925 900.77928495 64760 Incision of vagus nerve 532.657898 532.657898 581.928753565 506.0250031 64763 Incise hip/thigh nerve 531.937116 531.937116 581.14129923 505.3402602 64766 Incise hip/thigh nerve 644.379108 644.379108 703.98417549 612.1601526 64771 Sever cranial nerve 615.908219 615.908219 672.8797292575 585.11280805 64772 Incision of spinal nerve 585.635375 585.635375 639.8066471875 556.35360625 64774 Remove skin nerve lesion 422.017861 422.017861 461.0545131425 400.91696795 64776 Remove digit nerve lesion 402.917138 402.917138 440.186973265 382.7712811 64778 Digit nerve surgery add-on 191.00723 191.00723 208.675398775 181.4568685 64782 Remove limb nerve lesion 476.436902 476.436902 520.507315435 452.6150569 64783 Limb nerve surgery add-on 228.127503 228.127503 249.2292970275 216.72112785 64784 Remove nerve lesion 753.937972 753.937972 823.67723441 716.2410734 64786 Remove sciatic nerve lesion 1044.413118 1044.413118 1141.021331415 992.1924621 64787 Implant nerve end 250.832136 250.832136 274.03410858 238.2905292 64788 Remove skin nerve lesion 416.251605 416.251605 454.7548784625 395.43902475 64790 Removal of nerve lesion 871.785829 871.785829 952.4260181825 828.19653755 64792 Removal of nerve lesion 1134.150477 1134.150477 1239.0593961225 1077.44295315 64795 Biopsy of nerve 203.260524 203.260524 222.06212247 193.0974978 64802 Remove sympathetic nerves 877.191694 877.191694 958.331925695 833.3321093 64804 Remove sympathetic nerves 1232.176829 1232.176829 1346.1531856825 1170.56798755 64809 Remove sympathetic nerves 1118.293273 1118.293273 1221.7354007525 1062.37860935 64818 Remove sympathetic nerves 812.681705 812.681705 887.8547627125 772.04761975 64820 Remove sympathetic nerves 741.684678 741.684678 810.290510715 704.6004441 64821 Remove sympathetic nerves 721.142391 721.142391 787.8480621675 685.08527145 64822 Remove sympathetic nerves 721.142391 721.142391 787.8480621675 685.08527145 64823 Remove sympathetic nerves 820.249916 820.249916 896.12303323 779.2374202 64831 Repair of digit nerve 713.213789 713.213789 779.1860644825 677.55309955 64832 Repair nerve add-on 350.660443 350.660443 383.0965339775 333.12742085 64834 Repair of hand or foot nerve 770.876349 770.876349 842.1824112825 732.33253155 64835 Repair of hand or foot nerve 845.837677 845.837677 924.0776621225 803.54579315 64836 Repair of hand or foot nerve 846.558459 846.558459 924.8651164575 804.23053605 64837 Repair nerve add-on 383.816415 383.816415 419.3194333875 364.62559425 64840 Repair of leg nerve 1002.607762 1002.607762 1095.348979985 952.4773739 64856 Repair/transpose nerve 1053.422893 1053.422893 1150.8645106025 1000.75174835 64857 Repair arm/leg nerve 1097.030204 1097.030204 1198.50549787 1042.1786938 64858 Repair sciatic nerve 1227.852137 1227.852137 1341.4284596725 1166.45953015 64859 Nerve surgery 259.121129 259.121129 283.0898334325 246.16507255 64861 Repair of arm nerves 1604.460732 1604.460732 1752.87334971 1524.2376954 64862 Repair of low back nerves 1416.697021 1416.697021 1547.7414954425 1345.86216995 64864 Repair of facial nerve 897.733981 897.733981 980.7743742425 852.84728195 64865 Repair of facial nerve 1131.62774 1131.62774 1236.30330595 1075.046353 64866 Fusion of facial/other nerve 1325.878489 1325.878489 1448.5222492325 1259.58456455 64868 Fusion of facial/other nerve 1039.728035 1039.728035 1135.9028782375 987.74163325 64872 Subsequent repair of nerve 122.172549 122.172549 133.4735097825 116.06392155 64874 Repair & revise nerve add-on 182.357846 182.357846 199.225946755 173.2399537 64876 Repair nerve/shorten bone 207.224825 207.224825 226.3931213125 196.86358375 64885 Nerve graft head or neck 1158.296674 1158.296674 1265.439116345 1100.3818403 64886 Nerve graft head or neck 1343.537648 1343.537648 1467.81488044 1276.3607656 64890 Nerve graft hand or foot 1124.780311 1124.780311 1228.8224897675 1068.54129545 64891 Nerve graft hand or foot 1193.254601 1193.254601 1303.6306515925 1133.59187095 64892 Nerve graft arm or leg 1085.858083 1085.858083 1186.2999556775 1031.56517885 64893 Nerve graft arm or leg 1169.468795 1169.468795 1277.6446585375 1110.99535525 64895 Nerve graft hand or foot 1379.576748 1379.576748 1507.18759719 1310.5979106 64896 Nerve graft hand or foot 1494.541477 1494.541477 1632.7865636225 1419.81440315 64897 Nerve graft arm or leg 1315.066759 1315.066759 1436.7104342075 1249.31342105 64898 Nerve graft arm or leg 1428.589924 1428.589924 1560.73449197 1357.1604278 64901 Nerve graft add-on 627.440731 627.440731 685.4789986175 596.06869445 64902 Nerve graft add-on 726.187865 726.187865 793.3602425125 689.87847175 64905 Nerve pedicle transfer 1062.072277 1062.072277 1160.3139626225 1008.96866315 64907 Nerve pedicle transfer 1359.394852 1359.394852 1485.13887581 1291.4251094 64910 Nerve repair w/allograft 824.934999 824.934999 901.2414864075 783.68824905 64911 Neurorraphy w/vein autograft 1064.595014 1064.595014 1163.070052795 1011.3652633 64912 Nrv rpr w/nrv algrft 1st 804.392712 804.392712 878.79903786 764.1730764 64913 Nrv rpr w/nrv algrft ea addl 162.17595 162.17595 177.177225375 154.0671525 64999 Nervous system surgery 0 0 0 0 65091 Revise eye 663.11944 663.11944 724.4579882 629.963468 65093 Revise eye with implant 656.272011 656.272011 716.9771720175 623.45841045 65101 Removal of eye 770.155567 770.155567 841.3949569475 731.64778865 65103 Remove eye/insert implant 801.869975 801.869975 876.0429476875 761.77647625 65105 Remove eye/attach implant 882.597559 882.597559 964.2378332075 838.46768105 65110 Removal of eye 1263.170455 1263.170455 1380.0137220875 1200.01193225 65112 Remove eye/revise socket 1462.466678 1462.466678 1597.744845715 1389.3433441 65114 Remove eye/revise socket 1532.382532 1532.382532 1674.12791621 1455.7634054 65125 Revise ocular implant 299.845312 299.845312 327.58100336 284.8530464 65130 Insert ocular implant 762.947747 762.947747 833.5204135975 724.80035965 65135 Insert ocular implant 773.759477 773.759477 845.3322286225 735.07150315 65140 Attach ocular implant 840.431812 840.431812 918.17175461 798.4102214 65150 Revise ocular implant 605.45688 605.45688 661.4616414 575.184036 65155 Reinsert ocular implant 879.35404 879.35404 960.6942887 835.386338 65175 Removal of ocular implant 686.544855 686.544855 750.0502540875 652.21761225 65205 Remove foreign body from eye 36.759882 36.759882 40.160171085 34.9218879 65210 Remove foreign body from eye 43.967702 43.967702 48.034714435 41.7693169 65220 Remove foreign body from eye 42.886529 42.886529 46.8535329325 40.74220255 65222 Remove foreign body from eye 53.337868 53.337868 58.27162079 50.6709746 65235 Remove foreign body from eye 730.152166 730.152166 797.691241355 693.6445577 65260 Remove foreign body from eye 987.831731 987.831731 1079.2061661175 938.44014445 65265 Remove foreign body from eye 1109.643889 1109.643889 1212.2859487325 1054.16169455 65270 Repair of eye wound 144.516791 144.516791 157.8845941675 137.29095145 65272 Repair of eye wound 361.111782 361.111782 394.514621835 343.0561929 65273 Repair of eye wound 391.024235 391.024235 427.1939767375 371.47302325 65275 Repair of eye wound 473.914165 473.914165 517.7512252625 450.21845675 65280 Repair of eye wound 688.34681 688.34681 752.018889925 653.9294695 65285 Repair of eye wound 1137.754387 1137.754387 1242.9966677975 1080.86666765 65286 Repair of eye wound 508.872092 508.872092 555.94276051 483.4284874 65290 Repair of eye socket wound 503.105836 503.105836 549.64312583 477.9505442 65400 Removal of eye lesion 617.710174 617.710174 674.848365095 586.8246653 65410 Biopsy of cornea 106.675736 106.675736 116.54324158 101.3419492 65420 Removal of eye lesion 387.420325 387.420325 423.2567050625 368.04930875 65426 Removal of eye lesion 490.13176 490.13176 535.4689478 465.625172 65430 Corneal smear 105.954954 105.954954 115.755787245 100.6572063 65435 Curette/treat cornea 71.357418 71.357418 77.957979165 67.7895471 65436 Curette/treat cornea 380.212505 380.212505 415.3821617125 361.20187975 65450 Treatment of corneal lesion 329.757765 329.757765 360.2603582625 313.26987675 65600 Revision of cornea 351.020834 351.020834 383.490261145 333.4697923 65710 Corneal transplant 1144.601816 1144.601816 1250.47748398 1087.3717252 65730 Corneal transplant 1266.774365 1266.774365 1383.9509937625 1203.43564675 65750 Corneal transplant 1272.901012 1272.901012 1390.64435561 1209.2559614 65755 Corneal transplant 1266.413974 1266.413974 1383.557266595 1203.0932753 65756 Corneal trnspl endothelial 1212.715715 1212.715715 1324.8919186375 1152.07992925 65757 Prep corneal endo allograft 0 0 0 0 65760 Revision of cornea 0 0 0 0 65765 Revision of cornea 0 0 0 0 65767 Corneal tissue transplant 0 0 0 0 65770 Revise cornea with implant 1428.229533 1428.229533 1560.3407648025 1356.81805635 65771 Radial keratotomy 0 0 0 0 65772 Correction of astigmatism 416.251605 416.251605 454.7548784625 395.43902475 65775 Correction of astigmatism 570.138562 570.138562 622.876378985 541.6316339 65778 Cover eye w/membrane 56.941778 56.941778 62.208892465 54.0946891 65779 Cover eye w/membrane suture 155.688912 155.688912 170.09013636 147.9044664 65780 Ocular reconst transplant 682.940945 682.940945 746.1129824125 648.79389775 65781 Ocular reconst transplant 1366.242281 1366.242281 1492.6196919925 1297.93016695 65782 Ocular reconst transplant 1177.757788 1177.757788 1286.70038339 1118.8698986 65785 Impltj ntrstrml crnl rng seg 453.371878 453.371878 495.308776715 430.7032841 65800 Drainage of eye 93.341269 93.341269 101.9753363825 88.67420555 65810 Drainage of eye 476.797293 476.797293 520.9010426025 452.95742835 65815 Drainage of eye 489.050587 489.050587 534.2877662975 464.59805765 65820 Relieve inner eye pressure 776.282214 776.282214 848.088318795 737.4681033 65850 Incision of eye 860.253317 860.253317 939.8267488225 817.24065115 65855 Laser surgery of eye 212.991081 212.991081 232.6927559925 202.34152695 65860 Incise inner eye adhesions 258.760738 258.760738 282.696106265 245.8227011 65865 Incise inner eye adhesions 485.086286 485.086286 529.956767455 460.8319717 65870 Incise inner eye adhesions 604.736098 604.736098 660.674187065 574.4992931 65875 Incise inner eye adhesions 645.820672 645.820672 705.55908416 613.5296384 65880 Incise inner eye adhesions 679.697426 679.697426 742.569437905 645.7125547 65900 Remove eye lesion 995.760333 995.760333 1087.8681638025 945.97231635 65920 Remove implant of eye 807.636231 807.636231 882.3425823675 767.25441945 65930 Remove blood clot from eye 651.947319 651.947319 712.2524460075 619.34995305 66020 Injection treatment of eye 134.786234 134.786234 147.253960645 128.0469223 66030 Injection treatment of eye 113.883556 113.883556 124.41778493 108.1893782 66130 Remove eye lesion 582.391856 582.391856 636.26310268 553.2722632 66150 Glaucoma surgery 898.815154 898.815154 981.955555745 853.8743963 66155 Glaucoma surgery 898.094372 898.094372 981.16810141 853.1896534 66160 Glaucoma surgery 1012.69871 1012.69871 1106.373340675 962.0637745 66170 Glaucoma surgery 1121.536792 1121.536792 1225.27894526 1065.4599524 66172 Incision of eye 1221.72549 1221.72549 1334.735097825 1160.6392155 66174 Translum dil eye canal 970.893354 970.893354 1060.700989245 922.3486863 66175 Trnslum dil eye canal w/stnt 1017.023402 1017.023402 1111.098066685 966.1722319 66179 Aqueous shunt eye w/o graft 1104.958806 1104.958806 1207.167495555 1049.7108657 66180 Implant eye shunt 1165.864885 1165.864885 1273.7073868625 1107.57164075 66183 Insert ant drainage device 1055.585239 1055.585239 1153.2268736075 1002.80597705 66184 Revision of aqueous shunt 805.113494 805.113494 879.586492195 764.8578193 66185 Revise eye shunt 866.740355 866.740355 946.9138378375 823.40333725 66225 Repair/graft eye lesion 954.315368 954.315368 1042.58953954 906.5995996 66250 Follow-up surgery of eye 570.498953 570.498953 623.2701061525 541.97400535 66500 Incision of iris 367.59882 367.59882 401.60171085 349.218879 66505 Incision of iris 402.556747 402.556747 439.7932460975 382.42890965 66600 Remove iris and lesion 862.776054 862.776054 942.582838995 819.6372513 66605 Removal of iris 1093.426294 1093.426294 1194.568226195 1038.7549793 66625 Removal of iris 439.67702 439.67702 480.34714435 417.693169 66630 Removal of iris 582.752247 582.752247 636.6568298475 553.61463465 66635 Removal of iris 588.518503 588.518503 642.9564645275 559.09257785 66680 Repair iris & ciliary body 530.135161 530.135161 579.1726633925 503.62840295 66682 Repair iris & ciliary body 662.759049 662.759049 724.0642610325 629.62109655 66700 Destruction ciliary body 402.556747 402.556747 439.7932460975 382.42890965 66710 Ciliary transsleral therapy 402.556747 402.556747 439.7932460975 382.42890965 66711 Ciliary endoscopic ablation 658.794748 658.794748 719.73326219 625.8550106 66720 Destruction ciliary body 419.134733 419.134733 457.9046958025 398.17799635 66740 Destruction ciliary body 402.556747 402.556747 439.7932460975 382.42890965 66761 Revision of iris 241.822361 241.822361 264.1909293925 229.73124295 66762 Revision of iris 435.712719 435.712719 476.0161455075 413.92708305 66770 Removal of inner eye lesion 494.096061 494.096061 539.7999466425 469.39125795 66820 Incision secondary cataract 413.008086 413.008086 451.211333955 392.3576817 66821 After cataract laser surgery 318.946035 318.946035 348.4485432375 302.99873325 66825 Reposition intraocular lens 787.454335 787.454335 860.2938609875 748.08161825 66830 Removal of lens lesion 726.187865 726.187865 793.3602425125 689.87847175 66840 Removal of lens material 713.213789 713.213789 779.1860644825 677.55309955 66850 Removal of lens material 811.600532 811.600532 886.67358121 771.0205054 66852 Removal of lens material 864.578009 864.578009 944.5514748325 821.34910855 66920 Extraction of lens 771.597131 771.597131 842.9698656175 733.01727445 66930 Extraction of lens 876.831303 876.831303 957.9381985275 832.98973785 66940 Extraction of lens 801.149193 801.149193 875.2554933525 761.09173335 66982 Cataract surgery complex 813.042096 813.042096 888.24848988 772.3899912 66983 Cataract surg w/iol 1 stage 760.064619 760.064619 830.3705962575 722.06138805 66984 Cataract surg w/iol 1 stage 654.470056 654.470056 715.00853618 621.7465532 66985 Insert lens prosthesis 787.814726 787.814726 860.687588155 748.4239897 66986 Exchange lens prosthesis 930.889953 930.889953 1016.9972736525 884.34545535 66990 Ophthalmic endoscope add-on 92.260096 92.260096 100.79415488 87.6470912 66999 Eye surgery procedure 0 0 0 0 67005 Partial removal of eye fluid 484.005113 484.005113 528.7755859525 459.80485735 67010 Partial removal of eye fluid 555.722922 555.722922 607.127292285 527.9367759 67015 Release of eye fluid 597.528278 597.528278 652.799643715 567.6518641 67025 Replace eye fluid 647.622627 647.622627 707.5277199975 615.24149565 67027 Implant eye drug system 872.867002 872.867002 953.607199685 829.2236519 67028 Injection eye drug 101.990653 101.990653 111.4247884025 96.89112035 67030 Incise inner eye strands 548.154711 548.154711 598.8590217675 520.74697545 67031 Laser surgery eye strands 365.436474 365.436474 399.239347845 347.1646503 67036 Removal of inner eye fluid 922.961351 922.961351 1008.3352759675 876.81328345 67039 Laser treatment of retina 988.552513 988.552513 1079.9936204525 939.12488735 67040 Laser treatment of retina 1068.198924 1068.198924 1167.00732447 1014.7889778 67041 Vit for macular pucker 1180.280525 1180.280525 1289.4564735625 1121.26649875 67042 Vit for macular hole 1180.280525 1180.280525 1289.4564735625 1121.26649875 67043 Vit for membrane dissect 1245.150905 1245.150905 1360.3273637125 1182.89335975 67101 Repair detached retina 291.91671 291.91671 318.919005675 277.3208745 67105 Repair detached retina 281.825762 281.825762 307.894644985 267.7344739 67107 Repair detached retina 1160.098629 1160.098629 1267.4077521825 1102.09369755 67108 Repair detached retina 1228.93331 1228.93331 1342.609641175 1167.4866445 67110 Repair detached retina 833.223992 833.223992 910.29721126 791.5627924 67113 Repair retinal detach cplx 1371.648146 1371.648146 1498.525599505 1303.0657387 67115 Release encircling material 511.394829 511.394829 558.6988506825 485.82508755 67120 Remove eye implant material 570.498953 570.498953 623.2701061525 541.97400535 67121 Remove eye implant material 930.169171 930.169171 1016.2098193175 883.66071245 67141 Treatment of retina 498.781144 498.781144 544.91839982 473.8420868 67145 Treatment of retina 509.592874 509.592874 556.730214845 484.1132303 67208 Treatment of retinal lesion 591.762022 591.762022 646.500009035 562.1739209 67210 Treatment of retinal lesion 512.115611 512.115611 559.4863050175 486.50983045 67218 Treatment of retinal lesion 1419.219758 1419.219758 1550.497585615 1348.2587701 67220 Treatment of choroid lesion 512.115611 512.115611 559.4863050175 486.50983045 67221 Ocular photodynamic ther 218.036555 218.036555 238.2049363375 207.13472725 67225 Eye photodynamic ther add-on 28.83128 28.83128 31.4981734 27.389716 67227 Treatment of retinal lesion 263.08543 263.08543 287.420832275 249.9311585 67228 Treatment of retinal lesion 314.260952 314.260952 343.33009006 298.5479044 67229 Tr retinal les preterm inf 1194.335774 1194.335774 1304.811833095 1134.6189853 67250 Reinforce eye wall 814.844051 814.844051 890.2171257175 774.10184845 67255 Reinforce/graft eye wall 699.879322 699.879322 764.618159285 664.8853559 67299 Eye surgery procedure 0 0 0 0 67311 Revise eye muscle 611.223136 611.223136 667.76127608 580.6619792 67312 Revise two eye muscles 729.070993 729.070993 796.5100598525 692.61744335 67314 Revise eye muscle 688.34681 688.34681 752.018889925 653.9294695 67316 Revise two eye muscles 819.529134 819.529134 895.335578895 778.5526773 67318 Revise eye muscle(s) 719.340436 719.340436 785.87942633 683.3734142 67320 Revise eye muscle(s) add-on 330.478547 330.478547 361.0478125975 313.95461965 67331 Eye surgery follow-up add-on 313.54017 313.54017 342.542635725 297.8631615 67332 Rerevise eye muscles add-on 340.209104 340.209104 371.67844612 323.1986488 67334 Revise eye muscle w/suture 309.575869 309.575869 338.2116368825 294.09707555 67335 Eye suture during surgery 151.724611 151.724611 165.7591375175 144.13838045 67340 Revise eye muscle add-on 367.238429 367.238429 401.2079836825 348.87650755 67343 Release eye tissue 668.164914 668.164914 729.970168545 634.7566683 67345 Destroy nerve of eye muscle 224.163202 224.163202 244.898298185 212.9550419 67346 Biopsy eye muscle 198.21505 198.21505 216.549942125 188.3042975 67399 Eye muscle surgery procedure 0 0 0 0 67400 Explore/biopsy eye socket 965.487489 965.487489 1054.7950817325 917.21311455 67405 Explore/drain eye socket 823.853826 823.853826 900.060304905 782.6611347 67412 Explore/treat eye socket 889.444988 889.444988 971.71864939 844.9727386 67413 Explore/treat eye socket 890.16577 890.16577 972.506103725 845.6574815 67414 Explr/decompress eye socket 1373.810492 1373.810492 1500.88796251 1305.1199674 67415 Aspiration orbital contents 107.036127 107.036127 116.9369687475 101.68432065 67420 Explore/treat eye socket 1667.889548 1667.889548 1822.16933119 1584.4950706 67430 Explore/treat eye socket 1295.245254 1295.245254 1415.055439995 1230.4829913 67440 Explore/drain eye socket 1253.439898 1253.439898 1369.383088565 1190.7679031 67445 Explr/decompress eye socket 1453.096512 1453.096512 1587.50793936 1380.4416864 67450 Explore/biopsy eye socket 1302.813465 1302.813465 1423.3237105125 1237.67279175 67500 Inject/treat eye socket 62.347643 62.347643 68.1147999775 59.23026085 67505 Inject/treat eye socket 73.159373 73.159373 79.9266150025 69.50140435 67515 Inject/treat eye socket 74.240546 74.240546 81.107796505 70.5285187 67550 Insert eye socket implant 1002.607762 1002.607762 1095.348979985 952.4773739 67560 Revise eye socket implant 1027.474741 1027.474741 1122.5161545425 976.10100395 67570 Decompress optic nerve 1223.527445 1223.527445 1336.7037336625 1162.35107275 67599 Orbit surgery procedure 0 0 0 0 67700 Drainage of eyelid abscess 119.289421 119.289421 130.3236924425 113.32494995 67710 Incision of eyelid 99.828307 99.828307 109.0624253975 94.83689165 67715 Incision of eyelid fold 111.000428 111.000428 121.26796759 105.4504066 67800 Remove eyelid lesion 105.594563 105.594563 115.3620600775 100.31483485 67801 Remove eyelid lesions 136.588189 136.588189 149.2225964825 129.75877955 67805 Remove eyelid lesions 168.302597 168.302597 183.8705872225 159.88746715 67808 Remove eyelid lesion(s) 376.608595 376.608595 411.4448900375 357.77816525 67810 Biopsy of eyelid 73.159373 73.159373 79.9266150025 69.50140435 67820 Revise eyelashes 35.678709 35.678709 38.9789895825 33.89477355 67825 Revise eyelashes 124.695286 124.695286 136.229599955 118.4605217 67830 Revise eyelashes 141.273272 141.273272 154.34104966 134.2096084 67835 Revise eyelashes 449.407577 449.407577 490.9777778725 426.93719815 67840 Remove eyelid lesion 161.815559 161.815559 176.7834982075 153.72478105 67850 Treat eyelid lesion 138.390144 138.390144 151.19123232 131.4706368 67875 Closure of eyelid by suture 99.107525 99.107525 108.2749710625 94.15214875 67880 Revision of eyelid 377.329377 377.329377 412.2323443725 358.46290815 67882 Revision of eyelid 483.284331 483.284331 527.9881316175 459.12011445 67900 Repair brow defect 521.125386 521.125386 569.329484205 495.0691167 67901 Repair eyelid defect 596.086714 596.086714 651.224735045 566.2823783 67902 Repair eyelid defect 740.243114 740.243114 808.715602045 703.2309583 67903 Repair eyelid defect 495.177234 495.177234 540.981128145 470.4183723 67904 Repair eyelid defect 612.304309 612.304309 668.9424575825 581.68909355 67906 Repair eyelid defect 520.404604 520.404604 568.54202987 494.3843738 67908 Repair eyelid defect 436.433501 436.433501 476.8035998425 414.61182595 67909 Revise eyelid defect 449.047186 449.047186 490.584050705 426.5948267 67911 Revise eyelid defect 575.544427 575.544427 628.7822864975 546.76720565 67912 Correction eyelid w/implant 500.222708 500.222708 546.49330849 475.2115726 67914 Repair eyelid defect 334.803239 334.803239 365.7725386075 318.06307705 67915 Repair eyelid defect 202.539742 202.539742 221.274668135 192.4127549 67916 Repair eyelid defect 441.118584 441.118584 481.92205302 419.0626548 67917 Repair eyelid defect 468.868691 468.868691 512.2390449175 445.42525645 67921 Repair eyelid defect 317.864862 317.864862 347.267361735 301.9716189 67922 Repair eyelid defect 201.81896 201.81896 220.4872138 191.728012 67923 Repair eyelid defect 441.478975 441.478975 482.3157801875 419.40502625 67924 Repair eyelid defect 468.868691 468.868691 512.2390449175 445.42525645 67930 Repair eyelid wound 245.786662 245.786662 268.521928235 233.4973289 67935 Repair eyelid wound 454.09266 454.09266 496.09623105 431.388027 67938 Remove eyelid foreign body 119.289421 119.289421 130.3236924425 113.32494995 67950 Revision of eyelid 474.274556 474.274556 518.14495243 450.5608282 67961 Revision of eyelid 465.985563 465.985563 509.0892275775 442.68628485 67966 Revision of eyelid 673.93117 673.93117 736.269803225 640.2346115 67971 Reconstruction of eyelid 741.684678 741.684678 810.290510715 704.6004441 67973 Reconstruction of eyelid 953.954977 953.954977 1042.1958123725 906.25722815 67974 Reconstruction of eyelid 951.792631 951.792631 1039.8334493675 904.20299945 67975 Reconstruction of eyelid 701.681277 701.681277 766.5867951225 666.59721315 67999 Revision of eyelid 0 0 0 0 68020 Incise/drain eyelid lining 113.523165 113.523165 124.0240577625 107.84700675 68040 Treatment of eyelid lesions 50.815131 50.815131 55.5155306175 48.27437445 68100 Biopsy of eyelid lining 99.107525 99.107525 108.2749710625 94.15214875 68110 Remove eyelid lining lesion 152.085002 152.085002 166.152864685 144.4807519 68115 Remove eyelid lining lesion 188.484493 188.484493 205.9193086025 179.06026835 68130 Remove eyelid lining lesion 422.738643 422.738643 461.8419674775 401.60171085 68135 Remove eyelid lining lesion 154.247348 154.247348 168.51522769 146.5349806 68200 Treat eyelid by injection 35.678709 35.678709 38.9789895825 33.89477355 68320 Revise/graft eyelid lining 552.479403 552.479403 603.5837477775 524.85543285 68325 Revise/graft eyelid lining 673.570779 673.570779 735.8760760575 639.89224005 68326 Revise/graft eyelid lining 661.317485 661.317485 722.4893523625 628.25161075 68328 Revise/graft eyelid lining 725.106692 725.106692 792.17906101 688.8513574 68330 Revise eyelid lining 472.11221 472.11221 515.782589425 448.5065995 68335 Revise/graft eyelid lining 663.840222 663.840222 725.245442535 630.6482109 68340 Separate eyelid adhesions 408.683394 408.683394 446.486607945 388.2492243 68360 Revise eyelid lining 422.738643 422.738643 461.8419674775 401.60171085 68362 Revise eyelid lining 672.849997 672.849997 735.0886217225 639.20749715 68371 Harvest eye tissue alograft 423.099034 423.099034 462.235694645 401.9440823 68399 Eyelid lining surgery 0 0 0 0 68400 Incise/drain tear gland 135.507016 135.507016 148.04141498 128.7316652 68420 Incise/drain tear sac 172.266898 172.266898 188.201586065 163.6535531 68440 Incise tear duct opening 101.269871 101.269871 110.6373340675 96.20637745 68500 Removal of tear gland 1004.409717 1004.409717 1097.3176158225 954.18923115 68505 Partial removal tear gland 999.724634 999.724634 1092.199162645 949.7384023 68510 Biopsy of tear gland 300.205703 300.205703 327.9747305275 285.19541785 68520 Removal of tear sac 706.36636 706.36636 771.7052483 671.048042 68525 Biopsy of tear sac 271.014032 271.014032 296.08282996 257.4633304 68530 Clearance of tear duct 262.725039 262.725039 287.0271051075 249.58878705 68540 Remove tear gland lesion 955.396541 955.396541 1043.7707210425 907.62671395 68550 Remove tear gland lesion 1172.351923 1172.351923 1280.7944758775 1113.73432685 68700 Repair tear ducts 618.791347 618.791347 676.0295465975 587.85177965 68705 Revise tear duct opening 170.104552 170.104552 185.83922306 161.5993244 68720 Create tear sac drain 778.44456 778.44456 850.4506818 739.522332 68745 Create tear duct drain 781.688079 781.688079 853.9942263075 742.60367505 68750 Create tear duct drain 810.519359 810.519359 885.4923997075 769.99339105 68760 Close tear duct opening 149.562265 149.562265 163.3967745125 142.08415175 68761 Close tear duct opening 121.091376 121.091376 132.29232828 115.0368072 68770 Close tear system fistula 644.379108 644.379108 703.98417549 612.1601526 68801 Dilate tear duct opening 80.006802 80.006802 87.407431185 76.0064619 68810 Probe nasolacrimal duct 131.182324 131.182324 143.31668897 124.6232078 68811 Probe nasolacrimal duct 139.471317 139.471317 152.3724138225 132.49775115 68815 Probe nasolacrimal duct 227.406721 227.406721 248.4418426925 216.03638495 68816 Probe nl duct w/balloon 161.815559 161.815559 176.7834982075 153.72478105 68840 Explore/irrigate tear ducts 119.289421 119.289421 130.3236924425 113.32494995 68850 Injection for tear sac x-ray 57.302169 57.302169 62.6026196325 54.43706055 68899 Tear duct system surgery 0 0 0 0 69000 Drain external ear lesion 123.253722 123.253722 134.654691285 117.0910359 69005 Drain external ear lesion 162.17595 162.17595 177.177225375 154.0671525 69020 Drain outer ear canal lesion 145.237573 145.237573 158.6720485025 137.97569435 69090 Pierce earlobes 0 0 0 0 69100 Biopsy of external ear 50.45474 50.45474 55.12180345 47.932003 69105 Biopsy of external ear canal 64.509989 64.509989 70.4771629825 61.28448955 69110 Remove external ear partial 331.920111 331.920111 362.6227212675 315.32410545 69120 Removal of external ear 410.124958 410.124958 448.061516615 389.6187101 69140 Remove ear canal lesion(s) 901.698282 901.698282 985.105373085 856.6133679 69145 Remove ear canal lesion(s) 253.715264 253.715264 277.18392592 241.0295008 69150 Extensive ear canal surgery 1063.15345 1063.15345 1161.495144125 1009.9957775 69155 Extensive ear/neck surgery 1694.918873 1694.918873 1851.6988687525 1610.17292935 69200 Clear outer ear canal 48.652785 48.652785 53.1531676125 46.22014575 69205 Clear outer ear canal 101.630262 101.630262 111.031061235 96.5487489 69209 Remove impacted ear wax uni 14.41564 14.41564 15.7490867 13.694858 69210 Remove impacted ear wax 33.876754 33.876754 37.010353745 32.1829163 69220 Clean out mastoid cavity 52.977477 52.977477 57.8778936225 50.32860315 69222 Clean out mastoid cavity 138.390144 138.390144 151.19123232 131.4706368 69300 Revise external ear 499.141535 499.141535 545.3121269875 474.18445825 69310 Rebuild outer ear canal 1118.653664 1118.653664 1222.12912792 1062.7209808 69320 Rebuild outer ear canal 1569.502805 1569.502805 1714.6818144625 1491.02766475 69399 Outer ear surgery procedure 0 0 0 0 69420 Incision of eardrum 122.893331 122.893331 134.2609641175 116.74866445 69421 Incision of eardrum 152.085002 152.085002 166.152864685 144.4807519 69424 Remove ventilating tube 63.068425 63.068425 68.9022543125 59.91500375 69433 Create eardrum opening 135.146625 135.146625 147.6476878125 128.38929375 69436 Create eardrum opening 162.536341 162.536341 177.5709525425 154.40952395 69440 Exploration of middle ear 704.564405 704.564405 769.7366124625 669.33618475 69450 Eardrum revision 557.524877 557.524877 609.0959281225 529.64863315 69501 Mastoidectomy 743.126242 743.126242 811.865419385 705.9699299 69502 Mastoidectomy 986.029776 986.029776 1077.23753028 936.7282872 69505 Remove mastoid structures 1235.420348 1235.420348 1349.69673019 1173.6493306 69511 Extensive mastoid surgery 1266.053583 1266.053583 1383.1635394275 1202.75090385 69530 Extensive mastoid surgery 1698.522783 1698.522783 1855.6361404275 1613.59664385 69535 Remove part of temporal bone 2764.559361 2764.559361 3020.2811018925 2626.33139295 69540 Remove ear lesion 129.380369 129.380369 141.3480531325 122.91135055 69550 Remove ear lesion 1068.559315 1068.559315 1167.4010516375 1015.13134925 69552 Remove ear lesion 1612.749725 1612.749725 1761.9290745625 1532.11223875 69554 Remove ear lesion 2589.409335 2589.409335 2828.9296984875 2459.93886825 69601 Mastoid surgery revision 1063.15345 1063.15345 1161.495144125 1009.9957775 69602 Mastoid surgery revision 1115.410145 1115.410145 1218.5855834125 1059.63963775 69603 Mastoid surgery revision 1294.884863 1294.884863 1414.6617128275 1230.14061985 69604 Mastoid surgery revision 1140.997906 1140.997906 1246.540212305 1083.9480107 69605 Mastoid surgery revision 1602.658777 1602.658777 1750.9047138725 1522.52583815 69610 Repair of eardrum 298.043357 298.043357 325.6123675225 283.14118915 69620 Repair of eardrum 500.583099 500.583099 546.8870356575 475.55394405 69631 Repair eardrum structures 905.662583 905.662583 989.4363719275 860.37945385 69632 Rebuild eardrum structures 1104.598415 1104.598415 1206.7737683875 1049.36849425 69633 Rebuild eardrum structures 1070.721661 1070.721661 1169.7634146425 1017.18557795 69635 Repair eardrum structures 1275.423749 1275.423749 1393.4004457825 1211.65256155 69636 Rebuild eardrum structures 1417.778194 1417.778194 1548.922676945 1346.8892843 69637 Rebuild eardrum structures 1437.96009 1437.96009 1570.971398325 1366.0620855 69641 Revise middle ear & mastoid 1067.478142 1067.478142 1166.219870135 1014.1042349 69642 Revise middle ear & mastoid 1372.368928 1372.368928 1499.31305384 1303.7504816 69643 Revise middle ear & mastoid 1253.800289 1253.800289 1369.7768157325 1191.11027455 69644 Revise middle ear & mastoid 1520.129238 1520.129238 1660.741192515 1444.1227761 69645 Revise middle ear & mastoid 1493.460304 1493.460304 1631.60538212 1418.7872888 69646 Revise middle ear & mastoid 1589.32431 1589.32431 1736.336808675 1509.8580945 69650 Release middle ear bone 822.772653 822.772653 898.8791234025 781.63402035 69660 Revise middle ear bone 949.990676 949.990676 1037.86481353 902.4911422 69661 Revise middle ear bone 1237.943085 1237.943085 1352.4528203625 1176.04593075 69662 Revise middle ear bone 1187.488345 1187.488345 1297.3310169125 1128.11392775 69666 Repair middle ear structures 827.457736 827.457736 903.99757658 786.0848492 69667 Repair middle ear structures 830.701255 830.701255 907.5411210875 789.16619225 69670 Remove mastoid air cells 966.568662 966.568662 1055.976263235 918.2402289 69676 Remove middle ear nerve 850.52276 850.52276 929.1961153 807.996622 69700 Close mastoid fistula 695.55463 695.55463 759.893433275 660.7768985 69710 Implant/replace hearing aid 0 0 0 0 69711 Remove/repair hearing aid 875.389739 875.389739 956.3632898575 831.62025205 69714 Implant temple bone w/stimul 1098.111377 1098.111377 1199.6866793725 1043.20580815 69715 Temple bne implnt w/stimulat 1356.151333 1356.151333 1481.5953313025 1288.34376635 69717 Temple bone implant revision 1150.728463 1150.728463 1257.1708458275 1093.19203985 69718 Revise temple bone implant 1369.846191 1369.846191 1496.5569636675 1301.35388145 69720 Release facial nerve 1231.095656 1231.095656 1344.97200418 1169.5408732 69725 Release facial nerve 1930.254196 1930.254196 2108.80270913 1833.7414862 69740 Repair facial nerve 1197.218902 1197.218902 1307.961650435 1137.3579569 69745 Repair facial nerve 1273.982185 1273.982185 1391.8255371125 1210.28307575 69799 Middle ear surgery procedure 0 0 0 0 69801 Incise inner ear 129.019978 129.019978 140.954325965 122.5689791 69805 Explore inner ear 1074.685962 1074.685962 1174.094413485 1020.9516639 69806 Explore inner ear 959.360842 959.360842 1048.101719885 911.3927999 69905 Remove inner ear 939.178946 939.178946 1026.052998505 892.2199987 69910 Remove inner ear & mastoid 1034.32217 1034.32217 1129.996970725 982.6060615 69915 Incise inner ear nerve 1571.665151 1571.665151 1717.0441774675 1493.08189345 69930 Implant cochlear device 1256.323026 1256.323026 1372.532905905 1193.5068747 69949 Inner ear surgery procedure 0 0 0 0 69950 Incise inner ear nerve 1823.938851 1823.938851 1992.6531947175 1732.74190845 69955 Release facial nerve 2026.478593 2026.478593 2213.9278628525 1925.15466335 69960 Release inner ear canal 1968.816033 1968.816033 2150.9315160525 1870.37523135 69970 Remove inner ear lesion 2200.187055 2200.187055 2403.7043575875 2090.17770225 69979 Temporal bone surgery 0 0 0 0 69990 Microsurgery add-on 230.65024 230.65024 251.9853872 219.117728 70010 Contrast x-ray of brain 62.347643 62.347643 68.1147999775 59.23026085 70015 Contrast x-ray of brain 156.770085 156.770085 171.2713178625 148.93158075 70015 Contrast x-ray of brain 95.503615 95.503615 104.3376993875 90.72843425 TC 70015 Contrast x-ray of brain 61.26647 61.26647 66.933618475 58.2031465 26 70030 X-ray eye for foreign body 29.912453 29.912453 32.6793549025 28.41683035 70030 X-ray eye for foreign body 21.263069 21.263069 23.2299028825 20.19991555 TC 70030 X-ray eye for foreign body 8.649384 8.649384 9.44945202 8.2169148 26 70100 X-ray exam of jaw 34.957927 34.957927 38.1915352475 33.21003065 70100 X-ray exam of jaw 25.587761 25.587761 27.9546288925 24.30837295 TC 70100 X-ray exam of jaw 9.370166 9.370166 10.236906355 8.9016577 26 7010F Pt info into recall system 0 0 0 0 70110 X-ray exam of jaw 40.724183 40.724183 44.4911699275 38.68797385 70110 X-ray exam of jaw 27.750107 27.750107 30.3169918975 26.36260165 TC 70110 X-ray exam of jaw 12.974076 12.974076 14.17417803 12.3253722 26 70120 X-ray exam of mastoids 34.957927 34.957927 38.1915352475 33.21003065 70120 X-ray exam of mastoids 25.587761 25.587761 27.9546288925 24.30837295 TC 70120 X-ray exam of mastoids 9.370166 9.370166 10.236906355 8.9016577 26 70130 X-ray exam of mastoids 58.022951 58.022951 63.3900739675 55.12180345 70130 X-ray exam of mastoids 40.363792 40.363792 44.09744276 38.3456024 TC 70130 X-ray exam of mastoids 17.659159 17.659159 19.2926312075 16.77620105 26 70134 X-ray exam of middle ear 36.399491 36.399491 39.7664439175 34.57951645 TC 70134 X-ray exam of middle ear 18.01955 18.01955 19.686358375 17.1185725 26 70134 X-ray exam of middle ear 54.419041 54.419041 59.4528022925 51.69808895 70140 X-ray exam of facial bones 20.542287 20.542287 22.4424485475 19.51517265 TC 70140 X-ray exam of facial bones 10.451339 10.451339 11.4180878575 9.92877205 26 70140 X-ray exam of facial bones 30.993626 30.993626 33.860536405 29.4439447 70150 X-ray exam of facial bones 44.328093 44.328093 48.4284416025 42.11168835 70150 X-ray exam of facial bones 30.633235 30.633235 33.4668092375 29.10157325 TC 70150 X-ray exam of facial bones 13.694858 13.694858 14.961632365 13.0101151 26 70160 X-ray exam of nasal bones 34.957927 34.957927 38.1915352475 33.21003065 70160 X-ray exam of nasal bones 25.948152 25.948152 28.34835606 24.6507444 TC 70160 X-ray exam of nasal bones 9.009775 9.009775 9.8431791875 8.55928625 26 70170 X-ray exam of tear duct 0 0 0 0 70170 X-ray exam of tear duct 0 0 0 0 TC 70170 X-ray exam of tear duct 15.496813 15.496813 16.9302682025 14.72197235 26 70190 X-ray exam of eye sockets 37.120273 37.120273 40.5538982525 35.26425935 70190 X-ray exam of eye sockets 25.948152 25.948152 28.34835606 24.6507444 TC 70190 X-ray exam of eye sockets 11.172121 11.172121 12.2055421925 10.61351495 26 70200 X-ray exam of eye sockets 30.272844 30.272844 33.07308207 28.7592018 TC 70200 X-ray exam of eye sockets 14.41564 14.41564 15.7490867 13.694858 26 70200 X-ray exam of eye sockets 44.688484 44.688484 48.82216877 42.4540598 7020F Mammo assess cat in dbase 0 0 0 0 70210 X-ray exam of sinuses 32.074799 32.074799 35.0417179075 30.47105905 70210 X-ray exam of sinuses 23.065024 23.065024 25.19853872 21.9117728 TC 70210 X-ray exam of sinuses 9.009775 9.009775 9.8431791875 8.55928625 26 70220 X-ray exam of sinuses 39.64301 39.64301 43.309988425 37.6608595 70220 X-ray exam of sinuses 26.668934 26.668934 29.135810395 25.3354873 TC 70220 X-ray exam of sinuses 12.974076 12.974076 14.17417803 12.3253722 26 70240 X-ray exam pituitary saddle 21.983851 21.983851 24.0173572175 20.88465845 TC 70240 X-ray exam pituitary saddle 10.090948 10.090948 11.02436069 9.5864006 26 70240 X-ray exam pituitary saddle 32.074799 32.074799 35.0417179075 30.47105905 70250 X-ray exam of skull 38.561837 38.561837 42.1288069225 36.63374515 70250 X-ray exam of skull 25.587761 25.587761 27.9546288925 24.30837295 TC 70250 X-ray exam of skull 12.974076 12.974076 14.17417803 12.3253722 26 7025F Pt infosys alarm 4 nxt mammo 0 0 0 0 70260 X-ray exam of skull 30.272844 30.272844 33.07308207 28.7592018 TC 70260 X-ray exam of skull 18.01955 18.01955 19.686358375 17.1185725 26 70260 X-ray exam of skull 48.292394 48.292394 52.759440445 45.8777743 70300 X-ray exam of teeth 14.41564 14.41564 15.7490867 13.694858 70300 X-ray exam of teeth 8.649384 8.649384 9.44945202 8.2169148 TC 70300 X-ray exam of teeth 5.766256 5.766256 6.29963468 5.4779432 26 70310 X-ray exam of teeth 30.272844 30.272844 33.07308207 28.7592018 TC 70310 X-ray exam of teeth 7.928602 7.928602 8.661997685 7.5321719 26 70310 X-ray exam of teeth 38.201446 38.201446 41.735079755 36.2913737 70320 Full mouth x-ray of teeth 42.526138 42.526138 46.459805765 40.3998311 TC 70320 Full mouth x-ray of teeth 12.613685 12.613685 13.7804508625 11.98300075 26 70320 Full mouth x-ray of teeth 55.139823 55.139823 60.2402566275 52.38283185 70328 X-ray exam of jaw joint 32.074799 32.074799 35.0417179075 30.47105905 70328 X-ray exam of jaw joint 22.704633 22.704633 24.8048115525 21.56940135 TC 70328 X-ray exam of jaw joint 9.370166 9.370166 10.236906355 8.9016577 26 70330 X-ray exam of jaw joints 50.094349 50.094349 54.7280762825 47.58963155 70330 X-ray exam of jaw joints 37.480664 37.480664 40.94762542 35.6066308 TC 70330 X-ray exam of jaw joints 12.613685 12.613685 13.7804508625 11.98300075 26 70332 X-ray exam of jaw joint 49.733958 49.733958 54.334349115 47.2472601 TC 70332 X-ray exam of jaw joint 27.750107 27.750107 30.3169918975 26.36260165 26 70332 X-ray exam of jaw joint 77.484065 77.484065 84.6513410125 73.60986175 70336 Magnetic image jaw joint 243.984707 243.984707 266.5532923975 231.78547165 TC 70336 Magnetic image jaw joint 75.321719 75.321719 82.2889780075 71.55563305 26 70336 Magnetic image jaw joint 319.306426 319.306426 348.842270405 303.3411047 70350 X-ray head for orthodontia 9.009775 9.009775 9.8431791875 8.55928625 TC 70350 X-ray head for orthodontia 10.090948 10.090948 11.02436069 9.5864006 26 70350 X-ray head for orthodontia 19.100723 19.100723 20.8675398775 18.14568685 70355 Panoramic x-ray of jaws 9.009775 9.009775 9.8431791875 8.55928625 TC 70355 Panoramic x-ray of jaws 11.172121 11.172121 12.2055421925 10.61351495 26 70355 Panoramic x-ray of jaws 20.181896 20.181896 22.04872138 19.1728012 70360 X-ray exam of neck 30.633235 30.633235 33.4668092375 29.10157325 70360 X-ray exam of neck 21.983851 21.983851 24.0173572175 20.88465845 TC 70360 X-ray exam of neck 8.649384 8.649384 9.44945202 8.2169148 26 70370 Throat x-ray & fluoroscopy 81.808757 81.808757 89.3760670225 77.71831915 70370 Throat x-ray & fluoroscopy 66.672335 66.672335 72.8395259875 63.33871825 TC 70370 Throat x-ray & fluoroscopy 15.136422 15.136422 16.536541035 14.3796009 26 70371 Speech evaluation complex 56.220996 56.220996 61.42143813 53.4099462 TC 70371 Speech evaluation complex 43.607311 43.607311 47.6409872675 41.42694545 26 70371 Speech evaluation complex 99.828307 99.828307 109.0624253975 94.83689165 70380 X-ray exam of salivary gland 34.237145 34.237145 37.4040809125 32.52528775 70380 X-ray exam of salivary gland 25.587761 25.587761 27.9546288925 24.30837295 TC 70380 X-ray exam of salivary gland 8.649384 8.649384 9.44945202 8.2169148 26 70390 X-ray exam of salivary duct 104.51339 104.51339 114.180878575 99.2877205 70390 X-ray exam of salivary duct 85.052276 85.052276 92.91961153 80.7996622 TC 70390 X-ray exam of salivary duct 19.461114 19.461114 21.261267045 18.4880583 26 70450 Ct head/brain w/o dye 73.880155 73.880155 80.7140693375 70.18614725 TC 70450 Ct head/brain w/o dye 43.607311 43.607311 47.6409872675 41.42694545 26 70450 Ct head/brain w/o dye 117.487466 117.487466 128.355056605 111.6130927 70460 Ct head/brain w/dye 107.756909 107.756909 117.7244230825 102.36906355 TC 70460 Ct head/brain w/dye 58.383342 58.383342 63.783801135 55.4641749 26 70460 Ct head/brain w/dye 166.140251 166.140251 181.5082242175 157.83323845 70470 Ct head/brain w/o & w/dye 129.019978 129.019978 140.954325965 122.5689791 TC 70470 Ct head/brain w/o & w/dye 65.230771 65.230771 71.2646173175 61.96923245 26 70470 Ct head/brain w/o & w/dye 194.250749 194.250749 212.2189432825 184.53821155 70480 Ct orbit/ear/fossa w/o dye 236.056105 236.056105 257.8912947125 224.25329975 70480 Ct orbit/ear/fossa w/o dye 170.464943 170.464943 186.2329502275 161.94169585 TC 70480 Ct orbit/ear/fossa w/o dye 65.591162 65.591162 71.658344485 62.3116039 26 70481 Ct orbit/ear/fossa w/dye 279.663416 279.663416 305.53228198 265.6802452 70481 Ct orbit/ear/fossa w/dye 208.666389 208.666389 227.9680299825 198.23306955 TC 70481 Ct orbit/ear/fossa w/dye 70.997027 70.997027 77.5642519975 67.44717565 26 70482 Ct orbit/ear/fossa w/o&w/dye 304.530395 304.530395 332.6994565375 289.30387525 70482 Ct orbit/ear/fossa w/o&w/dye 230.289849 230.289849 251.5916600325 218.77535655 TC 70482 Ct orbit/ear/fossa w/o&w/dye 74.240546 74.240546 81.107796505 70.5285187 26 70486 Ct maxillofacial w/o dye 97.30557 97.30557 106.306335225 92.4402915 TC 70486 Ct maxillofacial w/o dye 43.967702 43.967702 48.034714435 41.7693169 26 70486 Ct maxillofacial w/o dye 141.273272 141.273272 154.34104966 134.2096084 70487 Ct maxillofacial w/dye 112.081601 112.081601 122.4491490925 106.47752095 TC 70487 Ct maxillofacial w/dye 57.66256 57.66256 62.9963468 54.779432 26 70487 Ct maxillofacial w/dye 169.744161 169.744161 185.4454958925 161.25695295 70488 Ct maxillofacial w/o & w/dye 141.633663 141.633663 154.7347768275 134.55197985 TC 70488 Ct maxillofacial w/o & w/dye 65.230771 65.230771 71.2646173175 61.96923245 26 70488 Ct maxillofacial w/o & w/dye 206.864434 206.864434 225.999394145 196.5212123 70490 Ct soft tissue neck w/o dye 166.861033 166.861033 182.2956785525 158.51798135 70490 Ct soft tissue neck w/o dye 101.269871 101.269871 110.6373340675 96.20637745 TC 70490 Ct soft tissue neck w/o dye 65.591162 65.591162 71.658344485 62.3116039 26 70491 Ct soft tissue neck w/dye 134.786234 134.786234 147.253960645 128.0469223 TC 70491 Ct soft tissue neck w/dye 70.997027 70.997027 77.5642519975 67.44717565 26 70491 Ct soft tissue neck w/dye 205.783261 205.783261 224.8182126425 195.49409795 70492 Ct sft tsue nck w/o & w/dye 247.949008 247.949008 270.88429124 235.5515576 70492 Ct sft tsue nck w/o & w/dye 165.059078 165.059078 180.327042715 156.8061241 TC 70492 Ct sft tsue nck w/o & w/dye 82.88993 82.88993 90.557248525 78.7454335 26 70496 Ct angiography head 299.484921 299.484921 327.1872761925 284.51067495 70496 Ct angiography head 209.747562 209.747562 229.149211485 199.2601839 TC 70496 Ct angiography head 89.737359 89.737359 98.0380647075 85.25049105 26 70498 Ct angiography neck 298.764139 298.764139 326.3998218575 283.82593205 70498 Ct angiography neck 209.02678 209.02678 228.36175715 198.575441 TC 70498 Ct angiography neck 89.737359 89.737359 98.0380647075 85.25049105 26 70540 Mri orbit/face/neck w/o dye 200.377396 200.377396 218.91230513 190.3585262 TC 70540 Mri orbit/face/neck w/o dye 69.195072 69.195072 75.59561616 65.7353184 26 70540 Mri orbit/face/neck w/o dye 269.572468 269.572468 294.50792129 256.0938446 70542 Mri orbit/face/neck w/dye 320.387599 320.387599 350.0234519075 304.36821905 70542 Mri orbit/face/neck w/dye 237.137278 237.137278 259.072476215 225.2804141 TC 70542 Mri orbit/face/neck w/dye 83.250321 83.250321 90.9509756925 79.08780495 26 70543 Mri orbt/fac/nck w/o & w/dye 402.556747 402.556747 439.7932460975 382.42890965 70543 Mri orbt/fac/nck w/o & w/dye 292.997883 292.997883 320.1001871775 278.34798885 TC 70543 Mri orbt/fac/nck w/o & w/dye 109.558864 109.558864 119.69305892 104.0809208 26 70544 Mr angiography head w/o dye 220.919683 220.919683 241.3547536775 209.87369885 TC 70544 Mr angiography head w/o dye 61.626861 61.626861 67.3273456425 58.54551795 26 70544 Mr angiography head w/o dye 282.546544 282.546544 308.68209932 268.4192168 70545 Mr angiography head w/dye 218.757337 218.757337 238.9923906725 207.81947015 TC 70545 Mr angiography head w/dye 61.626861 61.626861 67.3273456425 58.54551795 26 70545 Mr angiography head w/dye 280.384198 280.384198 306.319736315 266.3649881 70546 Mr angiograph head w/o&w/dye 414.44965 414.44965 452.786242625 393.7271675 70546 Mr angiograph head w/o&w/dye 338.76754 338.76754 370.10353745 321.829163 TC 70546 Mr angiograph head w/o&w/dye 75.68211 75.68211 82.682705175 71.8980045 26 70547 Mr angiography neck w/o dye 222.000856 222.000856 242.53593518 210.9008132 TC 70547 Mr angiography neck w/o dye 61.626861 61.626861 67.3273456425 58.54551795 26 70547 Mr angiography neck w/o dye 283.627717 283.627717 309.8632808225 269.44633115 70548 Mr angiography neck w/dye 234.974932 234.974932 256.71011321 223.2261854 TC 70548 Mr angiography neck w/dye 77.123674 77.123674 84.257613845 73.2674903 26 70548 Mr angiography neck w/dye 312.098606 312.098606 340.967727055 296.4936757 70549 Mr angiograph neck w/o&w/dye 433.189982 433.189982 473.260055335 411.5304829 70549 Mr angiograph neck w/o&w/dye 340.929886 340.929886 372.465900455 323.8833917 TC 70549 Mr angiograph neck w/o&w/dye 92.260096 92.260096 100.79415488 87.6470912 26 70551 Mri brain w/o dye 229.929458 229.929458 251.197932865 218.4329851 70551 Mri brain w/o dye 153.886957 153.886957 168.1215005225 146.19260915 TC 70551 Mri brain w/o dye 76.042501 76.042501 83.0764323425 72.24037595 26 70552 Mri brain w/dye 227.767112 227.767112 248.83556986 216.3787564 TC 70552 Mri brain w/dye 91.539314 91.539314 100.006700545 86.9623483 26 70552 Mri brain w/dye 319.306426 319.306426 348.842270405 303.3411047 70553 Mri brain w/o & w/dye 376.608595 376.608595 411.4448900375 357.77816525 70553 Mri brain w/o & w/dye 259.48152 259.48152 283.4835606 246.507444 TC 70553 Mri brain w/o & w/dye 117.127075 117.127075 127.9613294375 111.27072125 26 70554 Fmri brain by tech 338.76754 338.76754 370.10353745 321.829163 TC 70554 Fmri brain by tech 108.1173 108.1173 118.11815025 102.711435 26 70554 Fmri brain by tech 446.88484 446.88484 488.2216877 424.540598 70555 Fmri brain by phys/psych 0 0 0 0 70555 Fmri brain by phys/psych 0 0 0 0 TC 70555 Fmri brain by phys/psych 129.019978 129.019978 140.954325965 122.5689791 26 70557 Mri brain w/o dye 0 0 0 0 70557 Mri brain w/o dye 0 0 0 0 TC 70557 Mri brain w/o dye 160.013604 160.013604 174.81486237 152.0129238 26 70558 Mri brain w/dye 0 0 0 0 TC 70558 Mri brain w/dye 176.231199 176.231199 192.5325849075 167.41963905 26 70558 Mri brain w/dye 0 0 0 0 70559 Mri brain w/o & w/dye 0 0 0 0 70559 Mri brain w/o & w/dye 0 0 0 0 TC 70559 Mri brain w/o & w/dye 168.302597 168.302597 183.8705872225 159.88746715 26 71045 X-ray exam chest 1 view 15.857204 15.857204 17.32399537 15.0643438 TC 71045 X-ray exam chest 1 view 9.370166 9.370166 10.236906355 8.9016577 26 71045 X-ray exam chest 1 view 25.22737 25.22737 27.560901725 23.9660015 71046 X-ray exam chest 2 views 32.074799 32.074799 35.0417179075 30.47105905 71046 X-ray exam chest 2 views 20.902678 20.902678 22.836175715 19.8575441 TC 71046 X-ray exam chest 2 views 11.172121 11.172121 12.2055421925 10.61351495 26 71047 X-ray exam chest 3 views 40.363792 40.363792 44.09744276 38.3456024 71047 X-ray exam chest 3 views 25.948152 25.948152 28.34835606 24.6507444 TC 71047 X-ray exam chest 3 views 14.41564 14.41564 15.7490867 13.694858 26 71048 X-ray exam chest 4+ views 43.607311 43.607311 47.6409872675 41.42694545 71048 X-ray exam chest 4+ views 27.029325 27.029325 29.5295375625 25.67785875 TC 71048 X-ray exam chest 4+ views 16.577986 16.577986 18.111449705 15.7490867 26 71100 X-ray exam of ribs 34.957927 34.957927 38.1915352475 33.21003065 71100 X-ray exam of ribs 23.425415 23.425415 25.5922658875 22.25414425 TC 71100 X-ray exam of ribs 11.532512 11.532512 12.59926936 10.9558864 26 71101 X-ray exam of ribs/chest 40.003401 40.003401 43.7037155925 38.00323095 71101 X-ray exam of ribs/chest 25.948152 25.948152 28.34835606 24.6507444 TC 71101 X-ray exam of ribs/chest 14.055249 14.055249 15.3553595325 13.35248655 26 71110 X-ray exam of ribs 41.805356 41.805356 45.67235143 39.7150882 71110 X-ray exam of ribs 26.668934 26.668934 29.135810395 25.3354873 TC 71110 X-ray exam of ribs 15.136422 15.136422 16.536541035 14.3796009 26 71111 X-ray exam of ribs/chest 32.795581 32.795581 35.8291722425 31.15580195 TC 71111 X-ray exam of ribs/chest 16.938377 16.938377 18.5051768725 16.09145815 26 71111 X-ray exam of ribs/chest 49.733958 49.733958 54.334349115 47.2472601 71120 X-ray exam of breastbone 21.263069 21.263069 23.2299028825 20.19991555 TC 71120 X-ray exam of breastbone 10.451339 10.451339 11.4180878575 9.92877205 26 71120 X-ray exam of breastbone 31.714408 31.714408 34.64799074 30.1286876 71130 X-ray exam of breastbone 37.841055 37.841055 41.3413525875 35.94900225 71130 X-ray exam of breastbone 26.668934 26.668934 29.135810395 25.3354873 TC 71130 X-ray exam of breastbone 11.172121 11.172121 12.2055421925 10.61351495 26 71250 Ct thorax w/o dye 161.094777 161.094777 175.9960438725 153.04003815 71250 Ct thorax w/o dye 101.269871 101.269871 110.6373340675 96.20637745 TC 71250 Ct thorax w/o dye 59.824906 59.824906 65.358709805 56.8336607 26 71260 Ct thorax w/dye 199.296223 199.296223 217.7311236275 189.33141185 71260 Ct thorax w/dye 135.507016 135.507016 148.04141498 128.7316652 TC 71260 Ct thorax w/dye 63.789207 63.789207 69.6897086475 60.59974665 26 71270 Ct thorax w/o & w/dye 165.419469 165.419469 180.7207698825 157.14849555 TC 71270 Ct thorax w/o & w/dye 70.997027 70.997027 77.5642519975 67.44717565 26 71270 Ct thorax w/o & w/dye 236.416496 236.416496 258.28502188 224.5956712 71275 Ct angiography chest 212.991081 212.991081 232.6927559925 202.34152695 TC 71275 Ct angiography chest 93.341269 93.341269 101.9753363825 88.67420555 26 71275 Ct angiography chest 306.33235 306.33235 334.668092375 291.0157325 71550 Mri chest w/o dye 336.605194 336.605194 367.741174445 319.7749343 TC 71550 Mri chest w/o dye 74.600937 74.600937 81.5015236725 70.87089015 26 71550 Mri chest w/o dye 411.206131 411.206131 449.2426981175 390.64582445 71551 Mri chest w/dye 455.173833 455.173833 497.2774125525 432.41514135 71551 Mri chest w/dye 366.517647 366.517647 400.4205293475 348.19176465 TC 71551 Mri chest w/dye 88.656186 88.656186 96.856883205 84.2233767 26 71552 Mri chest w/o & w/dye 459.138134 459.138134 501.608411395 436.1812273 TC 71552 Mri chest w/o & w/dye 115.685511 115.685511 126.3864207675 109.90123545 26 71552 Mri chest w/o & w/dye 574.823645 574.823645 627.9948321625 546.08246275 71555 Mri angio chest w or w/o dye 397.511273 397.511273 434.2810657525 377.63570935 71555 Mri angio chest w or w/o dye 305.971959 305.971959 334.2743652075 290.67336105 TC 71555 Mri angio chest w or w/o dye 91.539314 91.539314 100.006700545 86.9623483 26 72020 X-ray exam of spine 15.496813 15.496813 16.9302682025 14.72197235 TC 72020 X-ray exam of spine 7.928602 7.928602 8.661997685 7.5321719 26 72020 X-ray exam of spine 23.425415 23.425415 25.5922658875 22.25414425 72040 X-ray exam of neck spine 37.120273 37.120273 40.5538982525 35.26425935 72040 X-ray exam of neck spine 25.587761 25.587761 27.9546288925 24.30837295 TC 72040 X-ray exam of neck spine 11.532512 11.532512 12.59926936 10.9558864 26 72050 X-ray exam of neck spine 34.957927 34.957927 38.1915352475 33.21003065 TC 72050 X-ray exam of neck spine 16.217595 16.217595 17.7177225375 15.40671525 26 72050 X-ray exam of neck spine 51.175522 51.175522 55.909257785 48.6167459 72052 X-ray exam of neck spine 60.906079 60.906079 66.5398913075 57.86077505 72052 X-ray exam of neck spine 42.165747 42.165747 46.0660785975 40.05745965 TC 72052 X-ray exam of neck spine 18.740332 18.740332 20.47381271 17.8033154 26 72070 X-ray exam of thoracic spine 34.597536 34.597536 37.79780808 32.8676592 72070 X-ray exam of thoracic spine 23.065024 23.065024 25.19853872 21.9117728 TC 72070 X-ray exam of thoracic spine 11.532512 11.532512 12.59926936 10.9558864 26 72072 X-ray exam of thoracic spine 25.587761 25.587761 27.9546288925 24.30837295 TC 72072 X-ray exam of thoracic spine 11.172121 11.172121 12.2055421925 10.61351495 26 72072 X-ray exam of thoracic spine 36.759882 36.759882 40.160171085 34.9218879 72074 X-ray exam of thoracic spine 40.363792 40.363792 44.09744276 38.3456024 72074 X-ray exam of thoracic spine 29.191671 29.191671 31.8919005675 27.73208745 TC 72074 X-ray exam of thoracic spine 11.172121 11.172121 12.2055421925 10.61351495 26 72080 X-ray exam of trunk spine 34.237145 34.237145 37.4040809125 32.52528775 72080 X-ray exam of trunk spine 22.704633 22.704633 24.8048115525 21.56940135 TC 72080 X-ray exam of trunk spine 11.532512 11.532512 12.59926936 10.9558864 26 72081 X-ray exam entire spi 1 vw 41.084574 41.084574 44.884897095 39.0303453 72081 X-ray exam entire spi 1 vw 27.029325 27.029325 29.5295375625 25.67785875 TC 72081 X-ray exam entire spi 1 vw 14.055249 14.055249 15.3553595325 13.35248655 26 72082 X-ray exam entire spi 2/3 vw 65.951553 65.951553 72.0520716525 62.65397535 72082 X-ray exam entire spi 2/3 vw 49.373567 49.373567 53.9406219475 46.90488865 TC 72082 X-ray exam entire spi 2/3 vw 16.577986 16.577986 18.111449705 15.7490867 26 72083 X-ray exam entire spi 4/5 vw 59.104124 59.104124 64.57125547 56.1489178 TC 72083 X-ray exam entire spi 4/5 vw 18.740332 18.740332 20.47381271 17.8033154 26 72083 X-ray exam entire spi 4/5 vw 77.844456 77.844456 85.04506818 73.9522332 72084 X-ray exam entire spi 6/> vw 69.195072 69.195072 75.59561616 65.7353184 TC 72084 X-ray exam entire spi 6/> vw 21.62346 21.62346 23.62363005 20.542287 26 72084 X-ray exam entire spi 6/> vw 90.818532 90.818532 99.21924621 86.2776054 72100 X-ray exam of lower spine 37.120273 37.120273 40.5538982525 35.26425935 72100 X-ray exam of lower spine 25.587761 25.587761 27.9546288925 24.30837295 TC 72100 X-ray exam of lower spine 11.532512 11.532512 12.59926936 10.9558864 26 72110 X-ray exam of lower spine 51.896304 51.896304 56.69671212 49.3014888 72110 X-ray exam of lower spine 35.678709 35.678709 38.9789895825 33.89477355 TC 72110 X-ray exam of lower spine 16.217595 16.217595 17.7177225375 15.40671525 26 72114 X-ray exam of lower spine 42.165747 42.165747 46.0660785975 40.05745965 TC 72114 X-ray exam of lower spine 16.938377 16.938377 18.5051768725 16.09145815 26 72114 X-ray exam of lower spine 59.104124 59.104124 64.57125547 56.1489178 72120 X-ray exam of lower spine 43.607311 43.607311 47.6409872675 41.42694545 72120 X-ray exam of lower spine 32.074799 32.074799 35.0417179075 30.47105905 TC 72120 X-ray exam of lower spine 11.532512 11.532512 12.59926936 10.9558864 26 72125 Ct neck spine w/o dye 186.682538 186.682538 203.950672765 177.3484111 72125 Ct neck spine w/o dye 131.903106 131.903106 144.104143305 125.3079507 TC 72125 Ct neck spine w/o dye 54.779432 54.779432 59.84652946 52.0404604 26 72126 Ct neck spine w/dye 230.65024 230.65024 251.9853872 219.117728 72126 Ct neck spine w/dye 167.942206 167.942206 183.476860055 159.5450957 TC 72126 Ct neck spine w/dye 62.708034 62.708034 68.508527145 59.5726323 26 72127 Ct neck spine w/o & w/dye 273.176378 273.176378 298.445192965 259.5175591 72127 Ct neck spine w/o & w/dye 208.305998 208.305998 227.574302815 197.8906981 TC 72127 Ct neck spine w/o & w/dye 64.87038 64.87038 70.87089015 61.626861 26 72128 Ct chest spine w/o dye 131.542715 131.542715 143.7104161375 124.96557925 TC 72128 Ct chest spine w/o dye 51.535913 51.535913 56.3029849525 48.95911735 26 72128 Ct chest spine w/o dye 183.078628 183.078628 200.01340109 173.9246966 72129 Ct chest spine w/dye 232.091804 232.091804 253.56029587 220.4872138 72129 Ct chest spine w/dye 169.38377 169.38377 185.051768725 160.9145815 TC 72129 Ct chest spine w/dye 62.708034 62.708034 68.508527145 59.5726323 26 72130 Ct chest spine w/o & w/dye 273.536769 273.536769 298.8389201325 259.85993055 72130 Ct chest spine w/o & w/dye 208.666389 208.666389 227.9680299825 198.23306955 TC 72130 Ct chest spine w/o & w/dye 64.87038 64.87038 70.87089015 61.626861 26 72131 Ct lumbar spine w/o dye 182.357846 182.357846 199.225946755 173.2399537 72131 Ct lumbar spine w/o dye 130.821933 130.821933 142.9229618025 124.28083635 TC 72131 Ct lumbar spine w/o dye 51.535913 51.535913 56.3029849525 48.95911735 26 72132 Ct lumbar spine w/dye 168.302597 168.302597 183.8705872225 159.88746715 TC 72132 Ct lumbar spine w/dye 62.708034 62.708034 68.508527145 59.5726323 26 72132 Ct lumbar spine w/dye 231.010631 231.010631 252.3791143675 219.46009945 72133 Ct lumbar spine w/o & w/dye 207.224825 207.224825 226.3931213125 196.86358375 TC 72133 Ct lumbar spine w/o & w/dye 65.230771 65.230771 71.2646173175 61.96923245 26 72133 Ct lumbar spine w/o & w/dye 272.455596 272.455596 297.65773863 258.8328162 72141 Mri neck spine w/o dye 224.163202 224.163202 244.898298185 212.9550419 72141 Mri neck spine w/o dye 147.76031 147.76031 161.428138675 140.3722945 TC 72141 Mri neck spine w/o dye 76.402892 76.402892 83.47015951 72.5827474 26 72142 Mri neck spine w/dye 233.533368 233.533368 255.13520454 221.8566996 TC 72142 Mri neck spine w/dye 91.899705 91.899705 100.4004277125 87.30471975 26 72142 Mri neck spine w/dye 325.433073 325.433073 355.5356322525 309.16141935 72146 Mri chest spine w/o dye 224.523593 224.523593 245.2920253525 213.29741335 72146 Mri chest spine w/o dye 148.120701 148.120701 161.8218658425 140.71466595 TC 72146 Mri chest spine w/o dye 76.402892 76.402892 83.47015951 72.5827474 26 72147 Mri chest spine w/dye 323.631118 323.631118 353.566996415 307.4495621 72147 Mri chest spine w/dye 232.091804 232.091804 253.56029587 220.4872138 TC 72147 Mri chest spine w/dye 91.539314 91.539314 100.006700545 86.9623483 26 72148 Mri lumbar spine w/o dye 148.120701 148.120701 161.8218658425 140.71466595 TC 72148 Mri lumbar spine w/o dye 76.402892 76.402892 83.47015951 72.5827474 26 72148 Mri lumbar spine w/o dye 224.523593 224.523593 245.2920253525 213.29741335 72149 Mri lumbar spine w/dye 321.468772 321.468772 351.20463341 305.3953334 72149 Mri lumbar spine w/dye 229.569067 229.569067 250.8042056975 218.09061365 TC 72149 Mri lumbar spine w/dye 91.899705 91.899705 100.4004277125 87.30471975 26 72156 Mri neck spine w/o & w/dye 379.131332 379.131332 414.20098021 360.1747654 72156 Mri neck spine w/o & w/dye 262.004257 262.004257 286.2396507725 248.90404415 TC 72156 Mri neck spine w/o & w/dye 117.127075 117.127075 127.9613294375 111.27072125 26 72157 Mri chest spine w/o & w/dye 263.08543 263.08543 287.420832275 249.9311585 TC 72157 Mri chest spine w/o & w/dye 117.127075 117.127075 127.9613294375 111.27072125 26 72157 Mri chest spine w/o & w/dye 380.212505 380.212505 415.3821617125 361.20187975 72158 Mri lumbar spine w/o & w/dye 261.283475 261.283475 285.4521964375 248.21930125 TC 72158 Mri lumbar spine w/o & w/dye 117.127075 117.127075 127.9613294375 111.27072125 26 72158 Mri lumbar spine w/o & w/dye 378.41055 378.41055 413.413525875 359.4900225 72159 Mr angio spine w/o&w/dye 411.926913 411.926913 450.0301524525 391.33056735 72159 Mr angio spine w/o&w/dye 319.666817 319.666817 349.2359975725 303.68347615 TC 72159 Mr angio spine w/o&w/dye 92.260096 92.260096 100.79415488 87.6470912 26 72170 X-ray exam of pelvis 24.506588 24.506588 26.77344739 23.2812586 TC 72170 X-ray exam of pelvis 9.009775 9.009775 9.8431791875 8.55928625 26 72170 X-ray exam of pelvis 33.516363 33.516363 36.6166265775 31.84054485 72190 X-ray exam of pelvis 29.191671 29.191671 31.8919005675 27.73208745 TC 72190 X-ray exam of pelvis 11.172121 11.172121 12.2055421925 10.61351495 26 72190 X-ray exam of pelvis 40.363792 40.363792 44.09744276 38.3456024 72191 Ct angiograph pelv w/o&w/dye 226.685939 226.685939 247.6543883575 215.35164205 TC 72191 Ct angiograph pelv w/o&w/dye 92.260096 92.260096 100.79415488 87.6470912 26 72191 Ct angiograph pelv w/o&w/dye 318.946035 318.946035 348.4485432375 302.99873325 72192 Ct pelvis w/o dye 91.899705 91.899705 100.4004277125 87.30471975 TC 72192 Ct pelvis w/o dye 55.860605 55.860605 61.0277109625 53.06757475 26 72192 Ct pelvis w/o dye 147.76031 147.76031 161.428138675 140.3722945 72193 Ct pelvis w/dye 237.497669 237.497669 259.4662033825 225.62278555 72193 Ct pelvis w/dye 177.672763 177.672763 194.1074935775 168.78912485 TC 72193 Ct pelvis w/dye 59.824906 59.824906 65.358709805 56.8336607 26 72194 Ct pelvis w/o & w/dye 269.572468 269.572468 294.50792129 256.0938446 72194 Ct pelvis w/o & w/dye 207.224825 207.224825 226.3931213125 196.86358375 TC 72194 Ct pelvis w/o & w/dye 62.347643 62.347643 68.1147999775 59.23026085 26 72195 Mri pelvis w/o dye 199.656614 199.656614 218.124850795 189.6737833 TC 72195 Mri pelvis w/o dye 74.961328 74.961328 81.89525084 71.2132616 26 72195 Mri pelvis w/o dye 274.617942 274.617942 300.020101635 260.8870449 72196 Mri pelvis w/dye 320.74799 320.74799 350.417179075 304.7105905 72196 Mri pelvis w/dye 231.731413 231.731413 253.1665687025 220.14484235 TC 72196 Mri pelvis w/dye 89.016577 89.016577 97.2506103725 84.56574815 26 72197 Mri pelvis w/o & w/dye 405.079484 405.079484 442.54933627 384.8255098 72197 Mri pelvis w/o & w/dye 292.277101 292.277101 319.3127328425 277.66324595 TC 72197 Mri pelvis w/o & w/dye 112.802383 112.802383 123.2366034275 107.16226385 26 72198 Mr angio pelvis w/o & w/dye 399.673619 399.673619 436.6434287575 379.68993805 72198 Mr angio pelvis w/o & w/dye 308.494696 308.494696 337.03045538 293.0699612 TC 72198 Mr angio pelvis w/o & w/dye 91.178923 91.178923 99.6129733775 86.61997685 26 72200 X-ray exam sacroiliac joints 31.354017 31.354017 34.2542635725 29.78631615 72200 X-ray exam sacroiliac joints 22.344242 22.344242 24.411084385 21.2270299 TC 72200 X-ray exam sacroiliac joints 9.009775 9.009775 9.8431791875 8.55928625 26 72202 X-ray exam sacroiliac joints 35.318318 35.318318 38.585262415 33.5524021 72202 X-ray exam sacroiliac joints 25.587761 25.587761 27.9546288925 24.30837295 TC 72202 X-ray exam sacroiliac joints 9.730557 9.730557 10.6306335225 9.24402915 26 72220 X-ray exam of tailbone 21.983851 21.983851 24.0173572175 20.88465845 TC 72220 X-ray exam of tailbone 9.009775 9.009775 9.8431791875 8.55928625 26 72220 X-ray exam of tailbone 30.993626 30.993626 33.860536405 29.4439447 72240 Contrast x-ray of neck spine 105.954954 105.954954 115.755787245 100.6572063 72240 Contrast x-ray of neck spine 59.464515 59.464515 64.9649826375 56.49128925 TC 72240 Contrast x-ray of neck spine 46.490439 46.490439 50.7908046075 44.16591705 26 72255 Contrast x-ray thorax spine 59.104124 59.104124 64.57125547 56.1489178 TC 72255 Contrast x-ray thorax spine 48.652785 48.652785 53.1531676125 46.22014575 26 72255 Contrast x-ray thorax spine 107.756909 107.756909 117.7244230825 102.36906355 72265 Contrast x-ray lower spine 57.302169 57.302169 62.6026196325 54.43706055 TC 72265 Contrast x-ray lower spine 41.805356 41.805356 45.67235143 39.7150882 26 72265 Contrast x-ray lower spine 99.107525 99.107525 108.2749710625 94.15214875 72270 Contrast x-ray spine 68.47429 68.47429 74.808161825 65.0505755 TC 72270 Contrast x-ray spine 69.195072 69.195072 75.59561616 65.7353184 26 72270 Contrast x-ray spine 137.669362 137.669362 150.403777985 130.7858939 72275 Epidurography 125.416068 125.416068 137.01705429 119.1452646 72275 Epidurography 85.412667 85.412667 93.3133386975 81.14203365 TC 72275 Epidurography 40.003401 40.003401 43.7037155925 38.00323095 26 72285 X-ray c/t spine disk 119.649812 119.649812 130.71741961 113.6673214 72285 X-ray c/t spine disk 58.743733 58.743733 64.1775283025 55.80654635 TC 72285 X-ray c/t spine disk 60.906079 60.906079 66.5398913075 57.86077505 26 72295 X-ray of lower spine disk 60.185297 60.185297 65.7524369725 57.17603215 TC 72295 X-ray of lower spine disk 44.328093 44.328093 48.4284416025 42.11168835 26 72295 X-ray of lower spine disk 104.51339 104.51339 114.180878575 99.2877205 73000 X-ray exam of collar bone 20.902678 20.902678 22.836175715 19.8575441 TC 73000 X-ray exam of collar bone 8.649384 8.649384 9.44945202 8.2169148 26 73000 X-ray exam of collar bone 29.552062 29.552062 32.285627735 28.0744589 73010 X-ray exam of shoulder blade 23.065024 23.065024 25.19853872 21.9117728 TC 73010 X-ray exam of shoulder blade 9.370166 9.370166 10.236906355 8.9016577 26 73010 X-ray exam of shoulder blade 32.43519 32.43519 35.435445075 30.8134305 73020 X-ray exam of shoulder 15.857204 15.857204 17.32399537 15.0643438 TC 73020 X-ray exam of shoulder 8.288993 8.288993 9.0557248525 7.87454335 26 73020 X-ray exam of shoulder 24.146197 24.146197 26.3797202225 22.93888715 73030 X-ray exam of shoulder 30.633235 30.633235 33.4668092375 29.10157325 73030 X-ray exam of shoulder 20.902678 20.902678 22.836175715 19.8575441 TC 73030 X-ray exam of shoulder 9.730557 9.730557 10.6306335225 9.24402915 26 73040 Contrast x-ray of shoulder 112.441992 112.441992 122.84287626 106.8198924 73040 Contrast x-ray of shoulder 84.331494 84.331494 92.132157195 80.1149193 TC 73040 Contrast x-ray of shoulder 28.110498 28.110498 30.710719065 26.7049731 26 73050 X-ray exam of shoulders 37.841055 37.841055 41.3413525875 35.94900225 73050 X-ray exam of shoulders 27.029325 27.029325 29.5295375625 25.67785875 TC 73050 X-ray exam of shoulders 10.81173 10.81173 11.811815025 10.2711435 26 73060 X-ray exam of humerus 30.633235 30.633235 33.4668092375 29.10157325 73060 X-ray exam of humerus 21.983851 21.983851 24.0173572175 20.88465845 TC 73060 X-ray exam of humerus 8.649384 8.649384 9.44945202 8.2169148 26 73070 X-ray exam of elbow 27.389716 27.389716 29.92326473 26.0202302 73070 X-ray exam of elbow 19.100723 19.100723 20.8675398775 18.14568685 TC 73070 X-ray exam of elbow 8.288993 8.288993 9.0557248525 7.87454335 26 73080 X-ray exam of elbow 30.272844 30.272844 33.07308207 28.7592018 73080 X-ray exam of elbow 21.263069 21.263069 23.2299028825 20.19991555 TC 73080 X-ray exam of elbow 9.009775 9.009775 9.8431791875 8.55928625 26 73085 Contrast x-ray of elbow 107.756909 107.756909 117.7244230825 102.36906355 73085 Contrast x-ray of elbow 78.204847 78.204847 85.4387953475 74.29460465 TC 73085 Contrast x-ray of elbow 29.552062 29.552062 32.285627735 28.0744589 26 73090 X-ray exam of forearm 28.470889 28.470889 31.1044462325 27.04734455 73090 X-ray exam of forearm 19.821505 19.821505 21.6549942125 18.83042975 TC 73090 X-ray exam of forearm 8.649384 8.649384 9.44945202 8.2169148 26 73092 X-ray exam of arm infant 20.902678 20.902678 22.836175715 19.8575441 TC 73092 X-ray exam of arm infant 8.288993 8.288993 9.0557248525 7.87454335 26 73092 X-ray exam of arm infant 29.191671 29.191671 31.8919005675 27.73208745 73100 X-ray exam of wrist 23.785806 23.785806 25.985993055 22.5965157 TC 73100 X-ray exam of wrist 8.649384 8.649384 9.44945202 8.2169148 26 73100 X-ray exam of wrist 32.43519 32.43519 35.435445075 30.8134305 73110 X-ray exam of wrist 37.120273 37.120273 40.5538982525 35.26425935 73110 X-ray exam of wrist 28.110498 28.110498 30.710719065 26.7049731 TC 73110 X-ray exam of wrist 9.009775 9.009775 9.8431791875 8.55928625 26 73115 Contrast x-ray of wrist 120.010203 120.010203 131.1111467775 114.00969285 73115 Contrast x-ray of wrist 90.818532 90.818532 99.21924621 86.2776054 TC 73115 Contrast x-ray of wrist 29.191671 29.191671 31.8919005675 27.73208745 26 73120 X-ray exam of hand 20.902678 20.902678 22.836175715 19.8575441 TC 73120 X-ray exam of hand 8.649384 8.649384 9.44945202 8.2169148 26 73120 X-ray exam of hand 29.552062 29.552062 32.285627735 28.0744589 73130 X-ray exam of hand 24.866979 24.866979 27.1671745575 23.62363005 TC 73130 X-ray exam of hand 9.009775 9.009775 9.8431791875 8.55928625 26 73130 X-ray exam of hand 33.876754 33.876754 37.010353745 32.1829163 73140 X-ray exam of finger(s) 27.029325 27.029325 29.5295375625 25.67785875 TC 73140 X-ray exam of finger(s) 7.20782 7.20782 7.87454335 6.847429 26 73140 X-ray exam of finger(s) 34.237145 34.237145 37.4040809125 32.52528775 73200 Ct upper extremity w/o dye 181.997455 181.997455 198.8322195875 172.89758225 73200 Ct upper extremity w/o dye 130.461542 130.461542 142.529234635 123.9384649 TC 73200 Ct upper extremity w/o dye 51.535913 51.535913 56.3029849525 48.95911735 26 73201 Ct upper extremity w/dye 166.500642 166.500642 181.901951385 158.1756099 TC 73201 Ct upper extremity w/dye 59.824906 59.824906 65.358709805 56.8336607 26 73201 Ct upper extremity w/dye 226.325548 226.325548 247.26066119 215.0092706 73202 Ct uppr extremity w/o&w/dye 219.117728 219.117728 239.38611784 208.1618416 TC 73202 Ct uppr extremity w/o&w/dye 62.708034 62.708034 68.508527145 59.5726323 26 73202 Ct uppr extremity w/o&w/dye 281.825762 281.825762 307.894644985 267.7344739 73206 Ct angio upr extrm w/o&w/dye 241.101579 241.101579 263.4034750575 229.04650005 TC 73206 Ct angio upr extrm w/o&w/dye 91.899705 91.899705 100.4004277125 87.30471975 26 73206 Ct angio upr extrm w/o&w/dye 333.001284 333.001284 363.80390277 316.3512198 73218 Mri upper extremity w/o dye 295.160229 295.160229 322.4625501825 280.40221755 TC 73218 Mri upper extremity w/o dye 69.555463 69.555463 75.9893433275 66.07768985 26 73218 Mri upper extremity w/o dye 364.715692 364.715692 398.45189351 346.4799074 73219 Mri upper extremity w/dye 400.394401 400.394401 437.4308830925 380.37468095 73219 Mri upper extremity w/dye 317.14408 317.14408 346.4799074 301.286876 TC 73219 Mri upper extremity w/dye 83.250321 83.250321 90.9509756925 79.08780495 26 73220 Mri uppr extremity w/o&w/dye 495.537625 495.537625 541.3748553125 470.76074375 73220 Mri uppr extremity w/o&w/dye 385.61837 385.61837 421.288069225 366.3374515 TC 73220 Mri uppr extremity w/o&w/dye 109.919255 109.919255 120.0867860875 104.42329225 26 73221 Mri joint upr extrem w/o dye 166.861033 166.861033 182.2956785525 158.51798135 TC 73221 Mri joint upr extrem w/o dye 69.915854 69.915854 76.383070495 66.4200613 26 73221 Mri joint upr extrem w/o dye 236.776887 236.776887 258.6787490475 224.93804265 73222 Mri joint upr extrem w/dye 377.329377 377.329377 412.2323443725 358.46290815 73222 Mri joint upr extrem w/dye 293.718665 293.718665 320.8876415125 279.03273175 TC 73222 Mri joint upr extrem w/dye 83.610712 83.610712 91.34470286 79.4301764 26 73223 Mri joint upr extr w/o&w/dye 357.868263 357.868263 390.9710773275 339.97484985 TC 73223 Mri joint upr extr w/o&w/dye 110.279646 110.279646 120.480513255 104.7656637 26 73223 Mri joint upr extr w/o&w/dye 468.147909 468.147909 511.4515905825 444.74051355 73225 Mr angio upr extr w/o&w/dye 307.773914 307.773914 336.243001045 292.3852183 TC 73225 Mr angio upr extr w/o&w/dye 86.854231 86.854231 94.8882473675 82.51151945 26 73225 Mr angio upr extr w/o&w/dye 394.628145 394.628145 431.1312484125 374.89673775 73501 X-ray exam hip uni 1 view 31.354017 31.354017 34.2542635725 29.78631615 73501 X-ray exam hip uni 1 view 21.62346 21.62346 23.62363005 20.542287 TC 73501 X-ray exam hip uni 1 view 9.730557 9.730557 10.6306335225 9.24402915 26 73502 X-ray exam hip uni 2-3 views 43.607311 43.607311 47.6409872675 41.42694545 73502 X-ray exam hip uni 2-3 views 32.074799 32.074799 35.0417179075 30.47105905 TC 73502 X-ray exam hip uni 2-3 views 11.532512 11.532512 12.59926936 10.9558864 26 73503 X-ray exam hip uni 4/> views 40.003401 40.003401 43.7037155925 38.00323095 TC 73503 X-ray exam hip uni 4/> views 14.41564 14.41564 15.7490867 13.694858 26 73503 X-ray exam hip uni 4/> views 54.419041 54.419041 59.4528022925 51.69808895 73521 X-ray exam hips bi 2 views 38.922228 38.922228 42.52253409 36.9761166 73521 X-ray exam hips bi 2 views 27.389716 27.389716 29.92326473 26.0202302 TC 73521 X-ray exam hips bi 2 views 11.532512 11.532512 12.59926936 10.9558864 26 73522 X-ray exam hips bi 3-4 views 35.318318 35.318318 38.585262415 33.5524021 TC 73522 X-ray exam hips bi 3-4 views 15.496813 15.496813 16.9302682025 14.72197235 26 73522 X-ray exam hips bi 3-4 views 50.815131 50.815131 55.5155306175 48.27437445 73523 X-ray exam hips bi 5/> views 42.886529 42.886529 46.8535329325 40.74220255 TC 73523 X-ray exam hips bi 5/> views 16.577986 16.577986 18.111449705 15.7490867 26 73523 X-ray exam hips bi 5/> views 59.464515 59.464515 64.9649826375 56.49128925 73525 Contrast x-ray of hip 114.604338 114.604338 125.205239265 108.8741211 73525 Contrast x-ray of hip 84.691885 84.691885 92.5258843625 80.45729075 TC 73525 Contrast x-ray of hip 29.912453 29.912453 32.6793549025 28.41683035 26 73551 X-ray exam of femur 1 20.181896 20.181896 22.04872138 19.1728012 TC 73551 X-ray exam of femur 1 8.649384 8.649384 9.44945202 8.2169148 26 73551 X-ray exam of femur 1 28.83128 28.83128 31.4981734 27.389716 73552 X-ray exam of femur 2/> 24.506588 24.506588 26.77344739 23.2812586 TC 73552 X-ray exam of femur 2/> 9.370166 9.370166 10.236906355 8.9016577 26 73552 X-ray exam of femur 2/> 33.876754 33.876754 37.010353745 32.1829163 73560 X-ray exam of knee 1 or 2 24.146197 24.146197 26.3797202225 22.93888715 TC 73560 X-ray exam of knee 1 or 2 8.649384 8.649384 9.44945202 8.2169148 26 73560 X-ray exam of knee 1 or 2 32.795581 32.795581 35.8291722425 31.15580195 73562 X-ray exam of knee 3 28.110498 28.110498 30.710719065 26.7049731 TC 73562 X-ray exam of knee 3 9.730557 9.730557 10.6306335225 9.24402915 26 73562 X-ray exam of knee 3 37.841055 37.841055 41.3413525875 35.94900225 73564 X-ray exam knee 4 or more 42.165747 42.165747 46.0660785975 40.05745965 73564 X-ray exam knee 4 or more 30.633235 30.633235 33.4668092375 29.10157325 TC 73564 X-ray exam knee 4 or more 11.532512 11.532512 12.59926936 10.9558864 26 73565 X-ray exam of knees 28.83128 28.83128 31.4981734 27.389716 TC 73565 X-ray exam of knees 9.009775 9.009775 9.8431791875 8.55928625 26 73565 X-ray exam of knees 37.841055 37.841055 41.3413525875 35.94900225 73580 Contrast x-ray of knee joint 99.828307 99.828307 109.0624253975 94.83689165 TC 73580 Contrast x-ray of knee joint 29.552062 29.552062 32.285627735 28.0744589 26 73580 Contrast x-ray of knee joint 129.380369 129.380369 141.3480531325 122.91135055 73590 X-ray exam of lower leg 29.912453 29.912453 32.6793549025 28.41683035 73590 X-ray exam of lower leg 21.62346 21.62346 23.62363005 20.542287 TC 73590 X-ray exam of lower leg 8.288993 8.288993 9.0557248525 7.87454335 26 73592 X-ray exam of leg infant 20.902678 20.902678 22.836175715 19.8575441 TC 73592 X-ray exam of leg infant 8.288993 8.288993 9.0557248525 7.87454335 26 73592 X-ray exam of leg infant 29.191671 29.191671 31.8919005675 27.73208745 73600 X-ray exam of ankle 22.704633 22.704633 24.8048115525 21.56940135 TC 73600 X-ray exam of ankle 8.649384 8.649384 9.44945202 8.2169148 26 73600 X-ray exam of ankle 31.354017 31.354017 34.2542635725 29.78631615 73610 X-ray exam of ankle 24.866979 24.866979 27.1671745575 23.62363005 TC 73610 X-ray exam of ankle 9.009775 9.009775 9.8431791875 8.55928625 26 73610 X-ray exam of ankle 33.876754 33.876754 37.010353745 32.1829163 73615 Contrast x-ray of ankle 120.370594 120.370594 131.504873945 114.3520643 73615 Contrast x-ray of ankle 90.458141 90.458141 98.8255190425 85.93523395 TC 73615 Contrast x-ray of ankle 29.912453 29.912453 32.6793549025 28.41683035 26 73620 X-ray exam of foot 19.461114 19.461114 21.261267045 18.4880583 TC 73620 X-ray exam of foot 7.928602 7.928602 8.661997685 7.5321719 26 73620 X-ray exam of foot 27.389716 27.389716 29.92326473 26.0202302 73630 X-ray exam of foot 23.065024 23.065024 25.19853872 21.9117728 TC 73630 X-ray exam of foot 8.649384 8.649384 9.44945202 8.2169148 26 73630 X-ray exam of foot 31.714408 31.714408 34.64799074 30.1286876 73650 X-ray exam of heel 27.389716 27.389716 29.92326473 26.0202302 73650 X-ray exam of heel 19.100723 19.100723 20.8675398775 18.14568685 TC 73650 X-ray exam of heel 8.288993 8.288993 9.0557248525 7.87454335 26 73660 X-ray exam of toe(s) 29.191671 29.191671 31.8919005675 27.73208745 73660 X-ray exam of toe(s) 22.344242 22.344242 24.411084385 21.2270299 TC 73660 X-ray exam of toe(s) 6.847429 6.847429 7.4808161825 6.50505755 26 73700 Ct lower extremity w/o dye 130.821933 130.821933 142.9229618025 124.28083635 TC 73700 Ct lower extremity w/o dye 51.535913 51.535913 56.3029849525 48.95911735 26 73700 Ct lower extremity w/o dye 182.357846 182.357846 199.225946755 173.2399537 73701 Ct lower extremity w/dye 229.208676 229.208676 250.41047853 217.7482422 73701 Ct lower extremity w/dye 169.38377 169.38377 185.051768725 160.9145815 TC 73701 Ct lower extremity w/dye 59.824906 59.824906 65.358709805 56.8336607 26 73702 Ct lwr extremity w/o&w/dye 277.50107 277.50107 303.169918975 263.6260165 73702 Ct lwr extremity w/o&w/dye 215.153427 215.153427 235.0551189975 204.39575565 TC 73702 Ct lwr extremity w/o&w/dye 62.347643 62.347643 68.1147999775 59.23026085 26 73706 Ct angio lwr extr w/o&w/dye 264.166603 264.166603 288.6020137775 250.95827285 TC 73706 Ct angio lwr extr w/o&w/dye 96.584788 96.584788 105.51888089 91.7555486 26 73706 Ct angio lwr extr w/o&w/dye 360.751391 360.751391 394.1208946675 342.71382145 73718 Mri lower extremity w/o dye 197.133877 197.133877 215.3687606225 187.27718315 TC 73718 Mri lower extremity w/o dye 69.195072 69.195072 75.59561616 65.7353184 26 73718 Mri lower extremity w/o dye 266.328949 266.328949 290.9643767825 253.01250155 73719 Mri lower extremity w/dye 231.731413 231.731413 253.1665687025 220.14484235 TC 73719 Mri lower extremity w/dye 83.250321 83.250321 90.9509756925 79.08780495 26 73719 Mri lower extremity w/dye 314.981734 314.981734 344.117544395 299.2326473 73720 Mri lwr extremity w/o&w/dye 294.079056 294.079056 321.28136868 279.3751032 TC 73720 Mri lwr extremity w/o&w/dye 109.919255 109.919255 120.0867860875 104.42329225 26 73720 Mri lwr extremity w/o&w/dye 403.998311 403.998311 441.3681547675 383.79839545 73721 Mri jnt of lwr extre w/o dye 236.776887 236.776887 258.6787490475 224.93804265 73721 Mri jnt of lwr extre w/o dye 166.861033 166.861033 182.2956785525 158.51798135 TC 73721 Mri jnt of lwr extre w/o dye 69.915854 69.915854 76.383070495 66.4200613 26 73722 Mri joint of lwr extr w/dye 379.131332 379.131332 414.20098021 360.1747654 73722 Mri joint of lwr extr w/dye 295.52062 295.52062 322.85627735 280.744589 TC 73722 Mri joint of lwr extr w/dye 83.610712 83.610712 91.34470286 79.4301764 26 73723 Mri joint lwr extr w/o&w/dye 357.147481 357.147481 390.1836229925 339.29010695 TC 73723 Mri joint lwr extr w/o&w/dye 109.919255 109.919255 120.0867860875 104.42329225 26 73723 Mri joint lwr extr w/o&w/dye 467.066736 467.066736 510.27040908 443.7133992 73725 Mr ang lwr ext w or w/o dye 308.134305 308.134305 336.6367282125 292.72758975 TC 73725 Mr ang lwr ext w or w/o dye 91.899705 91.899705 100.4004277125 87.30471975 26 73725 Mr ang lwr ext w or w/o dye 400.03401 400.03401 437.037155925 380.0323095 74018 X-ray exam abdomen 1 view 28.83128 28.83128 31.4981734 27.389716 74018 X-ray exam abdomen 1 view 19.461114 19.461114 21.261267045 18.4880583 TC 74018 X-ray exam abdomen 1 view 9.370166 9.370166 10.236906355 8.9016577 26 74019 X-ray exam abdomen 2 views 23.425415 23.425415 25.5922658875 22.25414425 TC 74019 X-ray exam abdomen 2 views 11.892903 11.892903 12.9929965275 11.29825785 26 74019 X-ray exam abdomen 2 views 35.318318 35.318318 38.585262415 33.5524021 74021 X-ray exam abdomen 3+ views 26.668934 26.668934 29.135810395 25.3354873 TC 74021 X-ray exam abdomen 3+ views 14.055249 14.055249 15.3553595325 13.35248655 26 74021 X-ray exam abdomen 3+ views 40.724183 40.724183 44.4911699275 38.68797385 74022 X-ray exam series abdomen 47.211221 47.211221 51.5782589425 44.85065995 74022 X-ray exam series abdomen 30.633235 30.633235 33.4668092375 29.10157325 TC 74022 X-ray exam series abdomen 16.577986 16.577986 18.111449705 15.7490867 26 74150 Ct abdomen w/o dye 152.085002 152.085002 166.152864685 144.4807519 74150 Ct abdomen w/o dye 90.818532 90.818532 99.21924621 86.2776054 TC 74150 Ct abdomen w/o dye 61.26647 61.26647 66.933618475 58.2031465 26 74160 Ct abdomen w/dye 242.182752 242.182752 264.58465656 230.0736144 74160 Ct abdomen w/dye 176.951981 176.951981 193.3200392425 168.10438195 TC 74160 Ct abdomen w/dye 65.230771 65.230771 71.2646173175 61.96923245 26 74170 Ct abdomen w/o & w/dye 202.900133 202.900133 221.6683953025 192.75512635 TC 74170 Ct abdomen w/o & w/dye 71.717809 71.717809 78.3517063325 68.13191855 26 74170 Ct abdomen w/o & w/dye 274.617942 274.617942 300.020101635 260.8870449 74174 Ct angio abd&pelv w/o&w/dye 290.475146 290.475146 317.344097005 275.9513887 TC 74174 Ct angio abd&pelv w/o&w/dye 111.72121 111.72121 122.055421925 106.1351495 26 74174 Ct angio abd&pelv w/o&w/dye 402.196356 402.196356 439.39951893 382.0865382 74175 Ct angio abdom w/o & w/dye 227.04633 227.04633 248.048115525 215.6940135 TC 74175 Ct angio abdom w/o & w/dye 92.620487 92.620487 101.1878820475 87.98946265 26 74175 Ct angio abdom w/o & w/dye 319.666817 319.666817 349.2359975725 303.68347615 74176 Ct abd & pelvis 203.620915 203.620915 222.4558496375 193.43986925 74176 Ct abd & pelvis 114.243947 114.243947 124.8115120975 108.53174965 TC 74176 Ct abd & pelvis 89.376968 89.376968 97.64433754 84.9081196 26 74177 Ct abd & pelv w/contrast 230.289849 230.289849 251.5916600325 218.77535655 TC 74177 Ct abd & pelv w/contrast 93.70166 93.70166 102.36906355 89.016577 26 74177 Ct abd & pelv w/contrast 323.991509 323.991509 353.9607235825 307.79193355 74178 Ct abd & pelv 1/> regns 263.08543 263.08543 287.420832275 249.9311585 TC 74178 Ct abd & pelv 1/> regns 102.711435 102.711435 112.2122427375 97.57586325 26 74178 Ct abd & pelv 1/> regns 365.796865 365.796865 399.6330750125 347.50702175 74181 Mri abdomen w/o dye 172.98768 172.98768 188.9890404 164.338296 TC 74181 Mri abdomen w/o dye 74.961328 74.961328 81.89525084 71.2132616 26 74181 Mri abdomen w/o dye 247.949008 247.949008 270.88429124 235.5515576 74182 Mri abdomen w/dye 364.355301 364.355301 398.0581663425 346.13753595 74182 Mri abdomen w/dye 275.338724 275.338724 300.80755597 261.5717878 TC 74182 Mri abdomen w/dye 89.016577 89.016577 97.2506103725 84.56574815 26 74183 Mri abdomen w/o & w/dye 292.637492 292.637492 319.70646001 278.0056174 TC 74183 Mri abdomen w/o & w/dye 112.802383 112.802383 123.2366034275 107.16226385 26 74183 Mri abdomen w/o & w/dye 405.439875 405.439875 442.9430634375 385.16788125 74185 Mri angio abdom w orw/o dye 401.115183 401.115183 438.2183374275 381.05942385 74185 Mri angio abdom w orw/o dye 309.575869 309.575869 338.2116368825 294.09707555 TC 74185 Mri angio abdom w orw/o dye 91.539314 91.539314 100.006700545 86.9623483 26 74190 X-ray exam of peritoneum 0 0 0 0 TC 74190 X-ray exam of peritoneum 23.785806 23.785806 25.985993055 22.5965157 26 74190 X-ray exam of peritoneum 0 0 0 0 74210 Contrst x-ray exam of throat 59.464515 59.464515 64.9649826375 56.49128925 TC 74210 Contrst x-ray exam of throat 30.272844 30.272844 33.07308207 28.7592018 26 74210 Contrst x-ray exam of throat 89.737359 89.737359 98.0380647075 85.25049105 74220 Contrast x-ray esophagus 63.789207 63.789207 69.6897086475 60.59974665 TC 74220 Contrast x-ray esophagus 34.597536 34.597536 37.79780808 32.8676592 26 74220 Contrast x-ray esophagus 98.386743 98.386743 107.4875167275 93.46740585 74230 Cine/vid x-ray throat/esoph 101.990653 101.990653 111.4247884025 96.89112035 TC 74230 Cine/vid x-ray throat/esoph 27.389716 27.389716 29.92326473 26.0202302 26 74230 Cine/vid x-ray throat/esoph 129.380369 129.380369 141.3480531325 122.91135055 74235 Remove esophagus obstruction 0 0 0 0 TC 74235 Remove esophagus obstruction 61.26647 61.26647 66.933618475 58.2031465 26 74235 Remove esophagus obstruction 0 0 0 0 74240 X-ray exam upper gi tract 88.656186 88.656186 96.856883205 84.2233767 TC 74240 X-ray exam upper gi tract 35.678709 35.678709 38.9789895825 33.89477355 26 74240 X-ray exam upper gi tract 124.334895 124.334895 135.8358727875 118.11815025 74241 X-ray exam upper gi tract 129.380369 129.380369 141.3480531325 122.91135055 74241 X-ray exam upper gi tract 94.062051 94.062051 102.7627907175 89.35894845 TC 74241 X-ray exam upper gi tract 35.318318 35.318318 38.585262415 33.5524021 26 74245 X-ray exam upper gi tract 142.354445 142.354445 155.5222311625 135.23672275 TC 74245 X-ray exam upper gi tract 46.490439 46.490439 50.7908046075 44.16591705 26 74245 X-ray exam upper gi tract 188.844884 188.844884 206.31303577 179.4026398 74246 Contrst x-ray uppr gi tract 138.390144 138.390144 151.19123232 131.4706368 74246 Contrst x-ray uppr gi tract 103.071826 103.071826 112.605969905 97.9182347 TC 74246 Contrst x-ray uppr gi tract 35.318318 35.318318 38.585262415 33.5524021 26 74247 Contrst x-ray uppr gi tract 155.688912 155.688912 170.09013636 147.9044664 74247 Contrst x-ray uppr gi tract 120.370594 120.370594 131.504873945 114.3520643 TC 74247 Contrst x-ray uppr gi tract 35.318318 35.318318 38.585262415 33.5524021 26 74249 Contrst x-ray uppr gi tract 156.049303 156.049303 170.4838635275 148.24683785 TC 74249 Contrst x-ray uppr gi tract 46.490439 46.490439 50.7908046075 44.16591705 26 74249 Contrst x-ray uppr gi tract 202.539742 202.539742 221.274668135 192.4127549 74250 X-ray exam of small bowel 90.458141 90.458141 98.8255190425 85.93523395 TC 74250 X-ray exam of small bowel 24.146197 24.146197 26.3797202225 22.93888715 26 74250 X-ray exam of small bowel 114.604338 114.604338 125.205239265 108.8741211 74251 X-ray exam of small bowel 438.235456 438.235456 478.77223568 416.3236832 74251 X-ray exam of small bowel 402.917138 402.917138 440.186973265 382.7712811 TC 74251 X-ray exam of small bowel 35.318318 35.318318 38.585262415 33.5524021 26 74260 X-ray exam of small bowel 331.55972 331.55972 362.2289941 314.981734 TC 74260 X-ray exam of small bowel 25.948152 25.948152 28.34835606 24.6507444 26 74260 X-ray exam of small bowel 357.507872 357.507872 390.57735016 339.6324784 74261 Ct colonography dx 366.157256 366.157256 400.02680218 347.8493932 TC 74261 Ct colonography dx 123.253722 123.253722 134.654691285 117.0910359 26 74261 Ct colonography dx 489.410978 489.410978 534.681493465 464.9404291 74262 Ct colonography dx w/dye 421.297079 421.297079 460.2670588075 400.23222505 TC 74262 Ct colonography dx w/dye 128.299196 128.299196 140.16687163 121.8842362 26 74262 Ct colonography dx w/dye 549.596275 549.596275 600.4339304375 522.11646125 74263 Ct colonography screening 651.586928 651.586928 711.85871884 619.0075816 TC 74263 Ct colonography screening 116.045902 116.045902 126.780147935 110.2436069 26 74263 Ct colonography screening 767.63283 767.63283 838.638866775 729.2511885 74270 Contrast x-ray exam of colon 128.299196 128.299196 140.16687163 121.8842362 TC 74270 Contrast x-ray exam of colon 35.318318 35.318318 38.585262415 33.5524021 26 74270 Contrast x-ray exam of colon 163.617514 163.617514 178.752134045 155.4366383 74280 Contrast x-ray exam of colon 231.010631 231.010631 252.3791143675 219.46009945 74280 Contrast x-ray exam of colon 180.1955 180.1955 196.86358375 171.185725 TC 74280 Contrast x-ray exam of colon 50.815131 50.815131 55.5155306175 48.27437445 26 74283 Contrast x-ray exam of colon 132.263497 132.263497 144.4978704725 125.65032215 TC 74283 Contrast x-ray exam of colon 105.954954 105.954954 115.755787245 100.6572063 26 74283 Contrast x-ray exam of colon 238.218451 238.218451 260.2536577175 226.30752845 74290 Contrast x-ray gallbladder 60.906079 60.906079 66.5398913075 57.86077505 TC 74290 Contrast x-ray gallbladder 16.577986 16.577986 18.111449705 15.7490867 26 74290 Contrast x-ray gallbladder 77.484065 77.484065 84.6513410125 73.60986175 74300 X-ray bile ducts/pancreas 0 0 0 0 TC 74300 X-ray bile ducts/pancreas 18.740332 18.740332 20.47381271 17.8033154 26 74300 X-ray bile ducts/pancreas 0 0 0 0 74301 X-rays at surgery add-on 0 0 0 0 TC 74301 X-rays at surgery add-on 10.81173 10.81173 11.811815025 10.2711435 26 74301 X-rays at surgery add-on 0 0 0 0 74328 X-ray bile duct endoscopy 0 0 0 0 74328 X-ray bile duct endoscopy 0 0 0 0 TC 74328 X-ray bile duct endoscopy 36.399491 36.399491 39.7664439175 34.57951645 26 74329 X-ray for pancreas endoscopy 0 0 0 0 TC 74329 X-ray for pancreas endoscopy 36.399491 36.399491 39.7664439175 34.57951645 26 74329 X-ray for pancreas endoscopy 0 0 0 0 74330 X-ray bile/panc endoscopy 0 0 0 0 TC 74330 X-ray bile/panc endoscopy 46.490439 46.490439 50.7908046075 44.16591705 26 74330 X-ray bile/panc endoscopy 0 0 0 0 74340 X-ray guide for GI tube 0 0 0 0 TC 74340 X-ray guide for GI tube 27.750107 27.750107 30.3169918975 26.36260165 26 74340 X-ray guide for GI tube 0 0 0 0 74355 X-ray guide intestinal tube 0 0 0 0 TC 74355 X-ray guide intestinal tube 38.922228 38.922228 42.52253409 36.9761166 26 74355 X-ray guide intestinal tube 0 0 0 0 74360 X-ray guide gi dilation 0 0 0 0 TC 74360 X-ray guide gi dilation 28.83128 28.83128 31.4981734 27.389716 26 74360 X-ray guide gi dilation 0 0 0 0 74363 X-ray bile duct dilation 0 0 0 0 74363 X-ray bile duct dilation 0 0 0 0 TC 74363 X-ray bile duct dilation 43.967702 43.967702 48.034714435 41.7693169 26 74400 Contrst x-ray urinary tract 121.091376 121.091376 132.29232828 115.0368072 74400 Contrst x-ray urinary tract 95.864006 95.864006 104.731426555 91.0708057 TC 74400 Contrst x-ray urinary tract 25.22737 25.22737 27.560901725 23.9660015 26 74410 Contrst x-ray urinary tract 122.893331 122.893331 134.2609641175 116.74866445 74410 Contrst x-ray urinary tract 98.026352 98.026352 107.09378956 93.1250344 TC 74410 Contrst x-ray urinary tract 24.866979 24.866979 27.1671745575 23.62363005 26 74415 Contrst x-ray urinary tract 121.451767 121.451767 132.6860554475 115.37917865 TC 74415 Contrst x-ray urinary tract 25.22737 25.22737 27.560901725 23.9660015 26 74415 Contrst x-ray urinary tract 146.679137 146.679137 160.2469571725 139.34518015 74420 Contrst x-ray urinary tract 46.490439 46.490439 50.7908046075 44.16591705 TC 74420 Contrst x-ray urinary tract 26.308543 26.308543 28.7420832275 24.99311585 26 74420 Contrst x-ray urinary tract 72.798982 72.798982 79.532887835 69.1590329 74425 Contrst x-ray urinary tract 0 0 0 0 TC 74425 Contrst x-ray urinary tract 18.01955 18.01955 19.686358375 17.1185725 26 74425 Contrst x-ray urinary tract 0 0 0 0 74430 Contrast x-ray bladder 40.003401 40.003401 43.7037155925 38.00323095 74430 Contrast x-ray bladder 23.425415 23.425415 25.5922658875 22.25414425 TC 74430 Contrast x-ray bladder 16.577986 16.577986 18.111449705 15.7490867 26 74440 X-ray male genital tract 69.195072 69.195072 75.59561616 65.7353184 TC 74440 X-ray male genital tract 18.740332 18.740332 20.47381271 17.8033154 26 74440 X-ray male genital tract 87.935404 87.935404 96.06942887 83.5386338 74445 X-ray exam of penis 0 0 0 0 TC 74445 X-ray exam of penis 56.581387 56.581387 61.8151652975 53.75231765 26 74445 X-ray exam of penis 0 0 0 0 74450 X-ray urethra/bladder 0 0 0 0 74450 X-ray urethra/bladder 0 0 0 0 TC 74450 X-ray urethra/bladder 16.938377 16.938377 18.5051768725 16.09145815 26 74455 X-ray urethra/bladder 91.899705 91.899705 100.4004277125 87.30471975 74455 X-ray urethra/bladder 74.961328 74.961328 81.89525084 71.2132616 TC 74455 X-ray urethra/bladder 16.938377 16.938377 18.5051768725 16.09145815 26 74470 X-ray exam of kidney lesion 0 0 0 0 74470 X-ray exam of kidney lesion 0 0 0 0 TC 74470 X-ray exam of kidney lesion 27.029325 27.029325 29.5295375625 25.67785875 26 74485 X-ray guide gu dilation 67.753508 67.753508 74.02070749 64.3658326 TC 74485 X-ray guide gu dilation 41.084574 41.084574 44.884897095 39.0303453 26 74485 X-ray guide gu dilation 108.838082 108.838082 118.905604585 103.3961779 74710 X-ray measurement of pelvis 38.922228 38.922228 42.52253409 36.9761166 74710 X-ray measurement of pelvis 21.263069 21.263069 23.2299028825 20.19991555 TC 74710 X-ray measurement of pelvis 17.659159 17.659159 19.2926312075 16.77620105 26 74712 Mri fetal sngl/1st gestation 334.803239 334.803239 365.7725386075 318.06307705 TC 74712 Mri fetal sngl/1st gestation 153.886957 153.886957 168.1215005225 146.19260915 26 74712 Mri fetal sngl/1st gestation 488.690196 488.690196 533.89403913 464.2556862 74713 Mri fetal ea addl gestation 142.354445 142.354445 155.5222311625 135.23672275 TC 74713 Mri fetal ea addl gestation 95.503615 95.503615 104.3376993875 90.72843425 26 74713 Mri fetal ea addl gestation 237.85806 237.85806 259.85993055 225.965157 74740 X-ray female genital tract 64.149598 64.149598 70.083435815 60.9421181 TC 74740 X-ray female genital tract 19.461114 19.461114 21.261267045 18.4880583 26 74740 X-ray female genital tract 83.610712 83.610712 91.34470286 79.4301764 74742 X-ray fallopian tube 0 0 0 0 TC 74742 X-ray fallopian tube 31.714408 31.714408 34.64799074 30.1286876 26 74742 X-ray fallopian tube 0 0 0 0 74775 X-ray exam of perineum 0 0 0 0 74775 X-ray exam of perineum 0 0 0 0 TC 74775 X-ray exam of perineum 32.074799 32.074799 35.0417179075 30.47105905 26 75557 Cardiac mri for morph 211.549517 211.549517 231.1178473225 200.97204115 TC 75557 Cardiac mri for morph 118.568639 118.568639 129.5362381075 112.64020705 26 75557 Cardiac mri for morph 330.118156 330.118156 360.65408543 313.6122482 75559 Cardiac mri w/stress img 314.260952 314.260952 343.33009006 298.5479044 TC 75559 Cardiac mri w/stress img 145.958355 145.958355 159.4595028375 138.66043725 26 75559 Cardiac mri w/stress img 460.219307 460.219307 502.7895928975 437.20834165 75561 Cardiac mri for morph w/dye 433.550373 433.550373 473.6537825025 411.87285435 75561 Cardiac mri for morph w/dye 302.72844 302.72844 330.7308207 287.592018 TC 75561 Cardiac mri for morph w/dye 130.821933 130.821933 142.9229618025 124.28083635 26 75563 Card mri w/stress img & dye 513.917566 513.917566 561.454940855 488.2216877 75563 Card mri w/stress img & dye 363.99491 363.99491 397.664439175 345.7951645 TC 75563 Card mri w/stress img & dye 149.922656 149.922656 163.79050168 142.4265232 26 75565 Card mri veloc flow mapping 41.805356 41.805356 45.67235143 39.7150882 TC 75565 Card mri veloc flow mapping 12.613685 12.613685 13.7804508625 11.98300075 26 75565 Card mri veloc flow mapping 54.419041 54.419041 59.4528022925 51.69808895 75571 Ct hrt w/o dye w/ca test 75.68211 75.68211 82.682705175 71.8980045 TC 75571 Ct hrt w/o dye w/ca test 29.552062 29.552062 32.285627735 28.0744589 26 75571 Ct hrt w/o dye w/ca test 105.234172 105.234172 114.96833291 99.9724634 75572 Ct hrt w/3d image 271.014032 271.014032 296.08282996 257.4633304 75572 Ct hrt w/3d image 181.997455 181.997455 198.8322195875 172.89758225 TC 75572 Ct hrt w/3d image 89.016577 89.016577 97.2506103725 84.56574815 26 75573 Ct hrt w/3d image congen 237.497669 237.497669 259.4662033825 225.62278555 TC 75573 Ct hrt w/3d image congen 129.380369 129.380369 141.3480531325 122.91135055 26 75573 Ct hrt w/3d image congen 366.878038 366.878038 400.814256515 348.5341361 75574 Ct angio hrt w/3d image 397.871664 397.871664 434.67479292 377.9780808 75574 Ct angio hrt w/3d image 276.780288 276.780288 302.38246464 262.9412736 TC 75574 Ct angio hrt w/3d image 121.091376 121.091376 132.29232828 115.0368072 26 75600 Contrast x-ray exam of aorta 178.033154 178.033154 194.501220745 169.1314963 TC 75600 Contrast x-ray exam of aorta 24.866979 24.866979 27.1671745575 23.62363005 26 75600 Contrast x-ray exam of aorta 202.900133 202.900133 221.6683953025 192.75512635 75605 Contrast x-ray exam of aorta 79.28602 79.28602 86.61997685 75.321719 TC 75605 Contrast x-ray exam of aorta 56.941778 56.941778 62.208892465 54.0946891 26 75605 Contrast x-ray exam of aorta 136.227798 136.227798 148.828869315 129.4164081 75625 Contrast x-ray exam of aorta 134.425843 134.425843 146.8602334775 127.70455085 75625 Contrast x-ray exam of aorta 77.484065 77.484065 84.6513410125 73.60986175 TC 75625 Contrast x-ray exam of aorta 56.941778 56.941778 62.208892465 54.0946891 26 75630 X-ray aorta leg arteries 168.662988 168.662988 184.26431439 160.2298386 75630 X-ray aorta leg arteries 78.925629 78.925629 86.2262496825 74.97934755 TC 75630 X-ray aorta leg arteries 89.737359 89.737359 98.0380647075 85.25049105 26 75635 Ct angio abdominal arteries 448.686795 448.686795 490.1903235375 426.25245525 75635 Ct angio abdominal arteries 327.235028 327.235028 357.50426809 310.8732766 TC 75635 Ct angio abdominal arteries 121.451767 121.451767 132.6860554475 115.37917865 26 75705 Artery x-rays spine 256.958783 256.958783 280.7274704275 244.11084385 75705 Artery x-rays spine 137.308971 137.308971 150.0100508175 130.44352245 TC 75705 Artery x-rays spine 119.649812 119.649812 130.71741961 113.6673214 26 75710 Artery x-rays arm/leg 82.169148 82.169148 89.76979419 78.0606906 TC 75710 Artery x-rays arm/leg 88.295795 88.295795 96.4631560375 83.88100525 26 75710 Artery x-rays arm/leg 170.464943 170.464943 186.2329502275 161.94169585 75716 Artery x-rays arms/legs 181.637064 181.637064 198.43849242 172.5552108 75716 Artery x-rays arms/legs 83.250321 83.250321 90.9509756925 79.08780495 TC 75716 Artery x-rays arms/legs 98.386743 98.386743 107.4875167275 93.46740585 26 75726 Artery x-rays abdomen 147.039528 147.039528 160.64068434 139.6875516 75726 Artery x-rays abdomen 90.818532 90.818532 99.21924621 86.2776054 TC 75726 Artery x-rays abdomen 56.220996 56.220996 61.42143813 53.4099462 26 75731 Artery x-rays adrenal gland 170.464943 170.464943 186.2329502275 161.94169585 75731 Artery x-rays adrenal gland 111.72121 111.72121 122.055421925 106.1351495 TC 75731 Artery x-rays adrenal gland 58.743733 58.743733 64.1775283025 55.80654635 26 75733 Artery x-rays adrenals 118.208248 118.208248 129.14251094 112.2978356 TC 75733 Artery x-rays adrenals 65.230771 65.230771 71.2646173175 61.96923245 26 75733 Artery x-rays adrenals 183.439019 183.439019 200.4071282575 174.26706805 75736 Artery x-rays pelvis 157.851258 157.851258 172.452499365 149.9586951 75736 Artery x-rays pelvis 101.630262 101.630262 111.031061235 96.5487489 TC 75736 Artery x-rays pelvis 56.220996 56.220996 61.42143813 53.4099462 26 75741 Artery x-rays lung 148.841483 148.841483 162.6093201775 141.39940885 75741 Artery x-rays lung 83.971103 83.971103 91.7384300275 79.77254785 TC 75741 Artery x-rays lung 64.87038 64.87038 70.87089015 61.626861 26 75743 Artery x-rays lungs 85.052276 85.052276 92.91961153 80.7996622 TC 75743 Artery x-rays lungs 82.169148 82.169148 89.76979419 78.0606906 26 75743 Artery x-rays lungs 167.221424 167.221424 182.68940572 158.8603528 75746 Artery x-rays lung 92.980878 92.980878 101.581609215 88.3318341 TC 75746 Artery x-rays lung 56.941778 56.941778 62.208892465 54.0946891 26 75746 Artery x-rays lung 149.922656 149.922656 163.79050168 142.4265232 75756 Artery x-rays chest 172.627289 172.627289 188.5953132325 163.99592455 75756 Artery x-rays chest 114.243947 114.243947 124.8115120975 108.53174965 TC 75756 Artery x-rays chest 58.383342 58.383342 63.783801135 55.4641749 26 75774 Artery x-ray each vessel 66.311944 66.311944 72.44579882 62.9963468 TC 75774 Artery x-ray each vessel 17.659159 17.659159 19.2926312075 16.77620105 26 75774 Artery x-ray each vessel 83.971103 83.971103 91.7384300275 79.77254785 75801 Lymph vessel x-ray arm/leg 0 0 0 0 75801 Lymph vessel x-ray arm/leg 0 0 0 0 TC 75801 Lymph vessel x-ray arm/leg 45.769657 45.769657 50.0033502725 43.48117415 26 75803 Lymph vessel x-ray arms/legs 0 0 0 0 75803 Lymph vessel x-ray arms/legs 0 0 0 0 TC 75803 Lymph vessel x-ray arms/legs 60.545688 60.545688 66.14616414 57.5184036 26 75805 Lymph vessel x-ray trunk 0 0 0 0 TC 75805 Lymph vessel x-ray trunk 41.805356 41.805356 45.67235143 39.7150882 26 75805 Lymph vessel x-ray trunk 0 0 0 0 75807 Lymph vessel x-ray trunk 0 0 0 0 TC 75807 Lymph vessel x-ray trunk 57.66256 57.66256 62.9963468 54.779432 26 75807 Lymph vessel x-ray trunk 0 0 0 0 75809 Nonvascular shunt x-ray 72.438591 72.438591 79.1391606675 68.81666145 TC 75809 Nonvascular shunt x-ray 24.506588 24.506588 26.77344739 23.2812586 26 75809 Nonvascular shunt x-ray 96.945179 96.945179 105.9126080575 92.09792005 75810 Vein x-ray spleen/liver 0 0 0 0 TC 75810 Vein x-ray spleen/liver 50.45474 50.45474 55.12180345 47.932003 26 75810 Vein x-ray spleen/liver 0 0 0 0 75820 Vein x-ray arm/leg 113.523165 113.523165 124.0240577625 107.84700675 75820 Vein x-ray arm/leg 77.844456 77.844456 85.04506818 73.9522332 TC 75820 Vein x-ray arm/leg 35.678709 35.678709 38.9789895825 33.89477355 26 75822 Vein x-ray arms/legs 79.646411 79.646411 87.0137040175 75.66409045 TC 75822 Vein x-ray arms/legs 52.977477 52.977477 57.8778936225 50.32860315 26 75822 Vein x-ray arms/legs 132.623888 132.623888 144.89159764 125.9926936 75825 Vein x-ray trunk 75.68211 75.68211 82.682705175 71.8980045 TC 75825 Vein x-ray trunk 56.941778 56.941778 62.208892465 54.0946891 26 75825 Vein x-ray trunk 132.623888 132.623888 144.89159764 125.9926936 75827 Vein x-ray chest 80.006802 80.006802 87.407431185 76.0064619 TC 75827 Vein x-ray chest 57.66256 57.66256 62.9963468 54.779432 26 75827 Vein x-ray chest 137.669362 137.669362 150.403777985 130.7858939 75831 Vein x-ray kidney 82.169148 82.169148 89.76979419 78.0606906 TC 75831 Vein x-ray kidney 56.220996 56.220996 61.42143813 53.4099462 26 75831 Vein x-ray kidney 138.390144 138.390144 151.19123232 131.4706368 75833 Vein x-ray kidneys 89.376968 89.376968 97.64433754 84.9081196 TC 75833 Vein x-ray kidneys 74.600937 74.600937 81.5015236725 70.87089015 26 75833 Vein x-ray kidneys 163.977905 163.977905 179.1458612125 155.77900975 75840 Vein x-ray adrenal gland 88.295795 88.295795 96.4631560375 83.88100525 TC 75840 Vein x-ray adrenal gland 58.743733 58.743733 64.1775283025 55.80654635 26 75840 Vein x-ray adrenal gland 147.039528 147.039528 160.64068434 139.6875516 75842 Vein x-ray adrenal glands 178.393545 178.393545 194.8949479125 169.47386775 75842 Vein x-ray adrenal glands 101.630262 101.630262 111.031061235 96.5487489 TC 75842 Vein x-ray adrenal glands 76.763283 76.763283 83.8638866775 72.92511885 26 75860 Vein x-ray neck 86.133449 86.133449 94.1007930325 81.82677655 TC 75860 Vein x-ray neck 57.66256 57.66256 62.9963468 54.779432 26 75860 Vein x-ray neck 143.796009 143.796009 157.0971398325 136.60620855 75870 Vein x-ray skull 125.055677 125.055677 136.6233271225 118.80289315 TC 75870 Vein x-ray skull 65.951553 65.951553 72.0520716525 62.65397535 26 75870 Vein x-ray skull 191.00723 191.00723 208.675398775 181.4568685 75872 Vein x-ray skull 147.039528 147.039528 160.64068434 139.6875516 75872 Vein x-ray skull 88.295795 88.295795 96.4631560375 83.88100525 TC 75872 Vein x-ray skull 58.743733 58.743733 64.1775283025 55.80654635 26 75880 Vein x-ray eye socket 87.935404 87.935404 96.06942887 83.5386338 TC 75880 Vein x-ray eye socket 36.0391 36.0391 39.37271675 34.237145 26 75880 Vein x-ray eye socket 123.974504 123.974504 135.44214562 117.7757788 75885 Vein x-ray liver 85.412667 85.412667 93.3133386975 81.14203365 TC 75885 Vein x-ray liver 69.195072 69.195072 75.59561616 65.7353184 26 75885 Vein x-ray liver 154.607739 154.607739 168.9089548575 146.87735205 75887 Vein x-ray liver 85.773058 85.773058 93.707065865 81.4844051 TC 75887 Vein x-ray liver 69.555463 69.555463 75.9893433275 66.07768985 26 75887 Vein x-ray liver 155.328521 155.328521 169.6964091925 147.56209495 75889 Vein x-ray liver 85.773058 85.773058 93.707065865 81.4844051 TC 75889 Vein x-ray liver 55.860605 55.860605 61.0277109625 53.06757475 26 75889 Vein x-ray liver 141.633663 141.633663 154.7347768275 134.55197985 75891 Vein x-ray liver 86.854231 86.854231 94.8882473675 82.51151945 TC 75891 Vein x-ray liver 56.581387 56.581387 61.8151652975 53.75231765 26 75891 Vein x-ray liver 143.435618 143.435618 156.703412665 136.2638371 75893 Venous sampling by catheter 91.899705 91.899705 100.4004277125 87.30471975 TC 75893 Venous sampling by catheter 27.750107 27.750107 30.3169918975 26.36260165 26 75893 Venous sampling by catheter 119.649812 119.649812 130.71741961 113.6673214 75894 X-rays transcath therapy 0 0 0 0 75894 X-rays transcath therapy 0 0 0 0 TC 75894 X-rays transcath therapy 74.240546 74.240546 81.107796505 70.5285187 26 75898 Follow-up angiography 0 0 0 0 75898 Follow-up angiography 0 0 0 0 TC 75898 Follow-up angiography 92.620487 92.620487 101.1878820475 87.98946265 26 75901 Remove cva device obstruct 178.393545 178.393545 194.8949479125 169.47386775 TC 75901 Remove cva device obstruct 24.146197 24.146197 26.3797202225 22.93888715 26 75901 Remove cva device obstruct 202.539742 202.539742 221.274668135 192.4127549 75902 Remove cva lumen obstruct 60.545688 60.545688 66.14616414 57.5184036 TC 75902 Remove cva lumen obstruct 19.461114 19.461114 21.261267045 18.4880583 26 75902 Remove cva lumen obstruct 80.006802 80.006802 87.407431185 76.0064619 75956 Xray endovasc thor ao repr 0 0 0 0 TC 75956 Xray endovasc thor ao repr 353.903962 353.903962 386.640078485 336.2087639 26 75956 Xray endovasc thor ao repr 0 0 0 0 75957 Xray endovasc thor ao repr 0 0 0 0 75957 Xray endovasc thor ao repr 0 0 0 0 TC 75957 Xray endovasc thor ao repr 303.809613 303.809613 331.9120022025 288.61913235 26 75958 Xray place prox ext thor ao 0 0 0 0 TC 75958 Xray place prox ext thor ao 201.81896 201.81896 220.4872138 191.728012 26 75958 Xray place prox ext thor ao 0 0 0 0 75959 Xray place dist ext thor ao 0 0 0 0 75959 Xray place dist ext thor ao 0 0 0 0 TC 75959 Xray place dist ext thor ao 175.870808 175.870808 192.13885774 167.0772676 26 75970 Vascular biopsy 0 0 0 0 75970 Vascular biopsy 0 0 0 0 TC 75970 Vascular biopsy 40.724183 40.724183 44.4911699275 38.68797385 26 75984 Xray control catheter change 68.47429 68.47429 74.808161825 65.0505755 TC 75984 Xray control catheter change 35.678709 35.678709 38.9789895825 33.89477355 26 75984 Xray control catheter change 104.152999 104.152999 113.7871514075 98.94534905 75989 Abscess drainage under x-ray 63.789207 63.789207 69.6897086475 60.59974665 TC 75989 Abscess drainage under x-ray 59.464515 59.464515 64.9649826375 56.49128925 26 75989 Abscess drainage under x-ray 123.253722 123.253722 134.654691285 117.0910359 76000 Fluoroscope examination 32.074799 32.074799 35.0417179075 30.47105905 TC 76000 Fluoroscope examination 15.857204 15.857204 17.32399537 15.0643438 26 76000 Fluoroscope examination 47.932003 47.932003 52.3657132775 45.53540285 76010 X-ray nose to rectum 18.379941 18.379941 20.0800855425 17.46094395 TC 76010 X-ray nose to rectum 9.370166 9.370166 10.236906355 8.9016577 26 76010 X-ray nose to rectum 27.750107 27.750107 30.3169918975 26.36260165 76080 X-ray exam of fistula 58.022951 58.022951 63.3900739675 55.12180345 76080 X-ray exam of fistula 31.354017 31.354017 34.2542635725 29.78631615 TC 76080 X-ray exam of fistula 26.668934 26.668934 29.135810395 25.3354873 26 76098 X-ray exam breast specimen 16.938377 16.938377 18.5051768725 16.09145815 76098 X-ray exam breast specimen 8.649384 8.649384 9.44945202 8.2169148 TC 76098 X-ray exam breast specimen 8.288993 8.288993 9.0557248525 7.87454335 26 76100 X-ray exam of body section 64.149598 64.149598 70.083435815 60.9421181 TC 76100 X-ray exam of body section 32.074799 32.074799 35.0417179075 30.47105905 26 76100 X-ray exam of body section 96.224397 96.224397 105.1251537225 91.41317715 76101 Complex body section x-ray 66.672335 66.672335 72.8395259875 63.33871825 TC 76101 Complex body section x-ray 28.83128 28.83128 31.4981734 27.389716 26 76101 Complex body section x-ray 95.503615 95.503615 104.3376993875 90.72843425 76102 Complex body section x-rays 141.273272 141.273272 154.34104966 134.2096084 TC 76102 Complex body section x-rays 34.597536 34.597536 37.79780808 32.8676592 26 76102 Complex body section x-rays 175.870808 175.870808 192.13885774 167.0772676 76120 Cine/video x-rays 84.691885 84.691885 92.5258843625 80.45729075 TC 76120 Cine/video x-rays 18.740332 18.740332 20.47381271 17.8033154 26 76120 Cine/video x-rays 103.432217 103.432217 112.9996970725 98.26060615 76125 Cine/video x-rays add-on 0 0 0 0 76125 Cine/video x-rays add-on 0 0 0 0 TC 76125 Cine/video x-rays add-on 14.41564 14.41564 15.7490867 13.694858 26 76140 X-ray consultation 0 0 0 0 76376 3d render w/o postprocess 23.425415 23.425415 25.5922658875 22.25414425 76376 3d render w/o postprocess 13.334467 13.334467 14.5679051975 12.66774365 TC 76376 3d render w/o postprocess 10.090948 10.090948 11.02436069 9.5864006 26 76377 3d rendering w/postprocess 72.438591 72.438591 79.1391606675 68.81666145 76377 3d rendering w/postprocess 31.714408 31.714408 34.64799074 30.1286876 TC 76377 3d rendering w/postprocess 40.724183 40.724183 44.4911699275 38.68797385 26 76380 CAT scan follow-up study 96.945179 96.945179 105.9126080575 92.09792005 TC 76380 CAT scan follow-up study 49.733958 49.733958 54.334349115 47.2472601 26 76380 CAT scan follow-up study 146.679137 146.679137 160.2469571725 139.34518015 76390 Mr spectroscopy 372.283903 372.283903 406.7201640275 353.66970785 TC 76390 Mr spectroscopy 71.357418 71.357418 77.957979165 67.7895471 26 76390 Mr spectroscopy 443.641321 443.641321 484.6781431925 421.45925495 76391 240.020406 240.020406 262.222293555 228.0193857 76391 183.078628 183.078628 200.01340109 173.9246966 TC 76391 56.941778 56.941778 62.208892465 54.0946891 26 76496 Fluoroscopic procedure 0 0 0 0 TC 76496 Fluoroscopic procedure 0 0 0 0 26 76496 Fluoroscopic procedure 0 0 0 0 76497 Ct procedure 0 0 0 0 TC 76497 Ct procedure 0 0 0 0 26 76497 Ct procedure 0 0 0 0 76498 Mri procedure 0 0 0 0 76498 Mri procedure 0 0 0 0 TC 76498 Mri procedure 0 0 0 0 26 76499 Radiographic procedure 0 0 0 0 TC 76499 Radiographic procedure 0 0 0 0 26 76499 Radiographic procedure 0 0 0 0 76506 Echo exam of head 84.691885 84.691885 92.5258843625 80.45729075 TC 76506 Echo exam of head 32.795581 32.795581 35.8291722425 31.15580195 26 76506 Echo exam of head 117.487466 117.487466 128.355056605 111.6130927 76510 Ophth us b & quant a 54.05865 54.05865 59.059075125 51.3557175 TC 76510 Ophth us b & quant a 59.464515 59.464515 64.9649826375 56.49128925 26 76510 Ophth us b & quant a 113.523165 113.523165 124.0240577625 107.84700675 76511 Ophth us quant a only 69.555463 69.555463 75.9893433275 66.07768985 76511 Ophth us quant a only 32.43519 32.43519 35.435445075 30.8134305 TC 76511 Ophth us quant a only 37.120273 37.120273 40.5538982525 35.26425935 26 76512 Ophth us b w/non-quant a 26.668934 26.668934 29.135810395 25.3354873 TC 76512 Ophth us b w/non-quant a 35.678709 35.678709 38.9789895825 33.89477355 26 76512 Ophth us b w/non-quant a 62.347643 62.347643 68.1147999775 59.23026085 76513 Echo exam of eye water bath 100.188698 100.188698 109.456152565 95.1792631 76513 Echo exam of eye water bath 63.428816 63.428816 69.29598148 60.2573752 TC 76513 Echo exam of eye water bath 36.759882 36.759882 40.160171085 34.9218879 26 76514 Echo exam of eye thickness 4.685083 4.685083 5.1184531775 4.45082885 TC 76514 Echo exam of eye thickness 8.288993 8.288993 9.0557248525 7.87454335 26 76514 Echo exam of eye thickness 12.974076 12.974076 14.17417803 12.3253722 76516 Echo exam of eye 55.139823 55.139823 60.2402566275 52.38283185 76516 Echo exam of eye 31.714408 31.714408 34.64799074 30.1286876 TC 76516 Echo exam of eye 23.425415 23.425415 25.5922658875 22.25414425 26 76519 Echo exam of eye 35.318318 35.318318 38.585262415 33.5524021 TC 76519 Echo exam of eye 32.074799 32.074799 35.0417179075 30.47105905 26 76519 Echo exam of eye 67.393117 67.393117 73.6269803225 64.02346115 76529 Echo exam of eye 83.971103 83.971103 91.7384300275 79.77254785 76529 Echo exam of eye 50.094349 50.094349 54.7280762825 47.58963155 TC 76529 Echo exam of eye 33.876754 33.876754 37.010353745 32.1829163 26 76536 Us exam of head and neck 117.127075 117.127075 127.9613294375 111.27072125 76536 Us exam of head and neck 88.295795 88.295795 96.4631560375 83.88100525 TC 76536 Us exam of head and neck 28.83128 28.83128 31.4981734 27.389716 26 76604 Us exam chest 90.458141 90.458141 98.8255190425 85.93523395 76604 Us exam chest 62.708034 62.708034 68.508527145 59.5726323 TC 76604 Us exam chest 27.750107 27.750107 30.3169918975 26.36260165 26 76641 Ultrasound breast complete 71.357418 71.357418 77.957979165 67.7895471 TC 76641 Ultrasound breast complete 37.480664 37.480664 40.94762542 35.6066308 26 76641 Ultrasound breast complete 108.838082 108.838082 118.905604585 103.3961779 76642 Ultrasound breast limited 89.016577 89.016577 97.2506103725 84.56574815 76642 Ultrasound breast limited 54.05865 54.05865 59.059075125 51.3557175 TC 76642 Ultrasound breast limited 34.957927 34.957927 38.1915352475 33.21003065 26 76700 Us exam abdom complete 82.169148 82.169148 89.76979419 78.0606906 TC 76700 Us exam abdom complete 41.444965 41.444965 45.2786242625 39.37271675 26 76700 Us exam abdom complete 123.614113 123.614113 135.0484184525 117.43340735 76705 Echo exam of abdomen 62.347643 62.347643 68.1147999775 59.23026085 TC 76705 Echo exam of abdomen 29.912453 29.912453 32.6793549025 28.41683035 26 76705 Echo exam of abdomen 92.260096 92.260096 100.79415488 87.6470912 76706 Us abdl aorta screen aaa 87.214622 87.214622 95.281974535 82.8538909 TC 76706 Us abdl aorta screen aaa 28.110498 28.110498 30.710719065 26.7049731 26 76706 Us abdl aorta screen aaa 115.32512 115.32512 125.9926936 109.558864 76770 Us exam abdo back wall comp 114.604338 114.604338 125.205239265 108.8741211 76770 Us exam abdo back wall comp 76.763283 76.763283 83.8638866775 72.92511885 TC 76770 Us exam abdo back wall comp 37.841055 37.841055 41.3413525875 35.94900225 26 76775 Us exam abdo back wall lim 59.464515 59.464515 64.9649826375 56.49128925 76775 Us exam abdo back wall lim 29.912453 29.912453 32.6793549025 28.41683035 TC 76775 Us exam abdo back wall lim 29.552062 29.552062 32.285627735 28.0744589 26 76776 Us exam k transpl w/doppler 157.851258 157.851258 172.452499365 149.9586951 76776 Us exam k transpl w/doppler 118.92903 118.92903 129.929965275 112.9825785 TC 76776 Us exam k transpl w/doppler 38.922228 38.922228 42.52253409 36.9761166 26 76800 Us exam spinal canal 85.052276 85.052276 92.91961153 80.7996622 TC 76800 Us exam spinal canal 60.545688 60.545688 66.14616414 57.5184036 26 76800 Us exam spinal canal 145.597964 145.597964 159.06577567 138.3180658 76801 Ob us < 14 wks single fetus 124.695286 124.695286 136.229599955 118.4605217 76801 Ob us < 14 wks single fetus 73.519764 73.519764 80.32034217 69.8437758 TC 76801 Ob us < 14 wks single fetus 51.175522 51.175522 55.909257785 48.6167459 26 76802 Ob us < 14 wks addl fetus 65.230771 65.230771 71.2646173175 61.96923245 76802 Ob us < 14 wks addl fetus 21.983851 21.983851 24.0173572175 20.88465845 TC 76802 Ob us < 14 wks addl fetus 43.24692 43.24692 47.2472601 41.084574 26 76805 Ob us >/= 14 wks sngl fetus 143.075227 143.075227 156.3096854975 135.92146565 76805 Ob us >/= 14 wks sngl fetus 91.539314 91.539314 100.006700545 86.9623483 TC 76805 Ob us >/= 14 wks sngl fetus 51.535913 51.535913 56.3029849525 48.95911735 26 76810 Ob us >/= 14 wks addl fetus 43.24692 43.24692 47.2472601 41.084574 TC 76810 Ob us >/= 14 wks addl fetus 51.535913 51.535913 56.3029849525 48.95911735 26 76810 Ob us >/= 14 wks addl fetus 94.782833 94.782833 103.5502450525 90.04369135 76811 Ob us detailed sngl fetus 84.691885 84.691885 92.5258843625 80.45729075 TC 76811 Ob us detailed sngl fetus 99.828307 99.828307 109.0624253975 94.83689165 26 76811 Ob us detailed sngl fetus 184.520192 184.520192 201.58830976 175.2941824 76812 Ob us detailed addl fetus 206.143652 206.143652 225.21193981 195.8364694 76812 Ob us detailed addl fetus 111.72121 111.72121 122.055421925 106.1351495 TC 76812 Ob us detailed addl fetus 94.422442 94.422442 103.156517885 89.7013199 26 76813 Ob us nuchal meas 1 gest 61.987252 61.987252 67.72107281 58.8878894 TC 76813 Ob us nuchal meas 1 gest 62.347643 62.347643 68.1147999775 59.23026085 26 76813 Ob us nuchal meas 1 gest 124.334895 124.334895 135.8358727875 118.11815025 76814 Ob us nuchal meas add-on 29.191671 29.191671 31.8919005675 27.73208745 TC 76814 Ob us nuchal meas add-on 52.617086 52.617086 57.484166455 49.9862317 26 76814 Ob us nuchal meas add-on 81.808757 81.808757 89.3760670225 77.71831915 76815 Ob us limited fetus(s) 52.256695 52.256695 57.0904392875 49.64386025 TC 76815 Ob us limited fetus(s) 33.516363 33.516363 36.6166265775 31.84054485 26 76815 Ob us limited fetus(s) 85.773058 85.773058 93.707065865 81.4844051 76816 Ob us follow-up per fetus 71.717809 71.717809 78.3517063325 68.13191855 TC 76816 Ob us follow-up per fetus 44.688484 44.688484 48.82216877 42.4540598 26 76816 Ob us follow-up per fetus 116.406293 116.406293 127.1738751025 110.58597835 76817 Transvaginal us obstetric 59.464515 59.464515 64.9649826375 56.49128925 TC 76817 Transvaginal us obstetric 38.922228 38.922228 42.52253409 36.9761166 26 76817 Transvaginal us obstetric 98.386743 98.386743 107.4875167275 93.46740585 76818 Fetal biophys profile w/nst 68.47429 68.47429 74.808161825 65.0505755 TC 76818 Fetal biophys profile w/nst 55.500214 55.500214 60.633983795 52.7252033 26 76818 Fetal biophys profile w/nst 123.974504 123.974504 135.44214562 117.7757788 76819 Fetal biophys profil w/o nst 90.818532 90.818532 99.21924621 86.2776054 76819 Fetal biophys profil w/o nst 50.45474 50.45474 55.12180345 47.932003 TC 76819 Fetal biophys profil w/o nst 40.363792 40.363792 44.09744276 38.3456024 26 76820 Umbilical artery echo 22.344242 22.344242 24.411084385 21.2270299 TC 76820 Umbilical artery echo 26.308543 26.308543 28.7420832275 24.99311585 26 76820 Umbilical artery echo 48.652785 48.652785 53.1531676125 46.22014575 76821 Middle cerebral artery echo 56.941778 56.941778 62.208892465 54.0946891 TC 76821 Middle cerebral artery echo 37.120273 37.120273 40.5538982525 35.26425935 26 76821 Middle cerebral artery echo 94.062051 94.062051 102.7627907175 89.35894845 76825 Echo exam of fetal heart 194.971531 194.971531 213.0063976175 185.22295445 TC 76825 Echo exam of fetal heart 85.773058 85.773058 93.707065865 81.4844051 26 76825 Echo exam of fetal heart 280.744589 280.744589 306.7134634825 266.70735955 76826 Echo exam of fetal heart 124.334895 124.334895 135.8358727875 118.11815025 TC 76826 Echo exam of fetal heart 42.165747 42.165747 46.0660785975 40.05745965 26 76826 Echo exam of fetal heart 166.500642 166.500642 181.901951385 158.1756099 76827 Echo exam of fetal heart 76.042501 76.042501 83.0764323425 72.24037595 76827 Echo exam of fetal heart 46.490439 46.490439 50.7908046075 44.16591705 TC 76827 Echo exam of fetal heart 29.552062 29.552062 32.285627735 28.0744589 26 76828 Echo exam of fetal heart 25.22737 25.22737 27.560901725 23.9660015 TC 76828 Echo exam of fetal heart 29.191671 29.191671 31.8919005675 27.73208745 26 76828 Echo exam of fetal heart 54.419041 54.419041 59.4528022925 51.69808895 76830 Transvaginal us non-ob 88.295795 88.295795 96.4631560375 83.88100525 TC 76830 Transvaginal us non-ob 35.678709 35.678709 38.9789895825 33.89477355 26 76830 Transvaginal us non-ob 123.974504 123.974504 135.44214562 117.7757788 76831 Echo exam uterus 120.730985 120.730985 131.8986011125 114.69443575 76831 Echo exam uterus 83.250321 83.250321 90.9509756925 79.08780495 TC 76831 Echo exam uterus 37.480664 37.480664 40.94762542 35.6066308 26 76856 Us exam pelvic complete 76.042501 76.042501 83.0764323425 72.24037595 TC 76856 Us exam pelvic complete 35.318318 35.318318 38.585262415 33.5524021 26 76856 Us exam pelvic complete 111.360819 111.360819 121.6616947575 105.79277805 76857 Us exam pelvic limited 49.733958 49.733958 54.334349115 47.2472601 76857 Us exam pelvic limited 24.146197 24.146197 26.3797202225 22.93888715 TC 76857 Us exam pelvic limited 25.587761 25.587761 27.9546288925 24.30837295 26 76870 Us exam scrotum 74.240546 74.240546 81.107796505 70.5285187 TC 76870 Us exam scrotum 32.795581 32.795581 35.8291722425 31.15580195 26 76870 Us exam scrotum 107.036127 107.036127 116.9369687475 101.68432065 76872 Us transrectal 96.224397 96.224397 105.1251537225 91.41317715 TC 76872 Us transrectal 34.237145 34.237145 37.4040809125 32.52528775 26 76872 Us transrectal 130.461542 130.461542 142.529234635 123.9384649 76873 Echograp trans r pros study 176.951981 176.951981 193.3200392425 168.10438195 76873 Echograp trans r pros study 96.945179 96.945179 105.9126080575 92.09792005 TC 76873 Echograp trans r pros study 80.006802 80.006802 87.407431185 76.0064619 26 76881 Us xtr non-vasc complete 90.458141 90.458141 98.8255190425 85.93523395 76881 Us xtr non-vasc complete 58.022951 58.022951 63.3900739675 55.12180345 TC 76881 Us xtr non-vasc complete 32.43519 32.43519 35.435445075 30.8134305 26 76882 Us xtr non-vasc lmtd 58.383342 58.383342 63.783801135 55.4641749 76882 Us xtr non-vasc lmtd 33.155972 33.155972 36.22289941 31.4981734 TC 76882 Us xtr non-vasc lmtd 25.22737 25.22737 27.560901725 23.9660015 26 76885 Us exam infant hips dynamic 145.958355 145.958355 159.4595028375 138.66043725 76885 Us exam infant hips dynamic 107.756909 107.756909 117.7244230825 102.36906355 TC 76885 Us exam infant hips dynamic 38.201446 38.201446 41.735079755 36.2913737 26 76886 Us exam infant hips static 107.036127 107.036127 116.9369687475 101.68432065 76886 Us exam infant hips static 74.961328 74.961328 81.89525084 71.2132616 TC 76886 Us exam infant hips static 32.074799 32.074799 35.0417179075 30.47105905 26 76930 Echo guide cardiocentesis 0 0 0 0 76930 Echo guide cardiocentesis 0 0 0 0 TC 76930 Echo guide cardiocentesis 33.876754 33.876754 37.010353745 32.1829163 26 76932 Echo guide for heart biopsy 0 0 0 0 76932 Echo guide for heart biopsy 0 0 0 0 TC 76932 Echo guide for heart biopsy 33.876754 33.876754 37.010353745 32.1829163 26 76936 Echo guide for artery repair 273.89716 273.89716 299.2326473 260.202302 76936 Echo guide for artery repair 174.068853 174.068853 190.1702219025 165.36541035 TC 76936 Echo guide for artery repair 99.828307 99.828307 109.0624253975 94.83689165 26 76937 Us guide vascular access 34.597536 34.597536 37.79780808 32.8676592 76937 Us guide vascular access 19.821505 19.821505 21.6549942125 18.83042975 TC 76937 Us guide vascular access 14.776031 14.776031 16.1428138675 14.03722945 26 76940 Us guide tissue ablation 0 0 0 0 76940 Us guide tissue ablation 0 0 0 0 TC 76940 Us guide tissue ablation 105.594563 105.594563 115.3620600775 100.31483485 26 76941 Echo guide for transfusion 0 0 0 0 76941 Echo guide for transfusion 0 0 0 0 TC 76941 Echo guide for transfusion 70.997027 70.997027 77.5642519975 67.44717565 26 76942 Echo guide for biopsy 25.22737 25.22737 27.560901725 23.9660015 TC 76942 Echo guide for biopsy 32.795581 32.795581 35.8291722425 31.15580195 26 76942 Echo guide for biopsy 58.022951 58.022951 63.3900739675 55.12180345 76945 Echo guide villus sampling 0 0 0 0 76945 Echo guide villus sampling 0 0 0 0 TC 76945 Echo guide villus sampling 35.678709 35.678709 38.9789895825 33.89477355 26 76946 Echo guide for amniocentesis 13.334467 13.334467 14.5679051975 12.66774365 TC 76946 Echo guide for amniocentesis 19.821505 19.821505 21.6549942125 18.83042975 26 76946 Echo guide for amniocentesis 33.155972 33.155972 36.22289941 31.4981734 76948 Echo guide ova aspiration 40.724183 40.724183 44.4911699275 38.68797385 TC 76948 Echo guide ova aspiration 35.678709 35.678709 38.9789895825 33.89477355 26 76948 Echo guide ova aspiration 76.402892 76.402892 83.47015951 72.5827474 76965 Echo guidance radiotherapy 94.422442 94.422442 103.156517885 89.7013199 76965 Echo guidance radiotherapy 25.22737 25.22737 27.560901725 23.9660015 TC 76965 Echo guidance radiotherapy 69.195072 69.195072 75.59561616 65.7353184 26 76970 Ultrasound exam follow-up 71.717809 71.717809 78.3517063325 68.13191855 TC 76970 Ultrasound exam follow-up 19.821505 19.821505 21.6549942125 18.83042975 26 76970 Ultrasound exam follow-up 91.539314 91.539314 100.006700545 86.9623483 76975 GI endoscopic ultrasound 0 0 0 0 76975 GI endoscopic ultrasound 0 0 0 0 TC 76975 GI endoscopic ultrasound 43.24692 43.24692 47.2472601 41.084574 26 76977 Us bone density measure 4.685083 4.685083 5.1184531775 4.45082885 TC 76977 Us bone density measure 2.883128 2.883128 3.14981734 2.7389716 26 76977 Us bone density measure 7.568211 7.568211 8.2682705175 7.18980045 76978 330.838938 330.838938 361.441539765 314.2969911 76978 247.949008 247.949008 270.88429124 235.5515576 TC 76978 82.88993 82.88993 90.557248525 78.7454335 26 76979 180.916282 180.916282 197.651038085 171.8704679 TC 76979 43.607311 43.607311 47.6409872675 41.42694545 26 76979 224.523593 224.523593 245.2920253525 213.29741335 76981 109.558864 109.558864 119.69305892 104.0809208 76981 78.925629 78.925629 86.2262496825 74.97934755 TC 76981 30.633235 30.633235 33.4668092375 29.10157325 26 76982 98.026352 98.026352 107.09378956 93.1250344 76982 67.393117 67.393117 73.6269803225 64.02346115 TC 76982 30.633235 30.633235 33.4668092375 29.10157325 26 76983 60.185297 60.185297 65.7524369725 57.17603215 76983 34.237145 34.237145 37.4040809125 32.52528775 TC 76983 25.948152 25.948152 28.34835606 24.6507444 26 76998 Us guide intraop 0 0 0 0 TC 76998 Us guide intraop 65.230771 65.230771 71.2646173175 61.96923245 26 76998 Us guide intraop 0 0 0 0 76999 Echo examination procedure 0 0 0 0 76999 Echo examination procedure 0 0 0 0 TC 76999 Echo examination procedure 0 0 0 0 26 77001 Fluoroguide for vein device 72.798982 72.798982 79.532887835 69.1590329 TC 77001 Fluoroguide for vein device 19.100723 19.100723 20.8675398775 18.14568685 26 77001 Fluoroguide for vein device 91.899705 91.899705 100.4004277125 87.30471975 77002 Needle localization by xray 74.600937 74.600937 81.5015236725 70.87089015 TC 77002 Needle localization by xray 28.470889 28.470889 31.1044462325 27.04734455 26 77002 Needle localization by xray 103.071826 103.071826 112.605969905 97.9182347 77003 Fluoroguide for spine inject 68.834681 68.834681 75.2018889925 65.39294695 TC 77003 Fluoroguide for spine inject 30.993626 30.993626 33.860536405 29.4439447 26 77003 Fluoroguide for spine inject 99.828307 99.828307 109.0624253975 94.83689165 77011 Ct scan for localization 168.662988 168.662988 184.26431439 160.2298386 TC 77011 Ct scan for localization 64.509989 64.509989 70.4771629825 61.28448955 26 77011 Ct scan for localization 233.172977 233.172977 254.7414773725 221.51432815 77012 Ct scan for needle biopsy 153.886957 153.886957 168.1215005225 146.19260915 77012 Ct scan for needle biopsy 78.204847 78.204847 85.4387953475 74.29460465 TC 77012 Ct scan for needle biopsy 75.68211 75.68211 82.682705175 71.8980045 26 77013 Ct guide for tissue ablation 0 0 0 0 77013 Ct guide for tissue ablation 0 0 0 0 TC 77013 Ct guide for tissue ablation 196.773486 196.773486 214.975033455 186.9348117 26 77014 Ct scan for therapy guide 122.893331 122.893331 134.2609641175 116.74866445 77014 Ct scan for therapy guide 77.123674 77.123674 84.257613845 73.2674903 TC 77014 Ct scan for therapy guide 45.769657 45.769657 50.0033502725 43.48117415 26 77021 Mr guidance for needle place 484.365504 484.365504 529.16931312 460.1472288 77021 Mr guidance for needle place 409.404176 409.404176 447.27406228 388.9339672 TC 77021 Mr guidance for needle place 74.961328 74.961328 81.89525084 71.2132616 26 77022 Mri for tissue ablation 0 0 0 0 TC 77022 Mri for tissue ablation 221.640465 221.640465 242.1422080125 210.55844175 26 77022 Mri for tissue ablation 0 0 0 0 77046 178.753936 178.753936 195.28867508 169.8162392 TC 77046 74.240546 74.240546 81.107796505 70.5285187 26 77046 252.994482 252.994482 276.396471585 240.3447579 77047 177.672763 177.672763 194.1074935775 168.78912485 TC 77047 82.169148 82.169148 89.76979419 78.0606906 26 77047 259.841911 259.841911 283.8772877675 246.84981545 77048 401.835965 401.835965 439.0057917625 381.74416675 77048 294.439447 294.439447 321.6750958475 279.71747465 TC 77048 107.396518 107.396518 117.330695915 102.0266921 26 77049 410.485349 410.485349 448.4552437825 389.96108155 77049 292.997883 292.997883 320.1001871775 278.34798885 TC 77049 117.487466 117.487466 128.355056605 111.6130927 26 77053 X-ray of mammary duct 58.383342 58.383342 63.783801135 55.4641749 77053 X-ray of mammary duct 40.003401 40.003401 43.7037155925 38.00323095 TC 77053 X-ray of mammary duct 18.379941 18.379941 20.0800855425 17.46094395 26 77054 X-ray of mammary ducts 76.402892 76.402892 83.47015951 72.5827474 77054 X-ray of mammary ducts 52.977477 52.977477 57.8778936225 50.32860315 TC 77054 X-ray of mammary ducts 23.425415 23.425415 25.5922658875 22.25414425 26 77061 Breast tomosynthesis uni 0 0 0 0 77061 Breast tomosynthesis uni 0 0 0 0 TC 77061 Breast tomosynthesis uni 0 0 0 0 26 77062 Breast tomosynthesis bi 0 0 0 0 77062 Breast tomosynthesis bi 0 0 0 0 TC 77062 Breast tomosynthesis bi 0 0 0 0 26 77063 Breast tomosynthesis bi 25.22737 25.22737 27.560901725 23.9660015 TC 77063 Breast tomosynthesis bi 30.633235 30.633235 33.4668092375 29.10157325 26 77063 Breast tomosynthesis bi 55.860605 55.860605 61.0277109625 53.06757475 77065 Dx mammo incl cad uni 94.062051 94.062051 102.7627907175 89.35894845 TC 77065 Dx mammo incl cad uni 41.805356 41.805356 45.67235143 39.7150882 26 77065 Dx mammo incl cad uni 135.867407 135.867407 148.4351421475 129.07403665 77066 Dx mammo incl cad bi 171.906507 171.906507 187.8078588975 163.31118165 77066 Dx mammo incl cad bi 120.370594 120.370594 131.504873945 114.3520643 TC 77066 Dx mammo incl cad bi 51.535913 51.535913 56.3029849525 48.95911735 26 77067 Scr mammo bi incl cad 99.467916 99.467916 108.66869823 94.4945202 TC 77067 Scr mammo bi incl cad 38.922228 38.922228 42.52253409 36.9761166 26 77067 Scr mammo bi incl cad 138.390144 138.390144 151.19123232 131.4706368 77071 X-ray stress view 51.535913 51.535913 56.3029849525 48.95911735 77072 X-rays for bone age 24.506588 24.506588 26.77344739 23.2812586 77072 X-rays for bone age 14.776031 14.776031 16.1428138675 14.03722945 TC 77072 X-rays for bone age 9.730557 9.730557 10.6306335225 9.24402915 26 77073 X-rays bone length studies 23.425415 23.425415 25.5922658875 22.25414425 TC 77073 X-rays bone length studies 14.776031 14.776031 16.1428138675 14.03722945 26 77073 X-rays bone length studies 38.201446 38.201446 41.735079755 36.2913737 77074 X-rays bone survey limited 45.409266 45.409266 49.609623105 43.1388027 TC 77074 X-rays bone survey limited 23.425415 23.425415 25.5922658875 22.25414425 26 77074 X-rays bone survey limited 68.834681 68.834681 75.2018889925 65.39294695 77075 X-rays bone survey complete 65.951553 65.951553 72.0520716525 62.65397535 TC 77075 X-rays bone survey complete 27.750107 27.750107 30.3169918975 26.36260165 26 77075 X-rays bone survey complete 93.70166 93.70166 102.36906355 89.016577 77076 X-rays bone survey infant 66.672335 66.672335 72.8395259875 63.33871825 TC 77076 X-rays bone survey infant 36.0391 36.0391 39.37271675 34.237145 26 77076 X-rays bone survey infant 102.711435 102.711435 112.2122427375 97.57586325 77077 Joint survey single view 39.282619 39.282619 42.9162612575 37.31848805 77077 Joint survey single view 22.704633 22.704633 24.8048115525 21.56940135 TC 77077 Joint survey single view 16.577986 16.577986 18.111449705 15.7490867 26 77078 Ct bone density axial 116.766684 116.766684 127.56760227 110.9283498 77078 Ct bone density axial 104.152999 104.152999 113.7871514075 98.94534905 TC 77078 Ct bone density axial 12.613685 12.613685 13.7804508625 11.98300075 26 77080 Dxa bone density axial 30.633235 30.633235 33.4668092375 29.10157325 TC 77080 Dxa bone density axial 10.090948 10.090948 11.02436069 9.5864006 26 77080 Dxa bone density axial 40.724183 40.724183 44.4911699275 38.68797385 77081 Dxa bone density/peripheral 33.876754 33.876754 37.010353745 32.1829163 77081 Dxa bone density/peripheral 23.425415 23.425415 25.5922658875 22.25414425 TC 77081 Dxa bone density/peripheral 10.451339 10.451339 11.4180878575 9.92877205 26 77084 Magnetic image bone marrow 303.809613 303.809613 331.9120022025 288.61913235 TC 77084 Magnetic image bone marrow 82.529539 82.529539 90.1635213575 78.40306205 26 77084 Magnetic image bone marrow 386.339152 386.339152 422.07552356 367.0221944 77085 Dxa bone density study 55.500214 55.500214 60.633983795 52.7252033 77085 Dxa bone density study 40.003401 40.003401 43.7037155925 38.00323095 TC 77085 Dxa bone density study 15.496813 15.496813 16.9302682025 14.72197235 26 77086 Fracture assessment via dxa 27.029325 27.029325 29.5295375625 25.67785875 TC 77086 Fracture assessment via dxa 8.649384 8.649384 9.44945202 8.2169148 26 77086 Fracture assessment via dxa 35.678709 35.678709 38.9789895825 33.89477355 77261 Radiation therapy planning 73.159373 73.159373 79.9266150025 69.50140435 77262 Radiation therapy planning 110.279646 110.279646 120.480513255 104.7656637 77263 Radiation therapy planning 172.266898 172.266898 188.201586065 163.6535531 77280 Set radiation therapy field 244.345098 244.345098 266.947019565 232.1278431 TC 77280 Set radiation therapy field 38.201446 38.201446 41.735079755 36.2913737 26 77280 Set radiation therapy field 282.546544 282.546544 308.68209932 268.4192168 77285 Set radiation therapy field 467.427127 467.427127 510.6641362475 444.05577065 77285 Set radiation therapy field 409.404176 409.404176 447.27406228 388.9339672 TC 77285 Set radiation therapy field 58.022951 58.022951 63.3900739675 55.12180345 26 77290 Set radiation therapy field 436.07311 436.07311 476.409872675 414.2694545 TC 77290 Set radiation therapy field 83.971103 83.971103 91.7384300275 79.77254785 26 77290 Set radiation therapy field 520.044213 520.044213 568.1483027025 494.04200235 77293 Respirator motion mgmt simul 470.670646 470.670646 514.207680755 447.1371137 77293 Respirator motion mgmt simul 362.913737 362.913737 396.4832576725 344.76805015 TC 77293 Respirator motion mgmt simul 107.756909 107.756909 117.7244230825 102.36906355 26 77295 Set radiation therapy field 271.734814 271.734814 296.870284295 258.1480733 TC 77295 Set radiation therapy field 230.65024 230.65024 251.9853872 219.117728 26 77295 Set radiation therapy field 502.385054 502.385054 548.855671495 477.2658013 77299 Radiation therapy planning 0 0 0 0 77299 Radiation therapy planning 0 0 0 0 TC 77299 Radiation therapy planning 0 0 0 0 26 77300 Radiation therapy dose plan 34.597536 34.597536 37.79780808 32.8676592 TC 77300 Radiation therapy dose plan 33.516363 33.516363 36.6166265775 31.84054485 26 77300 Radiation therapy dose plan 68.113899 68.113899 74.4144346575 64.70820405 77301 Radiotherapy dose plan imrt 1554.366383 1554.366383 1698.1452734275 1476.64806385 TC 77301 Radiotherapy dose plan imrt 429.586072 429.586072 469.32278366 408.1067684 26 77301 Radiotherapy dose plan imrt 1983.952455 1983.952455 2167.4680570875 1884.75483225 77306 Telethx isodose plan simple 77.844456 77.844456 85.04506818 73.9522332 TC 77306 Telethx isodose plan simple 75.321719 75.321719 82.2889780075 71.55563305 26 77306 Telethx isodose plan simple 153.166175 153.166175 167.3340461875 145.50786625 77307 Telethx isodose plan cplx 296.241402 296.241402 323.643731685 281.4293319 77307 Telethx isodose plan cplx 140.55249 140.55249 153.553595325 133.5248655 TC 77307 Telethx isodose plan cplx 155.688912 155.688912 170.09013636 147.9044664 26 77316 Brachytx isodose plan simple 132.623888 132.623888 144.89159764 125.9926936 TC 77316 Brachytx isodose plan simple 75.68211 75.68211 82.682705175 71.8980045 26 77316 Brachytx isodose plan simple 208.305998 208.305998 227.574302815 197.8906981 77317 Brachytx isodose intermed 174.429244 174.429244 190.56394907 165.7077818 TC 77317 Brachytx isodose intermed 98.386743 98.386743 107.4875167275 93.46740585 26 77317 Brachytx isodose intermed 272.815987 272.815987 298.0514657975 259.17518765 77318 Brachytx isodose complex 236.416496 236.416496 258.28502188 224.5956712 TC 77318 Brachytx isodose complex 155.688912 155.688912 170.09013636 147.9044664 26 77318 Brachytx isodose complex 392.105408 392.105408 428.37515824 372.5001376 77321 Special teletx port plan 44.688484 44.688484 48.82216877 42.4540598 TC 77321 Special teletx port plan 51.175522 51.175522 55.909257785 48.6167459 26 77321 Special teletx port plan 95.864006 95.864006 104.731426555 91.0708057 77331 Special radiation dosimetry 19.461114 19.461114 21.261267045 18.4880583 TC 77331 Special radiation dosimetry 46.85083 46.85083 51.184531775 44.5082885 26 77331 Special radiation dosimetry 66.311944 66.311944 72.44579882 62.9963468 77332 Radiation treatment aid(s) 53.698259 53.698259 58.6653479575 51.01334605 77332 Radiation treatment aid(s) 29.191671 29.191671 31.8919005675 27.73208745 TC 77332 Radiation treatment aid(s) 24.506588 24.506588 26.77344739 23.2812586 26 77333 Radiation treatment aid(s) 111.72121 111.72121 122.055421925 106.1351495 77333 Radiation treatment aid(s) 71.357418 71.357418 77.957979165 67.7895471 TC 77333 Radiation treatment aid(s) 40.363792 40.363792 44.09744276 38.3456024 26 77334 Radiation treatment aid(s) 131.182324 131.182324 143.31668897 124.6232078 77334 Radiation treatment aid(s) 69.195072 69.195072 75.59561616 65.7353184 TC 77334 Radiation treatment aid(s) 61.987252 61.987252 67.72107281 58.8878894 26 77336 Radiation physics consult 81.448366 81.448366 88.982339855 77.3759477 77338 Design mlc device for imrt 279.663416 279.663416 305.53228198 265.6802452 TC 77338 Design mlc device for imrt 230.65024 230.65024 251.9853872 219.117728 26 77338 Design mlc device for imrt 510.313656 510.313656 557.51766918 484.7979732 77370 Radiation physics consult 126.857632 126.857632 138.59196296 120.5147504 77371 Srs multisource 0 0 0 0 77372 Srs linear based 1089.822384 1089.822384 1190.63095452 1035.3312648 77373 Sbrt delivery 1319.391451 1319.391451 1441.4351602175 1253.42187845 77385 Ntsty modul rad tx dlvr smpl 0 0 0 0 77386 Ntsty modul rad tx dlvr cplx 0 0 0 0 77387 Guidance for radiaj tx dlvr 0 0 0 0 77399 External radiation dosimetry 0 0 0 0 77399 External radiation dosimetry 0 0 0 0 TC 77399 External radiation dosimetry 0 0 0 0 26 77401 Radiation treatment delivery 25.22737 25.22737 27.560901725 23.9660015 77402 Radiation treatment delivery 0 0 0 0 77407 Radiation treatment delivery 0 0 0 0 77412 Radiation treatment delivery 0 0 0 0 77417 Radiology port film(s) 11.532512 11.532512 12.59926936 10.9558864 77423 Neutron beam tx complex 0 0 0 0 77424 Io rad tx delivery by x-ray 0 0 0 0 77425 Io rad tx deliver by elctrns 0 0 0 0 77427 Radiation tx management x5 193.529967 193.529967 211.4314889475 183.85346865 77431 Radiation therapy management 106.675736 106.675736 116.54324158 101.3419492 77432 Stereotactic radiation trmt 434.271155 434.271155 474.4412368375 412.55759725 77435 Sbrt management 654.830447 654.830447 715.4022633475 622.08892465 77469 Io radiation tx management 324.3519 324.3519 354.35445075 308.134305 77470 Special radiation treatment 25.948152 25.948152 28.34835606 24.6507444 TC 77470 Special radiation treatment 109.198473 109.198473 119.2993317525 103.73854935 26 77470 Special radiation treatment 135.146625 135.146625 147.6476878125 128.38929375 77499 Radiation therapy management 0 0 0 0 77499 Radiation therapy management 0 0 0 0 TC 77499 Radiation therapy management 0 0 0 0 26 77520 Proton trmt simple w/o comp 0 0 0 0 77522 Proton trmt simple w/comp 0 0 0 0 77523 Proton trmt intermediate 0 0 0 0 77525 Proton treatment complex 0 0 0 0 77600 Hyperthermia treatment 459.858916 459.858916 502.39586573 436.8659702 77600 Hyperthermia treatment 387.059934 387.059934 422.862977895 367.7069373 TC 77600 Hyperthermia treatment 72.798982 72.798982 79.532887835 69.1590329 26 77605 Hyperthermia treatment 689.427983 689.427983 753.2000714275 654.95658385 TC 77605 Hyperthermia treatment 105.234172 105.234172 114.96833291 99.9724634 26 77605 Hyperthermia treatment 794.662155 794.662155 868.1684043375 754.92904725 77610 Hyperthermia treatment 706.36636 706.36636 771.7052483 671.048042 77610 Hyperthermia treatment 636.450506 636.450506 695.322177805 604.6279807 TC 77610 Hyperthermia treatment 69.915854 69.915854 76.383070495 66.4200613 26 77615 Hyperthermia treatment 1084.416519 1084.416519 1184.7250470075 1030.19569305 77615 Hyperthermia treatment 986.029776 986.029776 1077.23753028 936.7282872 TC 77615 Hyperthermia treatment 98.386743 98.386743 107.4875167275 93.46740585 26 77620 Hyperthermia treatment 440.037411 440.037411 480.7408715175 418.03554045 TC 77620 Hyperthermia treatment 88.656186 88.656186 96.856883205 84.2233767 26 77620 Hyperthermia treatment 528.693597 528.693597 577.5977547225 502.25891715 77750 Infuse radioactive materials 120.370594 120.370594 131.504873945 114.3520643 TC 77750 Infuse radioactive materials 268.491295 268.491295 293.3267397875 255.06673025 26 77750 Infuse radioactive materials 388.861889 388.861889 424.8316137325 369.41879455 77761 Apply intrcav radiat simple 201.098178 201.098178 219.699759465 191.0432691 TC 77761 Apply intrcav radiat simple 207.224825 207.224825 226.3931213125 196.86358375 26 77761 Apply intrcav radiat simple 408.323003 408.323003 446.0928807775 387.90685285 77762 Apply intrcav radiat interm 540.5865 540.5865 590.59075125 513.557175 77762 Apply intrcav radiat interm 230.289849 230.289849 251.5916600325 218.77535655 TC 77762 Apply intrcav radiat interm 310.296651 310.296651 338.9990912175 294.78181845 26 77763 Apply intrcav radiat compl 769.795176 769.795176 841.00122978 731.3054172 77763 Apply intrcav radiat compl 302.72844 302.72844 330.7308207 287.592018 TC 77763 Apply intrcav radiat compl 467.066736 467.066736 510.27040908 443.7133992 26 77767 Hdr rdncl skn surf brachytx 237.85806 237.85806 259.85993055 225.965157 77767 Hdr rdncl skn surf brachytx 181.276673 181.276673 198.0447652525 172.21283935 TC 77767 Hdr rdncl skn surf brachytx 56.581387 56.581387 61.8151652975 53.75231765 26 77768 Hdr rdncl skn surf brachytx 365.436474 365.436474 399.239347845 347.1646503 77768 Hdr rdncl skn surf brachytx 289.754364 289.754364 316.55664267 275.2666458 TC 77768 Hdr rdncl skn surf brachytx 75.68211 75.68211 82.682705175 71.8980045 26 77770 Hdr rdncl ntrstl/icav brchtx 337.325976 337.325976 368.52862878 320.4596772 77770 Hdr rdncl ntrstl/icav brchtx 232.812586 232.812586 254.347750205 221.1719567 TC 77770 Hdr rdncl ntrstl/icav brchtx 104.51339 104.51339 114.180878575 99.2877205 26 77771 Hdr rdncl ntrstl/icav brchtx 410.84574 410.84574 448.84897095 390.303453 TC 77771 Hdr rdncl ntrstl/icav brchtx 204.702088 204.702088 223.63703114 194.4669836 26 77771 Hdr rdncl ntrstl/icav brchtx 615.547828 615.547828 672.48600209 584.7704366 77772 Hdr rdncl ntrstl/icav brchtx 642.937544 642.937544 702.40926682 610.7906668 TC 77772 Hdr rdncl ntrstl/icav brchtx 289.754364 289.754364 316.55664267 275.2666458 26 77772 Hdr rdncl ntrstl/icav brchtx 932.691908 932.691908 1018.96590949 886.0573126 77778 Apply interstit radiat compl 396.4301 396.4301 433.09988425 376.608595 TC 77778 Apply interstit radiat compl 471.031037 471.031037 514.6014079225 447.47948515 26 77778 Apply interstit radiat compl 867.461137 867.461137 947.7012921725 824.08808015 77789 Apply surface radiation 125.776459 125.776459 137.4107814575 119.48763605 77789 Apply surface radiation 64.149598 64.149598 70.083435815 60.9421181 TC 77789 Apply surface radiation 61.626861 61.626861 67.3273456425 58.54551795 26 77790 Radiation handling 15.496813 15.496813 16.9302682025 14.72197235 77799 Radium/radioisotope therapy 0 0 0 0 77799 Radium/radioisotope therapy 0 0 0 0 TC 77799 Radium/radioisotope therapy 0 0 0 0 26 78012 Thyroid uptake measurement 84.331494 84.331494 92.132157195 80.1149193 78012 Thyroid uptake measurement 74.600937 74.600937 81.5015236725 70.87089015 TC 78012 Thyroid uptake measurement 9.730557 9.730557 10.6306335225 9.24402915 26 78013 Thyroid imaging w/blood flow 180.916282 180.916282 197.651038085 171.8704679 TC 78013 Thyroid imaging w/blood flow 18.740332 18.740332 20.47381271 17.8033154 26 78013 Thyroid imaging w/blood flow 199.656614 199.656614 218.124850795 189.6737833 78014 Thyroid imaging w/blood flow 250.471745 250.471745 273.6403814125 237.94815775 78014 Thyroid imaging w/blood flow 225.244375 225.244375 246.0794796875 213.98215625 TC 78014 Thyroid imaging w/blood flow 25.22737 25.22737 27.560901725 23.9660015 26 78015 Thyroid met imaging 233.172977 233.172977 254.7414773725 221.51432815 78015 Thyroid met imaging 198.935832 198.935832 217.33739646 188.9890404 TC 78015 Thyroid met imaging 34.237145 34.237145 37.4040809125 32.52528775 26 78016 Thyroid met imaging/studies 257.679565 257.679565 281.5149247625 244.79558675 TC 78016 Thyroid met imaging/studies 34.957927 34.957927 38.1915352475 33.21003065 26 78016 Thyroid met imaging/studies 292.637492 292.637492 319.70646001 278.0056174 78018 Thyroid met imaging body 325.433073 325.433073 355.5356322525 309.16141935 78018 Thyroid met imaging body 283.267326 283.267326 309.469553655 269.1039597 TC 78018 Thyroid met imaging body 42.165747 42.165747 46.0660785975 40.05745965 26 78020 Thyroid met uptake 58.383342 58.383342 63.783801135 55.4641749 TC 78020 Thyroid met uptake 28.470889 28.470889 31.1044462325 27.04734455 26 78020 Thyroid met uptake 86.854231 86.854231 94.8882473675 82.51151945 78070 Parathyroid nuclear imaging 270.29325 270.29325 295.295375625 256.7785875 TC 78070 Parathyroid nuclear imaging 40.003401 40.003401 43.7037155925 38.00323095 26 78070 Parathyroid nuclear imaging 310.296651 310.296651 338.9990912175 294.78181845 78071 Parathyrd planar w/wo subtrj 370.121557 370.121557 404.3578010225 351.61547915 78071 Parathyrd planar w/wo subtrj 309.93626 309.93626 338.60536405 294.439447 TC 78071 Parathyrd planar w/wo subtrj 60.185297 60.185297 65.7524369725 57.17603215 26 78072 Parathyrd planar w/spect&ct 325.072682 325.072682 355.141905085 308.8190479 TC 78072 Parathyrd planar w/spect&ct 78.925629 78.925629 86.2262496825 74.97934755 26 78072 Parathyrd planar w/spect&ct 403.998311 403.998311 441.3681547675 383.79839545 78075 Adrenal nuclear imaging 468.5083 468.5083 511.84531775 445.082885 78075 Adrenal nuclear imaging 430.306854 430.306854 470.110237995 408.7915113 TC 78075 Adrenal nuclear imaging 38.201446 38.201446 41.735079755 36.2913737 26 78099 Endocrine nuclear procedure 0 0 0 0 78099 Endocrine nuclear procedure 0 0 0 0 TC 78099 Endocrine nuclear procedure 0 0 0 0 26 78102 Bone marrow imaging ltd 176.231199 176.231199 192.5325849075 167.41963905 78102 Bone marrow imaging ltd 149.201874 149.201874 163.003047345 141.7417803 TC 78102 Bone marrow imaging ltd 27.029325 27.029325 29.5295375625 25.67785875 26 78103 Bone marrow imaging mult 189.926057 189.926057 207.4942172725 180.42975415 TC 78103 Bone marrow imaging mult 36.0391 36.0391 39.37271675 34.237145 26 78103 Bone marrow imaging mult 225.965157 225.965157 246.8669340225 214.66689915 78104 Bone marrow imaging body 218.036555 218.036555 238.2049363375 207.13472725 TC 78104 Bone marrow imaging body 39.64301 39.64301 43.309988425 37.6608595 26 78104 Bone marrow imaging body 257.679565 257.679565 281.5149247625 244.79558675 78110 Plasma volume single 63.428816 63.428816 69.29598148 60.2573752 TC 78110 Plasma volume single 8.288993 8.288993 9.0557248525 7.87454335 26 78110 Plasma volume single 71.717809 71.717809 78.3517063325 68.13191855 78111 Plasma volume multiple 66.311944 66.311944 72.44579882 62.9963468 TC 78111 Plasma volume multiple 9.730557 9.730557 10.6306335225 9.24402915 26 78111 Plasma volume multiple 76.042501 76.042501 83.0764323425 72.24037595 78120 Red cell mass single 73.519764 73.519764 80.32034217 69.8437758 78120 Red cell mass single 63.428816 63.428816 69.29598148 60.2573752 TC 78120 Red cell mass single 10.090948 10.090948 11.02436069 9.5864006 26 78121 Red cell mass multiple 66.311944 66.311944 72.44579882 62.9963468 TC 78121 Red cell mass multiple 14.055249 14.055249 15.3553595325 13.35248655 26 78121 Red cell mass multiple 80.367193 80.367193 87.8011583525 76.34883335 78122 Blood volume 76.763283 76.763283 83.8638866775 72.92511885 TC 78122 Blood volume 21.62346 21.62346 23.62363005 20.542287 26 78122 Blood volume 98.386743 98.386743 107.4875167275 93.46740585 78130 Red cell survival study 102.351044 102.351044 111.81851557 97.2334918 TC 78130 Red cell survival study 25.948152 25.948152 28.34835606 24.6507444 26 78130 Red cell survival study 128.299196 128.299196 140.16687163 121.8842362 78135 Red cell survival kinetics 261.643866 261.643866 285.845923605 248.5616727 TC 78135 Red cell survival kinetics 27.389716 27.389716 29.92326473 26.0202302 26 78135 Red cell survival kinetics 289.033582 289.033582 315.769188335 274.5819029 78140 Red cell sequestration 113.162774 113.162774 123.630330595 107.5046353 78140 Red cell sequestration 87.214622 87.214622 95.281974535 82.8538909 TC 78140 Red cell sequestration 25.948152 25.948152 28.34835606 24.6507444 26 78185 Spleen imaging 175.510417 175.510417 191.7451305725 166.73489615 78185 Spleen imaging 158.211649 158.211649 172.8462265325 150.30106655 TC 78185 Spleen imaging 17.298768 17.298768 18.89890404 16.4338296 26 78191 Platelet survival 128.299196 128.299196 140.16687163 121.8842362 78191 Platelet survival 102.351044 102.351044 111.81851557 97.2334918 TC 78191 Platelet survival 25.948152 25.948152 28.34835606 24.6507444 26 78195 Lymph system imaging 309.93626 309.93626 338.60536405 294.439447 TC 78195 Lymph system imaging 60.185297 60.185297 65.7524369725 57.17603215 26 78195 Lymph system imaging 370.121557 370.121557 404.3578010225 351.61547915 78199 Blood/lymph nuclear exam 0 0 0 0 78199 Blood/lymph nuclear exam 0 0 0 0 TC 78199 Blood/lymph nuclear exam 0 0 0 0 26 78201 Liver imaging 176.231199 176.231199 192.5325849075 167.41963905 TC 78201 Liver imaging 21.62346 21.62346 23.62363005 20.542287 26 78201 Liver imaging 197.854659 197.854659 216.1562149575 187.96192605 78202 Liver imaging with flow 209.747562 209.747562 229.149211485 199.2601839 78202 Liver imaging with flow 185.601365 185.601365 202.7694912625 176.32129675 TC 78202 Liver imaging with flow 24.146197 24.146197 26.3797202225 22.93888715 26 78205 Liver imaging (3D) 219.117728 219.117728 239.38611784 208.1618416 78205 Liver imaging (3D) 184.880583 184.880583 201.9820369275 175.63655385 TC 78205 Liver imaging (3D) 34.237145 34.237145 37.4040809125 32.52528775 26 78206 Liver image (3d) with flow 304.890786 304.890786 333.093183705 289.6462467 TC 78206 Liver image (3d) with flow 47.571612 47.571612 51.97198611 45.1930314 26 78206 Liver image (3d) with flow 352.462398 352.462398 385.065169815 334.8392781 78215 Liver and spleen imaging 202.179351 202.179351 220.8809409675 192.07038345 78215 Liver and spleen imaging 177.312372 177.312372 193.71376641 168.4467534 TC 78215 Liver and spleen imaging 24.866979 24.866979 27.1671745575 23.62363005 26 78216 Liver & spleen image/flow 132.623888 132.623888 144.89159764 125.9926936 78216 Liver & spleen image/flow 104.51339 104.51339 114.180878575 99.2877205 TC 78216 Liver & spleen image/flow 28.110498 28.110498 30.710719065 26.7049731 26 78226 Hepatobiliary system imaging 305.611568 305.611568 333.88063804 290.3309896 TC 78226 Hepatobiliary system imaging 37.480664 37.480664 40.94762542 35.6066308 26 78226 Hepatobiliary system imaging 343.092232 343.092232 374.82826346 325.9376204 78227 Hepatobil syst image w/drug 418.05356 418.05356 456.7235143 397.150882 TC 78227 Hepatobil syst image w/drug 45.769657 45.769657 50.0033502725 43.48117415 26 78227 Hepatobil syst image w/drug 463.823217 463.823217 506.7268645725 440.63205615 78230 Salivary gland imaging 181.276673 181.276673 198.0447652525 172.21283935 78230 Salivary gland imaging 157.851258 157.851258 172.452499365 149.9586951 TC 78230 Salivary gland imaging 23.425415 23.425415 25.5922658875 22.25414425 26 78231 Serial salivary imaging 107.396518 107.396518 117.330695915 102.0266921 78231 Serial salivary imaging 85.052276 85.052276 92.91961153 80.7996622 TC 78231 Serial salivary imaging 22.344242 22.344242 24.411084385 21.2270299 26 78232 Salivary gland function exam 105.234172 105.234172 114.96833291 99.9724634 78232 Salivary gland function exam 85.052276 85.052276 92.91961153 80.7996622 TC 78232 Salivary gland function exam 20.181896 20.181896 22.04872138 19.1728012 26 78258 Esophageal motility study 227.406721 227.406721 248.4418426925 216.03638495 78258 Esophageal motility study 190.646839 190.646839 208.2816716075 181.11449705 TC 78258 Esophageal motility study 36.759882 36.759882 40.160171085 34.9218879 26 78261 Gastric mucosa imaging 210.107953 210.107953 229.5429386525 199.60255535 78261 Gastric mucosa imaging 180.555891 180.555891 197.2573109175 171.52809645 TC 78261 Gastric mucosa imaging 29.552062 29.552062 32.285627735 28.0744589 26 78262 Gastroesophageal reflux exam 216.594991 216.594991 236.6300276675 205.76524145 TC 78262 Gastroesophageal reflux exam 33.876754 33.876754 37.010353745 32.1829163 26 78262 Gastroesophageal reflux exam 250.471745 250.471745 273.6403814125 237.94815775 78264 Gastric emptying study 347.777315 347.777315 379.9467166375 330.38844925 78264 Gastric emptying study 308.134305 308.134305 336.6367282125 292.72758975 TC 78264 Gastric emptying study 39.64301 39.64301 43.309988425 37.6608595 26 78265 Gastric emptying imag study 412.647695 412.647695 450.8176067875 392.01531025 78265 Gastric emptying imag study 363.274128 363.274128 396.87698484 345.1104216 TC 78265 Gastric emptying imag study 49.373567 49.373567 53.9406219475 46.90488865 26 78266 Gastric emptying imag study 434.991937 434.991937 475.2286911725 413.24234015 TC 78266 Gastric emptying imag study 54.419041 54.419041 59.4528022925 51.69808895 26 78266 Gastric emptying imag study 489.410978 489.410978 534.681493465 464.9404291 78267 Breath tst attain/anal c-14 0 0 0 0 78268 Breath test analysis c-14 0 0 0 0 78278 Acute GI blood loss imaging 312.458997 312.458997 341.3614542225 296.83604715 TC 78278 Acute GI blood loss imaging 50.094349 50.094349 54.7280762825 47.58963155 26 78278 Acute GI blood loss imaging 362.553346 362.553346 396.089530505 344.4256787 78282 GI protein loss exam 0 0 0 0 TC 78282 GI protein loss exam 16.577986 16.577986 18.111449705 15.7490867 26 78282 GI protein loss exam 0 0 0 0 78290 Meckels divert exam 309.215478 309.215478 337.817909715 293.7547041 TC 78290 Meckels divert exam 34.237145 34.237145 37.4040809125 32.52528775 26 78290 Meckels divert exam 343.452623 343.452623 375.2219906275 326.27999185 78291 Leveen/shunt patency exam 222.721638 222.721638 243.323389515 211.5855561 TC 78291 Leveen/shunt patency exam 43.607311 43.607311 47.6409872675 41.42694545 26 78291 Leveen/shunt patency exam 266.328949 266.328949 290.9643767825 253.01250155 78299 GI nuclear procedure 0 0 0 0 TC 78299 GI nuclear procedure 0 0 0 0 26 78299 GI nuclear procedure 0 0 0 0 78300 Bone imaging limited area 238.939233 238.939233 261.0411120525 226.99227135 78300 Bone imaging limited area 207.224825 207.224825 226.3931213125 196.86358375 TC 78300 Bone imaging limited area 31.714408 31.714408 34.64799074 30.1286876 26 78305 Bone imaging multiple areas 291.195928 291.195928 318.13155134 276.6361316 78305 Bone imaging multiple areas 249.030181 249.030181 272.0654727425 236.57867195 TC 78305 Bone imaging multiple areas 42.165747 42.165747 46.0660785975 40.05745965 26 78306 Bone imaging whole body 270.653641 270.653641 295.6891027925 257.12095895 TC 78306 Bone imaging whole body 43.24692 43.24692 47.2472601 41.084574 26 78306 Bone imaging whole body 313.900561 313.900561 342.9363628925 298.20553295 78315 Bone imaging 3 phase 359.670218 359.670218 392.939713165 341.6867071 78315 Bone imaging 3 phase 308.494696 308.494696 337.03045538 293.0699612 TC 78315 Bone imaging 3 phase 51.175522 51.175522 55.909257785 48.6167459 26 78320 Bone imaging (3D) 185.601365 185.601365 202.7694912625 176.32129675 TC 78320 Bone imaging (3D) 51.896304 51.896304 56.69671212 49.3014888 26 78320 Bone imaging (3D) 237.497669 237.497669 259.4662033825 225.62278555 78350 Bone mineral single photon 21.983851 21.983851 24.0173572175 20.88465845 TC 78350 Bone mineral single photon 11.532512 11.532512 12.59926936 10.9558864 26 78350 Bone mineral single photon 33.516363 33.516363 36.6166265775 31.84054485 78351 Bone mineral dual photon 15.857204 15.857204 17.32399537 15.0643438 78399 Musculoskeletal nuclear exam 0 0 0 0 TC 78399 Musculoskeletal nuclear exam 0 0 0 0 26 78399 Musculoskeletal nuclear exam 0 0 0 0 78414 Non-imaging heart function 0 0 0 0 78414 Non-imaging heart function 0 0 0 0 TC 78414 Non-imaging heart function 22.704633 22.704633 24.8048115525 21.56940135 26 78428 Cardiac shunt imaging 190.646839 190.646839 208.2816716075 181.11449705 78428 Cardiac shunt imaging 152.085002 152.085002 166.152864685 144.4807519 TC 78428 Cardiac shunt imaging 38.561837 38.561837 42.1288069225 36.63374515 26 78445 Vascular flow imaging 168.302597 168.302597 183.8705872225 159.88746715 TC 78445 Vascular flow imaging 25.587761 25.587761 27.9546288925 24.30837295 26 78445 Vascular flow imaging 193.890358 193.890358 211.825216115 184.1958401 78451 Ht muscle image spect sing 352.102007 352.102007 384.6714426475 334.49690665 78451 Ht muscle image spect sing 283.267326 283.267326 309.469553655 269.1039597 TC 78451 Ht muscle image spect sing 68.834681 68.834681 75.2018889925 65.39294695 26 78452 Ht muscle image spect mult 490.13176 490.13176 535.4689478 465.625172 78452 Ht muscle image spect mult 409.404176 409.404176 447.27406228 388.9339672 TC 78452 Ht muscle image spect mult 80.727584 80.727584 88.19488552 76.6912048 26 78453 Ht muscle image planar sing 265.608167 265.608167 290.1769224475 252.32775865 TC 78453 Ht muscle image planar sing 50.815131 50.815131 55.5155306175 48.27437445 26 78453 Ht muscle image planar sing 316.423298 316.423298 345.692453065 300.6021331 78454 Ht musc image planar mult 452.651096 452.651096 494.52132238 430.0185412 78454 Ht musc image planar mult 384.537197 384.537197 420.1068877225 365.31033715 TC 78454 Ht musc image planar mult 68.113899 68.113899 74.4144346575 64.70820405 26 78456 Acute venous thrombus image 272.095205 272.095205 297.2640114625 258.49044475 TC 78456 Acute venous thrombus image 49.733958 49.733958 54.334349115 47.2472601 26 78456 Acute venous thrombus image 321.829163 321.829163 351.5983605775 305.73770485 78457 Venous thrombosis imaging 158.932431 158.932431 173.6336808675 150.98580945 TC 78457 Venous thrombosis imaging 40.003401 40.003401 43.7037155925 38.00323095 26 78457 Venous thrombosis imaging 198.935832 198.935832 217.33739646 188.9890404 78458 Ven thrombosis images bilat 167.221424 167.221424 182.68940572 158.8603528 TC 78458 Ven thrombosis images bilat 46.130048 46.130048 50.39707744 43.8235456 26 78458 Ven thrombosis images bilat 213.351472 213.351472 233.08648316 202.6838984 78459 Heart muscle imaging (PET) 0 0 0 0 78459 Heart muscle imaging (PET) 0 0 0 0 TC 78459 Heart muscle imaging (PET) 72.438591 72.438591 79.1391606675 68.81666145 26 78466 Heart infarct image 168.662988 168.662988 184.26431439 160.2298386 TC 78466 Heart infarct image 35.678709 35.678709 38.9789895825 33.89477355 26 78466 Heart infarct image 204.341697 204.341697 223.2433039725 194.12461215 78468 Heart infarct image (ef) 171.546116 171.546116 187.41413173 162.9688102 TC 78468 Heart infarct image (ef) 40.363792 40.363792 44.09744276 38.3456024 26 78468 Heart infarct image (ef) 211.909908 211.909908 231.51157449 201.3144126 78469 Heart infarct image (3D) 234.25415 234.25415 255.922658875 222.5414425 78469 Heart infarct image (3D) 187.763711 187.763711 205.1318542675 178.37552545 TC 78469 Heart infarct image (3D) 46.490439 46.490439 50.7908046075 44.16591705 26 78472 Gated heart planar single 188.124102 188.124102 205.525581435 178.7178969 TC 78472 Gated heart planar single 49.373567 49.373567 53.9406219475 46.90488865 26 78472 Gated heart planar single 237.497669 237.497669 259.4662033825 225.62278555 78473 Gated heart multiple 227.04633 227.04633 248.048115525 215.6940135 TC 78473 Gated heart multiple 72.798982 72.798982 79.532887835 69.1590329 26 78473 Gated heart multiple 299.845312 299.845312 327.58100336 284.8530464 78481 Heart first pass single 132.984279 132.984279 145.2853248075 126.33506505 TC 78481 Heart first pass single 49.373567 49.373567 53.9406219475 46.90488865 26 78481 Heart first pass single 182.357846 182.357846 199.225946755 173.2399537 78483 Heart first pass multiple 246.147053 246.147053 268.9156554025 233.83970035 78483 Heart first pass multiple 173.708462 173.708462 189.776494735 165.0230389 TC 78483 Heart first pass multiple 72.438591 72.438591 79.1391606675 68.81666145 26 78491 Heart image (pet) single 0 0 0 0 TC 78491 Heart image (pet) single 72.798982 72.798982 79.532887835 69.1590329 26 78491 Heart image (pet) single 0 0 0 0 78492 Heart image (pet) multiple 0 0 0 0 TC 78492 Heart image (pet) multiple 91.899705 91.899705 100.4004277125 87.30471975 26 78492 Heart image (pet) multiple 0 0 0 0 78494 Heart image spect 175.150026 175.150026 191.351403405 166.3925247 TC 78494 Heart image spect 59.464515 59.464515 64.9649826375 56.49128925 26 78494 Heart image spect 234.614541 234.614541 256.3163860425 222.88381395 78496 Heart first pass add-on 45.048875 45.048875 49.2158959375 42.79643125 78496 Heart first pass add-on 20.181896 20.181896 22.04872138 19.1728012 TC 78496 Heart first pass add-on 24.866979 24.866979 27.1671745575 23.62363005 26 78499 Cardiovascular nuclear exam 0 0 0 0 78499 Cardiovascular nuclear exam 0 0 0 0 TC 78499 Cardiovascular nuclear exam 0 0 0 0 26 78579 Lung ventilation imaging 168.662988 168.662988 184.26431439 160.2298386 TC 78579 Lung ventilation imaging 24.506588 24.506588 26.77344739 23.2812586 26 78579 Lung ventilation imaging 193.169576 193.169576 211.03776178 183.5110972 78580 Lung perfusion imaging 210.107953 210.107953 229.5429386525 199.60255535 TC 78580 Lung perfusion imaging 37.480664 37.480664 40.94762542 35.6066308 26 78580 Lung perfusion imaging 247.588617 247.588617 270.4905640725 235.20918615 78582 Lung ventilat&perfus imaging 347.416924 347.416924 379.55298947 330.0460778 78582 Lung ventilat&perfus imaging 293.358274 293.358274 320.493914345 278.6903603 TC 78582 Lung ventilat&perfus imaging 54.05865 54.05865 59.059075125 51.3557175 26 78597 Lung perfusion differential 208.666389 208.666389 227.9680299825 198.23306955 78597 Lung perfusion differential 172.266898 172.266898 188.201586065 163.6535531 TC 78597 Lung perfusion differential 36.399491 36.399491 39.7664439175 34.57951645 26 78598 Lung perf&ventilat diferentl 317.14408 317.14408 346.4799074 301.286876 78598 Lung perf&ventilat diferentl 274.978333 274.978333 300.4138288025 261.22941635 TC 78598 Lung perf&ventilat diferentl 42.165747 42.165747 46.0660785975 40.05745965 26 78599 Respiratory nuclear exam 0 0 0 0 TC 78599 Respiratory nuclear exam 0 0 0 0 26 78599 Respiratory nuclear exam 0 0 0 0 78600 Brain image < 4 views 169.023379 169.023379 184.6580415575 160.57221005 TC 78600 Brain image < 4 views 22.704633 22.704633 24.8048115525 21.56940135 26 78600 Brain image < 4 views 191.728012 191.728012 209.46285311 182.1416114 78601 Brain image w/flow < 4 views 199.296223 199.296223 217.7311236275 189.33141185 TC 78601 Brain image w/flow < 4 views 25.948152 25.948152 28.34835606 24.6507444 26 78601 Brain image w/flow < 4 views 225.244375 225.244375 246.0794796875 213.98215625 78605 Brain image 4+ views 179.474718 179.474718 196.076129415 170.5009821 TC 78605 Brain image 4+ views 27.389716 27.389716 29.92326473 26.0202302 26 78605 Brain image 4+ views 206.864434 206.864434 225.999394145 196.5212123 78606 Brain image w/flow 4 + views 310.296651 310.296651 338.9990912175 294.78181845 TC 78606 Brain image w/flow 4 + views 32.074799 32.074799 35.0417179075 30.47105905 26 78606 Brain image w/flow 4 + views 342.37145 342.37145 374.040809125 325.2528775 78607 Brain imaging (3D) 360.030609 360.030609 393.3334403325 342.02907855 78607 Brain imaging (3D) 299.484921 299.484921 327.1872761925 284.51067495 TC 78607 Brain imaging (3D) 60.545688 60.545688 66.14616414 57.5184036 26 78608 Brain imaging (PET) 0 0 0 0 78608 Brain imaging (PET) 0 0 0 0 TC 78608 Brain imaging (PET) 73.519764 73.519764 80.32034217 69.8437758 26 78609 Brain imaging (PET) 0 0 0 0 TC 78609 Brain imaging (PET) 76.402892 76.402892 83.47015951 72.5827474 26 78609 Brain imaging (PET) 76.402892 76.402892 83.47015951 72.5827474 78610 Brain flow imaging only 166.140251 166.140251 181.5082242175 157.83323845 TC 78610 Brain flow imaging only 15.496813 15.496813 16.9302682025 14.72197235 26 78610 Brain flow imaging only 181.637064 181.637064 198.43849242 172.5552108 78630 Cerebrospinal fluid scan 316.423298 316.423298 345.692453065 300.6021331 TC 78630 Cerebrospinal fluid scan 34.597536 34.597536 37.79780808 32.8676592 26 78630 Cerebrospinal fluid scan 351.020834 351.020834 383.490261145 333.4697923 78635 CSF ventriculography 352.102007 352.102007 384.6714426475 334.49690665 78635 CSF ventriculography 320.387599 320.387599 350.0234519075 304.36821905 TC 78635 CSF ventriculography 31.714408 31.714408 34.64799074 30.1286876 26 78645 CSF shunt evaluation 309.215478 309.215478 337.817909715 293.7547041 TC 78645 CSF shunt evaluation 28.470889 28.470889 31.1044462325 27.04734455 26 78645 CSF shunt evaluation 337.686367 337.686367 368.9223559475 320.80204865 78647 Cerebrospinal fluid scan 361.472173 361.472173 394.9083490025 343.39856435 78647 Cerebrospinal fluid scan 315.342125 315.342125 344.5112715625 299.57501875 TC 78647 Cerebrospinal fluid scan 46.130048 46.130048 50.39707744 43.8235456 26 78650 CSF leakage imaging 258.400347 258.400347 282.3023790975 245.48032965 TC 78650 CSF leakage imaging 25.948152 25.948152 28.34835606 24.6507444 26 78650 CSF leakage imaging 284.348499 284.348499 310.6507351575 270.13107405 78660 Nuclear exam of tear flow 189.565666 189.565666 207.100490105 180.0873827 78660 Nuclear exam of tear flow 162.536341 162.536341 177.5709525425 154.40952395 TC 78660 Nuclear exam of tear flow 27.029325 27.029325 29.5295375625 25.67785875 26 78699 Nervous system nuclear exam 0 0 0 0 TC 78699 Nervous system nuclear exam 0 0 0 0 26 78699 Nervous system nuclear exam 0 0 0 0 78700 Kidney imaging morphol 154.96813 154.96813 169.302682025 147.2197235 TC 78700 Kidney imaging morphol 22.344242 22.344242 24.411084385 21.2270299 26 78700 Kidney imaging morphol 177.312372 177.312372 193.71376641 168.4467534 78701 Kidney imaging with flow 225.604766 225.604766 246.473206855 214.3245277 78701 Kidney imaging with flow 200.737787 200.737787 219.3060322975 190.70089765 TC 78701 Kidney imaging with flow 24.866979 24.866979 27.1671745575 23.62363005 26 78707 K flow/funct image w/o drug 241.101579 241.101579 263.4034750575 229.04650005 78707 K flow/funct image w/o drug 193.529967 193.529967 211.4314889475 183.85346865 TC 78707 K flow/funct image w/o drug 47.571612 47.571612 51.97198611 45.1930314 26 78708 K flow/funct image w/drug 122.893331 122.893331 134.2609641175 116.74866445 TC 78708 K flow/funct image w/drug 60.545688 60.545688 66.14616414 57.5184036 26 78708 K flow/funct image w/drug 183.439019 183.439019 200.4071282575 174.26706805 78709 K flow/funct image multiple 312.098606 312.098606 340.967727055 296.4936757 TC 78709 K flow/funct image multiple 69.915854 69.915854 76.383070495 66.4200613 26 78709 K flow/funct image multiple 382.01446 382.01446 417.35079755 362.913737 78710 Kidney imaging (3D) 184.159801 184.159801 201.1945825925 174.95181095 78710 Kidney imaging (3D) 156.049303 156.049303 170.4838635275 148.24683785 TC 78710 Kidney imaging (3D) 28.110498 28.110498 30.710719065 26.7049731 26 78725 Kidney function study 112.081601 112.081601 122.4491490925 106.47752095 78725 Kidney function study 93.341269 93.341269 101.9753363825 88.67420555 TC 78725 Kidney function study 18.740332 18.740332 20.47381271 17.8033154 26 78730 Urinary bladder retention 80.006802 80.006802 87.407431185 76.0064619 78730 Urinary bladder retention 71.717809 71.717809 78.3517063325 68.13191855 TC 78730 Urinary bladder retention 8.288993 8.288993 9.0557248525 7.87454335 26 78740 Ureteral reflux study 226.685939 226.685939 247.6543883575 215.35164205 78740 Ureteral reflux study 198.575441 198.575441 216.9436692925 188.64666895 TC 78740 Ureteral reflux study 28.110498 28.110498 30.710719065 26.7049731 26 78761 Testicular imaging w/flow 219.117728 219.117728 239.38611784 208.1618416 78761 Testicular imaging w/flow 182.718237 182.718237 199.6196739225 173.58232515 TC 78761 Testicular imaging w/flow 36.399491 36.399491 39.7664439175 34.57951645 26 78799 Genitourinary nuclear exam 0 0 0 0 TC 78799 Genitourinary nuclear exam 0 0 0 0 26 78799 Genitourinary nuclear exam 0 0 0 0 78800 Tumor imaging limited area 202.179351 202.179351 220.8809409675 192.07038345 78800 Tumor imaging limited area 167.581815 167.581815 183.0831328875 159.20272425 TC 78800 Tumor imaging limited area 34.597536 34.597536 37.79780808 32.8676592 26 78801 Tumor imaging mult areas 267.410122 267.410122 292.145558285 254.0396159 78801 Tumor imaging mult areas 227.04633 227.04633 248.048115525 215.6940135 TC 78801 Tumor imaging mult areas 40.363792 40.363792 44.09744276 38.3456024 26 78802 Tumor imaging whole body 334.803239 334.803239 365.7725386075 318.06307705 78802 Tumor imaging whole body 292.277101 292.277101 319.3127328425 277.66324595 TC 78802 Tumor imaging whole body 42.526138 42.526138 46.459805765 40.3998311 26 78803 Tumor imaging (3D) 353.543571 353.543571 386.2463513175 335.86639245 78803 Tumor imaging (3D) 300.205703 300.205703 327.9747305275 285.19541785 TC 78803 Tumor imaging (3D) 53.337868 53.337868 58.27162079 50.6709746 26 78804 Tumor imaging whole body 590.320458 590.320458 644.925100365 560.8044351 78804 Tumor imaging whole body 536.98259 536.98259 586.653479575 510.1334605 TC 78804 Tumor imaging whole body 53.337868 53.337868 58.27162079 50.6709746 26 78805 Abscess imaging ltd area 191.00723 191.00723 208.675398775 181.4568685 78805 Abscess imaging ltd area 154.247348 154.247348 168.51522769 146.5349806 TC 78805 Abscess imaging ltd area 36.759882 36.759882 40.160171085 34.9218879 26 78806 Abscess imaging whole body 345.614969 345.614969 377.5843536325 328.33422055 78806 Abscess imaging whole body 302.72844 302.72844 330.7308207 287.592018 TC 78806 Abscess imaging whole body 42.886529 42.886529 46.8535329325 40.74220255 26 78807 Nuclear localization/abscess 300.205703 300.205703 327.9747305275 285.19541785 TC 78807 Nuclear localization/abscess 53.337868 53.337868 58.27162079 50.6709746 26 78807 Nuclear localization/abscess 353.543571 353.543571 386.2463513175 335.86639245 78808 Iv inj ra drug dx study 40.363792 40.363792 44.09744276 38.3456024 78811 Pet image ltd area 0 0 0 0 TC 78811 Pet image ltd area 77.123674 77.123674 84.257613845 73.2674903 26 78811 Pet image ltd area 0 0 0 0 78812 Pet image skull-thigh 0 0 0 0 TC 78812 Pet image skull-thigh 94.782833 94.782833 103.5502450525 90.04369135 26 78812 Pet image skull-thigh 0 0 0 0 78813 Pet image full body 0 0 0 0 78813 Pet image full body 0 0 0 0 TC 78813 Pet image full body 98.026352 98.026352 107.09378956 93.1250344 26 78814 Pet image w/ct lmtd 0 0 0 0 TC 78814 Pet image w/ct lmtd 108.838082 108.838082 118.905604585 103.3961779 26 78814 Pet image w/ct lmtd 0 0 0 0 78815 Pet image w/ct skull-thigh 0 0 0 0 78815 Pet image w/ct skull-thigh 0 0 0 0 TC 78815 Pet image w/ct skull-thigh 121.812158 121.812158 133.079782615 115.7215501 26 78816 Pet image w/ct full body 0 0 0 0 TC 78816 Pet image w/ct full body 123.253722 123.253722 134.654691285 117.0910359 26 78816 Pet image w/ct full body 0 0 0 0 78999 Nuclear diagnostic exam 0 0 0 0 TC 78999 Nuclear diagnostic exam 0 0 0 0 26 78999 Nuclear diagnostic exam 0 0 0 0 79005 Nuclear rx oral admin 140.912881 140.912881 153.9473224925 133.86723695 79005 Nuclear rx oral admin 50.815131 50.815131 55.5155306175 48.27437445 TC 79005 Nuclear rx oral admin 90.09775 90.09775 98.431791875 85.5928625 26 79101 Nuclear rx iv admin 150.643438 150.643438 164.577956015 143.1112661 79101 Nuclear rx iv admin 50.45474 50.45474 55.12180345 47.932003 TC 79101 Nuclear rx iv admin 100.188698 100.188698 109.456152565 95.1792631 26 79200 Nuclear rx intracav admin 138.029753 138.029753 150.7975051525 131.12826535 79200 Nuclear rx intracav admin 52.977477 52.977477 57.8778936225 50.32860315 TC 79200 Nuclear rx intracav admin 85.052276 85.052276 92.91961153 80.7996622 26 79300 Nuclr rx interstit colloid 0 0 0 0 79300 Nuclr rx interstit colloid 0 0 0 0 TC 79300 Nuclr rx interstit colloid 68.834681 68.834681 75.2018889925 65.39294695 26 79403 Hematopoietic nuclear tx 83.971103 83.971103 91.7384300275 79.77254785 TC 79403 Hematopoietic nuclear tx 112.081601 112.081601 122.4491490925 106.47752095 26 79403 Hematopoietic nuclear tx 196.052704 196.052704 214.18757912 186.2500688 79440 Nuclear rx intra-articular 39.282619 39.282619 42.9162612575 37.31848805 TC 79440 Nuclear rx intra-articular 85.052276 85.052276 92.91961153 80.7996622 26 79440 Nuclear rx intra-articular 124.334895 124.334895 135.8358727875 118.11815025 79445 Nuclear rx intra-arterial 0 0 0 0 79445 Nuclear rx intra-arterial 0 0 0 0 TC 79445 Nuclear rx intra-arterial 117.487466 117.487466 128.355056605 111.6130927 26 79999 Nuclear medicine therapy 0 0 0 0 79999 Nuclear medicine therapy 0 0 0 0 TC 79999 Nuclear medicine therapy 0 0 0 0 26 80047 Metabolic panel ionized ca 0 0 0 0 80048 Metabolic panel total ca 0 0 0 0 80050 General health panel 0 0 0 0 80051 Electrolyte panel 0 0 0 0 80053 Comprehen metabolic panel 0 0 0 0 80055 Obstetric panel 0 0 0 0 80061 Lipid panel 0 0 0 0 80069 Renal function panel 0 0 0 0 80074 Acute hepatitis panel 0 0 0 0 80076 Hepatic function panel 0 0 0 0 80081 Obstetric panel 0 0 0 0 80150 Assay of amikacin 0 0 0 0 80155 Drug screen quant caffeine 0 0 0 0 80156 Assay carbamazepine total 0 0 0 0 80157 Assay carbamazepine free 0 0 0 0 80158 Assay of cyclosporine 0 0 0 0 80159 Drug screen quant clozapine 0 0 0 0 80162 Assay of digoxin 0 0 0 0 80163 Assay of digoxin free 0 0 0 0 80164 Assay dipropylacetic acid 0 0 0 0 80165 Dipropylacetic acid free 0 0 0 0 80168 Assay of ethosuximide 0 0 0 0 80169 Drug screen quant everolimus 0 0 0 0 80170 Assay of gentamicin 0 0 0 0 80171 Drug screen quant gabapentin 0 0 0 0 80173 Assay of haloperidol 0 0 0 0 80175 Drug screen quan lamotrigine 0 0 0 0 80176 Assay of lidocaine 0 0 0 0 80177 Drug scrn quan levetiracetam 0 0 0 0 80178 Assay of lithium 0 0 0 0 80180 Drug scrn quan mycophenolate 0 0 0 0 80183 Drug scrn quant oxcarbazepin 0 0 0 0 80184 Assay of phenobarbital 0 0 0 0 80185 Assay of phenytoin total 0 0 0 0 80186 Assay of phenytoin free 0 0 0 0 80188 Assay of primidone 0 0 0 0 80190 Assay of procainamide 0 0 0 0 80192 Assay of procainamide 0 0 0 0 80194 Assay of quinidine 0 0 0 0 80195 Assay of sirolimus 0 0 0 0 80197 Assay of tacrolimus 0 0 0 0 80198 Assay of theophylline 0 0 0 0 80199 Drug screen quant tiagabine 0 0 0 0 80200 Assay of tobramycin 0 0 0 0 80201 Assay of topiramate 0 0 0 0 80202 Assay of vancomycin 0 0 0 0 80203 Drug screen quant zonisamide 0 0 0 0 80299 Quantitative assay drug 0 0 0 0 80305 Drug test prsmv dir opt obs 0 0 0 0 80306 Drug test prsmv instrmnt 0 0 0 0 80307 Drug test prsmv chem anlyzr 0 0 0 0 80320 Drug screen quantalcohols 0 0 0 0 80321 Alcohols biomarkers 1or 2 0 0 0 0 80322 Alcohols biomarkers 3/more 0 0 0 0 80323 Alkaloids nos 0 0 0 0 80324 Drug screen amphetamines 1/2 0 0 0 0 80325 Amphetamines 3or 4 0 0 0 0 80326 Amphetamines 5 or more 0 0 0 0 80327 Anabolic steroid 1 or 2 0 0 0 0 80328 Anabolic steroid 3 or more 0 0 0 0 80329 Analgesics non-opioid 1 or 2 0 0 0 0 80330 Analgesics non-opioid 3-5 0 0 0 0 80331 Analgesics non-opioid 6/more 0 0 0 0 80332 Antidepressants class 1 or 2 0 0 0 0 80333 Antidepressants class 3-5 0 0 0 0 80334 Antidepressants class 6/more 0 0 0 0 80335 Antidepressant tricyclic 1/2 0 0 0 0 80336 Antidepressant tricyclic 3-5 0 0 0 0 80337 Tricyclic & cyclicals 6/more 0 0 0 0 80338 Antidepressant not specified 0 0 0 0 80339 Antiepileptics nos 1-3 0 0 0 0 80340 Antiepileptics nos 4-6 0 0 0 0 80341 Antiepileptics nos 7/more 0 0 0 0 80342 Antipsychotics nos 1-3 0 0 0 0 80343 Antipsychotics nos 4-6 0 0 0 0 80344 Antipsychotics nos 7/more 0 0 0 0 80345 Drug screening barbiturates 0 0 0 0 80346 Benzodiazepines1-12 0 0 0 0 80347 Benzodiazepines 13 or more 0 0 0 0 80348 Drug screening buprenorphine 0 0 0 0 80349 Cannabinoids natural 0 0 0 0 80350 Cannabinoids synthetic 1-3 0 0 0 0 80351 Cannabinoids synthetic 4-6 0 0 0 0 80352 Cannabinoid synthetic 7/more 0 0 0 0 80353 Drug screening cocaine 0 0 0 0 80354 Drug screening fentanyl 0 0 0 0 80355 Gabapentin non-blood 0 0 0 0 80356 Heroin metabolite 0 0 0 0 80357 Ketamine and norketamine 0 0 0 0 80358 Drug screening methadone 0 0 0 0 80359 Methylenedioxyamphetamines 0 0 0 0 80360 Methylphenidate 0 0 0 0 80361 Opiates 1 or more 0 0 0 0 80362 Opioids & opiate analogs 1/2 0 0 0 0 80363 Opioids & opiate analogs 3/4 0 0 0 0 80364 Opioid &opiate analog 5/more 0 0 0 0 80365 Drug screening oxycodone 0 0 0 0 80366 Drug screening pregabalin 0 0 0 0 80367 Drug screening propoxyphene 0 0 0 0 80368 Sedative hypnotics 0 0 0 0 80369 Skeletal muscle relaxant 1/2 0 0 0 0 80370 Skel musc relaxant 3 or more 0 0 0 0 80371 Stimulants synthetic 0 0 0 0 80372 Drug screening tapentadol 0 0 0 0 80373 Drug screening tramadol 0 0 0 0 80374 Stereoisomer analysis 0 0 0 0 80375 Drug/substance nos 1-3 0 0 0 0 80376 Drug/substance nos 4-6 0 0 0 0 80377 Drug/substance nos 7/more 0 0 0 0 80400 Acth stimulation panel 0 0 0 0 80402 Acth stimulation panel 0 0 0 0 80406 Acth stimulation panel 0 0 0 0 80408 Aldosterone suppression eval 0 0 0 0 80410 Calcitonin stimul panel 0 0 0 0 80412 CRH stimulation panel 0 0 0 0 80414 Testosterone response 0 0 0 0 80415 Estradiol response panel 0 0 0 0 80416 Renin stimulation panel 0 0 0 0 80417 Renin stimulation panel 0 0 0 0 80418 Pituitary evaluation panel 0 0 0 0 80420 Dexamethasone panel 0 0 0 0 80422 Glucagon tolerance panel 0 0 0 0 80424 Glucagon tolerance panel 0 0 0 0 80426 Gonadotropin hormone panel 0 0 0 0 80428 Growth hormone panel 0 0 0 0 80430 Growth hormone panel 0 0 0 0 80432 Insulin suppression panel 0 0 0 0 80434 Insulin tolerance panel 0 0 0 0 80435 Insulin tolerance panel 0 0 0 0 80436 Metyrapone panel 0 0 0 0 80438 TRH stimulation panel 0 0 0 0 80439 TRH stimulation panel 0 0 0 0 80500 Lab pathology consultation 20.181896 20.181896 22.04872138 19.1728012 80502 Lab pathology consultation 72.438591 72.438591 79.1391606675 68.81666145 81000 Urinalysis nonauto w/scope 0 0 0 0 81001 Urinalysis auto w/scope 0 0 0 0 81002 Urinalysis nonauto w/o scope 0 0 0 0 81003 Urinalysis auto w/o scope 0 0 0 0 81005 Urinalysis 0 0 0 0 81007 Urine screen for bacteria 0 0 0 0 81015 Microscopic exam of urine 0 0 0 0 81020 Urinalysis glass test 0 0 0 0 81025 Urine pregnancy test 0 0 0 0 81050 Urinalysis volume measure 0 0 0 0 81099 Urinalysis test procedure 0 0 0 0 81105 Hpa-1 genotyping 0 0 0 0 81106 Hpa-2 genotyping 0 0 0 0 81107 Hpa-3 genotyping 0 0 0 0 81108 Hpa-4 genotyping 0 0 0 0 81109 Hpa-5 genotyping 0 0 0 0 81110 Hpa-6 genotyping 0 0 0 0 81111 Hpa-9 genotyping 0 0 0 0 81112 Hpa-15 genotyping 0 0 0 0 81120 Idh1 common variants 0 0 0 0 81121 Idh2 common variants 0 0 0 0 81161 Dmd dup/delet analysis 0 0 0 0 81162 Brca1&2 seq & full dup/del 0 0 0 0 81163 0 0 0 0 81164 0 0 0 0 81165 0 0 0 0 81166 0 0 0 0 81167 0 0 0 0 81170 Abl1 gene 0 0 0 0 81171 0 0 0 0 81172 0 0 0 0 81173 0 0 0 0 81174 0 0 0 0 81175 Asxl1 full gene sequence 0 0 0 0 81176 Asxl1 gene target seq alys 0 0 0 0 81177 0 0 0 0 81178 0 0 0 0 81179 0 0 0 0 81180 0 0 0 0 81181 0 0 0 0 81182 0 0 0 0 81183 0 0 0 0 81184 0 0 0 0 81185 0 0 0 0 81186 0 0 0 0 81187 0 0 0 0 81188 0 0 0 0 81189 0 0 0 0 81190 0 0 0 0 81200 Aspa gene 0 0 0 0 81201 Apc gene full sequence 0 0 0 0 81202 Apc gene known fam variants 0 0 0 0 81203 Apc gene dup/delet variants 0 0 0 0 81204 0 0 0 0 81205 Bckdhb gene 0 0 0 0 81206 Bcr/abl1 gene major bp 0 0 0 0 81207 Bcr/abl1 gene minor bp 0 0 0 0 81208 Bcr/abl1 gene other bp 0 0 0 0 81209 Blm gene 0 0 0 0 81210 Braf gene 0 0 0 0 81212 Brca1&2 185&5385&6174 var 0 0 0 0 81215 Brca1 gene known fam variant 0 0 0 0 81216 Brca2 gene full sequence 0 0 0 0 81217 Brca2 gene known fam variant 0 0 0 0 81218 Cebpa gene full sequence 0 0 0 0 81219 Calr gene com variants 0 0 0 0 81220 Cftr gene com variants 0 0 0 0 81221 Cftr gene known fam variants 0 0 0 0 81222 Cftr gene dup/delet variants 0 0 0 0 81223 Cftr gene full sequence 0 0 0 0 81224 Cftr gene intron poly t 0 0 0 0 81225 Cyp2c19 gene com variants 0 0 0 0 81226 Cyp2d6 gene com variants 0 0 0 0 81227 Cyp2c9 gene com variants 0 0 0 0 81228 Cytogen micrarray copy nmbr 0 0 0 0 81229 Cytogen m array copy no&snp 0 0 0 0 81230 Cyp3a4 gene common variants 0 0 0 0 81231 Cyp3a5 gene common variants 0 0 0 0 81232 Dpyd gene common variants 0 0 0 0 81233 0 0 0 0 81234 0 0 0 0 81235 Egfr gene com variants 0 0 0 0 81236 0 0 0 0 81237 0 0 0 0 81238 F9 full gene sequence 0 0 0 0 81239 0 0 0 0 81240 F2 gene 0 0 0 0 81241 F5 gene 0 0 0 0 81242 Fancc gene 0 0 0 0 81243 Fmr1 gene detection 0 0 0 0 81244 Fmr1 gene characterization 0 0 0 0 81245 Flt3 gene 0 0 0 0 81246 Flt3 gene analysis 0 0 0 0 81247 G6pd gene alys cmn variant 0 0 0 0 81248 G6pd known familial variant 0 0 0 0 81249 G6pd full gene sequence 0 0 0 0 81250 G6pc gene 0 0 0 0 81251 Gba gene 0 0 0 0 81252 Gjb2 gene full sequence 0 0 0 0 81253 Gjb2 gene known fam variants 0 0 0 0 81254 Gjb6 gene com variants 0 0 0 0 81255 Hexa gene 0 0 0 0 81256 Hfe gene 0 0 0 0 81257 Hba1/hba2 gene 0 0 0 0 81258 Hba1/hba2 gene fam vrnt 0 0 0 0 81259 Hba1/hba2 full gene sequence 0 0 0 0 81260 Ikbkap gene 0 0 0 0 81261 Igh gene rearrange amp meth 0 0 0 0 81262 Igh gene rearrang dir probe 0 0 0 0 81263 Igh vari regional mutation 0 0 0 0 81264 Igk rearrangeabn clonal pop 0 0 0 0 81265 Str markers specimen anal 0 0 0 0 81266 Str markers spec anal addl 0 0 0 0 81267 Chimerism anal no cell selec 0 0 0 0 81268 Chimerism anal w/cell select 0 0 0 0 81269 Hba1/hba2 gene dup/del vrnts 0 0 0 0 81270 Jak2 gene 0 0 0 0 81271 0 0 0 0 81272 Kit gene targeted seq analys 0 0 0 0 81273 Kit gene analys d816 variant 0 0 0 0 81274 0 0 0 0 81275 Kras gene 0 0 0 0 81276 Kras gene addl variants 0 0 0 0 81283 Ifnl3 gene 0 0 0 0 81284 0 0 0 0 81285 0 0 0 0 81286 0 0 0 0 81287 Mgmt gene methylation anal 0 0 0 0 81288 Mlh1 gene 0 0 0 0 81289 0 0 0 0 81290 Mcoln1 gene 0 0 0 0 81291 Mthfr gene 0 0 0 0 81292 Mlh1 gene full seq 0 0 0 0 81293 Mlh1 gene known variants 0 0 0 0 81294 Mlh1 gene dup/delete variant 0 0 0 0 81295 Msh2 gene full seq 0 0 0 0 81296 Msh2 gene known variants 0 0 0 0 81297 Msh2 gene dup/delete variant 0 0 0 0 81298 Msh6 gene full seq 0 0 0 0 81299 Msh6 gene known variants 0 0 0 0 81300 Msh6 gene dup/delete variant 0 0 0 0 81301 Microsatellite instability 0 0 0 0 81302 Mecp2 gene full seq 0 0 0 0 81303 Mecp2 gene known variant 0 0 0 0 81304 Mecp2 gene dup/delet variant 0 0 0 0 81305 0 0 0 0 81306 0 0 0 0 81310 Npm1 gene 0 0 0 0 81311 Nras gene variants exon 2&3 0 0 0 0 81312 0 0 0 0 81313 Pca3/klk3 antigen 0 0 0 0 81314 Pdgfra gene 0 0 0 0 81315 Pml/raralpha com breakpoints 0 0 0 0 81316 Pml/raralpha 1 breakpoint 0 0 0 0 81317 Pms2 gene full seq analysis 0 0 0 0 81318 Pms2 known familial variants 0 0 0 0 81319 Pms2 gene dup/delet variants 0 0 0 0 81320 0 0 0 0 81321 Pten gene full sequence 0 0 0 0 81322 Pten gene known fam variant 0 0 0 0 81323 Pten gene dup/delet variant 0 0 0 0 81324 Pmp22 gene dup/delet 0 0 0 0 81325 Pmp22 gene full sequence 0 0 0 0 81326 Pmp22 gene known fam variant 0 0 0 0 81327 Sept9 methylation analysis 0 0 0 0 81328 Slco1b1 gene com variants 0 0 0 0 81329 0 0 0 0 81330 Smpd1 gene common variants 0 0 0 0 81331 Snrpn/ube3a gene 0 0 0 0 81332 Serpina1 gene 0 0 0 0 81333 0 0 0 0 81334 Runx1 gene targeted seq alys 0 0 0 0 81335 Tpmt gene com variants 0 0 0 0 81336 0 0 0 0 81337 0 0 0 0 81340 Trb@ gene rearrange amplify 0 0 0 0 81341 Trb@ gene rearrange dirprobe 0 0 0 0 81342 Trg gene rearrangement anal 0 0 0 0 81343 0 0 0 0 81344 0 0 0 0 81345 0 0 0 0 81346 Tyms gene com variants 0 0 0 0 81350 Ugt1a1 gene 0 0 0 0 81355 Vkorc1 gene 0 0 0 0 81361 Hbb gene com variants 0 0 0 0 81362 Hbb gene known fam variant 0 0 0 0 81363 Hbb gene dup/del variants 0 0 0 0 81364 Hbb full gene sequence 0 0 0 0 81370 Hla i & ii typing lr 0 0 0 0 81371 Hla i & ii type verify lr 0 0 0 0 81372 Hla i typing complete lr 0 0 0 0 81373 Hla i typing 1 locus lr 0 0 0 0 81374 Hla i typing 1 antigen lr 0 0 0 0 81375 Hla ii typing ag equiv lr 0 0 0 0 81376 Hla ii typing 1 locus lr 0 0 0 0 81377 Hla ii type 1 ag equiv lr 0 0 0 0 81378 Hla i & ii typing hr 0 0 0 0 81379 Hla i typing complete hr 0 0 0 0 81380 Hla i typing 1 locus hr 0 0 0 0 81381 Hla i typing 1 allele hr 0 0 0 0 81382 Hla ii typing 1 loc hr 0 0 0 0 81383 Hla ii typing 1 allele hr 0 0 0 0 81400 Mopath procedure level 1 0 0 0 0 81401 Mopath procedure level 2 0 0 0 0 81402 Mopath procedure level 3 0 0 0 0 81403 Mopath procedure level 4 0 0 0 0 81404 Mopath procedure level 5 0 0 0 0 81405 Mopath procedure level 6 0 0 0 0 81406 Mopath procedure level 7 0 0 0 0 81407 Mopath procedure level 8 0 0 0 0 81408 Mopath procedure level 9 0 0 0 0 81410 Aortic dysfunction/dilation 0 0 0 0 81411 Aortic dysfunction/dilation 0 0 0 0 81412 Ashkenazi jewish assoc dis 0 0 0 0 81413 Car ion chnnlpath inc 10 gns 0 0 0 0 81414 Car ion chnnlpath inc 2 gns 0 0 0 0 81415 Exome sequence analysis 0 0 0 0 81416 Exome sequence analysis 0 0 0 0 81417 Exome re-evaluation 0 0 0 0 81420 Fetal chrmoml aneuploidy 0 0 0 0 81422 Fetal chrmoml microdeltj 0 0 0 0 81425 Genome sequence analysis 0 0 0 0 81426 Genome sequence analysis 0 0 0 0 81427 Genome re-evaluation 0 0 0 0 81430 Hearing loss sequence analys 0 0 0 0 81431 Hearing loss dup/del analys 0 0 0 0 81432 Hrdtry brst ca-rlatd dsordrs 0 0 0 0 81433 Hrdtry brst ca-rlatd dsordrs 0 0 0 0 81434 Hereditary retinal disorders 0 0 0 0 81435 Hereditary colon ca dsordrs 0 0 0 0 81436 Hereditary colon ca dsordrs 0 0 0 0 81437 Heredtry nurondcrn tum dsrdr 0 0 0 0 81438 Heredtry nurondcrn tum dsrdr 0 0 0 0 81439 Inherited cardmypthy 5 gns 0 0 0 0 81440 Mitochondrial gene 0 0 0 0 81442 Noonan spectrum disorders 0 0 0 0 81443 0 0 0 0 81445 Targeted genomic seq analys 0 0 0 0 81448 Hrdtry perph neurphy panel 0 0 0 0 81450 Targeted genomic seq analys 0 0 0 0 81455 Targeted genomic seq analys 0 0 0 0 81460 Whole mitochondrial genome 0 0 0 0 81465 Whole mitochondrial genome 0 0 0 0 81470 X-linked intellectual dblt 0 0 0 0 81471 X-linked intellectual dblt 0 0 0 0 81479 Unlisted molecular pathology 0 0 0 0 81490 Autoimmune rheumatoid arthr 0 0 0 0 81493 Cor artery disease mrna 0 0 0 0 81500 Onco (ovar) two proteins 0 0 0 0 81503 Onco (ovar) five proteins 0 0 0 0 81504 Oncology tissue of origin 0 0 0 0 81506 Endo assay seven anal 0 0 0 0 81507 Fetal aneuploidy trisom risk 0 0 0 0 81508 Ftl cgen abnor two proteins 0 0 0 0 81509 Ftl cgen abnor 3 proteins 0 0 0 0 81510 Ftl cgen abnor three anal 0 0 0 0 81511 Ftl cgen abnor four anal 0 0 0 0 81512 Ftl cgen abnor five anal 0 0 0 0 81518 0 0 0 0 81519 Oncology breast mrna 0 0 0 0 81520 Onc breast mrna 58 genes 0 0 0 0 81521 Onc breast mrna 70 genes 0 0 0 0 81525 Oncology colon mrna 0 0 0 0 81528 Oncology colorectal scr 0 0 0 0 81535 Oncology gynecologic 0 0 0 0 81536 Oncology gynecologic 0 0 0 0 81538 Oncology lung 0 0 0 0 81539 Oncology prostate prob score 0 0 0 0 81540 Oncology tum unknown origin 0 0 0 0 81541 Onc prostate mrna 46 genes 0 0 0 0 81545 Oncology thyroid 0 0 0 0 81551 Onc prostate 3 genes 0 0 0 0 81595 Cardiology hrt trnspl mrna 0 0 0 0 81596 0 0 0 0 81599 Unlisted maaa 0 0 0 0 82009 Test for acetone/ketones 0 0 0 0 82010 Acetone assay 0 0 0 0 82013 Acetylcholinesterase assay 0 0 0 0 82016 Acylcarnitines qual 0 0 0 0 82017 Acylcarnitines quant 0 0 0 0 82024 Assay of acth 0 0 0 0 82030 Assay of adp & amp 0 0 0 0 82040 Assay of serum albumin 0 0 0 0 82042 Assay of urine albumin 0 0 0 0 82043 Microalbumin quantitative 0 0 0 0 82044 Microalbumin semiquant 0 0 0 0 82045 Albumin ischemia modified 0 0 0 0 82075 Assay of breath ethanol 0 0 0 0 82085 Assay of aldolase 0 0 0 0 82088 Assay of aldosterone 0 0 0 0 82103 Alpha-1-antitrypsin total 0 0 0 0 82104 Alpha-1-antitrypsin pheno 0 0 0 0 82105 Alpha-fetoprotein serum 0 0 0 0 82106 Alpha-fetoprotein amniotic 0 0 0 0 82107 Alpha-fetoprotein l3 0 0 0 0 82108 Assay of aluminum 0 0 0 0 82120 Amines vaginal fluid qual 0 0 0 0 82127 Amino acid single qual 0 0 0 0 82128 Amino acids mult qual 0 0 0 0 82131 Amino acids single quant 0 0 0 0 82135 Assay aminolevulinic acid 0 0 0 0 82136 Amino acids quant 2-5 0 0 0 0 82139 Amino acids quan 6 or more 0 0 0 0 82140 Assay of ammonia 0 0 0 0 82143 Amniotic fluid scan 0 0 0 0 82150 Assay of amylase 0 0 0 0 82154 Androstanediol glucuronide 0 0 0 0 82157 Assay of androstenedione 0 0 0 0 82160 Assay of androsterone 0 0 0 0 82163 Assay of angiotensin II 0 0 0 0 82164 Angiotensin I enzyme test 0 0 0 0 82172 Assay of apolipoprotein 0 0 0 0 82175 Assay of arsenic 0 0 0 0 82180 Assay of ascorbic acid 0 0 0 0 82190 Atomic absorption 0 0 0 0 82232 Assay of beta-2 protein 0 0 0 0 82239 Bile acids total 0 0 0 0 82240 Bile acids cholylglycine 0 0 0 0 82247 Bilirubin total 0 0 0 0 82248 Bilirubin direct 0 0 0 0 82252 Fecal bilirubin test 0 0 0 0 82261 Assay of biotinidase 0 0 0 0 82270 Occult blood feces 0 0 0 0 82271 Occult blood other sources 0 0 0 0 82272 Occult bld feces 1-3 tests 0 0 0 0 82274 Assay test for blood fecal 0 0 0 0 82286 Assay of bradykinin 0 0 0 0 82300 Assay of cadmium 0 0 0 0 82306 Vitamin d 25 hydroxy 0 0 0 0 82308 Assay of calcitonin 0 0 0 0 82310 Assay of calcium 0 0 0 0 82330 Assay of calcium 0 0 0 0 82331 Calcium infusion test 0 0 0 0 82340 Assay of calcium in urine 0 0 0 0 82355 Calculus analysis qual 0 0 0 0 82360 Calculus assay quant 0 0 0 0 82365 Calculus spectroscopy 0 0 0 0 82370 X-ray assay calculus 0 0 0 0 82373 Assay c-d transfer measure 0 0 0 0 82374 Assay blood carbon dioxide 0 0 0 0 82375 Assay carboxyhb quant 0 0 0 0 82376 Assay carboxyhb qual 0 0 0 0 82378 Carcinoembryonic antigen 0 0 0 0 82379 Assay of carnitine 0 0 0 0 82380 Assay of carotene 0 0 0 0 82382 Assay urine catecholamines 0 0 0 0 82383 Assay blood catecholamines 0 0 0 0 82384 Assay three catecholamines 0 0 0 0 82387 Assay of cathepsin-d 0 0 0 0 82390 Assay of ceruloplasmin 0 0 0 0 82397 Chemiluminescent assay 0 0 0 0 82415 Assay of chloramphenicol 0 0 0 0 82435 Assay of blood chloride 0 0 0 0 82436 Assay of urine chloride 0 0 0 0 82438 Assay other fluid chlorides 0 0 0 0 82441 Test for chlorohydrocarbons 0 0 0 0 82465 Assay bld/serum cholesterol 0 0 0 0 82480 Assay serum cholinesterase 0 0 0 0 82482 Assay rbc cholinesterase 0 0 0 0 82485 Assay chondroitin sulfate 0 0 0 0 82495 Assay of chromium 0 0 0 0 82507 Assay of citrate 0 0 0 0 82523 Collagen crosslinks 0 0 0 0 82525 Assay of copper 0 0 0 0 82528 Assay of corticosterone 0 0 0 0 82530 Cortisol free 0 0 0 0 82533 Total cortisol 0 0 0 0 82540 Assay of creatine 0 0 0 0 82542 Column chromotography quant 0 0 0 0 82550 Assay of ck (cpk) 0 0 0 0 82552 Assay of cpk in blood 0 0 0 0 82553 Creatine mb fraction 0 0 0 0 82554 Creatine isoforms 0 0 0 0 82565 Assay of creatinine 0 0 0 0 82570 Assay of urine creatinine 0 0 0 0 82575 Creatinine clearance test 0 0 0 0 82585 Assay of cryofibrinogen 0 0 0 0 82595 Assay of cryoglobulin 0 0 0 0 82600 Assay of cyanide 0 0 0 0 82607 Vitamin B-12 0 0 0 0 82608 B-12 binding capacity 0 0 0 0 82610 Cystatin c 0 0 0 0 82615 Test for urine cystines 0 0 0 0 82626 Dehydroepiandrosterone 0 0 0 0 82627 Dehydroepiandrosterone 0 0 0 0 82633 Desoxycorticosterone 0 0 0 0 82634 Deoxycortisol 0 0 0 0 82638 Assay of dibucaine number 0 0 0 0 82642 0 0 0 0 82652 Vit d 1 25-dihydroxy 0 0 0 0 82656 Pancreatic elastase fecal 0 0 0 0 82657 Enzyme cell activity 0 0 0 0 82658 Enzyme cell activity ra 0 0 0 0 82664 Electrophoretic test 0 0 0 0 82668 Assay of erythropoietin 0 0 0 0 82670 Assay of estradiol 0 0 0 0 82671 Assay of estrogens 0 0 0 0 82672 Assay of estrogen 0 0 0 0 82677 Assay of estriol 0 0 0 0 82679 Assay of estrone 0 0 0 0 82693 Assay of ethylene glycol 0 0 0 0 82696 Assay of etiocholanolone 0 0 0 0 82705 Fats/lipids feces qual 0 0 0 0 82710 Fats/lipids feces quant 0 0 0 0 82715 Assay of fecal fat 0 0 0 0 82725 Assay of blood fatty acids 0 0 0 0 82726 Long chain fatty acids 0 0 0 0 82728 Assay of ferritin 0 0 0 0 82731 Assay of fetal fibronectin 0 0 0 0 82735 Assay of fluoride 0 0 0 0 82746 Blood folic acid serum 0 0 0 0 82747 Assay of folic acid rbc 0 0 0 0 82757 Assay of semen fructose 0 0 0 0 82759 Assay of rbc galactokinase 0 0 0 0 82760 Assay of galactose 0 0 0 0 82775 Assay galactose transferase 0 0 0 0 82776 Galactose transferase test 0 0 0 0 82777 Galectin-3 0 0 0 0 82784 Assay iga/igd/igg/igm each 0 0 0 0 82785 Assay of ige 0 0 0 0 82787 Igg 1 2 3 or 4 each 0 0 0 0 82800 Blood pH 0 0 0 0 82803 Blood gases any combination 0 0 0 0 82805 Blood gases w/o2 saturation 0 0 0 0 82810 Blood gases o2 sat only 0 0 0 0 82820 Hemoglobin-oxygen affinity 0 0 0 0 82930 Gastric analy w/ph ea spec 0 0 0 0 82938 Gastrin test 0 0 0 0 82941 Assay of gastrin 0 0 0 0 82943 Assay of glucagon 0 0 0 0 82945 Glucose other fluid 0 0 0 0 82946 Glucagon tolerance test 0 0 0 0 82947 Assay glucose blood quant 0 0 0 0 82948 Reagent strip/blood glucose 0 0 0 0 82950 Glucose test 0 0 0 0 82951 Glucose tolerance test (GTT) 0 0 0 0 82952 GTT-added samples 0 0 0 0 82955 Assay of g6pd enzyme 0 0 0 0 82960 Test for G6PD enzyme 0 0 0 0 82962 Glucose blood test 0 0 0 0 82963 Assay of glucosidase 0 0 0 0 82965 Assay of gdh enzyme 0 0 0 0 82977 Assay of GGT 0 0 0 0 82978 Assay of glutathione 0 0 0 0 82979 Assay rbc glutathione 0 0 0 0 82985 Glycated protein 0 0 0 0 83001 Gonadotropin (FSH) 0 0 0 0 83002 Gonadotropin (LH) 0 0 0 0 83003 Assay growth hormone (hgh) 0 0 0 0 83006 Growth stimulation gene 2 0 0 0 0 83009 H pylori (c-13) blood 0 0 0 0 83010 Assay of haptoglobin quant 0 0 0 0 83012 Assay of haptoglobins 0 0 0 0 83013 H pylori (c-13) breath 0 0 0 0 83014 H pylori drug admin 0 0 0 0 83015 Heavy metal screen 0 0 0 0 83018 Quantitative screen metals 0 0 0 0 83020 Hemoglobin electrophoresis 18.740332 18.740332 20.47381271 17.8033154 26 83020 Hemoglobin electrophoresis 0 0 0 0 83021 Hemoglobin chromotography 0 0 0 0 83026 Hemoglobin copper sulfate 0 0 0 0 83030 Fetal hemoglobin chemical 0 0 0 0 83033 Fetal hemoglobin assay qual 0 0 0 0 83036 Glycosylated hemoglobin test 0 0 0 0 83037 Glycosylated hb home device 0 0 0 0 83045 Blood methemoglobin test 0 0 0 0 83050 Blood methemoglobin assay 0 0 0 0 83051 Assay of plasma hemoglobin 0 0 0 0 83060 Blood sulfhemoglobin assay 0 0 0 0 83065 Assay of hemoglobin heat 0 0 0 0 83068 Hemoglobin stability screen 0 0 0 0 83069 Assay of urine hemoglobin 0 0 0 0 83070 Assay of hemosiderin qual 0 0 0 0 83080 Assay of b hexosaminidase 0 0 0 0 83088 Assay of histamine 0 0 0 0 83090 Assay of homocystine 0 0 0 0 83150 Assay of for hva 0 0 0 0 83491 Assay of corticosteroids 0 0 0 0 83497 Assay of 5-hiaa 0 0 0 0 83498 Assay of progesterone 0 0 0 0 83500 Assay free hydroxyproline 0 0 0 0 83505 Assay total hydroxyproline 0 0 0 0 83516 Immunoassay nonantibody 0 0 0 0 83518 Immunoassay dipstick 0 0 0 0 83519 Ria nonantibody 0 0 0 0 83520 Immunoassay quant nos nonab 0 0 0 0 83525 Assay of insulin 0 0 0 0 83527 Assay of insulin 0 0 0 0 83528 Assay of intrinsic factor 0 0 0 0 83540 Assay of iron 0 0 0 0 83550 Iron binding test 0 0 0 0 83570 Assay of idh enzyme 0 0 0 0 83582 Assay of ketogenic steroids 0 0 0 0 83586 Assay 17- ketosteroids 0 0 0 0 83593 Fractionation ketosteroids 0 0 0 0 83605 Assay of lactic acid 0 0 0 0 83615 Lactate (LD) (LDH) enzyme 0 0 0 0 83625 Assay of ldh enzymes 0 0 0 0 83630 Lactoferrin fecal (qual) 0 0 0 0 83631 Lactoferrin fecal (quant) 0 0 0 0 83632 Placental lactogen 0 0 0 0 83633 Test urine for lactose 0 0 0 0 83655 Assay of lead 0 0 0 0 83661 L/s ratio fetal lung 0 0 0 0 83662 Foam stability fetal lung 0 0 0 0 83663 Fluoro polarize fetal lung 0 0 0 0 83664 Lamellar bdy fetal lung 0 0 0 0 83670 Assay of lap enzyme 0 0 0 0 83690 Assay of lipase 0 0 0 0 83695 Assay of lipoprotein(a) 0 0 0 0 83698 Assay lipoprotein pla2 0 0 0 0 83700 Lipopro bld electrophoretic 0 0 0 0 83701 Lipoprotein bld hr fraction 0 0 0 0 83704 Lipoprotein bld by nmr 0 0 0 0 83718 Assay of lipoprotein 0 0 0 0 83719 Assay of blood lipoprotein 0 0 0 0 83721 Assay of blood lipoprotein 0 0 0 0 83722 0 0 0 0 83727 Assay of lrh hormone 0 0 0 0 83735 Assay of magnesium 0 0 0 0 83775 Assay of md enzyme 0 0 0 0 83785 Assay of manganese 0 0 0 0 83789 Mass spectrometry quant 0 0 0 0 83825 Assay of mercury 0 0 0 0 83835 Assay of metanephrines 0 0 0 0 83857 Assay of methemalbumin 0 0 0 0 83861 Microfluid analy tears 0 0 0 0 83864 Mucopolysaccharides 0 0 0 0 83872 Assay synovial fluid mucin 0 0 0 0 83873 Assay of csf protein 0 0 0 0 83874 Assay of myoglobin 0 0 0 0 83876 Assay myeloperoxidase 0 0 0 0 83880 Natriuretic peptide 0 0 0 0 83883 Assay nephelometry not spec 0 0 0 0 83885 Assay of nickel 0 0 0 0 83915 Assay of nucleotidase 0 0 0 0 83916 Oligoclonal bands 0 0 0 0 83918 Organic acids total quant 0 0 0 0 83919 Organic acids qual each 0 0 0 0 83921 Organic acid single quant 0 0 0 0 83930 Assay of blood osmolality 0 0 0 0 83935 Assay of urine osmolality 0 0 0 0 83937 Assay of osteocalcin 0 0 0 0 83945 Assay of oxalate 0 0 0 0 83950 Oncoprotein her-2/neu 0 0 0 0 83951 Oncoprotein dcp 0 0 0 0 83970 Assay of parathormone 0 0 0 0 83986 Assay ph body fluid nos 0 0 0 0 83987 Exhaled breath condensate 0 0 0 0 83992 Assay for phencyclidine 0 0 0 0 83993 Assay for calprotectin fecal 0 0 0 0 84030 Assay of blood pku 0 0 0 0 84035 Assay of phenylketones 0 0 0 0 84060 Assay acid phosphatase 0 0 0 0 84066 Assay prostate phosphatase 0 0 0 0 84075 Assay alkaline phosphatase 0 0 0 0 84078 Assay alkaline phosphatase 0 0 0 0 84080 Assay alkaline phosphatases 0 0 0 0 84081 Amniotic fluid enzyme test 0 0 0 0 84085 Assay of rbc pg6d enzyme 0 0 0 0 84087 Assay phosphohexose enzymes 0 0 0 0 84100 Assay of phosphorus 0 0 0 0 84105 Assay of urine phosphorus 0 0 0 0 84106 Test for porphobilinogen 0 0 0 0 84110 Assay of porphobilinogen 0 0 0 0 84112 Placenta alpha micro ig c/v 0 0 0 0 84119 Test urine for porphyrins 0 0 0 0 84120 Assay of urine porphyrins 0 0 0 0 84126 Assay of feces porphyrins 0 0 0 0 84132 Assay of serum potassium 0 0 0 0 84133 Assay of urine potassium 0 0 0 0 84134 Assay of prealbumin 0 0 0 0 84135 Assay of pregnanediol 0 0 0 0 84138 Assay of pregnanetriol 0 0 0 0 84140 Assay of pregnenolone 0 0 0 0 84143 Assay of 17-hydroxypregneno 0 0 0 0 84144 Assay of progesterone 0 0 0 0 84145 Procalcitonin (pct) 0 0 0 0 84146 Assay of prolactin 0 0 0 0 84150 Assay of prostaglandin 0 0 0 0 84152 Assay of psa complexed 0 0 0 0 84153 Assay of psa total 0 0 0 0 84154 Assay of psa free 0 0 0 0 84155 Assay of protein serum 0 0 0 0 84156 Assay of protein urine 0 0 0 0 84157 Assay of protein other 0 0 0 0 84160 Assay of protein any source 0 0 0 0 84163 Pappa serum 0 0 0 0 84165 Protein e-phoresis serum 18.740332 18.740332 20.47381271 17.8033154 26 84165 Protein e-phoresis serum 0 0 0 0 84166 Protein e-phoresis/urine/csf 0 0 0 0 84166 Protein e-phoresis/urine/csf 18.740332 18.740332 20.47381271 17.8033154 26 84181 Western blot test 0 0 0 0 84181 Western blot test 18.740332 18.740332 20.47381271 17.8033154 26 84182 Protein western blot test 0 0 0 0 84182 Protein western blot test 18.740332 18.740332 20.47381271 17.8033154 26 84202 Assay RBC protoporphyrin 0 0 0 0 84203 Test RBC protoporphyrin 0 0 0 0 84206 Assay of proinsulin 0 0 0 0 84207 Assay of vitamin b-6 0 0 0 0 84210 Assay of pyruvate 0 0 0 0 84220 Assay of pyruvate kinase 0 0 0 0 84228 Assay of quinine 0 0 0 0 84233 Assay of estrogen 0 0 0 0 84234 Assay of progesterone 0 0 0 0 84235 Assay of endocrine hormone 0 0 0 0 84238 Assay nonendocrine receptor 0 0 0 0 84244 Assay of renin 0 0 0 0 84252 Assay of vitamin b-2 0 0 0 0 84255 Assay of selenium 0 0 0 0 84260 Assay of serotonin 0 0 0 0 84270 Assay of sex hormone globul 0 0 0 0 84275 Assay of sialic acid 0 0 0 0 84285 Assay of silica 0 0 0 0 84295 Assay of serum sodium 0 0 0 0 84300 Assay of urine sodium 0 0 0 0 84302 Assay of sweat sodium 0 0 0 0 84305 Assay of somatomedin 0 0 0 0 84307 Assay of somatostatin 0 0 0 0 84311 Spectrophotometry 0 0 0 0 84315 Body fluid specific gravity 0 0 0 0 84375 Chromatogram assay sugars 0 0 0 0 84376 Sugars single qual 0 0 0 0 84377 Sugars multiple qual 0 0 0 0 84378 Sugars single quant 0 0 0 0 84379 Sugars multiple quant 0 0 0 0 84392 Assay of urine sulfate 0 0 0 0 84402 Assay of testosterone 0 0 0 0 84403 Assay of total testosterone 0 0 0 0 84410 Testosterone bioavailable 0 0 0 0 84425 Assay of vitamin b-1 0 0 0 0 84430 Assay of thiocyanate 0 0 0 0 84431 Thromboxane urine 0 0 0 0 84432 Assay of thyroglobulin 0 0 0 0 84436 Assay of total thyroxine 0 0 0 0 84437 Assay of neonatal thyroxine 0 0 0 0 84439 Assay of free thyroxine 0 0 0 0 84442 Assay of thyroid activity 0 0 0 0 84443 Assay thyroid stim hormone 0 0 0 0 84445 Assay of tsi 0 0 0 0 84446 Assay of vitamin e 0 0 0 0 84449 Assay of transcortin 0 0 0 0 84450 Transferase (AST) (SGOT) 0 0 0 0 84460 Alanine amino (ALT) (SGPT) 0 0 0 0 84466 Assay of transferrin 0 0 0 0 84478 Assay of triglycerides 0 0 0 0 84479 Assay of thyroid (t3 or t4) 0 0 0 0 84480 Assay triiodothyronine (t3) 0 0 0 0 84481 Free assay (FT-3) 0 0 0 0 84482 T3 reverse 0 0 0 0 84484 Assay of troponin quant 0 0 0 0 84485 Assay duodenal fluid trypsin 0 0 0 0 84488 Test feces for trypsin 0 0 0 0 84490 Assay of feces for trypsin 0 0 0 0 84510 Assay of tyrosine 0 0 0 0 84512 Assay of troponin qual 0 0 0 0 84520 Assay of urea nitrogen 0 0 0 0 84525 Urea nitrogen semi-quant 0 0 0 0 84540 Assay of urine/urea-n 0 0 0 0 84545 Urea-N clearance test 0 0 0 0 84550 Assay of blood/uric acid 0 0 0 0 84560 Assay of urine/uric acid 0 0 0 0 84577 Assay of feces/urobilinogen 0 0 0 0 84578 Test urine urobilinogen 0 0 0 0 84580 Assay of urine urobilinogen 0 0 0 0 84583 Assay of urine urobilinogen 0 0 0 0 84585 Assay of urine vma 0 0 0 0 84586 Assay of vip 0 0 0 0 84588 Assay of vasopressin 0 0 0 0 84590 Assay of vitamin a 0 0 0 0 84591 Assay of nos vitamin 0 0 0 0 84597 Assay of vitamin k 0 0 0 0 84600 Assay of volatiles 0 0 0 0 84620 Xylose tolerance test 0 0 0 0 84630 Assay of zinc 0 0 0 0 84681 Assay of c-peptide 0 0 0 0 84702 Chorionic gonadotropin test 0 0 0 0 84703 Chorionic gonadotropin assay 0 0 0 0 84704 Hcg free betachain test 0 0 0 0 84830 Ovulation tests 0 0 0 0 84999 Clinical chemistry test 0 0 0 0 85002 Bleeding time test 0 0 0 0 85004 Automated diff wbc count 0 0 0 0 85007 Bl smear w/diff wbc count 0 0 0 0 85008 Bl smear w/o diff wbc count 0 0 0 0 85009 Manual diff wbc count b-coat 0 0 0 0 85013 Spun microhematocrit 0 0 0 0 85014 Hematocrit 0 0 0 0 85018 Hemoglobin 0 0 0 0 85025 Complete cbc w/auto diff wbc 0 0 0 0 85027 Complete cbc automated 0 0 0 0 85032 Manual cell count each 0 0 0 0 85041 Automated rbc count 0 0 0 0 85044 Manual reticulocyte count 0 0 0 0 85045 Automated reticulocyte count 0 0 0 0 85046 Reticyte/hgb concentrate 0 0 0 0 85048 Automated leukocyte count 0 0 0 0 85049 Automated platelet count 0 0 0 0 85055 Reticulated platelet assay 0 0 0 0 85060 Blood smear interpretation 25.22737 25.22737 27.560901725 23.9660015 85097 Bone marrow interpretation 51.175522 51.175522 55.909257785 48.6167459 85130 Chromogenic substrate assay 0 0 0 0 85170 Blood clot retraction 0 0 0 0 85175 Blood clot lysis time 0 0 0 0 85210 Blood clot factor II test 0 0 0 0 85220 Blood clot factor V test 0 0 0 0 85230 Blood clot factor VII test 0 0 0 0 85240 Blood clot factor VIII test 0 0 0 0 85244 Blood clot factor VIII test 0 0 0 0 85245 Blood clot factor VIII test 0 0 0 0 85246 Blood clot factor VIII test 0 0 0 0 85247 Blood clot factor VIII test 0 0 0 0 85250 Blood clot factor IX test 0 0 0 0 85260 Blood clot factor X test 0 0 0 0 85270 Blood clot factor XI test 0 0 0 0 85280 Blood clot factor XII test 0 0 0 0 85290 Blood clot factor XIII test 0 0 0 0 85291 Blood clot factor XIII test 0 0 0 0 85292 Blood clot factor assay 0 0 0 0 85293 Blood clot factor assay 0 0 0 0 85300 Antithrombin III test 0 0 0 0 85301 Antithrombin III test 0 0 0 0 85302 Blood clot inhibitor antigen 0 0 0 0 85303 Blood clot inhibitor test 0 0 0 0 85305 Blood clot inhibitor assay 0 0 0 0 85306 Blood clot inhibitor test 0 0 0 0 85307 Assay activated protein c 0 0 0 0 85335 Factor inhibitor test 0 0 0 0 85337 Thrombomodulin 0 0 0 0 85345 Coagulation time 0 0 0 0 85347 Coagulation time 0 0 0 0 85348 Coagulation time 0 0 0 0 85360 Euglobulin lysis 0 0 0 0 85362 Fibrin degradation products 0 0 0 0 85366 Fibrinogen test 0 0 0 0 85370 Fibrinogen test 0 0 0 0 85378 Fibrin degrade semiquant 0 0 0 0 85379 Fibrin degradation quant 0 0 0 0 85380 Fibrin degradation vte 0 0 0 0 85384 Fibrinogen 0 0 0 0 85385 Fibrinogen 0 0 0 0 85390 Fibrinolysins screen 38.201446 38.201446 41.735079755 36.2913737 26 85390 Fibrinolysins screen 0 0 0 0 85396 Clotting assay whole blood 20.902678 20.902678 22.836175715 19.8575441 85397 Clotting funct activity 0 0 0 0 85400 Fibrinolytic plasmin 0 0 0 0 85410 Fibrinolytic antiplasmin 0 0 0 0 85415 Fibrinolytic plasminogen 0 0 0 0 85420 Fibrinolytic plasminogen 0 0 0 0 85421 Fibrinolytic plasminogen 0 0 0 0 85441 Heinz bodies direct 0 0 0 0 85445 Heinz bodies induced 0 0 0 0 85460 Hemoglobin fetal 0 0 0 0 85461 Hemoglobin fetal 0 0 0 0 85475 Hemolysin 0 0 0 0 85520 Heparin assay 0 0 0 0 85525 Heparin neutralization 0 0 0 0 85530 Heparin-protamine tolerance 0 0 0 0 85536 Iron stain peripheral blood 0 0 0 0 85540 Wbc alkaline phosphatase 0 0 0 0 85547 RBC mechanical fragility 0 0 0 0 85549 Muramidase 0 0 0 0 85555 RBC osmotic fragility 0 0 0 0 85557 RBC osmotic fragility 0 0 0 0 85576 Blood platelet aggregation 18.740332 18.740332 20.47381271 17.8033154 26 85576 Blood platelet aggregation 0 0 0 0 85597 Phospholipid pltlt neutraliz 0 0 0 0 85598 Hexagnal phosph pltlt neutrl 0 0 0 0 85610 Prothrombin time 0 0 0 0 85611 Prothrombin test 0 0 0 0 85612 Viper venom prothrombin time 0 0 0 0 85613 Russell viper venom diluted 0 0 0 0 85635 Reptilase test 0 0 0 0 85651 Rbc sed rate nonautomated 0 0 0 0 85652 Rbc sed rate automated 0 0 0 0 85660 RBC sickle cell test 0 0 0 0 85670 Thrombin time plasma 0 0 0 0 85675 Thrombin time titer 0 0 0 0 85705 Thromboplastin inhibition 0 0 0 0 85730 Thromboplastin time partial 0 0 0 0 85732 Thromboplastin time partial 0 0 0 0 85810 Blood viscosity examination 0 0 0 0 85999 Hematology procedure 0 0 0 0 86000 Agglutinins febrile 0 0 0 0 86001 Allergen specific igg 0 0 0 0 86003 Allergen specific IgE 0 0 0 0 86005 Allergen specific IgE 0 0 0 0 86008 Allg spec ige recomb ea 0 0 0 0 86021 WBC antibody identification 0 0 0 0 86022 Platelet antibodies 0 0 0 0 86023 Immunoglobulin assay 0 0 0 0 86038 Antinuclear antibodies 0 0 0 0 86039 Antinuclear antibodies (ANA) 0 0 0 0 86060 Antistreptolysin o titer 0 0 0 0 86063 Antistreptolysin o screen 0 0 0 0 86077 Physician blood bank service 52.617086 52.617086 57.484166455 49.9862317 86078 Physician blood bank service 52.617086 52.617086 57.484166455 49.9862317 86079 Physician blood bank service 52.617086 52.617086 57.484166455 49.9862317 86140 C-reactive protein 0 0 0 0 86141 C-reactive protein hs 0 0 0 0 86146 Glycoprotein antibody 0 0 0 0 86147 Cardiolipin antibody 0 0 0 0 86148 Phospholipid antibody 0 0 0 0 86152 Cell enumeration & id 0 0 0 0 86153 Cell enumeration phys interp 35.318318 35.318318 38.585262415 33.5524021 26 86155 Chemotaxis assay 0 0 0 0 86156 Cold agglutinin screen 0 0 0 0 86157 Cold agglutinin titer 0 0 0 0 86160 Complement antigen 0 0 0 0 86161 Complement/function activity 0 0 0 0 86162 Complement total (ch50) 0 0 0 0 86171 Complement fixation each 0 0 0 0 86200 Ccp antibody 0 0 0 0 86215 Deoxyribonuclease antibody 0 0 0 0 86225 DNA antibody 0 0 0 0 86226 Dna antibody single strand 0 0 0 0 86235 Nuclear antigen antibody 0 0 0 0 86255 Fluorescent antibody screen 0 0 0 0 86255 Fluorescent antibody screen 18.740332 18.740332 20.47381271 17.8033154 26 86256 Fluorescent antibody titer 18.740332 18.740332 20.47381271 17.8033154 26 86256 Fluorescent antibody titer 0 0 0 0 86277 Growth hormone antibody 0 0 0 0 86280 Hemagglutination inhibition 0 0 0 0 86294 Immunoassay tumor qual 0 0 0 0 86300 Immunoassay tumor ca 15-3 0 0 0 0 86301 Immunoassay tumor ca 19-9 0 0 0 0 86304 Immunoassay tumor ca 125 0 0 0 0 86305 Human epididymis protein 4 0 0 0 0 86308 Heterophile antibodies 0 0 0 0 86309 Heterophile antibodies 0 0 0 0 86310 Heterophile antibodies 0 0 0 0 86316 Immunoassay tumor other 0 0 0 0 86317 Immunoassay infectious agent 0 0 0 0 86318 Immunoassay infectious agent 0 0 0 0 86320 Serum immunoelectrophoresis 0 0 0 0 86320 Serum immunoelectrophoresis 18.740332 18.740332 20.47381271 17.8033154 26 86325 Other immunoelectrophoresis 0 0 0 0 86325 Other immunoelectrophoresis 18.740332 18.740332 20.47381271 17.8033154 26 86327 Immunoelectrophoresis assay 0 0 0 0 86327 Immunoelectrophoresis assay 23.065024 23.065024 25.19853872 21.9117728 26 86329 Immunodiffusion 0 0 0 0 86331 Immunodiffusion ouchterlony 0 0 0 0 86332 Immune complex assay 0 0 0 0 86334 Immunofix e-phoresis serum 18.740332 18.740332 20.47381271 17.8033154 26 86334 Immunofix e-phoresis serum 0 0 0 0 86335 Immunfix e-phorsis/urine/csf 18.740332 18.740332 20.47381271 17.8033154 26 86335 Immunfix e-phorsis/urine/csf 0 0 0 0 86336 Inhibin A 0 0 0 0 86337 Insulin antibodies 0 0 0 0 86340 Intrinsic factor antibody 0 0 0 0 86341 Islet cell antibody 0 0 0 0 86343 Leukocyte histamine release 0 0 0 0 86344 Leukocyte phagocytosis 0 0 0 0 86352 Cell function assay w/stim 0 0 0 0 86353 Lymphocyte transformation 0 0 0 0 86355 B cells total count 0 0 0 0 86356 Mononuclear cell antigen 0 0 0 0 86357 Nk cells total count 0 0 0 0 86359 T cells total count 0 0 0 0 86360 T cell absolute count/ratio 0 0 0 0 86361 T cell absolute count 0 0 0 0 86367 Stem cells total count 0 0 0 0 86376 Microsomal antibody 0 0 0 0 86382 Neutralization test viral 0 0 0 0 86384 Nitroblue tetrazolium dye 0 0 0 0 86386 Nuclear matrix protein 22 0 0 0 0 86403 Particle agglutination test 0 0 0 0 86406 Particle agglutination test 0 0 0 0 86430 Rheumatoid factor test 0 0 0 0 86431 Rheumatoid factor quant 0 0 0 0 86480 Tb test cell immun measure 0 0 0 0 86481 Tb ag response t-cell susp 0 0 0 0 86485 Skin test candida 0 0 0 0 86486 Skin test nos antigen 5.405865 5.405865 5.9059075125 5.13557175 86490 Coccidioidomycosis skin test 89.737359 89.737359 98.0380647075 85.25049105 86510 Histoplasmosis skin test 6.847429 6.847429 7.4808161825 6.50505755 86580 TB intradermal test 8.649384 8.649384 9.44945202 8.2169148 86590 Streptokinase antibody 0 0 0 0 86592 Syphilis test non-trep qual 0 0 0 0 86593 Syphilis test non-trep quant 0 0 0 0 86602 Antinomyces antibody 0 0 0 0 86603 Adenovirus antibody 0 0 0 0 86606 Aspergillus antibody 0 0 0 0 86609 Bacterium antibody 0 0 0 0 86611 Bartonella antibody 0 0 0 0 86612 Blastomyces antibody 0 0 0 0 86615 Bordetella antibody 0 0 0 0 86617 Lyme disease antibody 0 0 0 0 86618 Lyme disease antibody 0 0 0 0 86619 Borrelia antibody 0 0 0 0 86622 Brucella antibody 0 0 0 0 86625 Campylobacter antibody 0 0 0 0 86628 Candida antibody 0 0 0 0 86631 Chlamydia antibody 0 0 0 0 86632 Chlamydia igm antibody 0 0 0 0 86635 Coccidioides antibody 0 0 0 0 86638 Q fever antibody 0 0 0 0 86641 Cryptococcus antibody 0 0 0 0 86644 CMV antibody 0 0 0 0 86645 Cmv antibody igm 0 0 0 0 86648 Diphtheria antibody 0 0 0 0 86651 Encephalitis antibody 0 0 0 0 86652 Encephalitis antibody 0 0 0 0 86653 Encephalitis antibody 0 0 0 0 86654 Encephalitis antibody 0 0 0 0 86658 Enterovirus antibody 0 0 0 0 86663 Epstein-barr antibody 0 0 0 0 86664 Epstein-barr antibody 0 0 0 0 86665 Epstein-barr antibody 0 0 0 0 86666 Ehrlichia antibody 0 0 0 0 86668 Francisella tularensis 0 0 0 0 86671 Fungus antibody 0 0 0 0 86674 Giardia lamblia antibody 0 0 0 0 86677 Helicobacter pylori 0 0 0 0 86682 Helminth antibody 0 0 0 0 86684 Hemophilus influenza 0 0 0 0 86687 Htlv-i antibody 0 0 0 0 86688 Htlv-ii antibody 0 0 0 0 86689 HTLV/HIV confirmatory test 0 0 0 0 86692 Hepatitis delta agent 0 0 0 0 86694 Herpes simplex test 0 0 0 0 86695 Herpes simplex test 0 0 0 0 86696 Herpes simplex type 2 0 0 0 0 86698 Histoplasma 0 0 0 0 86701 HIV-1 0 0 0 0 86702 HIV-2 0 0 0 0 86703 Hiv-1/hiv-2 single result 0 0 0 0 86704 Hep b core antibody total 0 0 0 0 86705 Hep b core antibody igm 0 0 0 0 86706 Hep b surface antibody 0 0 0 0 86707 Hep be antibody 0 0 0 0 86708 Hep a antibody total 0 0 0 0 86709 Hep a antibody igm 0 0 0 0 86710 Influenza virus antibody 0 0 0 0 86711 John cunningham antibody 0 0 0 0 86713 Legionella antibody 0 0 0 0 86717 Leishmania antibody 0 0 0 0 86720 Leptospira antibody 0 0 0 0 86723 Listeria monocytogenes ab 0 0 0 0 86727 Lymph choriomeningitis ab 0 0 0 0 86732 Mucormycosis antibody 0 0 0 0 86735 Mumps antibody 0 0 0 0 86738 Mycoplasma antibody 0 0 0 0 86741 Neisseria meningitidis 0 0 0 0 86744 Nocardia antibody 0 0 0 0 86747 Parvovirus antibody 0 0 0 0 86750 Malaria antibody 0 0 0 0 86753 Protozoa antibody nos 0 0 0 0 86756 Respiratory virus antibody 0 0 0 0 86757 Rickettsia antibody 0 0 0 0 86759 Rotavirus antibody 0 0 0 0 86762 Rubella antibody 0 0 0 0 86765 Rubeola antibody 0 0 0 0 86768 Salmonella antibody 0 0 0 0 86771 Shigella antibody 0 0 0 0 86774 Tetanus antibody 0 0 0 0 86777 Toxoplasma antibody 0 0 0 0 86778 Toxoplasma antibody igm 0 0 0 0 86780 Treponema pallidum 0 0 0 0 86784 Trichinella antibody 0 0 0 0 86787 Varicella-zoster antibody 0 0 0 0 86788 West nile virus ab igm 0 0 0 0 86789 West nile virus antibody 0 0 0 0 86790 Virus antibody nos 0 0 0 0 86793 Yersinia antibody 0 0 0 0 86794 Zika virus igm antibody 0 0 0 0 86800 Thyroglobulin antibody 0 0 0 0 86803 Hepatitis c ab test 0 0 0 0 86804 Hep c ab test confirm 0 0 0 0 86805 Lymphocytotoxicity assay 0 0 0 0 86806 Lymphocytotoxicity assay 0 0 0 0 86807 Cytotoxic antibody screening 0 0 0 0 86808 Cytotoxic antibody screening 0 0 0 0 86812 Hla typing a b or c 0 0 0 0 86813 Hla typing a b or c 0 0 0 0 86816 Hla typing dr/dq 0 0 0 0 86817 Hla typing dr/dq 0 0 0 0 86821 Lymphocyte culture mixed 0 0 0 0 86825 Hla x-math non-cytotoxic 0 0 0 0 86826 Hla x-match noncytotoxc addl 0 0 0 0 86828 Hla class i&ii antibody qual 0 0 0 0 86829 Hla class i/ii antibody qual 0 0 0 0 86830 Hla class i phenotype qual 0 0 0 0 86831 Hla class ii phenotype qual 0 0 0 0 86832 Hla class i high defin qual 0 0 0 0 86833 Hla class ii high defin qual 0 0 0 0 86834 Hla class i semiquant panel 0 0 0 0 86835 Hla class ii semiquant panel 0 0 0 0 86849 Immunology procedure 0 0 0 0 86850 RBC antibody screen 0 0 0 0 86860 RBC antibody elution 0 0 0 0 86870 RBC antibody identification 0 0 0 0 86880 Coombs test direct 0 0 0 0 86885 Coombs test indirect qual 0 0 0 0 86886 Coombs test indirect titer 0 0 0 0 86890 Autologous blood process 0 0 0 0 86891 Autologous blood op salvage 0 0 0 0 86900 Blood typing abo 0 0 0 0 86901 Blood typing rh (d) 0 0 0 0 86902 Blood type antigen donor ea 0 0 0 0 86904 Blood typing patient serum 0 0 0 0 86905 Blood typing rbc antigens 0 0 0 0 86906 Blood typing rh phenotype 0 0 0 0 86910 Blood typing paternity test 0 0 0 0 86911 Blood typing antigen system 0 0 0 0 86920 Compatibility test spin 0 0 0 0 86921 Compatibility test incubate 0 0 0 0 86922 Compatibility test antiglob 0 0 0 0 86923 Compatibility test electric 0 0 0 0 86927 Plasma fresh frozen 0 0 0 0 86930 Frozen blood prep 0 0 0 0 86931 Frozen blood thaw 0 0 0 0 86932 Frozen blood freeze/thaw 0 0 0 0 86940 Hemolysins/agglutinins auto 0 0 0 0 86941 Hemolysins/agglutinins 0 0 0 0 86945 Blood product/irradiation 0 0 0 0 86950 Leukacyte transfusion 0 0 0 0 86960 Vol reduction of blood/prod 0 0 0 0 86965 Pooling blood platelets 0 0 0 0 86970 RBC pretreatment 0 0 0 0 86971 RBC pretreatment 0 0 0 0 86972 RBC pretreatment 0 0 0 0 86975 Rbc pretreatment serum 0 0 0 0 86976 Rbc pretreatment serum 0 0 0 0 86977 Rbc pretreatment serum 0 0 0 0 86978 Rbc pretreatment serum 0 0 0 0 86985 Split blood or products 0 0 0 0 86999 Transfusion procedure 0 0 0 0 87003 Small animal inoculation 0 0 0 0 87015 Specimen concentration 0 0 0 0 87040 Blood culture for bacteria 0 0 0 0 87045 Feces culture bacteria 0 0 0 0 87046 Stool cultr bacteria each 0 0 0 0 87070 Culture bacteria other 0 0 0 0 87071 Culture bacteri aerobic othr 0 0 0 0 87073 Culture bacteria anaerobic 0 0 0 0 87075 Cultr bacteria except blood 0 0 0 0 87076 Culture anaerobe ident each 0 0 0 0 87077 Culture aerobic identify 0 0 0 0 87081 Culture screen only 0 0 0 0 87084 Culture of specimen by kit 0 0 0 0 87086 Urine culture/colony count 0 0 0 0 87088 Urine bacteria culture 0 0 0 0 87101 Skin fungi culture 0 0 0 0 87102 Fungus isolation culture 0 0 0 0 87103 Blood fungus culture 0 0 0 0 87106 Fungi identification yeast 0 0 0 0 87107 Fungi identification mold 0 0 0 0 87109 Mycoplasma 0 0 0 0 87110 Chlamydia culture 0 0 0 0 87116 Mycobacteria culture 0 0 0 0 87118 Mycobacteric identification 0 0 0 0 87140 Culture type immunofluoresc 0 0 0 0 87143 Culture typing glc/hplc 0 0 0 0 87147 Culture type immunologic 0 0 0 0 87149 Dna/rna direct probe 0 0 0 0 87150 Dna/rna amplified probe 0 0 0 0 87152 Culture type pulse field gel 0 0 0 0 87153 Dna/rna sequencing 0 0 0 0 87158 Culture typing added method 0 0 0 0 87164 Dark field examination 0 0 0 0 87164 Dark field examination 20.542287 20.542287 22.4424485475 19.51517265 26 87166 Dark field examination 0 0 0 0 87168 Macroscopic exam arthropod 0 0 0 0 87169 Macroscopic exam parasite 0 0 0 0 87172 Pinworm exam 0 0 0 0 87176 Tissue homogenization cultr 0 0 0 0 87177 Ova and parasites smears 0 0 0 0 87181 Microbe susceptible diffuse 0 0 0 0 87184 Microbe susceptible disk 0 0 0 0 87185 Microbe susceptible enzyme 0 0 0 0 87186 Microbe susceptible mic 0 0 0 0 87187 Microbe susceptible mlc 0 0 0 0 87188 Microbe suscept macrobroth 0 0 0 0 87190 Microbe suscept mycobacteri 0 0 0 0 87197 Bactericidal level serum 0 0 0 0 87205 Smear gram stain 0 0 0 0 87206 Smear fluorescent/acid stai 0 0 0 0 87207 Smear special stain 0 0 0 0 87207 Smear special stain 18.740332 18.740332 20.47381271 17.8033154 26 87209 Smear complex stain 0 0 0 0 87210 Smear wet mount saline/ink 0 0 0 0 87220 Tissue exam for fungi 0 0 0 0 87230 Assay toxin or antitoxin 0 0 0 0 87250 Virus inoculate eggs/animal 0 0 0 0 87252 Virus inoculation tissue 0 0 0 0 87253 Virus inoculate tissue addl 0 0 0 0 87254 Virus inoculation shell via 0 0 0 0 87255 Genet virus isolate hsv 0 0 0 0 87260 Adenovirus ag if 0 0 0 0 87265 Pertussis ag if 0 0 0 0 87267 Enterovirus antibody dfa 0 0 0 0 87269 Giardia ag if 0 0 0 0 87270 Chlamydia trachomatis ag if 0 0 0 0 87271 Cytomegalovirus dfa 0 0 0 0 87272 Cryptosporidium ag if 0 0 0 0 87273 Herpes simplex 2 ag if 0 0 0 0 87274 Herpes simplex 1 ag if 0 0 0 0 87275 Influenza b ag if 0 0 0 0 87276 Influenza a ag if 0 0 0 0 87278 Legion pneumophilia ag if 0 0 0 0 87279 Parainfluenza ag if 0 0 0 0 87280 Respiratory syncytial ag if 0 0 0 0 87281 Pneumocystis carinii ag if 0 0 0 0 87283 Rubeola ag if 0 0 0 0 87285 Treponema pallidum ag if 0 0 0 0 87290 Varicella zoster ag if 0 0 0 0 87299 Antibody detection nos if 0 0 0 0 87300 Ag detection polyval if 0 0 0 0 87301 Adenovirus ag eia 0 0 0 0 87305 Aspergillus ag eia 0 0 0 0 87320 Chylmd trach ag eia 0 0 0 0 87324 Clostridium ag eia 0 0 0 0 87327 Cryptococcus neoform ag eia 0 0 0 0 87328 Cryptosporidium ag eia 0 0 0 0 87329 Giardia ag eia 0 0 0 0 87332 Cytomegalovirus ag eia 0 0 0 0 87335 E coli 0157 ag eia 0 0 0 0 87336 Entamoeb hist dispr ag eia 0 0 0 0 87337 Entamoeb hist group ag eia 0 0 0 0 87338 Hpylori stool eia 0 0 0 0 87339 H pylori ag eia 0 0 0 0 87340 Hepatitis b surface ag eia 0 0 0 0 87341 Hepatitis b surface ag eia 0 0 0 0 87350 Hepatitis be ag eia 0 0 0 0 87380 Hepatitis delta ag eia 0 0 0 0 87385 Histoplasma capsul ag eia 0 0 0 0 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab 0 0 0 0 87390 Hiv-1 ag eia 0 0 0 0 87391 Hiv-2 ag eia 0 0 0 0 87400 Influenza a/b ag eia 0 0 0 0 87420 Resp syncytial ag eia 0 0 0 0 87425 Rotavirus ag eia 0 0 0 0 87427 Shiga-like toxin ag eia 0 0 0 0 87430 Strep a ag eia 0 0 0 0 87449 Ag detect nos eia mult 0 0 0 0 87450 Ag detect nos eia single 0 0 0 0 87451 Ag detect polyval eia mult 0 0 0 0 87471 Bartonella dna amp probe 0 0 0 0 87472 Bartonella dna quant 0 0 0 0 87475 Lyme dis dna dir probe 0 0 0 0 87476 Lyme dis dna amp probe 0 0 0 0 87480 Candida dna dir probe 0 0 0 0 87481 Candida dna amp probe 0 0 0 0 87482 Candida dna quant 0 0 0 0 87483 Cns dna amp probe type 12-25 0 0 0 0 87485 Chylmd pneum dna dir probe 0 0 0 0 87486 Chylmd pneum dna amp probe 0 0 0 0 87487 Chylmd pneum dna quant 0 0 0 0 87490 Chylmd trach dna dir probe 0 0 0 0 87491 Chylmd trach dna amp probe 0 0 0 0 87492 Chylmd trach dna quant 0 0 0 0 87493 C diff amplified probe 0 0 0 0 87495 Cytomeg dna dir probe 0 0 0 0 87496 Cytomeg dna amp probe 0 0 0 0 87497 Cytomeg dna quant 0 0 0 0 87498 Enterovirus dna amp probe 0 0 0 0 87500 Vanomycin dna amp probe 0 0 0 0 87501 Influenza dna amp prob 1+ 0 0 0 0 87502 Influenza dna amp probe 0 0 0 0 87503 Influenza dna amp prob addl 0 0 0 0 87505 Nfct agent detection gi 0 0 0 0 87506 Iadna-dna/rna probe tq 6-11 0 0 0 0 87507 Iadna-dna/rna probe tq 12-25 0 0 0 0 87510 Gardner vag dna dir probe 0 0 0 0 87511 Gardner vag dna amp probe 0 0 0 0 87512 Gardner vag dna quant 0 0 0 0 87516 Hepatitis b dna amp probe 0 0 0 0 87517 Hepatitis b dna quant 0 0 0 0 87520 Hepatitis c rna dir probe 0 0 0 0 87521 Hepatitis c rna amp probe 0 0 0 0 87522 Hepatitis c rna quant 0 0 0 0 87525 Hepatitis g dna dir probe 0 0 0 0 87526 Hepatitis g dna amp probe 0 0 0 0 87527 Hepatitis g dna quant 0 0 0 0 87528 Hsv dna dir probe 0 0 0 0 87529 Hsv dna amp probe 0 0 0 0 87530 Hsv dna quant 0 0 0 0 87531 Hhv-6 dna dir probe 0 0 0 0 87532 Hhv-6 dna amp probe 0 0 0 0 87533 Hhv-6 dna quant 0 0 0 0 87534 Hiv-1 dna dir probe 0 0 0 0 87535 Hiv-1 dna amp probe 0 0 0 0 87536 Hiv-1 dna quant 0 0 0 0 87537 Hiv-2 dna dir probe 0 0 0 0 87538 Hiv-2 dna amp probe 0 0 0 0 87539 Hiv-2 dna quant 0 0 0 0 87540 Legion pneumo dna dir prob 0 0 0 0 87541 Legion pneumo dna amp prob 0 0 0 0 87542 Legion pneumo dna quant 0 0 0 0 87550 Mycobacteria dna dir probe 0 0 0 0 87551 Mycobacteria dna amp probe 0 0 0 0 87552 Mycobacteria dna quant 0 0 0 0 87555 M.tuberculo dna dir probe 0 0 0 0 87556 M.tuberculo dna amp probe 0 0 0 0 87557 M.tuberculo dna quant 0 0 0 0 87560 M.avium-intra dna dir prob 0 0 0 0 87561 M.avium-intra dna amp prob 0 0 0 0 87562 M.avium-intra dna quant 0 0 0 0 87580 M.pneumon dna dir probe 0 0 0 0 87581 M.pneumon dna amp probe 0 0 0 0 87582 M.pneumon dna quant 0 0 0 0 87590 N.gonorrhoeae dna dir prob 0 0 0 0 87591 N.gonorrhoeae dna amp prob 0 0 0 0 87592 N.gonorrhoeae dna quant 0 0 0 0 87623 Hpv low-risk types 0 0 0 0 87624 Hpv high-risk types 0 0 0 0 87625 Hpv types 16 & 18 only 0 0 0 0 87631 Resp virus 3-5 targets 0 0 0 0 87632 Resp virus 6-11 targets 0 0 0 0 87633 Resp virus 12-25 targets 0 0 0 0 87634 Rsv dna/rna amp probe 0 0 0 0 87640 Staph a dna amp probe 0 0 0 0 87641 Mr-staph dna amp probe 0 0 0 0 87650 Strep a dna dir probe 0 0 0 0 87651 Strep a dna amp probe 0 0 0 0 87652 Strep a dna quant 0 0 0 0 87653 Strep b dna amp probe 0 0 0 0 87660 Trichomonas vagin dir probe 0 0 0 0 87661 Trichomonas vaginalis amplif 0 0 0 0 87662 Zika virus dna/rna amp probe 0 0 0 0 87797 Detect agent nos dna dir 0 0 0 0 87798 Detect agent nos dna amp 0 0 0 0 87799 Detect agent nos dna quant 0 0 0 0 87800 Detect agnt mult dna direc 0 0 0 0 87801 Detect agnt mult dna ampli 0 0 0 0 87802 Strep b assay w/optic 0 0 0 0 87803 Clostridium toxin a w/optic 0 0 0 0 87804 Influenza assay w/optic 0 0 0 0 87806 Hiv antigen w/hiv antibodies 0 0 0 0 87807 Rsv assay w/optic 0 0 0 0 87808 Trichomonas assay w/optic 0 0 0 0 87809 Adenovirus assay w/optic 0 0 0 0 87810 Chylmd trach assay w/optic 0 0 0 0 87850 N. gonorrhoeae assay w/optic 0 0 0 0 87880 Strep a assay w/optic 0 0 0 0 87899 Agent nos assay w/optic 0 0 0 0 87900 Phenotype infect agent drug 0 0 0 0 87901 Genotype dna hiv reverse t 0 0 0 0 87902 Genotype dna hepatitis c 0 0 0 0 87903 Phenotype dna hiv w/culture 0 0 0 0 87904 Phenotype dna hiv w/clt add 0 0 0 0 87905 Sialidase enzyme assay 0 0 0 0 87906 Genotype dna hiv reverse t 0 0 0 0 87910 Genotype cytomegalovirus 0 0 0 0 87912 Genotype dna hepatitis b 0 0 0 0 87999 Microbiology procedure 0 0 0 0 88000 Autopsy (necropsy) gross 0 0 0 0 88005 Autopsy (necropsy) gross 0 0 0 0 88007 Autopsy (necropsy) gross 0 0 0 0 88012 Autopsy (necropsy) gross 0 0 0 0 88014 Autopsy (necropsy) gross 0 0 0 0 88016 Autopsy (necropsy) gross 0 0 0 0 88020 Autopsy (necropsy) complete 0 0 0 0 88025 Autopsy (necropsy) complete 0 0 0 0 88027 Autopsy (necropsy) complete 0 0 0 0 88028 Autopsy (necropsy) complete 0 0 0 0 88029 Autopsy (necropsy) complete 0 0 0 0 88036 Limited autopsy 0 0 0 0 88037 Limited autopsy 0 0 0 0 88040 Forensic autopsy (necropsy) 0 0 0 0 88045 Coroners autopsy (necropsy) 0 0 0 0 88099 Necropsy (autopsy) procedure 0 0 0 0 88104 Cytopath fl nongyn smears 41.805356 41.805356 45.67235143 39.7150882 TC 88104 Cytopath fl nongyn smears 29.552062 29.552062 32.285627735 28.0744589 26 88104 Cytopath fl nongyn smears 71.357418 71.357418 77.957979165 67.7895471 88106 Cytopath fl nongyn filter 45.048875 45.048875 49.2158959375 42.79643125 TC 88106 Cytopath fl nongyn filter 20.181896 20.181896 22.04872138 19.1728012 26 88106 Cytopath fl nongyn filter 65.230771 65.230771 71.2646173175 61.96923245 88108 Cytopath concentrate tech 61.626861 61.626861 67.3273456425 58.54551795 88108 Cytopath concentrate tech 38.201446 38.201446 41.735079755 36.2913737 TC 88108 Cytopath concentrate tech 23.425415 23.425415 25.5922658875 22.25414425 26 88112 Cytopath cell enhance tech 68.47429 68.47429 74.808161825 65.0505755 88112 Cytopath cell enhance tech 39.282619 39.282619 42.9162612575 37.31848805 TC 88112 Cytopath cell enhance tech 29.191671 29.191671 31.8919005675 27.73208745 26 88120 Cytp urne 3-5 probes ea spec 548.515102 548.515102 599.252748935 521.0893469 TC 88120 Cytp urne 3-5 probes ea spec 60.185297 60.185297 65.7524369725 57.17603215 26 88120 Cytp urne 3-5 probes ea spec 608.700399 608.700399 665.0051859075 578.26537905 88121 Cytp urine 3-5 probes cmptr 488.329805 488.329805 533.5003119625 463.91331475 88121 Cytp urine 3-5 probes cmptr 437.154283 437.154283 477.5910541775 415.29656885 TC 88121 Cytp urine 3-5 probes cmptr 51.175522 51.175522 55.909257785 48.6167459 26 88125 Forensic cytopathology 12.613685 12.613685 13.7804508625 11.98300075 TC 88125 Forensic cytopathology 14.41564 14.41564 15.7490867 13.694858 26 88125 Forensic cytopathology 27.029325 27.029325 29.5295375625 25.67785875 88130 Sex chromatin identification 0 0 0 0 88140 Sex chromatin identification 0 0 0 0 88141 Cytopath c/v interpret 32.43519 32.43519 35.435445075 30.8134305 88142 Cytopath c/v thin layer 0 0 0 0 88143 Cytopath c/v thin layer redo 0 0 0 0 88147 Cytopath c/v automated 0 0 0 0 88148 Cytopath c/v auto rescreen 0 0 0 0 88150 Cytopath c/v manual 0 0 0 0 88152 Cytopath c/v auto redo 0 0 0 0 88153 Cytopath c/v redo 0 0 0 0 88155 Cytopath c/v index add-on 0 0 0 0 88160 Cytopath smear other source 72.438591 72.438591 79.1391606675 68.81666145 88160 Cytopath smear other source 45.409266 45.409266 49.609623105 43.1388027 TC 88160 Cytopath smear other source 27.029325 27.029325 29.5295375625 25.67785875 26 88161 Cytopath smear other source 67.393117 67.393117 73.6269803225 64.02346115 88161 Cytopath smear other source 41.084574 41.084574 44.884897095 39.0303453 TC 88161 Cytopath smear other source 26.308543 26.308543 28.7420832275 24.99311585 26 88162 Cytopath smear other source 57.302169 57.302169 62.6026196325 54.43706055 TC 88162 Cytopath smear other source 40.003401 40.003401 43.7037155925 38.00323095 26 88162 Cytopath smear other source 97.30557 97.30557 106.306335225 92.4402915 88164 Cytopath tbs c/v manual 0 0 0 0 88165 Cytopath tbs c/v redo 0 0 0 0 88166 Cytopath tbs c/v auto redo 0 0 0 0 88167 Cytopath tbs c/v select 0 0 0 0 88172 Cytp dx eval fna 1st ea site 19.821505 19.821505 21.6549942125 18.83042975 TC 88172 Cytp dx eval fna 1st ea site 37.841055 37.841055 41.3413525875 35.94900225 26 88172 Cytp dx eval fna 1st ea site 57.66256 57.66256 62.9963468 54.779432 88173 Cytopath eval fna report 81.808757 81.808757 89.3760670225 77.71831915 TC 88173 Cytopath eval fna report 73.880155 73.880155 80.7140693375 70.18614725 26 88173 Cytopath eval fna report 155.688912 155.688912 170.09013636 147.9044664 88174 Cytopath c/v auto in fluid 0 0 0 0 88175 Cytopath c/v auto fluid redo 0 0 0 0 88177 Cytp fna eval ea addl 30.272844 30.272844 33.07308207 28.7592018 88177 Cytp fna eval ea addl 7.20782 7.20782 7.87454335 6.847429 TC 88177 Cytp fna eval ea addl 23.065024 23.065024 25.19853872 21.9117728 26 88182 Cell marker study 96.224397 96.224397 105.1251537225 91.41317715 TC 88182 Cell marker study 40.363792 40.363792 44.09744276 38.3456024 26 88182 Cell marker study 136.588189 136.588189 149.2225964825 129.75877955 88184 Flowcytometry/ tc 1 marker 67.753508 67.753508 74.02070749 64.3658326 88185 Flowcytometry/tc add-on 24.866979 24.866979 27.1671745575 23.62363005 88187 Flowcytometry/read 2-8 38.922228 38.922228 42.52253409 36.9761166 88188 Flowcytometry/read 9-15 65.951553 65.951553 72.0520716525 62.65397535 88189 Flowcytometry/read 16 & > 88.295795 88.295795 96.4631560375 83.88100525 88199 Cytopathology procedure 0 0 0 0 88199 Cytopathology procedure 0 0 0 0 TC 88199 Cytopathology procedure 0 0 0 0 26 88230 Tissue culture lymphocyte 0 0 0 0 88233 Tissue culture skin/biopsy 0 0 0 0 88235 Tissue culture placenta 0 0 0 0 88237 Tissue culture bone marrow 0 0 0 0 88239 Tissue culture tumor 0 0 0 0 88240 Cell cryopreserve/storage 0 0 0 0 88241 Frozen cell preparation 0 0 0 0 88245 Chromosome analysis 20-25 0 0 0 0 88248 Chromosome analysis 50-100 0 0 0 0 88249 Chromosome analysis 100 0 0 0 0 88261 Chromosome analysis 5 0 0 0 0 88262 Chromosome analysis 15-20 0 0 0 0 88263 Chromosome analysis 45 0 0 0 0 88264 Chromosome analysis 20-25 0 0 0 0 88267 Chromosome analys placenta 0 0 0 0 88269 Chromosome analys amniotic 0 0 0 0 88271 Cytogenetics dna probe 0 0 0 0 88272 Cytogenetics 3-5 0 0 0 0 88273 Cytogenetics 10-30 0 0 0 0 88274 Cytogenetics 25-99 0 0 0 0 88275 Cytogenetics 100-300 0 0 0 0 88280 Chromosome karyotype study 0 0 0 0 88283 Chromosome banding study 0 0 0 0 88285 Chromosome count additional 0 0 0 0 88289 Chromosome study additional 0 0 0 0 88291 Cyto/molecular report 33.876754 33.876754 37.010353745 32.1829163 88299 Cytogenetic study 0 0 0 0 88300 Surgical path gross 16.217595 16.217595 17.7177225375 15.40671525 88300 Surgical path gross 11.532512 11.532512 12.59926936 10.9558864 TC 88300 Surgical path gross 4.685083 4.685083 5.1184531775 4.45082885 26 88302 Tissue exam by pathologist 31.354017 31.354017 34.2542635725 29.78631615 88302 Tissue exam by pathologist 24.146197 24.146197 26.3797202225 22.93888715 TC 88302 Tissue exam by pathologist 7.20782 7.20782 7.87454335 6.847429 26 88304 Tissue exam by pathologist 41.084574 41.084574 44.884897095 39.0303453 88304 Tissue exam by pathologist 29.191671 29.191671 31.8919005675 27.73208745 TC 88304 Tissue exam by pathologist 11.892903 11.892903 12.9929965275 11.29825785 26 88305 Tissue exam by pathologist 30.633235 30.633235 33.4668092375 29.10157325 TC 88305 Tissue exam by pathologist 39.64301 39.64301 43.309988425 37.6608595 26 88305 Tissue exam by pathologist 70.276245 70.276245 76.7767976625 66.76243275 88307 Tissue exam by pathologist 186.682538 186.682538 203.950672765 177.3484111 TC 88307 Tissue exam by pathologist 86.854231 86.854231 94.8882473675 82.51151945 26 88307 Tissue exam by pathologist 273.536769 273.536769 298.8389201325 259.85993055 88309 Tissue exam by pathologist 415.530823 415.530823 453.9674241275 394.75428185 88309 Tissue exam by pathologist 262.004257 262.004257 286.2396507725 248.90404415 TC 88309 Tissue exam by pathologist 153.526566 153.526566 167.727773355 145.8502377 26 88311 Decalcify tissue 21.983851 21.983851 24.0173572175 20.88465845 88311 Decalcify tissue 9.009775 9.009775 9.8431791875 8.55928625 TC 88311 Decalcify tissue 12.974076 12.974076 14.17417803 12.3253722 26 88312 Special stains group 1 101.990653 101.990653 111.4247884025 96.89112035 88312 Special stains group 1 74.240546 74.240546 81.107796505 70.5285187 TC 88312 Special stains group 1 27.750107 27.750107 30.3169918975 26.36260165 26 88313 Special stains group 2 61.26647 61.26647 66.933618475 58.2031465 TC 88313 Special stains group 2 12.613685 12.613685 13.7804508625 11.98300075 26 88313 Special stains group 2 73.880155 73.880155 80.7140693375 70.18614725 88314 Histochemical stains add-on 70.276245 70.276245 76.7767976625 66.76243275 TC 88314 Histochemical stains add-on 23.425415 23.425415 25.5922658875 22.25414425 26 88314 Histochemical stains add-on 93.70166 93.70166 102.36906355 89.016577 88319 Enzyme histochemistry 98.747134 98.747134 107.881243895 93.8097773 88319 Enzyme histochemistry 70.997027 70.997027 77.5642519975 67.44717565 TC 88319 Enzyme histochemistry 27.750107 27.750107 30.3169918975 26.36260165 26 88321 Microslide consultation 87.214622 87.214622 95.281974535 82.8538909 88323 Microslide consultation 118.208248 118.208248 129.14251094 112.2978356 88323 Microslide consultation 27.029325 27.029325 29.5295375625 25.67785875 TC 88323 Microslide consultation 91.178923 91.178923 99.6129733775 86.61997685 26 88325 Comprehensive review of data 154.607739 154.607739 168.9089548575 146.87735205 88329 Path consult introp 37.480664 37.480664 40.94762542 35.6066308 88331 Path consult intraop 1 bloc 99.107525 99.107525 108.2749710625 94.15214875 88331 Path consult intraop 1 bloc 33.516363 33.516363 36.6166265775 31.84054485 TC 88331 Path consult intraop 1 bloc 65.591162 65.591162 71.658344485 62.3116039 26 88332 Path consult intraop addl 21.983851 21.983851 24.0173572175 20.88465845 TC 88332 Path consult intraop addl 32.43519 32.43519 35.435445075 30.8134305 26 88332 Path consult intraop addl 54.419041 54.419041 59.4528022925 51.69808895 88333 Intraop cyto path consult 1 25.587761 25.587761 27.9546288925 24.30837295 TC 88333 Intraop cyto path consult 1 65.591162 65.591162 71.658344485 62.3116039 26 88333 Intraop cyto path consult 1 91.178923 91.178923 99.6129733775 86.61997685 88334 Intraop cyto path consult 2 56.941778 56.941778 62.208892465 54.0946891 88334 Intraop cyto path consult 2 16.938377 16.938377 18.5051768725 16.09145815 TC 88334 Intraop cyto path consult 2 40.003401 40.003401 43.7037155925 38.00323095 26 88341 Immunohisto antibody slide 94.422442 94.422442 103.156517885 89.7013199 88341 Immunohisto antibody slide 64.509989 64.509989 70.4771629825 61.28448955 TC 88341 Immunohisto antibody slide 29.912453 29.912453 32.6793549025 28.41683035 26 88342 Immunohistochemistry 108.477691 108.477691 118.5118774175 103.05380645 88342 Immunohistochemistry 71.357418 71.357418 77.957979165 67.7895471 TC 88342 Immunohistochemistry 37.120273 37.120273 40.5538982525 35.26425935 26 88344 Immunohisto antibody slide 174.429244 174.429244 190.56394907 165.7077818 88344 Immunohisto antibody slide 134.065452 134.065452 146.46650631 127.3621794 TC 88344 Immunohisto antibody slide 40.363792 40.363792 44.09744276 38.3456024 26 88346 Immunofluorescent study 112.081601 112.081601 122.4491490925 106.47752095 88346 Immunofluorescent study 74.240546 74.240546 81.107796505 70.5285187 TC 88346 Immunofluorescent study 37.841055 37.841055 41.3413525875 35.94900225 26 88348 Electron microscopy 286.150454 286.150454 312.619370995 271.8429313 TC 88348 Electron microscopy 79.646411 79.646411 87.0137040175 75.66409045 26 88348 Electron microscopy 365.796865 365.796865 399.6330750125 347.50702175 88350 Immunofluor antb addl stain 78.565238 78.565238 85.832522515 74.6369761 88350 Immunofluor antb addl stain 48.652785 48.652785 53.1531676125 46.22014575 TC 88350 Immunofluor antb addl stain 29.912453 29.912453 32.6793549025 28.41683035 26 88355 Analysis skeletal muscle 49.733958 49.733958 54.334349115 47.2472601 TC 88355 Analysis skeletal muscle 85.412667 85.412667 93.3133386975 81.14203365 26 88355 Analysis skeletal muscle 135.146625 135.146625 147.6476878125 128.38929375 88356 Analysis nerve 97.665961 97.665961 106.7000623925 92.78266295 TC 88356 Analysis nerve 130.821933 130.821933 142.9229618025 124.28083635 26 88356 Analysis nerve 228.487894 228.487894 249.623024195 217.0634993 88358 Analysis tumor 77.844456 77.844456 85.04506818 73.9522332 TC 88358 Analysis tumor 52.256695 52.256695 57.0904392875 49.64386025 26 88358 Analysis tumor 130.101151 130.101151 142.1355074675 123.59609345 88360 Tumor immunohistochem/manual 129.74076 129.74076 141.7417803 123.253722 88360 Tumor immunohistochem/manual 85.412667 85.412667 93.3133386975 81.14203365 TC 88360 Tumor immunohistochem/manual 44.328093 44.328093 48.4284416025 42.11168835 26 88361 Tumor immunohistochem/comput 86.49384 86.49384 94.4945202 82.169148 TC 88361 Tumor immunohistochem/comput 47.571612 47.571612 51.97198611 45.1930314 26 88361 Tumor immunohistochem/comput 134.065452 134.065452 146.46650631 127.3621794 88362 Nerve teasing preparations 97.30557 97.30557 106.306335225 92.4402915 TC 88362 Nerve teasing preparations 116.045902 116.045902 126.780147935 110.2436069 26 88362 Nerve teasing preparations 213.351472 213.351472 233.08648316 202.6838984 88363 Xm archive tissue molec anal 20.542287 20.542287 22.4424485475 19.51517265 88364 Insitu hybridization (fish) 134.786234 134.786234 147.253960645 128.0469223 88364 Insitu hybridization (fish) 98.386743 98.386743 107.4875167275 93.46740585 TC 88364 Insitu hybridization (fish) 36.399491 36.399491 39.7664439175 34.57951645 26 88365 Insitu hybridization (fish) 134.065452 134.065452 146.46650631 127.3621794 TC 88365 Insitu hybridization (fish) 45.769657 45.769657 50.0033502725 43.48117415 26 88365 Insitu hybridization (fish) 179.835109 179.835109 196.4698565825 170.84335355 88366 Insitu hybridization (fish) 203.260524 203.260524 222.06212247 193.0974978 TC 88366 Insitu hybridization (fish) 64.87038 64.87038 70.87089015 61.626861 26 88366 Insitu hybridization (fish) 268.130904 268.130904 292.93301262 254.7243588 88367 Insitu hybridization auto 74.961328 74.961328 81.89525084 71.2132616 TC 88367 Insitu hybridization auto 36.0391 36.0391 39.37271675 34.237145 26 88367 Insitu hybridization auto 111.000428 111.000428 121.26796759 105.4504066 88368 Insitu hybridization manual 85.773058 85.773058 93.707065865 81.4844051 TC 88368 Insitu hybridization manual 43.607311 43.607311 47.6409872675 41.42694545 26 88368 Insitu hybridization manual 129.380369 129.380369 141.3480531325 122.91135055 88369 M/phmtrc alysishquant/semiq 79.28602 79.28602 86.61997685 75.321719 TC 88369 M/phmtrc alysishquant/semiq 33.876754 33.876754 37.010353745 32.1829163 26 88369 M/phmtrc alysishquant/semiq 113.162774 113.162774 123.630330595 107.5046353 88371 Protein western blot tissue 0 0 0 0 88371 Protein western blot tissue 20.542287 20.542287 22.4424485475 19.51517265 26 88372 Protein analysis w/probe 0 0 0 0 88372 Protein analysis w/probe 18.740332 18.740332 20.47381271 17.8033154 26 88373 M/phmtrc alys ishquant/semiq 76.042501 76.042501 83.0764323425 72.24037595 88373 M/phmtrc alys ishquant/semiq 47.932003 47.932003 52.3657132775 45.53540285 TC 88373 M/phmtrc alys ishquant/semiq 28.110498 28.110498 30.710719065 26.7049731 26 88374 M/phmtrc alys ishquant/semiq 330.838938 330.838938 361.441539765 314.2969911 88374 M/phmtrc alys ishquant/semiq 284.70889 284.70889 311.044462325 270.4734455 TC 88374 M/phmtrc alys ishquant/semiq 46.130048 46.130048 50.39707744 43.8235456 26 88375 Optical endomicroscpy interp 51.175522 51.175522 55.909257785 48.6167459 88377 M/phmtrc alys ishquant/semiq 326.874637 326.874637 357.1105409225 310.53090515 TC 88377 M/phmtrc alys ishquant/semiq 67.032726 67.032726 73.233253155 63.6810897 26 88377 M/phmtrc alys ishquant/semiq 393.907363 393.907363 430.3437940775 374.21199485 88380 Microdissection laser 78.925629 78.925629 86.2262496825 74.97934755 TC 88380 Microdissection laser 57.302169 57.302169 62.6026196325 54.43706055 26 88380 Microdissection laser 136.227798 136.227798 148.828869315 129.4164081 88381 Microdissection manual 156.409694 156.409694 170.877590695 148.5892093 88381 Microdissection manual 130.101151 130.101151 142.1355074675 123.59609345 TC 88381 Microdissection manual 26.308543 26.308543 28.7420832275 24.99311585 26 88387 Tiss exam molecular study 6.847429 6.847429 7.4808161825 6.50505755 TC 88387 Tiss exam molecular study 29.191671 29.191671 31.8919005675 27.73208745 26 88387 Tiss exam molecular study 36.0391 36.0391 39.37271675 34.237145 88388 Tiss ex molecul study add-on 36.0391 36.0391 39.37271675 34.237145 88388 Tiss ex molecul study add-on 11.172121 11.172121 12.2055421925 10.61351495 TC 88388 Tiss ex molecul study add-on 24.866979 24.866979 27.1671745575 23.62363005 26 88399 Surgical pathology procedure 0 0 0 0 88399 Surgical pathology procedure 0 0 0 0 TC 88399 Surgical pathology procedure 0 0 0 0 26 88720 Bilirubin total transcut 0 0 0 0 88738 Hgb quant transcutaneous 0 0 0 0 88740 Transcutaneous carboxyhb 0 0 0 0 88741 Transcutaneous methb 0 0 0 0 88749 In vivo lab service 0 0 0 0 89049 Chct for mal hyperthermia 63.789207 63.789207 69.6897086475 60.59974665 89050 Body fluid cell count 0 0 0 0 89051 Body fluid cell count 0 0 0 0 89055 Leukocyte assessment fecal 0 0 0 0 89060 Exam synovial fluid crystals 0 0 0 0 89060 Exam synovial fluid crystals 18.740332 18.740332 20.47381271 17.8033154 26 89125 Specimen fat stain 0 0 0 0 89160 Exam feces for meat fibers 0 0 0 0 89190 Nasal smear for eosinophils 0 0 0 0 89220 Sputum specimen collection 16.577986 16.577986 18.111449705 15.7490867 89230 Collect sweat for test 2.883128 2.883128 3.14981734 2.7389716 89240 Pathology lab procedure 0 0 0 0 89250 Cultr oocyte/embryo <4 days 0 0 0 0 89251 Cultr oocyte/embryo <4 days 0 0 0 0 89253 Embryo hatching 0 0 0 0 89254 Oocyte identification 0 0 0 0 89255 Prepare embryo for transfer 0 0 0 0 89257 Sperm identification 0 0 0 0 89258 Cryopreservation embryo(s) 0 0 0 0 89259 Cryopreservation sperm 0 0 0 0 89260 Sperm isolation simple 0 0 0 0 89261 Sperm isolation complex 0 0 0 0 89264 Identify sperm tissue 0 0 0 0 89268 Insemination of oocytes 0 0 0 0 89272 Extended culture of oocytes 0 0 0 0 89280 Assist oocyte fertilization 0 0 0 0 89281 Assist oocyte fertilization 0 0 0 0 89290 Biopsy oocyte polar body 0 0 0 0 89291 Biopsy oocyte polar body 0 0 0 0 89300 Semen analysis w/huhner 0 0 0 0 89310 Semen analysis w/count 0 0 0 0 89320 Semen anal vol/count/mot 0 0 0 0 89321 Semen anal sperm detection 0 0 0 0 89322 Semen anal strict criteria 0 0 0 0 89325 Sperm antibody test 0 0 0 0 89329 Sperm evaluation test 0 0 0 0 89330 Evaluation cervical mucus 0 0 0 0 89331 Retrograde ejaculation anal 0 0 0 0 89335 Cryopreserve testicular tiss 0 0 0 0 89337 Cryopreservation oocyte(s) 0 0 0 0 89342 Storage/year embryo(s) 0 0 0 0 89343 Storage/year sperm/semen 0 0 0 0 89344 Storage/year reprod tissue 0 0 0 0 89346 Storage/year oocyte(s) 0 0 0 0 89352 Thawing cryopresrved embryo 0 0 0 0 89353 Thawing cryopresrved sperm 0 0 0 0 89354 Thaw cryoprsvrd reprod tiss 0 0 0 0 89356 Thawing cryopresrved oocyte 0 0 0 0 89398 Unlisted reprod med lab proc 0 0 0 0 9001F Aortic aneurysm<5cm diam ct 0 0 0 0 9002F Aortic aneurysm 5-5.4cm diam 0 0 0 0 9003F Aortic anrysm5.5-5.9cm diam 0 0 0 0 9004F Aortic anrysm 6/> cm diam 0 0 0 0 9005F Asympt carot/vrtbrbas sten 0 0 0 0 9006F Sympt sten-tia/strk<120days 0 0 0 0 9007F Other carot sten 120 days/> 0 0 0 0 90281 Human ig im 0 0 0 0 90283 Human ig iv 0 0 0 0 90284 Human ig sc 0 0 0 0 90287 Botulinum antitoxin 0 0 0 0 90288 Botulism ig iv 0 0 0 0 90291 Cmv ig iv 0 0 0 0 90296 Diphtheria antitoxin 0 0 0 0 90371 Hep b ig im 0 0 0 0 90375 Rabies ig im/sc 0 0 0 0 90376 Rabies ig heat treated 0 0 0 0 90378 Rsv mab im 50mg 0 0 0 0 90384 Rh ig full-dose im 0 0 0 0 90385 Rh ig minidose im 0 0 0 0 90386 Rh ig iv 0 0 0 0 90389 Tetanus ig im 0 0 0 0 90393 Vaccina ig im 0 0 0 0 90396 Varicella-zoster ig im 0 0 0 0 90399 Immune globulin 0 0 0 0 90460 Im admin 1st/only component 16.938377 16.938377 18.5051768725 16.09145815 90461 Im admin each addl component 12.974076 12.974076 14.17417803 12.3253722 90471 Immunization admin 16.938377 16.938377 18.5051768725 16.09145815 90472 Immunization admin each add 12.974076 12.974076 14.17417803 12.3253722 90473 Immune admin oral/nasal 16.938377 16.938377 18.5051768725 16.09145815 90474 Immune admin oral/nasal addl 12.974076 12.974076 14.17417803 12.3253722 90476 Adenovirus vaccine type 4 0 0 0 0 90477 Adenovirus vaccine type 7 0 0 0 0 90581 Anthrax vaccine sc or im 0 0 0 0 90585 Bcg vaccine percut 0 0 0 0 90586 Bcg vaccine intravesical 0 0 0 0 90587 Dengue vacc quad 3 dose subq 0 0 0 0 90620 Menb rp w/omv vaccine im 0 0 0 0 90621 Menb rlp vaccine im 0 0 0 0 90625 Cholera vaccine live oral 0 0 0 0 90630 Flu vacc iiv4 no preserv id 0 0 0 0 90632 Hep a vaccine adult im 0 0 0 0 90633 Hep a vacc ped/adol 2 dose 0 0 0 0 90634 Hep a vacc ped/adol 3 dose 0 0 0 0 90636 Hep a/hep b vacc adult im 0 0 0 0 90644 Meningoccl hib vac 4 dose im 0 0 0 0 90647 Hib vaccine prp-omp im 0 0 0 0 90648 Hib vaccine prp-t im 0 0 0 0 90649 Hpv vaccine 4 valent im 0 0 0 0 90650 Hpv vaccine 2 valent im 0 0 0 0 90651 Hpv vaccine non valent im 0 0 0 0 90653 Flu vaccine adjuvant im 0 0 0 0 90654 Flu vaccine no preserv id 0 0 0 0 90655 Flu vaccine no preserv 6-35m 0 0 0 0 90656 Flu vaccine no preserv 3 & > 0 0 0 0 90657 Flu vaccine 3 yrs im 0 0 0 0 90658 Flu vaccine 3 yrs & > im 0 0 0 0 90660 Flu vaccine nasal 0 0 0 0 90661 Flu vacc cell cult prsv free 0 0 0 0 90662 Flu vacc prsv free inc antig 0 0 0 0 90664 Flu vacc pandemic intranasal 0 0 0 0 90666 Flu vac pandem prsrv free im 0 0 0 0 90667 Flu vac pandemic adjuvant im 0 0 0 0 90668 Flu vac pandemic splt im 0 0 0 0 90670 Pneumococcal vacc 13 val im 0 0 0 0 90672 Flu vaccine 4 valent nasal 0 0 0 0 90673 Flu vacc riv3 no preserv 0 0 0 0 90674 Cciiv4 vac no prsv 0.5 ml im 0 0 0 0 90675 Rabies vaccine im 0 0 0 0 90676 Rabies vaccine id 0 0 0 0 90680 Rotovirus vacc 3 dose oral 0 0 0 0 90681 Rotavirus vacc 2 dose oral 0 0 0 0 90682 Riv4 vacc recombinant dna im 0 0 0 0 90685 Flu vac no prsv 4 val 6-35 m 0 0 0 0 90686 Flu vac no prsv 4 val 3 yrs+ 0 0 0 0 90687 Flu vaccine 4 val 6-35 mo im 0 0 0 0 90688 Flu vacc 4 val 3 yrs plus im 0 0 0 0 90689 0 0 0 0 90690 Typhoid vaccine oral 0 0 0 0 90691 Typhoid vaccine im 0 0 0 0 90696 Dtap-ipv vacc 4-6 yr im 0 0 0 0 90697 Dtap-ipv-hib-hepb vaccine im 0 0 0 0 90698 Dtap-hib-ip vaccine im 0 0 0 0 90700 Dtap vaccine < 7 yrs im 0 0 0 0 90702 Dt vaccine < 7 im 0 0 0 0 90707 Mmr vaccine sc 0 0 0 0 90710 Mmrv vaccine sc 0 0 0 0 90713 Poliovirus ipv sc/im 0 0 0 0 90714 Td vaccine no prsrv >/= 7 im 0 0 0 0 90715 Tdap vaccine >7 im 0 0 0 0 90716 Chicken pox vaccine sc 0 0 0 0 90717 Yellow fever vaccine sc 0 0 0 0 90723 Dtap-hep b-ipv vaccine im 0 0 0 0 90732 Pneumococcal vaccine 0 0 0 0 90733 Meningococcal vaccine sc 0 0 0 0 90734 Meningococcal vaccine im 0 0 0 0 90736 Zoster vacc sc 0 0 0 0 90738 Inactivated je vacc im 0 0 0 0 90739 Hep b vacc adult 2 dose im 0 0 0 0 90740 Hepb vacc ill pat 3 dose im 0 0 0 0 90743 Hep b vacc adol 2 dose im 0 0 0 0 90744 Hepb vacc ped/adol 3 dose im 0 0 0 0 90746 Hep b vaccine adult im 0 0 0 0 90747 Hepb vacc ill pat 4 dose im 0 0 0 0 90748 Hep b/hib vaccine im 0 0 0 0 90749 Vaccine toxoid 0 0 0 0 90750 Hzv vacc recombinant im njx 0 0 0 0 90756 Cciiv4 vacc abx free im 0 0 0 0 90785 Psytx complex interactive 14.055249 14.055249 15.3553595325 13.35248655 90791 Psych diagnostic evaluation 127.578414 127.578414 139.379417295 121.1994933 90792 Psych diag eval w/med srvcs 144.516791 144.516791 157.8845941675 137.29095145 90832 Psytx pt&/family 30 minutes 63.428816 63.428816 69.29598148 60.2573752 90833 Psytx pt&/fam w/e&m 30 min 66.311944 66.311944 72.44579882 62.9963468 90834 Psytx pt&/family 45 minutes 84.691885 84.691885 92.5258843625 80.45729075 90836 Psytx pt&/fam w/e&m 45 min 83.971103 83.971103 91.7384300275 79.77254785 90837 Psytx pt&/family 60 minutes 127.218023 127.218023 138.9856901275 120.85712185 90838 Psytx pt&/fam w/e&m 60 min 111.000428 111.000428 121.26796759 105.4504066 90839 Psytx crisis initial 60 min 132.984279 132.984279 145.2853248075 126.33506505 90840 Psytx crisis ea addl 30 min 63.428816 63.428816 69.29598148 60.2573752 90845 Psychoanalysis 90.818532 90.818532 99.21924621 86.2776054 90846 Family psytx w/o patient 102.711435 102.711435 112.2122427375 97.57586325 90847 Family psytx w/patient 106.675736 106.675736 116.54324158 101.3419492 90849 Multiple family group psytx 31.354017 31.354017 34.2542635725 29.78631615 90853 Group psychotherapy 25.22737 25.22737 27.560901725 23.9660015 90863 Pharmacologic mgmt w/psytx 25.22737 25.22737 27.560901725 23.9660015 90865 Narcosynthesis 129.380369 129.380369 141.3480531325 122.91135055 90867 Tcranial magn stim tx plan 0 0 0 0 90868 Tcranial magn stim tx deli 0 0 0 0 90869 Tcran magn stim redetemine 0 0 0 0 90870 Electroconvulsive therapy 112.441992 112.441992 122.84287626 106.8198924 90875 Psychophysiological therapy 62.347643 62.347643 68.1147999775 59.23026085 90876 Psychophysiological therapy 98.747134 98.747134 107.881243895 93.8097773 90880 Hypnotherapy 92.980878 92.980878 101.581609215 88.3318341 90882 Environmental manipulation 0 0 0 0 90885 Psy evaluation of records 50.815131 50.815131 55.5155306175 48.27437445 90887 Consultation with family 77.123674 77.123674 84.257613845 73.2674903 90889 Preparation of report 0 0 0 0 90899 Psychiatric service/therapy 0 0 0 0 90901 Biofeedback train any meth 20.542287 20.542287 22.4424485475 19.51517265 90911 Biofeedback peri/uro/rectal 45.409266 45.409266 49.609623105 43.1388027 90935 Hemodialysis one evaluation 74.600937 74.600937 81.5015236725 70.87089015 90937 Hemodialysis repeated eval 106.315345 106.315345 116.1495144125 100.99957775 90940 Hemodialysis access study 0 0 0 0 90945 Dialysis one evaluation 87.214622 87.214622 95.281974535 82.8538909 90947 Dialysis repeated eval 126.497241 126.497241 138.1982357925 120.17237895 90951 Esrd serv 4 visits p mo <2 959.721233 959.721233 1048.4954470525 911.73517135 90952 Esrd serv 2-3 vsts p mo <2 0 0 0 0 90953 Esrd serv 1 visit p mo <2 0 0 0 0 90954 Esrd serv 4 vsts p mo 2-11 827.457736 827.457736 903.99757658 786.0848492 90955 Esrd srv 2-3 vsts p mo 2-11 465.985563 465.985563 509.0892275775 442.68628485 90956 Esrd srv 1 visit p mo 2-11 324.3519 324.3519 354.35445075 308.134305 90957 Esrd srv 4 vsts p mo 12-19 655.190838 655.190838 715.795990515 622.4312961 90958 Esrd srv 2-3 vsts p mo 12-19 444.722494 444.722494 485.859324695 422.4863693 90959 Esrd serv 1 vst p mo 12-19 302.72844 302.72844 330.7308207 287.592018 90960 Esrd srv 4 visits p mo 20+ 289.033582 289.033582 315.769188335 274.5819029 90961 Esrd srv 2-3 vsts p mo 20+ 242.903534 242.903534 265.372110895 230.7583573 90962 Esrd serv 1 visit p mo 20+ 187.763711 187.763711 205.1318542675 178.37552545 90963 Esrd home pt serv p mo <2 556.083313 556.083313 607.5210194525 528.27914735 90964 Esrd home pt serv p mo 2-11 485.446677 485.446677 530.3504946225 461.17434315 90965 Esrd home pt serv p mo 12-19 462.381653 462.381653 505.1519559025 439.26257035 90966 Esrd home pt serv p mo 20+ 242.182752 242.182752 264.58465656 230.0736144 90967 Esrd home pt serv p day <2 18.379941 18.379941 20.0800855425 17.46094395 90968 Esrd home pt srv p day 2-11 16.217595 16.217595 17.7177225375 15.40671525 90969 Esrd home pt srv p day 12-19 15.496813 15.496813 16.9302682025 14.72197235 90970 Esrd home pt serv p day 20+ 7.928602 7.928602 8.661997685 7.5321719 90989 Dialysis training complete 0 0 0 0 90993 Dialysis training incompl 0 0 0 0 90997 Hemoperfusion 91.178923 91.178923 99.6129733775 86.61997685 90999 Dialysis procedure 0 0 0 0 91010 Esophagus motility study 193.890358 193.890358 211.825216115 184.1958401 91010 Esophagus motility study 125.055677 125.055677 136.6233271225 118.80289315 TC 91010 Esophagus motility study 68.834681 68.834681 75.2018889925 65.39294695 26 91013 Esophgl motil w/stim/perfus 16.577986 16.577986 18.111449705 15.7490867 TC 91013 Esophgl motil w/stim/perfus 9.730557 9.730557 10.6306335225 9.24402915 26 91013 Esophgl motil w/stim/perfus 26.308543 26.308543 28.7420832275 24.99311585 91020 Gastric motility studies 175.870808 175.870808 192.13885774 167.0772676 TC 91020 Gastric motility studies 76.763283 76.763283 83.8638866775 72.92511885 26 91020 Gastric motility studies 252.634091 252.634091 276.0027444175 240.00238645 91022 Duodenal motility study 172.627289 172.627289 188.5953132325 163.99592455 91022 Duodenal motility study 95.864006 95.864006 104.731426555 91.0708057 TC 91022 Duodenal motility study 76.763283 76.763283 83.8638866775 72.92511885 26 91030 Acid perfusion of esophagus 140.912881 140.912881 153.9473224925 133.86723695 91030 Acid perfusion of esophagus 92.260096 92.260096 100.79415488 87.6470912 TC 91030 Acid perfusion of esophagus 48.652785 48.652785 53.1531676125 46.22014575 26 91034 Gastroesophageal reflux test 141.994054 141.994054 155.128503995 134.8943513 TC 91034 Gastroesophageal reflux test 52.256695 52.256695 57.0904392875 49.64386025 26 91034 Gastroesophageal reflux test 194.250749 194.250749 212.2189432825 184.53821155 91035 G-esoph reflx tst w/electrod 493.014888 493.014888 538.61876514 468.3641436 91035 G-esoph reflx tst w/electrod 407.24183 407.24183 444.911699275 386.8797385 TC 91035 G-esoph reflx tst w/electrod 85.773058 85.773058 93.707065865 81.4844051 26 91037 Esoph imped function test 115.685511 115.685511 126.3864207675 109.90123545 TC 91037 Esoph imped function test 52.256695 52.256695 57.0904392875 49.64386025 26 91037 Esoph imped function test 167.942206 167.942206 183.476860055 159.5450957 91038 Esoph imped funct test > 1h 393.907363 393.907363 430.3437940775 374.21199485 TC 91038 Esoph imped funct test > 1h 58.743733 58.743733 64.1775283025 55.80654635 26 91038 Esoph imped funct test > 1h 452.651096 452.651096 494.52132238 430.0185412 91040 Esoph balloon distension tst 488.329805 488.329805 533.5003119625 463.91331475 91040 Esoph balloon distension tst 436.07311 436.07311 476.409872675 414.2694545 TC 91040 Esoph balloon distension tst 52.256695 52.256695 57.0904392875 49.64386025 26 91065 Breath hydrogen test 76.763283 76.763283 83.8638866775 72.92511885 91065 Breath hydrogen test 66.311944 66.311944 72.44579882 62.9963468 TC 91065 Breath hydrogen test 10.451339 10.451339 11.4180878575 9.92877205 26 91110 Gi tract capsule endoscopy 767.63283 767.63283 838.638866775 729.2511885 TC 91110 Gi tract capsule endoscopy 132.623888 132.623888 144.89159764 125.9926936 26 91110 Gi tract capsule endoscopy 900.256718 900.256718 983.530464415 855.2438821 91111 Esophageal capsule endoscopy 770.876349 770.876349 842.1824112825 732.33253155 TC 91111 Esophageal capsule endoscopy 53.698259 53.698259 58.6653479575 51.01334605 26 91111 Esophageal capsule endoscopy 824.574608 824.574608 900.84775924 783.3458776 91112 Gi wireless capsule measure 1290.560171 1290.560171 1409.9369868175 1226.03216245 91112 Gi wireless capsule measure 1178.838961 1178.838961 1287.8815648925 1119.89701295 TC 91112 Gi wireless capsule measure 111.72121 111.72121 122.055421925 106.1351495 26 91117 Colon motility 6 hr study 142.714836 142.714836 155.91595833 135.5790942 91120 Rectal sensation test 466.345954 466.345954 509.482954745 443.0286563 91120 Rectal sensation test 415.170432 415.170432 453.57369696 394.4119104 TC 91120 Rectal sensation test 51.175522 51.175522 55.909257785 48.6167459 26 91122 Anal pressure record 246.867835 246.867835 269.7031097375 234.52444325 91122 Anal pressure record 153.886957 153.886957 168.1215005225 146.19260915 TC 91122 Anal pressure record 92.980878 92.980878 101.581609215 88.3318341 26 91132 Electrogastrography 245.06588 245.06588 267.7344739 232.812586 91132 Electrogastrography 217.315773 217.315773 237.4174820025 206.44998435 TC 91132 Electrogastrography 27.750107 27.750107 30.3169918975 26.36260165 26 91133 Electrogastrography w/test 232.812586 232.812586 254.347750205 221.1719567 TC 91133 Electrogastrography w/test 35.318318 35.318318 38.585262415 33.5524021 26 91133 Electrogastrography w/test 268.130904 268.130904 292.93301262 254.7243588 91200 Liver elastography 39.64301 39.64301 43.309988425 37.6608595 91200 Liver elastography 25.22737 25.22737 27.560901725 23.9660015 TC 91200 Liver elastography 14.41564 14.41564 15.7490867 13.694858 26 91299 Gastroenterology procedure 0 0 0 0 TC 91299 Gastroenterology procedure 0 0 0 0 26 91299 Gastroenterology procedure 0 0 0 0 92002 Eye exam new patient 49.013176 49.013176 53.54689478 46.5625172 92004 Eye exam new patient 101.269871 101.269871 110.6373340675 96.20637745 92012 Eye exam established pat 53.698259 53.698259 58.6653479575 51.01334605 92014 Eye exam & treatment 81.087975 81.087975 88.5886126875 77.03357625 92015 Refraction 19.821505 19.821505 21.6549942125 18.83042975 92018 New eye exam & treatment 148.841483 148.841483 162.6093201775 141.39940885 92019 Eye exam & treatment 73.880155 73.880155 80.7140693375 70.18614725 92020 Special eye evaluation 21.62346 21.62346 23.62363005 20.542287 92025 Corneal topography 18.01955 18.01955 19.686358375 17.1185725 TC 92025 Corneal topography 20.542287 20.542287 22.4424485475 19.51517265 26 92025 Corneal topography 38.561837 38.561837 42.1288069225 36.63374515 92060 Special eye evaluation 26.668934 26.668934 29.135810395 25.3354873 TC 92060 Special eye evaluation 38.922228 38.922228 42.52253409 36.9761166 26 92060 Special eye evaluation 65.591162 65.591162 71.658344485 62.3116039 92065 Orthoptic/pleoptic training 54.419041 54.419041 59.4528022925 51.69808895 92065 Orthoptic/pleoptic training 36.0391 36.0391 39.37271675 34.237145 TC 92065 Orthoptic/pleoptic training 18.379941 18.379941 20.0800855425 17.46094395 26 92071 Contact lens fitting for tx 34.237145 34.237145 37.4040809125 32.52528775 92072 Fit contac lens for managmnt 102.351044 102.351044 111.81851557 97.2334918 92081 Visual field examination(s) 34.597536 34.597536 37.79780808 32.8676592 92081 Visual field examination(s) 18.01955 18.01955 19.686358375 17.1185725 TC 92081 Visual field examination(s) 16.577986 16.577986 18.111449705 15.7490867 26 92082 Visual field examination(s) 48.652785 48.652785 53.1531676125 46.22014575 92082 Visual field examination(s) 26.668934 26.668934 29.135810395 25.3354873 TC 92082 Visual field examination(s) 21.983851 21.983851 24.0173572175 20.88465845 26 92083 Visual field examination(s) 65.230771 65.230771 71.2646173175 61.96923245 92083 Visual field examination(s) 36.759882 36.759882 40.160171085 34.9218879 TC 92083 Visual field examination(s) 28.470889 28.470889 31.1044462325 27.04734455 26 92100 Serial tonometry exam(s) 34.597536 34.597536 37.79780808 32.8676592 92132 Cmptr ophth dx img ant segmt 15.136422 15.136422 16.536541035 14.3796009 TC 92132 Cmptr ophth dx img ant segmt 16.938377 16.938377 18.5051768725 16.09145815 26 92132 Cmptr ophth dx img ant segmt 32.074799 32.074799 35.0417179075 30.47105905 92133 Cmptr ophth img optic nerve 15.136422 15.136422 16.536541035 14.3796009 TC 92133 Cmptr ophth img optic nerve 22.704633 22.704633 24.8048115525 21.56940135 26 92133 Cmptr ophth img optic nerve 37.841055 37.841055 41.3413525875 35.94900225 92134 Cptr ophth dx img post segmt 41.805356 41.805356 45.67235143 39.7150882 92134 Cptr ophth dx img post segmt 15.496813 15.496813 16.9302682025 14.72197235 TC 92134 Cptr ophth dx img post segmt 26.308543 26.308543 28.7420832275 24.99311585 26 92136 Ophthalmic biometry 39.282619 39.282619 42.9162612575 37.31848805 TC 92136 Ophthalmic biometry 32.074799 32.074799 35.0417179075 30.47105905 26 92136 Ophthalmic biometry 71.357418 71.357418 77.957979165 67.7895471 92145 Corneal hysteresis deter 17.659159 17.659159 19.2926312075 16.77620105 92145 Corneal hysteresis deter 7.928602 7.928602 8.661997685 7.5321719 TC 92145 Corneal hysteresis deter 9.730557 9.730557 10.6306335225 9.24402915 26 92225 Special eye exam initial 21.983851 21.983851 24.0173572175 20.88465845 92226 Special eye exam subsequent 19.461114 19.461114 21.261267045 18.4880583 92227 Remote dx retinal imaging 14.41564 14.41564 15.7490867 13.694858 92228 Remote retinal imaging mgmt 34.957927 34.957927 38.1915352475 33.21003065 92228 Remote retinal imaging mgmt 13.694858 13.694858 14.961632365 13.0101151 TC 92228 Remote retinal imaging mgmt 21.263069 21.263069 23.2299028825 20.19991555 26 92230 Eye exam with photos 34.237145 34.237145 37.4040809125 32.52528775 92235 Eye exam with photos 49.013176 49.013176 53.54689478 46.5625172 TC 92235 Eye exam with photos 44.328093 44.328093 48.4284416025 42.11168835 26 92235 Eye exam with photos 93.341269 93.341269 101.9753363825 88.67420555 92240 Icg angiography 161.455168 161.455168 176.38977104 153.3824096 TC 92240 Icg angiography 48.652785 48.652785 53.1531676125 46.22014575 26 92240 Icg angiography 210.107953 210.107953 229.5429386525 199.60255535 92242 Fluorescein icg angiography 178.393545 178.393545 194.8949479125 169.47386775 TC 92242 Fluorescein icg angiography 56.220996 56.220996 61.42143813 53.4099462 26 92242 Fluorescein icg angiography 234.614541 234.614541 256.3163860425 222.88381395 92250 Eye exam with photos 51.535913 51.535913 56.3029849525 48.95911735 92250 Eye exam with photos 29.191671 29.191671 31.8919005675 27.73208745 TC 92250 Eye exam with photos 22.344242 22.344242 24.411084385 21.2270299 26 92260 Ophthalmoscopy/dynamometry 11.172121 11.172121 12.2055421925 10.61351495 92265 Eye muscle evaluation 41.444965 41.444965 45.2786242625 39.37271675 TC 92265 Eye muscle evaluation 47.932003 47.932003 52.3657132775 45.53540285 26 92265 Eye muscle evaluation 89.376968 89.376968 97.64433754 84.9081196 92270 Electro-oculography 97.30557 97.30557 106.306335225 92.4402915 92270 Electro-oculography 54.05865 54.05865 59.059075125 51.3557175 TC 92270 Electro-oculography 43.24692 43.24692 47.2472601 41.084574 26 92273 98.026352 98.026352 107.09378956 93.1250344 TC 92273 38.201446 38.201446 41.735079755 36.2913737 26 92273 136.227798 136.227798 148.828869315 129.4164081 92274 92.260096 92.260096 100.79415488 87.6470912 92274 58.383342 58.383342 63.783801135 55.4641749 TC 92274 33.876754 33.876754 37.010353745 32.1829163 26 92283 Color vision examination 45.409266 45.409266 49.609623105 43.1388027 TC 92283 Color vision examination 9.370166 9.370166 10.236906355 8.9016577 26 92283 Color vision examination 54.779432 54.779432 59.84652946 52.0404604 92284 Dark adaptation eye exam 49.733958 49.733958 54.334349115 47.2472601 TC 92284 Dark adaptation eye exam 12.974076 12.974076 14.17417803 12.3253722 26 92284 Dark adaptation eye exam 62.708034 62.708034 68.508527145 59.5726323 92285 Eye photography 18.740332 18.740332 20.47381271 17.8033154 TC 92285 Eye photography 3.243519 3.243519 3.5435445075 3.08134305 26 92285 Eye photography 21.983851 21.983851 24.0173572175 20.88465845 92286 Internal eye photography 16.938377 16.938377 18.5051768725 16.09145815 TC 92286 Internal eye photography 22.704633 22.704633 24.8048115525 21.56940135 26 92286 Internal eye photography 39.64301 39.64301 43.309988425 37.6608595 92287 Internal eye photography 100.90948 100.90948 110.2436069 95.864006 TC 92287 Internal eye photography 47.932003 47.932003 52.3657132775 45.53540285 26 92287 Internal eye photography 148.841483 148.841483 162.6093201775 141.39940885 92310 Contact lens fitting 60.906079 60.906079 66.5398913075 57.86077505 92311 Contact lens fitting 56.581387 56.581387 61.8151652975 53.75231765 92312 Contact lens fitting 65.230771 65.230771 71.2646173175 61.96923245 92313 Contact lens fitting 47.211221 47.211221 51.5782589425 44.85065995 92314 Prescription of contact lens 36.0391 36.0391 39.37271675 34.237145 92315 Prescription of contact lens 22.344242 22.344242 24.411084385 21.2270299 92316 Prescription of contact lens 33.516363 33.516363 36.6166265775 31.84054485 92317 Prescription of contact lens 22.344242 22.344242 24.411084385 21.2270299 92325 Modification of contact lens 44.688484 44.688484 48.82216877 42.4540598 92326 Replacement of contact lens 37.841055 37.841055 41.3413525875 35.94900225 92340 Fitting of spectacles 19.100723 19.100723 20.8675398775 18.14568685 92341 Fitting of spectacles 24.506588 24.506588 26.77344739 23.2812586 92342 Fitting of spectacles 27.750107 27.750107 30.3169918975 26.36260165 92352 Special spectacles fitting 19.100723 19.100723 20.8675398775 18.14568685 92353 Special spectacles fitting 25.948152 25.948152 28.34835606 24.6507444 92354 Special spectacles fitting 13.694858 13.694858 14.961632365 13.0101151 92355 Special spectacles fitting 21.263069 21.263069 23.2299028825 20.19991555 92358 Eye prosthesis service 11.532512 11.532512 12.59926936 10.9558864 92370 Repair & adjust spectacles 16.577986 16.577986 18.111449705 15.7490867 92371 Repair & adjust spectacles 11.892903 11.892903 12.9929965275 11.29825785 92499 Eye service or procedure 0 0 0 0 TC 92499 Eye service or procedure 0 0 0 0 26 92499 Eye service or procedure 0 0 0 0 92502 Ear and throat examination 98.386743 98.386743 107.4875167275 93.46740585 92504 Ear microscopy examination 9.730557 9.730557 10.6306335225 9.24402915 92507 Speech/hearing therapy 80.367193 80.367193 87.8011583525 76.34883335 92508 Speech/hearing therapy 24.146197 24.146197 26.3797202225 22.93888715 92511 Nasopharyngoscopy 38.922228 38.922228 42.52253409 36.9761166 92512 Nasal function studies 28.83128 28.83128 31.4981734 27.389716 92516 Facial nerve function test 23.425415 23.425415 25.5922658875 22.25414425 92520 Laryngeal function studies 41.444965 41.444965 45.2786242625 39.37271675 92521 Evaluation of speech fluency 115.685511 115.685511 126.3864207675 109.90123545 92522 Evaluate speech production 93.70166 93.70166 102.36906355 89.016577 92523 Speech sound lang comprehen 199.656614 199.656614 218.124850795 189.6737833 92524 Behavral qualit analys voice 90.458141 90.458141 98.8255190425 85.93523395 92526 Oral function therapy 87.935404 87.935404 96.06942887 83.5386338 92531 Spontaneous nystagmus study 0 0 0 0 92532 Positional nystagmus test 0 0 0 0 92533 Caloric vestibular test 0 0 0 0 92534 Optokinetic nystagmus test 0 0 0 0 92537 Caloric vstblr test w/rec 41.805356 41.805356 45.67235143 39.7150882 92537 Caloric vstblr test w/rec 9.370166 9.370166 10.236906355 8.9016577 TC 92537 Caloric vstblr test w/rec 32.43519 32.43519 35.435445075 30.8134305 26 92538 Caloric vstblr test w/rec 21.62346 21.62346 23.62363005 20.542287 92538 Caloric vstblr test w/rec 5.405865 5.405865 5.9059075125 5.13557175 TC 92538 Caloric vstblr test w/rec 16.217595 16.217595 17.7177225375 15.40671525 26 92540 Basic vestibular evaluation 25.22737 25.22737 27.560901725 23.9660015 TC 92540 Basic vestibular evaluation 81.087975 81.087975 88.5886126875 77.03357625 26 92540 Basic vestibular evaluation 106.315345 106.315345 116.1495144125 100.99957775 92541 Spontaneous nystagmus test 25.587761 25.587761 27.9546288925 24.30837295 92541 Spontaneous nystagmus test 3.964301 3.964301 4.3309988425 3.76608595 TC 92541 Spontaneous nystagmus test 21.62346 21.62346 23.62363005 20.542287 26 92542 Positional nystagmus test 29.552062 29.552062 32.285627735 28.0744589 92542 Positional nystagmus test 3.60391 3.60391 3.937271675 3.4237145 TC 92542 Positional nystagmus test 25.948152 25.948152 28.34835606 24.6507444 26 92544 Optokinetic nystagmus test 2.883128 2.883128 3.14981734 2.7389716 TC 92544 Optokinetic nystagmus test 14.776031 14.776031 16.1428138675 14.03722945 26 92544 Optokinetic nystagmus test 17.659159 17.659159 19.2926312075 16.77620105 92545 Oscillating tracking test 16.577986 16.577986 18.111449705 15.7490867 92545 Oscillating tracking test 2.883128 2.883128 3.14981734 2.7389716 TC 92545 Oscillating tracking test 13.694858 13.694858 14.961632365 13.0101151 26 92546 Sinusoidal rotational test 106.315345 106.315345 116.1495144125 100.99957775 92546 Sinusoidal rotational test 90.818532 90.818532 99.21924621 86.2776054 TC 92546 Sinusoidal rotational test 15.496813 15.496813 16.9302682025 14.72197235 26 92547 Supplemental electrical test 7.568211 7.568211 8.2682705175 7.18980045 92548 Posturography 98.026352 98.026352 107.09378956 93.1250344 92548 Posturography 71.357418 71.357418 77.957979165 67.7895471 TC 92548 Posturography 26.668934 26.668934 29.135810395 25.3354873 26 92550 Tympanometry & reflex thresh 22.344242 22.344242 24.411084385 21.2270299 92551 Pure tone hearing test air 11.892903 11.892903 12.9929965275 11.29825785 92552 Pure tone audiometry air 32.074799 32.074799 35.0417179075 30.47105905 92553 Audiometry air & bone 38.922228 38.922228 42.52253409 36.9761166 92555 Speech threshold audiometry 24.506588 24.506588 26.77344739 23.2812586 92556 Speech audiometry complete 38.561837 38.561837 42.1288069225 36.63374515 92557 Comprehensive hearing test 33.516363 33.516363 36.6166265775 31.84054485 92558 Evoked auditory test qual 9.009775 9.009775 9.8431791875 8.55928625 92559 Group audiometric testing 0 0 0 0 92560 Bekesy audiometry screen 0 0 0 0 92561 Bekesy audiometry diagnosis 39.64301 39.64301 43.309988425 37.6608595 92562 Loudness balance test 46.130048 46.130048 50.39707744 43.8235456 92563 Tone decay hearing test 31.354017 31.354017 34.2542635725 29.78631615 92564 Sisi hearing test 25.587761 25.587761 27.9546288925 24.30837295 92565 Stenger test pure tone 15.496813 15.496813 16.9302682025 14.72197235 92567 Tympanometry 11.172121 11.172121 12.2055421925 10.61351495 92568 Acoustic refl threshold tst 15.857204 15.857204 17.32399537 15.0643438 92570 Acoustic immitance testing 30.633235 30.633235 33.4668092375 29.10157325 92571 Filtered speech hearing test 27.389716 27.389716 29.92326473 26.0202302 92572 Staggered spondaic word test 43.607311 43.607311 47.6409872675 41.42694545 92575 Sensorineural acuity test 64.509989 64.509989 70.4771629825 61.28448955 92576 Synthetic sentence test 37.120273 37.120273 40.5538982525 35.26425935 92577 Stenger test speech 14.055249 14.055249 15.3553595325 13.35248655 92579 Visual audiometry (vra) 39.282619 39.282619 42.9162612575 37.31848805 92582 Conditioning play audiometry 74.240546 74.240546 81.107796505 70.5285187 92583 Select picture audiometry 48.652785 48.652785 53.1531676125 46.22014575 92584 Electrocochleography 75.321719 75.321719 82.2889780075 71.55563305 92585 Auditor evoke potent compre 137.308971 137.308971 150.0100508175 130.44352245 92585 Auditor evoke potent compre 109.919255 109.919255 120.0867860875 104.42329225 TC 92585 Auditor evoke potent compre 27.389716 27.389716 29.92326473 26.0202302 26 92586 Auditor evoke potent limit 94.062051 94.062051 102.7627907175 89.35894845 92587 Evoked auditory test limited 3.60391 3.60391 3.937271675 3.4237145 TC 92587 Evoked auditory test limited 18.740332 18.740332 20.47381271 17.8033154 26 92587 Evoked auditory test limited 22.344242 22.344242 24.411084385 21.2270299 92588 Evoked auditory tst complete 4.324692 4.324692 4.72472601 4.1084574 TC 92588 Evoked auditory tst complete 29.552062 29.552062 32.285627735 28.0744589 26 92588 Evoked auditory tst complete 33.876754 33.876754 37.010353745 32.1829163 92590 Hearing aid exam one ear 0 0 0 0 92591 Hearing aid exam both ears 0 0 0 0 92592 Hearing aid check one ear 0 0 0 0 92593 Hearing aid check both ears 0 0 0 0 92594 Electro hearng aid test one 0 0 0 0 92595 Electro hearng aid tst both 0 0 0 0 92596 Ear protector evaluation 68.113899 68.113899 74.4144346575 64.70820405 92597 Oral speech device eval 74.240546 74.240546 81.107796505 70.5285187 92601 Cochlear implt f/up exam < 7 128.659587 128.659587 140.5605987975 122.22660765 92602 Reprogram cochlear implt < 7 72.798982 72.798982 79.532887835 69.1590329 92603 Cochlear implt f/up exam 7 > 125.055677 125.055677 136.6233271225 118.80289315 92604 Reprogram cochlear implt 7 > 69.915854 69.915854 76.383070495 66.4200613 92605 Ex for nonspeech device rx 91.178923 91.178923 99.6129733775 86.61997685 92606 Non-speech device service 72.798982 72.798982 79.532887835 69.1590329 92607 Ex for speech device rx 1hr 132.984279 132.984279 145.2853248075 126.33506505 92608 Ex for speech device rx addl 52.977477 52.977477 57.8778936225 50.32860315 92609 Use of speech device service 111.000428 111.000428 121.26796759 105.4504066 92610 Evaluate swallowing function 74.240546 74.240546 81.107796505 70.5285187 92611 Motion fluoroscopy/swallow 91.899705 91.899705 100.4004277125 87.30471975 92612 Endoscopy swallow tst (fees) 69.915854 69.915854 76.383070495 66.4200613 92613 Endoscopy swallow tst (fees) 38.561837 38.561837 42.1288069225 36.63374515 92614 Laryngoscopic sensory test 68.47429 68.47429 74.808161825 65.0505755 92615 Eval laryngoscopy sense tst 33.876754 33.876754 37.010353745 32.1829163 92616 Fees w/laryngeal sense test 102.351044 102.351044 111.81851557 97.2334918 92617 Interprt fees/laryngeal test 42.526138 42.526138 46.459805765 40.3998311 92618 Ex for nonspeech dev rx add 33.876754 33.876754 37.010353745 32.1829163 92620 Auditory function 60 min 83.610712 83.610712 91.34470286 79.4301764 92621 Auditory function + 15 min 19.461114 19.461114 21.261267045 18.4880583 92625 Tinnitus assessment 64.149598 64.149598 70.083435815 60.9421181 92626 Eval aud rehab status 77.844456 77.844456 85.04506818 73.9522332 92627 Eval aud status rehab add-on 18.379941 18.379941 20.0800855425 17.46094395 92630 Aud rehab pre-ling hear loss 0 0 0 0 92633 Aud rehab postling hear loss 0 0 0 0 92640 Aud brainstem implt programg 98.386743 98.386743 107.4875167275 93.46740585 92700 Ent procedure/service 0 0 0 0 92920 Prq cardiac angioplast 1 art 558.245659 558.245659 609.8833824575 530.33337605 92921 Prq cardiac angio addl art 0 0 0 0 92924 Prq card angio/athrect 1 art 666.002568 666.002568 727.60780554 632.7024396 92925 Prq card angio/athrect addl 0 0 0 0 92928 Prq card stent w/angio 1 vsl 621.314084 621.314084 678.78563677 590.2483798 92929 Prq card stent w/angio addl 0 0 0 0 92933 Prq card stent/ath/angio 696.996194 696.996194 761.468341945 662.1463843 92934 Prq card stent/ath/angio 0 0 0 0 92937 Prq revasc byp graft 1 vsl 620.953693 620.953693 678.3919096025 589.90600835 92938 Prq revasc byp graft addl 0 0 0 0 92941 Prq card revasc mi 1 vsl 698.798149 698.798149 763.4369777825 663.85824155 92943 Prq card revasc chronic 1vsl 698.437758 698.437758 763.043250615 663.5158701 92944 Prq card revasc chronic addl 0 0 0 0 92950 Heart/lung resuscitation cpr 192.809185 192.809185 210.6440346125 183.16872575 92953 Temporary external pacing 1.081173 1.081173 1.1811815025 1.02711435 92960 Cardioversion electric ext 112.802383 112.802383 123.2366034275 107.16226385 92961 Cardioversion electric int 260.562693 260.562693 284.6647421025 247.53455835 92970 Cardioassist internal 198.935832 198.935832 217.33739646 188.9890404 92971 Cardioassist external 104.873781 104.873781 114.5746057425 99.63009195 92973 Percut coronary thrombectomy 185.601365 185.601365 202.7694912625 176.32129675 92974 Cath place cardio brachytx 170.104552 170.104552 185.83922306 161.5993244 92975 Dissolve clot heart vessel 395.709318 395.709318 432.312429915 375.9238521 92977 Dissolve clot heart vessel 56.220996 56.220996 61.42143813 53.4099462 92978 Intravasc us heart add-on 0 0 0 0 TC 92978 Intravasc us heart add-on 100.549089 100.549089 109.8498797325 95.52163455 26 92978 Intravasc us heart add-on 0 0 0 0 92979 Intravasc us heart add-on 0 0 0 0 92979 Intravasc us heart add-on 0 0 0 0 TC 92979 Intravasc us heart add-on 80.006802 80.006802 87.407431185 76.0064619 26 92986 Revision of aortic valve 1383.180658 1383.180658 1511.124868865 1314.0216251 92987 Revision of mitral valve 1426.787969 1426.787969 1558.7658561325 1355.44857055 92990 Revision of pulmonary valve 1139.556342 1139.556342 1244.965303635 1082.5785249 92992 Revision of heart chamber 0 0 0 0 92993 Revision of heart chamber 0 0 0 0 92997 Pul art balloon repr percut 687.986419 687.986419 751.6251627575 653.58709805 92998 Pul art balloon repr percut 340.209104 340.209104 371.67844612 323.1986488 93000 Electrocardiogram complete 17.298768 17.298768 18.89890404 16.4338296 93005 Electrocardiogram tracing 8.649384 8.649384 9.44945202 8.2169148 93010 Electrocardiogram report 8.649384 8.649384 9.44945202 8.2169148 93015 Cardiovascular stress test 72.438591 72.438591 79.1391606675 68.81666145 93016 Cardiovascular stress test 22.704633 22.704633 24.8048115525 21.56940135 93017 Cardiovascular stress test 34.597536 34.597536 37.79780808 32.8676592 93018 Cardiovascular stress test 15.136422 15.136422 16.536541035 14.3796009 93024 Cardiac drug stress test 112.441992 112.441992 122.84287626 106.8198924 93024 Cardiac drug stress test 54.05865 54.05865 59.059075125 51.3557175 TC 93024 Cardiac drug stress test 58.383342 58.383342 63.783801135 55.4641749 26 93025 Microvolt t-wave assess 152.445393 152.445393 166.5465918525 144.82312335 93025 Microvolt t-wave assess 114.604338 114.604338 125.205239265 108.8741211 TC 93025 Microvolt t-wave assess 37.841055 37.841055 41.3413525875 35.94900225 26 93040 Rhythm ECG with report 12.974076 12.974076 14.17417803 12.3253722 93041 Rhythm ecg tracing 5.766256 5.766256 6.29963468 5.4779432 93042 Rhythm ecg report 7.20782 7.20782 7.87454335 6.847429 93050 Art pressure waveform analys 16.577986 16.577986 18.111449705 15.7490867 93050 Art pressure waveform analys 7.928602 7.928602 8.661997685 7.5321719 TC 93050 Art pressure waveform analys 8.649384 8.649384 9.44945202 8.2169148 26 93224 Ecg monit/reprt up to 48 hrs 90.458141 90.458141 98.8255190425 85.93523395 93225 Ecg monit/reprt up to 48 hrs 26.308543 26.308543 28.7420832275 24.99311585 93226 Ecg monit/reprt up to 48 hrs 37.120273 37.120273 40.5538982525 35.26425935 93227 Ecg monit/reprt up to 48 hrs 27.029325 27.029325 29.5295375625 25.67785875 93228 Remote 30 day ecg rev/report 26.668934 26.668934 29.135810395 25.3354873 93229 Remote 30 day ecg tech supp 718.980045 718.980045 785.4856991625 683.03104275 93260 Prgrmg dev eval impltbl sys 69.555463 69.555463 75.9893433275 66.07768985 93260 Prgrmg dev eval impltbl sys 25.587761 25.587761 27.9546288925 24.30837295 TC 93260 Prgrmg dev eval impltbl sys 43.967702 43.967702 48.034714435 41.7693169 26 93261 Interrogate subq defib 63.789207 63.789207 69.6897086475 60.59974665 93261 Interrogate subq defib 25.587761 25.587761 27.9546288925 24.30837295 TC 93261 Interrogate subq defib 38.201446 38.201446 41.735079755 36.2913737 26 93264 36.759882 36.759882 40.160171085 34.9218879 93268 ECG record/review 205.42287 205.42287 224.424485475 195.1517265 93270 Remote 30 day ecg rev/report 9.370166 9.370166 10.236906355 8.9016577 93271 Ecg/monitoring and analysis 170.104552 170.104552 185.83922306 161.5993244 93272 Ecg/review interpret only 25.948152 25.948152 28.34835606 24.6507444 93278 ECG/signal-averaged 31.354017 31.354017 34.2542635725 29.78631615 93278 ECG/signal-averaged 18.379941 18.379941 20.0800855425 17.46094395 TC 93278 ECG/signal-averaged 12.974076 12.974076 14.17417803 12.3253722 26 93279 Pm device progr eval sngl 56.220996 56.220996 61.42143813 53.4099462 93279 Pm device progr eval sngl 23.065024 23.065024 25.19853872 21.9117728 TC 93279 Pm device progr eval sngl 33.155972 33.155972 36.22289941 31.4981734 26 93280 Pm device progr eval dual 65.951553 65.951553 72.0520716525 62.65397535 93280 Pm device progr eval dual 26.668934 26.668934 29.135810395 25.3354873 TC 93280 Pm device progr eval dual 39.282619 39.282619 42.9162612575 37.31848805 26 93281 Pm device progr eval multi 70.997027 70.997027 77.5642519975 67.44717565 93281 Pm device progr eval multi 27.029325 27.029325 29.5295375625 25.67785875 TC 93281 Pm device progr eval multi 43.967702 43.967702 48.034714435 41.7693169 26 93282 Icd device prog eval 1 sngl 24.866979 24.866979 27.1671745575 23.62363005 TC 93282 Icd device prog eval 1 sngl 43.607311 43.607311 47.6409872675 41.42694545 26 93282 Icd device prog eval 1 sngl 68.47429 68.47429 74.808161825 65.0505755 93283 Icd device progr eval dual 27.029325 27.029325 29.5295375625 25.67785875 TC 93283 Icd device progr eval dual 59.104124 59.104124 64.57125547 56.1489178 26 93283 Icd device progr eval dual 86.133449 86.133449 94.1007930325 81.82677655 93284 Icd device progr eval mult 93.341269 93.341269 101.9753363825 88.67420555 93284 Icd device progr eval mult 28.83128 28.83128 31.4981734 27.389716 TC 93284 Icd device progr eval mult 64.509989 64.509989 70.4771629825 61.28448955 26 93285 Ilr device eval progr 22.344242 22.344242 24.411084385 21.2270299 TC 93285 Ilr device eval progr 27.029325 27.029325 29.5295375625 25.67785875 26 93285 Ilr device eval progr 49.373567 49.373567 53.9406219475 46.90488865 93286 Pre-op pm device eval 35.678709 35.678709 38.9789895825 33.89477355 93286 Pre-op pm device eval 20.181896 20.181896 22.04872138 19.1728012 TC 93286 Pre-op pm device eval 15.496813 15.496813 16.9302682025 14.72197235 26 93287 Pre-op icd device eval 20.181896 20.181896 22.04872138 19.1728012 TC 93287 Pre-op icd device eval 23.785806 23.785806 25.985993055 22.5965157 26 93287 Pre-op icd device eval 43.967702 43.967702 48.034714435 41.7693169 93288 Pm device eval in person 45.048875 45.048875 49.2158959375 42.79643125 93288 Pm device eval in person 23.065024 23.065024 25.19853872 21.9117728 TC 93288 Pm device eval in person 21.983851 21.983851 24.0173572175 20.88465845 26 93289 Icd device interrogate 61.26647 61.26647 66.933618475 58.2031465 93289 Icd device interrogate 23.065024 23.065024 25.19853872 21.9117728 TC 93289 Icd device interrogate 38.201446 38.201446 41.735079755 36.2913737 26 93290 Icm device eval 42.886529 42.886529 46.8535329325 40.74220255 93290 Icm device eval 20.542287 20.542287 22.4424485475 19.51517265 TC 93290 Icm device eval 22.344242 22.344242 24.411084385 21.2270299 26 93291 Ilr device interrogate 19.821505 19.821505 21.6549942125 18.83042975 TC 93291 Ilr device interrogate 18.740332 18.740332 20.47381271 17.8033154 26 93291 Ilr device interrogate 38.561837 38.561837 42.1288069225 36.63374515 93292 Wcd device interrogate 41.084574 41.084574 44.884897095 39.0303453 93292 Wcd device interrogate 19.100723 19.100723 20.8675398775 18.14568685 TC 93292 Wcd device interrogate 21.983851 21.983851 24.0173572175 20.88465845 26 93293 Pm phone r-strip device eval 53.337868 53.337868 58.27162079 50.6709746 93293 Pm phone r-strip device eval 37.841055 37.841055 41.3413525875 35.94900225 TC 93293 Pm phone r-strip device eval 15.496813 15.496813 16.9302682025 14.72197235 26 93294 Pm device interrogate remote 31.354017 31.354017 34.2542635725 29.78631615 93295 Icd device interrogat remote 45.409266 45.409266 49.609623105 43.1388027 93296 Pm/icd remote tech serv 25.948152 25.948152 28.34835606 24.6507444 93297 Icm device interrogat remote 27.029325 27.029325 29.5295375625 25.67785875 93298 Ilr device interrogat remote 27.029325 27.029325 29.5295375625 25.67785875 93299 Icm/ilr remote tech serv 0 0 0 0 93303 Echo transthoracic 174.429244 174.429244 190.56394907 165.7077818 TC 93303 Echo transthoracic 65.230771 65.230771 71.2646173175 61.96923245 26 93303 Echo transthoracic 239.660015 239.660015 261.8285663875 227.67701425 93304 Echo transthoracic 163.257123 163.257123 178.3584068775 155.09426685 93304 Echo transthoracic 125.776459 125.776459 137.4107814575 119.48763605 TC 93304 Echo transthoracic 37.480664 37.480664 40.94762542 35.6066308 26 93306 Tte w/doppler complete 210.468344 210.468344 229.93666582 199.9449268 93306 Tte w/doppler complete 135.507016 135.507016 148.04141498 128.7316652 TC 93306 Tte w/doppler complete 74.961328 74.961328 81.89525084 71.2132616 26 93307 Tte w/o doppler complete 143.075227 143.075227 156.3096854975 135.92146565 93307 Tte w/o doppler complete 96.945179 96.945179 105.9126080575 92.09792005 TC 93307 Tte w/o doppler complete 46.130048 46.130048 50.39707744 43.8235456 26 93308 Tte f-up or lmtd 100.188698 100.188698 109.456152565 95.1792631 93308 Tte f-up or lmtd 73.880155 73.880155 80.7140693375 70.18614725 TC 93308 Tte f-up or lmtd 26.308543 26.308543 28.7420832275 24.99311585 26 93312 Echo transesophageal 251.192527 251.192527 274.4278357475 238.63290065 93312 Echo transesophageal 139.110926 139.110926 151.978686655 132.1553797 TC 93312 Echo transesophageal 112.081601 112.081601 122.4491490925 106.47752095 26 93313 Echo transesophageal 11.892903 11.892903 12.9929965275 11.29825785 93314 Echo transesophageal 242.543143 242.543143 264.9783837275 230.41598585 93314 Echo transesophageal 148.481092 148.481092 162.21559301 141.0570374 TC 93314 Echo transesophageal 94.062051 94.062051 102.7627907175 89.35894845 26 93315 Echo transesophageal 0 0 0 0 93315 Echo transesophageal 0 0 0 0 TC 93315 Echo transesophageal 131.903106 131.903106 144.104143305 125.3079507 26 93316 Echo transesophageal 28.470889 28.470889 31.1044462325 27.04734455 93317 Echo transesophageal 0 0 0 0 TC 93317 Echo transesophageal 95.143224 95.143224 103.94397222 90.3860628 26 93317 Echo transesophageal 0 0 0 0 93318 Echo transesophageal intraop 0 0 0 0 TC 93318 Echo transesophageal intraop 107.396518 107.396518 117.330695915 102.0266921 26 93318 Echo transesophageal intraop 0 0 0 0 93320 Doppler echo exam heart 35.678709 35.678709 38.9789895825 33.89477355 TC 93320 Doppler echo exam heart 18.740332 18.740332 20.47381271 17.8033154 26 93320 Doppler echo exam heart 54.419041 54.419041 59.4528022925 51.69808895 93321 Doppler echo exam heart 19.821505 19.821505 21.6549942125 18.83042975 TC 93321 Doppler echo exam heart 7.568211 7.568211 8.2682705175 7.18980045 26 93321 Doppler echo exam heart 27.389716 27.389716 29.92326473 26.0202302 93325 Doppler color flow add-on 22.344242 22.344242 24.411084385 21.2270299 TC 93325 Doppler color flow add-on 3.243519 3.243519 3.5435445075 3.08134305 26 93325 Doppler color flow add-on 25.587761 25.587761 27.9546288925 24.30837295 93350 Stress tte only 118.568639 118.568639 129.5362381075 112.64020705 TC 93350 Stress tte only 72.798982 72.798982 79.532887835 69.1590329 26 93350 Stress tte only 191.367621 191.367621 209.0691259425 181.79923995 93351 Stress tte complete 149.562265 149.562265 163.3967745125 142.08415175 TC 93351 Stress tte complete 87.214622 87.214622 95.281974535 82.8538909 26 93351 Stress tte complete 236.776887 236.776887 258.6787490475 224.93804265 93352 Admin ecg contrast agent 34.237145 34.237145 37.4040809125 32.52528775 93355 Echo transesophageal (tee) 236.776887 236.776887 258.6787490475 224.93804265 93451 Right heart cath 661.317485 661.317485 722.4893523625 628.25161075 TC 93451 Right heart cath 136.588189 136.588189 149.2225964825 129.75877955 26 93451 Right heart cath 797.905674 797.905674 871.711948845 758.0103903 93452 Left hrt cath w/ventrclgrphy 637.531679 637.531679 696.5033593075 605.65509505 TC 93452 Left hrt cath w/ventrclgrphy 249.030181 249.030181 272.0654727425 236.57867195 26 93452 Left hrt cath w/ventrclgrphy 886.56186 886.56186 968.56883205 842.233767 93453 R&l hrt cath w/ventriclgrphy 1150.368072 1150.368072 1256.77711866 1092.8496684 93453 R&l hrt cath w/ventriclgrphy 815.925224 815.925224 891.39830722 775.1289628 TC 93453 R&l hrt cath w/ventriclgrphy 334.442848 334.442848 365.37881144 317.7207056 26 93454 Coronary artery angio s&i 642.937544 642.937544 702.40926682 610.7906668 TC 93454 Coronary artery angio s&i 252.634091 252.634091 276.0027444175 240.00238645 26 93454 Coronary artery angio s&i 895.571635 895.571635 978.4120112375 850.79305325 93455 Coronary art/grft angio s&i 1032.159824 1032.159824 1127.63460772 980.5518328 93455 Coronary art/grft angio s&i 737.720377 737.720377 805.9595118725 700.83435815 TC 93455 Coronary art/grft angio s&i 294.439447 294.439447 321.6750958475 279.71747465 26 93456 R hrt coronary artery angio 805.834276 805.834276 880.37394653 765.5425622 TC 93456 R hrt coronary artery angio 328.316201 328.316201 358.6854495925 311.90039095 26 93456 R hrt coronary artery angio 1134.150477 1134.150477 1239.0593961225 1077.44295315 93457 R hrt art/grft angio 1267.855538 1267.855538 1385.132175265 1204.4627611 93457 R hrt art/grft angio 898.815154 898.815154 981.955555745 853.8743963 TC 93457 R hrt art/grft angio 369.040384 369.040384 403.17661952 350.5883648 26 93458 L hrt artery/ventricle angio 1063.15345 1063.15345 1161.495144125 1009.9957775 93458 L hrt artery/ventricle angio 751.415235 751.415235 820.9211442375 713.84447325 TC 93458 L hrt artery/ventricle angio 311.738215 311.738215 340.5739998875 296.15130425 26 93459 L hrt art/grft angio 1167.66684 1167.66684 1275.6760227 1109.283498 93459 L hrt art/grft angio 814.844051 814.844051 890.2171257175 774.10184845 TC 93459 L hrt art/grft angio 352.822789 352.822789 385.4588969825 335.18164955 26 93460 R&l hrt art/ventricle angio 881.155995 881.155995 962.6629245375 837.09819525 TC 93460 R&l hrt art/ventricle angio 394.628145 394.628145 431.1312484125 374.89673775 26 93460 R&l hrt art/ventricle angio 1275.78414 1275.78414 1393.79417295 1211.994933 93461 R&l hrt art/ventricle angio 1007.292845 1007.292845 1100.4674331625 956.92820275 TC 93461 R&l hrt art/ventricle angio 436.793892 436.793892 477.19732701 414.9541974 26 93461 R&l hrt art/ventricle angio 1444.086737 1444.086737 1577.6647601725 1371.88240015 93462 L hrt cath trnsptl puncture 220.198901 220.198901 240.5672993425 209.18895595 93463 Drug admin & hemodynmic meas 101.630262 101.630262 111.031061235 96.5487489 93464 Exercise w/hemodynamic meas 163.617514 163.617514 178.752134045 155.4366383 TC 93464 Exercise w/hemodynamic meas 90.09775 90.09775 98.431791875 85.5928625 26 93464 Exercise w/hemodynamic meas 253.715264 253.715264 277.18392592 241.0295008 93503 Insert/place heart catheter 91.899705 91.899705 100.4004277125 87.30471975 93505 Biopsy of heart lining 718.980045 718.980045 785.4856991625 683.03104275 93505 Biopsy of heart lining 488.329805 488.329805 533.5003119625 463.91331475 TC 93505 Biopsy of heart lining 230.65024 230.65024 251.9853872 219.117728 26 93530 Rt heart cath congenital 0 0 0 0 TC 93530 Rt heart cath congenital 215.153427 215.153427 235.0551189975 204.39575565 26 93530 Rt heart cath congenital 0 0 0 0 93531 R & l heart cath congenital 0 0 0 0 TC 93531 R & l heart cath congenital 446.524449 446.524449 487.8279605325 424.19822655 26 93531 R & l heart cath congenital 0 0 0 0 93532 R & l heart cath congenital 0 0 0 0 TC 93532 R & l heart cath congenital 557.524877 557.524877 609.0959281225 529.64863315 26 93532 R & l heart cath congenital 0 0 0 0 93533 R & l heart cath congenital 0 0 0 0 TC 93533 R & l heart cath congenital 372.283903 372.283903 406.7201640275 353.66970785 26 93533 R & l heart cath congenital 0 0 0 0 93561 Cardiac output measurement 0 0 0 0 93561 Cardiac output measurement 0 0 0 0 TC 93561 Cardiac output measurement 47.211221 47.211221 51.5782589425 44.85065995 26 93562 Card output measure subsq 0 0 0 0 93562 Card output measure subsq 0 0 0 0 TC 93562 Card output measure subsq 38.201446 38.201446 41.735079755 36.2913737 26 93563 Inject congenital card cath 60.906079 60.906079 66.5398913075 57.86077505 93564 Inject hrt congntl art/grft 64.509989 64.509989 70.4771629825 61.28448955 93565 Inject l ventr/atrial angio 47.211221 47.211221 51.5782589425 44.85065995 93566 Inject r ventr/atrial angio 48.652785 48.652785 53.1531676125 46.22014575 93567 Inject suprvlv aortography 55.139823 55.139823 60.2402566275 52.38283185 93568 Inject pulm art hrt cath 49.733958 49.733958 54.334349115 47.2472601 93571 Heart flow reserve measure 0 0 0 0 93571 Heart flow reserve measure 0 0 0 0 TC 93571 Heart flow reserve measure 80.727584 80.727584 88.19488552 76.6912048 26 93572 Heart flow reserve measure 0 0 0 0 TC 93572 Heart flow reserve measure 65.230771 65.230771 71.2646173175 61.96923245 26 93572 Heart flow reserve measure 0 0 0 0 93580 Transcath closure of asd 1025.312395 1025.312395 1120.1537915375 974.04677525 93581 Transcath closure of vsd 1397.235907 1397.235907 1526.4802283975 1327.37411165 93582 Perq transcath closure pda 699.879322 699.879322 764.618159285 664.8853559 93583 Perq transcath septal reduxn 779.886124 779.886124 852.02559047 740.8918178 93590 Perq transcath cls mitral 1124.41992 1124.41992 1228.4287626 1068.198924 93591 Perq transcath cls aortic 926.20487 926.20487 1011.878820475 879.8946265 93592 Perq transcath closure each 410.485349 410.485349 448.4552437825 389.96108155 93600 Bundle of His recording 0 0 0 0 93600 Bundle of His recording 0 0 0 0 TC 93600 Bundle of His recording 124.334895 124.334895 135.8358727875 118.11815025 26 93602 Intra-atrial recording 0 0 0 0 93602 Intra-atrial recording 0 0 0 0 TC 93602 Intra-atrial recording 121.812158 121.812158 133.079782615 115.7215501 26 93603 Right ventricular recording 0 0 0 0 TC 93603 Right ventricular recording 122.172549 122.172549 133.4735097825 116.06392155 26 93603 Right ventricular recording 0 0 0 0 93609 Map tachycardia add-on 0 0 0 0 TC 93609 Map tachycardia add-on 291.91671 291.91671 318.919005675 277.3208745 26 93609 Map tachycardia add-on 0 0 0 0 93610 Intra-atrial pacing 0 0 0 0 TC 93610 Intra-atrial pacing 171.906507 171.906507 187.8078588975 163.31118165 26 93610 Intra-atrial pacing 0 0 0 0 93612 Intraventricular pacing 0 0 0 0 TC 93612 Intraventricular pacing 170.104552 170.104552 185.83922306 161.5993244 26 93612 Intraventricular pacing 0 0 0 0 93613 Electrophys map 3d add-on 311.017433 311.017433 339.7865455525 295.46656135 93615 Esophageal recording 0 0 0 0 93615 Esophageal recording 0 0 0 0 TC 93615 Esophageal recording 39.282619 39.282619 42.9162612575 37.31848805 26 93616 Esophageal recording 0 0 0 0 93616 Esophageal recording 0 0 0 0 TC 93616 Esophageal recording 61.626861 61.626861 67.3273456425 58.54551795 26 93618 Heart rhythm pacing 0 0 0 0 93618 Heart rhythm pacing 0 0 0 0 TC 93618 Heart rhythm pacing 231.731413 231.731413 253.1665687025 220.14484235 26 93619 Electrophysiology evaluation 0 0 0 0 93619 Electrophysiology evaluation 0 0 0 0 TC 93619 Electrophysiology evaluation 409.764567 409.764567 447.6677894475 389.27633865 26 93620 Electrophysiology evaluation 0 0 0 0 93620 Electrophysiology evaluation 0 0 0 0 TC 93620 Electrophysiology evaluation 658.794748 658.794748 719.73326219 625.8550106 26 93621 Electrophysiology evaluation 0 0 0 0 93621 Electrophysiology evaluation 0 0 0 0 TC 93621 Electrophysiology evaluation 122.172549 122.172549 133.4735097825 116.06392155 26 93622 Electrophysiology evaluation 0 0 0 0 TC 93622 Electrophysiology evaluation 180.916282 180.916282 197.651038085 171.8704679 26 93622 Electrophysiology evaluation 0 0 0 0 93623 Stimulation pacing heart 0 0 0 0 TC 93623 Stimulation pacing heart 166.140251 166.140251 181.5082242175 157.83323845 26 93623 Stimulation pacing heart 0 0 0 0 93624 Electrophysiologic study 0 0 0 0 93624 Electrophysiologic study 0 0 0 0 TC 93624 Electrophysiologic study 253.715264 253.715264 277.18392592 241.0295008 26 93631 Heart pacing mapping 0 0 0 0 93631 Heart pacing mapping 0 0 0 0 TC 93631 Heart pacing mapping 414.089259 414.089259 452.3925154575 393.38479605 26 93640 Evaluation heart device 0 0 0 0 TC 93640 Evaluation heart device 187.40332 187.40332 204.7381271 178.033154 26 93640 Evaluation heart device 0 0 0 0 93641 Electrophysiology evaluation 0 0 0 0 TC 93641 Electrophysiology evaluation 327.95581 327.95581 358.291722425 311.5580195 26 93641 Electrophysiology evaluation 0 0 0 0 93642 Electrophysiology evaluation 352.462398 352.462398 385.065169815 334.8392781 93642 Electrophysiology evaluation 83.610712 83.610712 91.34470286 79.4301764 TC 93642 Electrophysiology evaluation 268.851686 268.851686 293.720466955 255.4091017 26 93644 Electrophysiology evaluation 52.977477 52.977477 57.8778936225 50.32860315 TC 93644 Electrophysiology evaluation 150.643438 150.643438 164.577956015 143.1112661 26 93644 Electrophysiology evaluation 203.620915 203.620915 222.4558496375 193.43986925 93650 Ablate heart dysrhythm focus 619.87252 619.87252 677.2107281 588.878894 93653 Ep & ablate supravent arrhyt 877.912476 877.912476 959.11938003 834.0168522 93654 Ep & ablate ventric tachy 1174.87466 1174.87466 1283.55056605 1116.130927 93655 Ablate arrhythmia add on 446.88484 446.88484 488.2216877 424.540598 93656 Tx atrial fib pulm vein isol 1178.47857 1178.47857 1287.487837725 1119.5546415 93657 Tx l/r atrial fib addl 446.164058 446.164058 487.434233365 423.8558551 93660 Tilt table evaluation 162.536341 162.536341 177.5709525425 154.40952395 93660 Tilt table evaluation 66.311944 66.311944 72.44579882 62.9963468 TC 93660 Tilt table evaluation 96.224397 96.224397 105.1251537225 91.41317715 26 93662 Intracardiac ecg (ice) 0 0 0 0 93662 Intracardiac ecg (ice) 0 0 0 0 TC 93662 Intracardiac ecg (ice) 146.679137 146.679137 160.2469571725 139.34518015 26 93668 Peripheral vascular rehab 18.01955 18.01955 19.686358375 17.1185725 93701 Bioimpedance cv analysis 25.587761 25.587761 27.9546288925 24.30837295 93702 Bis xtracell fluid analysis 128.659587 128.659587 140.5605987975 122.22660765 93724 Analyze pacemaker system 33.876754 33.876754 37.010353745 32.1829163 TC 93724 Analyze pacemaker system 250.471745 250.471745 273.6403814125 237.94815775 26 93724 Analyze pacemaker system 284.348499 284.348499 310.6507351575 270.13107405 93740 Temperature gradient studies 8.288993 8.288993 9.0557248525 7.87454335 93745 Set-up cardiovert-defibrill 0 0 0 0 TC 93745 Set-up cardiovert-defibrill 0 0 0 0 26 93745 Set-up cardiovert-defibrill 0 0 0 0 93750 Interrogation vad in person 47.571612 47.571612 51.97198611 45.1930314 93770 Measure venous pressure 8.288993 8.288993 9.0557248525 7.87454335 93784 Ambulatory BP monitoring 54.419041 54.419041 59.4528022925 51.69808895 93786 Ambulatory BP recording 29.912453 29.912453 32.6793549025 28.41683035 93788 Ambulatory BP analysis 5.405865 5.405865 5.9059075125 5.13557175 93790 Review/report BP recording 19.100723 19.100723 20.8675398775 18.14568685 93792 Pt/caregiver trainj home inr 53.337868 53.337868 58.27162079 50.6709746 93793 Anticoag mgmt pt warfarin 12.253294 12.253294 13.386723695 11.6406293 93797 Cardiac rehab 9.009775 9.009775 9.8431791875 8.55928625 93798 Cardiac rehab/monitor 14.41564 14.41564 15.7490867 13.694858 93799 Cardiovascular procedure 0 0 0 0 TC 93799 Cardiovascular procedure 0 0 0 0 26 93799 Cardiovascular procedure 0 0 0 0 93880 Extracranial study 205.42287 205.42287 224.424485475 195.1517265 93880 Extracranial study 164.338296 164.338296 179.53958838 156.1213812 TC 93880 Extracranial study 41.084574 41.084574 44.884897095 39.0303453 26 93882 Extracranial study 131.182324 131.182324 143.31668897 124.6232078 93882 Extracranial study 105.594563 105.594563 115.3620600775 100.31483485 TC 93882 Extracranial study 25.587761 25.587761 27.9546288925 24.30837295 26 93886 Intracranial study 228.127503 228.127503 249.2292970275 216.72112785 TC 93886 Intracranial study 48.292394 48.292394 52.759440445 45.8777743 26 93886 Intracranial study 276.419897 276.419897 301.9887374725 262.59890215 93888 Intracranial study 161.094777 161.094777 175.9960438725 153.04003815 93888 Intracranial study 134.425843 134.425843 146.8602334775 127.70455085 TC 93888 Intracranial study 26.668934 26.668934 29.135810395 25.3354873 26 93890 Tcd vasoreactivity study 229.208676 229.208676 250.41047853 217.7482422 TC 93890 Tcd vasoreactivity study 52.617086 52.617086 57.484166455 49.9862317 26 93890 Tcd vasoreactivity study 281.825762 281.825762 307.894644985 267.7344739 93892 Tcd emboli detect w/o inj 255.87761 255.87761 279.546288925 243.0837295 TC 93892 Tcd emboli detect w/o inj 61.626861 61.626861 67.3273456425 58.54551795 26 93892 Tcd emboli detect w/o inj 317.504471 317.504471 346.8736345675 301.62924745 93893 Tcd emboli detect w/inj 353.543571 353.543571 386.2463513175 335.86639245 93893 Tcd emboli detect w/inj 291.91671 291.91671 318.919005675 277.3208745 TC 93893 Tcd emboli detect w/inj 61.626861 61.626861 67.3273456425 58.54551795 26 93895 Carotid intima atheroma eval 0 0 0 0 TC 93895 Carotid intima atheroma eval 0 0 0 0 26 93895 Carotid intima atheroma eval 0 0 0 0 93922 Upr/l xtremity art 2 levels 74.961328 74.961328 81.89525084 71.2132616 TC 93922 Upr/l xtremity art 2 levels 12.974076 12.974076 14.17417803 12.3253722 26 93922 Upr/l xtremity art 2 levels 87.935404 87.935404 96.06942887 83.5386338 93923 Upr/lxtr art stdy 3+ lvls 136.227798 136.227798 148.828869315 129.4164081 93923 Upr/lxtr art stdy 3+ lvls 113.523165 113.523165 124.0240577625 107.84700675 TC 93923 Upr/lxtr art stdy 3+ lvls 22.704633 22.704633 24.8048115525 21.56940135 26 93924 Lwr xtr vasc stdy bilat 168.302597 168.302597 183.8705872225 159.88746715 93924 Lwr xtr vasc stdy bilat 143.075227 143.075227 156.3096854975 135.92146565 TC 93924 Lwr xtr vasc stdy bilat 25.22737 25.22737 27.560901725 23.9660015 26 93925 Lower extremity study 220.919683 220.919683 241.3547536775 209.87369885 TC 93925 Lower extremity study 40.363792 40.363792 44.09744276 38.3456024 26 93925 Lower extremity study 261.283475 261.283475 285.4521964375 248.21930125 93926 Lower extremity study 128.659587 128.659587 140.5605987975 122.22660765 TC 93926 Lower extremity study 24.866979 24.866979 27.1671745575 23.62363005 26 93926 Lower extremity study 153.526566 153.526566 167.727773355 145.8502377 93930 Upper extremity study 209.747562 209.747562 229.149211485 199.2601839 93930 Upper extremity study 169.023379 169.023379 184.6580415575 160.57221005 TC 93930 Upper extremity study 40.724183 40.724183 44.4911699275 38.68797385 26 93931 Upper extremity study 105.594563 105.594563 115.3620600775 100.31483485 TC 93931 Upper extremity study 25.22737 25.22737 27.560901725 23.9660015 26 93931 Upper extremity study 130.821933 130.821933 142.9229618025 124.28083635 93970 Extremity study 163.617514 163.617514 178.752134045 155.4366383 TC 93970 Extremity study 35.318318 35.318318 38.585262415 33.5524021 26 93970 Extremity study 198.935832 198.935832 217.33739646 188.9890404 93971 Extremity study 100.188698 100.188698 109.456152565 95.1792631 TC 93971 Extremity study 23.065024 23.065024 25.19853872 21.9117728 26 93971 Extremity study 123.253722 123.253722 134.654691285 117.0910359 93975 Vascular study 283.988108 283.988108 310.25700799 269.7887026 93975 Vascular study 224.883984 224.883984 245.68575252 213.6397848 TC 93975 Vascular study 59.104124 59.104124 64.57125547 56.1489178 26 93976 Vascular study 126.497241 126.497241 138.1982357925 120.17237895 TC 93976 Vascular study 40.724183 40.724183 44.4911699275 38.68797385 26 93976 Vascular study 167.221424 167.221424 182.68940572 158.8603528 93978 Vascular study 152.085002 152.085002 166.152864685 144.4807519 TC 93978 Vascular study 40.363792 40.363792 44.09744276 38.3456024 26 93978 Vascular study 192.448794 192.448794 210.250307445 182.8263543 93979 Vascular study 97.30557 97.30557 106.306335225 92.4402915 TC 93979 Vascular study 25.22737 25.22737 27.560901725 23.9660015 26 93979 Vascular study 122.53294 122.53294 133.86723695 116.406293 93980 Penile vascular study 63.789207 63.789207 69.6897086475 60.59974665 TC 93980 Penile vascular study 63.428816 63.428816 69.29598148 60.2573752 26 93980 Penile vascular study 127.218023 127.218023 138.9856901275 120.85712185 93981 Penile vascular study 77.484065 77.484065 84.6513410125 73.60986175 93981 Penile vascular study 55.139823 55.139823 60.2402566275 52.38283185 TC 93981 Penile vascular study 22.344242 22.344242 24.411084385 21.2270299 26 93990 Doppler flow testing 134.065452 134.065452 146.46650631 127.3621794 TC 93990 Doppler flow testing 25.22737 25.22737 27.560901725 23.9660015 26 93990 Doppler flow testing 159.292822 159.292822 174.027408035 151.3281809 93998 Noninvas vasc dx study proc 0 0 0 0 94002 Vent mgmt inpat init day 95.143224 95.143224 103.94397222 90.3860628 94003 Vent mgmt inpat subq day 68.113899 68.113899 74.4144346575 64.70820405 94004 Vent mgmt nf per day 50.45474 50.45474 55.12180345 47.932003 94005 Home vent mgmt supervision 94.062051 94.062051 102.7627907175 89.35894845 94010 Breathing capacity test 27.389716 27.389716 29.92326473 26.0202302 TC 94010 Breathing capacity test 8.649384 8.649384 9.44945202 8.2169148 26 94010 Breathing capacity test 36.0391 36.0391 39.37271675 34.237145 94011 Spirometry up to 2 yrs old 89.376968 89.376968 97.64433754 84.9081196 94012 Spirmtry w/brnchdil inf-2 yr 144.877182 144.877182 158.278321335 137.6333229 94013 Meas lung vol thru 2 yrs 19.821505 19.821505 21.6549942125 18.83042975 94014 Patient recorded spirometry 56.941778 56.941778 62.208892465 54.0946891 94015 Patient recorded spirometry 30.993626 30.993626 33.860536405 29.4439447 94016 Review patient spirometry 25.948152 25.948152 28.34835606 24.6507444 94060 Evaluation of wheezing 47.211221 47.211221 51.5782589425 44.85065995 TC 94060 Evaluation of wheezing 13.334467 13.334467 14.5679051975 12.66774365 26 94060 Evaluation of wheezing 60.545688 60.545688 66.14616414 57.5184036 94070 Evaluation of wheezing 60.906079 60.906079 66.5398913075 57.86077505 94070 Evaluation of wheezing 31.354017 31.354017 34.2542635725 29.78631615 TC 94070 Evaluation of wheezing 29.552062 29.552062 32.285627735 28.0744589 26 94150 Vital capacity test 25.948152 25.948152 28.34835606 24.6507444 94150 Vital capacity test 21.983851 21.983851 24.0173572175 20.88465845 TC 94150 Vital capacity test 3.964301 3.964301 4.3309988425 3.76608595 26 94200 Lung function test (MBC/MVV) 22.344242 22.344242 24.411084385 21.2270299 TC 94200 Lung function test (MBC/MVV) 5.766256 5.766256 6.29963468 5.4779432 26 94200 Lung function test (MBC/MVV) 28.110498 28.110498 30.710719065 26.7049731 94250 Expired gas collection 22.344242 22.344242 24.411084385 21.2270299 TC 94250 Expired gas collection 5.766256 5.766256 6.29963468 5.4779432 26 94250 Expired gas collection 28.110498 28.110498 30.710719065 26.7049731 94375 Respiratory flow volume loop 25.22737 25.22737 27.560901725 23.9660015 TC 94375 Respiratory flow volume loop 15.136422 15.136422 16.536541035 14.3796009 26 94375 Respiratory flow volume loop 40.363792 40.363792 44.09744276 38.3456024 94400 CO2 breathing response curve 58.022951 58.022951 63.3900739675 55.12180345 94400 CO2 breathing response curve 37.841055 37.841055 41.3413525875 35.94900225 TC 94400 CO2 breathing response curve 20.181896 20.181896 22.04872138 19.1728012 26 94450 Hypoxia response curve 74.240546 74.240546 81.107796505 70.5285187 94450 Hypoxia response curve 53.698259 53.698259 58.6653479575 51.01334605 TC 94450 Hypoxia response curve 20.542287 20.542287 22.4424485475 19.51517265 26 94452 Hast w/report 55.860605 55.860605 61.0277109625 53.06757475 94452 Hast w/report 41.084574 41.084574 44.884897095 39.0303453 TC 94452 Hast w/report 14.776031 14.776031 16.1428138675 14.03722945 26 94453 Hast w/oxygen titrate 77.123674 77.123674 84.257613845 73.2674903 94453 Hast w/oxygen titrate 57.66256 57.66256 62.9963468 54.779432 TC 94453 Hast w/oxygen titrate 19.461114 19.461114 21.261267045 18.4880583 26 94610 Surfactant admin thru tube 57.302169 57.302169 62.6026196325 54.43706055 94617 Exercise tst brncspsm 95.864006 95.864006 104.731426555 91.0708057 94617 Exercise tst brncspsm 61.626861 61.626861 67.3273456425 58.54551795 TC 94617 Exercise tst brncspsm 34.237145 34.237145 37.4040809125 32.52528775 26 94618 Pulmonary stress testing 11.172121 11.172121 12.2055421925 10.61351495 TC 94618 Pulmonary stress testing 23.425415 23.425415 25.5922658875 22.25414425 26 94618 Pulmonary stress testing 34.597536 34.597536 37.79780808 32.8676592 94621 Pulm stress test/complex 92.980878 92.980878 101.581609215 88.3318341 TC 94621 Pulm stress test/complex 70.636636 70.636636 77.17052483 67.1048042 26 94621 Pulm stress test/complex 163.617514 163.617514 178.752134045 155.4366383 94640 Airway inhalation treatment 18.379941 18.379941 20.0800855425 17.46094395 94642 Aerosol inhalation treatment 0 0 0 0 94644 Cbt 1st hour 50.45474 50.45474 55.12180345 47.932003 94645 Cbt each addl hour 16.938377 16.938377 18.5051768725 16.09145815 94660 Pos airway pressure cpap 39.282619 39.282619 42.9162612575 37.31848805 94662 Neg press ventilation cnp 37.120273 37.120273 40.5538982525 35.26425935 94664 Evaluate pt use of inhaler 17.298768 17.298768 18.89890404 16.4338296 94667 Chest wall manipulation 25.587761 25.587761 27.9546288925 24.30837295 94668 Chest wall manipulation 33.155972 33.155972 36.22289941 31.4981734 94669 Mechanical chest wall oscill 32.43519 32.43519 35.435445075 30.8134305 94680 Exhaled air analysis o2 56.581387 56.581387 61.8151652975 53.75231765 94680 Exhaled air analysis o2 43.607311 43.607311 47.6409872675 41.42694545 TC 94680 Exhaled air analysis o2 12.974076 12.974076 14.17417803 12.3253722 26 94681 Exhaled air analysis o2/co2 45.409266 45.409266 49.609623105 43.1388027 TC 94681 Exhaled air analysis o2/co2 10.451339 10.451339 11.4180878575 9.92877205 26 94681 Exhaled air analysis o2/co2 55.860605 55.860605 61.0277109625 53.06757475 94690 Exhaled air analysis 49.733958 49.733958 54.334349115 47.2472601 TC 94690 Exhaled air analysis 3.964301 3.964301 4.3309988425 3.76608595 26 94690 Exhaled air analysis 53.698259 53.698259 58.6653479575 51.01334605 94726 Pulm funct tst plethysmograp 42.165747 42.165747 46.0660785975 40.05745965 TC 94726 Pulm funct tst plethysmograp 12.613685 12.613685 13.7804508625 11.98300075 26 94726 Pulm funct tst plethysmograp 54.779432 54.779432 59.84652946 52.0404604 94727 Pulm function test by gas 44.328093 44.328093 48.4284416025 42.11168835 94727 Pulm function test by gas 31.714408 31.714408 34.64799074 30.1286876 TC 94727 Pulm function test by gas 12.613685 12.613685 13.7804508625 11.98300075 26 94728 Pulm funct test oscillometry 41.444965 41.444965 45.2786242625 39.37271675 94728 Pulm funct test oscillometry 28.470889 28.470889 31.1044462325 27.04734455 TC 94728 Pulm funct test oscillometry 12.974076 12.974076 14.17417803 12.3253722 26 94729 C02/membane diffuse capacity 56.220996 56.220996 61.42143813 53.4099462 94729 C02/membane diffuse capacity 46.85083 46.85083 51.184531775 44.5082885 TC 94729 C02/membane diffuse capacity 9.370166 9.370166 10.236906355 8.9016577 26 94750 Pulmonary compliance study 86.49384 86.49384 94.4945202 82.169148 94750 Pulmonary compliance study 75.321719 75.321719 82.2889780075 71.55563305 TC 94750 Pulmonary compliance study 11.172121 11.172121 12.2055421925 10.61351495 26 94760 Measure blood oxygen level 2.522737 2.522737 2.7560901725 2.39660015 94761 Measure blood oxygen level 4.324692 4.324692 4.72472601 4.1084574 94762 Measure blood oxygen level 25.587761 25.587761 27.9546288925 24.30837295 94770 Exhaled carbon dioxide test 7.568211 7.568211 8.2682705175 7.18980045 94772 Breath recording infant 0 0 0 0 TC 94772 Breath recording infant 0 0 0 0 26 94772 Breath recording infant 0 0 0 0 94774 Ped home apnea rec compl 0 0 0 0 94775 Ped home apnea rec hk-up 0 0 0 0 94776 Ped home apnea rec downld 0 0 0 0 94777 Ped home apnea rec report 0 0 0 0 94780 Car seat/bed test 60 min 24.506588 24.506588 26.77344739 23.2812586 94781 Car seat/bed test + 30 min 8.649384 8.649384 9.44945202 8.2169148 94799 Pulmonary service/procedure 0 0 0 0 94799 Pulmonary service/procedure 0 0 0 0 TC 94799 Pulmonary service/procedure 0 0 0 0 26 95004 Percut allergy skin tests 4.324692 4.324692 4.72472601 4.1084574 95012 Exhaled nitric oxide meas 20.542287 20.542287 22.4424485475 19.51517265 95017 Perq & icut allg test venoms 3.964301 3.964301 4.3309988425 3.76608595 95018 Perq&ic allg test drugs/biol 7.568211 7.568211 8.2682705175 7.18980045 95024 Id allergy test drug/bug 1.081173 1.081173 1.1811815025 1.02711435 95027 Id allergy titrate-airborne 4.685083 4.685083 5.1184531775 4.45082885 95028 Id allergy test-delayed type 13.334467 13.334467 14.5679051975 12.66774365 95044 Allergy patch tests 5.766256 5.766256 6.29963468 5.4779432 95052 Photo patch test 6.847429 6.847429 7.4808161825 6.50505755 95056 Photosensitivity tests 47.211221 47.211221 51.5782589425 44.85065995 95060 Eye allergy tests 35.678709 35.678709 38.9789895825 33.89477355 95065 Nose allergy test 26.668934 26.668934 29.135810395 25.3354873 95070 Bronchial allergy tests 32.43519 32.43519 35.435445075 30.8134305 95071 Bronchial allergy tests 37.841055 37.841055 41.3413525875 35.94900225 95076 Ingest challenge ini 120 min 77.484065 77.484065 84.6513410125 73.60986175 95079 Ingest challenge addl 60 min 70.997027 70.997027 77.5642519975 67.44717565 95115 Immunotherapy one injection 9.370166 9.370166 10.236906355 8.9016577 95117 Immunotherapy injections 10.81173 10.81173 11.811815025 10.2711435 95120 Immunotherapy one injection 0 0 0 0 95125 Immunotherapy many antigens 0 0 0 0 95130 Immunotherapy insect venom 0 0 0 0 95131 Immunotherapy insect venoms 0 0 0 0 95132 Immunotherapy insect venoms 0 0 0 0 95133 Immunotherapy insect venoms 0 0 0 0 95134 Immunotherapy insect venoms 0 0 0 0 95144 Antigen therapy services 3.243519 3.243519 3.5435445075 3.08134305 95145 Antigen therapy services 3.243519 3.243519 3.5435445075 3.08134305 95146 Antigen therapy services 3.243519 3.243519 3.5435445075 3.08134305 95147 Antigen therapy services 3.243519 3.243519 3.5435445075 3.08134305 95148 Antigen therapy services 3.243519 3.243519 3.5435445075 3.08134305 95149 Antigen therapy services 3.243519 3.243519 3.5435445075 3.08134305 95165 Antigen therapy services 3.243519 3.243519 3.5435445075 3.08134305 95170 Antigen therapy services 3.243519 3.243519 3.5435445075 3.08134305 95180 Rapid desensitization 106.675736 106.675736 116.54324158 101.3419492 95199 Allergy immunology services 0 0 0 0 95249 Cont gluc mntr pt prov eqp 56.220996 56.220996 61.42143813 53.4099462 95250 Glucose monitoring cont 153.526566 153.526566 167.727773355 145.8502377 95251 Gluc monitor cont phys i&r 36.399491 36.399491 39.7664439175 34.57951645 95782 Polysom <6 yrs 4/> paramtrs 924.402915 924.402915 1009.9101846375 878.18276925 95782 Polysom <6 yrs 4/> paramtrs 795.382937 795.382937 868.9558586725 755.61379015 TC 95782 Polysom <6 yrs 4/> paramtrs 129.019978 129.019978 140.954325965 122.5689791 26 95783 Polysom <6 yrs cpap/bilvl 984.227821 984.227821 1075.2688944425 935.01642995 95783 Polysom <6 yrs cpap/bilvl 843.675331 843.675331 921.7152991175 801.49156445 TC 95783 Polysom <6 yrs cpap/bilvl 140.55249 140.55249 153.553595325 133.5248655 26 95800 Slp stdy unattended 129.380369 129.380369 141.3480531325 122.91135055 TC 95800 Slp stdy unattended 43.24692 43.24692 47.2472601 41.084574 26 95800 Slp stdy unattended 172.627289 172.627289 188.5953132325 163.99592455 95801 Slp stdy unatnd w/anal 92.620487 92.620487 101.1878820475 87.98946265 95801 Slp stdy unatnd w/anal 49.733958 49.733958 54.334349115 47.2472601 TC 95801 Slp stdy unatnd w/anal 42.886529 42.886529 46.8535329325 40.74220255 26 95803 Actigraphy testing 101.269871 101.269871 110.6373340675 96.20637745 TC 95803 Actigraphy testing 45.048875 45.048875 49.2158959375 42.79643125 26 95803 Actigraphy testing 146.318746 146.318746 159.853230005 139.0028087 95805 Multiple sleep latency test 427.784117 427.784117 467.3541478225 406.39491115 95805 Multiple sleep latency test 367.238429 367.238429 401.2079836825 348.87650755 TC 95805 Multiple sleep latency test 60.545688 60.545688 66.14616414 57.5184036 26 95806 Sleep study unatt&resp efft 140.55249 140.55249 153.553595325 133.5248655 95806 Sleep study unatt&resp efft 89.737359 89.737359 98.0380647075 85.25049105 TC 95806 Sleep study unatt&resp efft 50.815131 50.815131 55.5155306175 48.27437445 26 95807 Sleep study attended 437.875065 437.875065 478.3785085125 415.98131175 95807 Sleep study attended 374.446249 374.446249 409.0825270325 355.72393655 TC 95807 Sleep study attended 63.428816 63.428816 69.29598148 60.2573752 26 95808 Polysomnography 1-3 593.203586 593.203586 648.074917705 563.5434067 TC 95808 Polysomnography 1-3 90.09775 90.09775 98.431791875 85.5928625 26 95808 Polysomnography 1-3 683.301336 683.301336 746.50670958 649.1362692 95810 Polysomnography 4 or more 500.94349 500.94349 547.280762825 475.8963155 TC 95810 Polysomnography 4 or more 124.334895 124.334895 135.8358727875 118.11815025 26 95810 Polysomnography 4 or more 625.278385 625.278385 683.1166356125 594.01446575 95811 Polysomnography w/cpap 655.551229 655.551229 716.1897176825 622.77366755 95811 Polysomnography w/cpap 526.531251 526.531251 575.2353917175 500.20468845 TC 95811 Polysomnography w/cpap 129.019978 129.019978 140.954325965 122.5689791 26 95812 Eeg 41-60 minutes 271.734814 271.734814 296.870284295 258.1480733 TC 95812 Eeg 41-60 minutes 59.464515 59.464515 64.9649826375 56.49128925 26 95812 Eeg 41-60 minutes 331.199329 331.199329 361.8352669325 314.63936255 95813 Eeg over 1 hour 322.189554 322.189554 351.992087745 306.0800763 TC 95813 Eeg over 1 hour 89.376968 89.376968 97.64433754 84.9081196 26 95813 Eeg over 1 hour 411.566522 411.566522 449.636425285 390.9881959 95816 Eeg awake and drowsy 370.121557 370.121557 404.3578010225 351.61547915 95816 Eeg awake and drowsy 310.657042 310.657042 339.392818385 295.1241899 TC 95816 Eeg awake and drowsy 59.464515 59.464515 64.9649826375 56.49128925 26 95819 Eeg awake and asleep 435.352328 435.352328 475.62241834 413.5847116 95819 Eeg awake and asleep 375.887813 375.887813 410.6574357025 357.09342235 TC 95819 Eeg awake and asleep 59.464515 59.464515 64.9649826375 56.49128925 26 95822 Eeg coma or sleep only 333.001284 333.001284 363.80390277 316.3512198 TC 95822 Eeg coma or sleep only 59.824906 59.824906 65.358709805 56.8336607 26 95822 Eeg coma or sleep only 392.82619 392.82619 429.162612575 373.1848805 95824 Eeg cerebral death only 0 0 0 0 TC 95824 Eeg cerebral death only 40.724183 40.724183 44.4911699275 38.68797385 26 95824 Eeg cerebral death only 0 0 0 0 95827 Eeg all night recording 619.87252 619.87252 677.2107281 588.878894 95827 Eeg all night recording 561.849569 561.849569 613.8206541325 533.75709055 TC 95827 Eeg all night recording 58.022951 58.022951 63.3900739675 55.12180345 26 95829 Surgery electrocorticogram 1584.639227 1584.639227 1731.2183554975 1505.40726565 TC 95829 Surgery electrocorticogram 349.218879 349.218879 381.5216253075 331.75793505 26 95829 Surgery electrocorticogram 1933.858106 1933.858106 2112.739980805 1837.1652007 95830 Insert electrodes for EEG 95.143224 95.143224 103.94397222 90.3860628 95831 Limb muscle testing manual 15.136422 15.136422 16.536541035 14.3796009 95832 Hand muscle testing manual 16.577986 16.577986 18.111449705 15.7490867 95833 Body muscle testing manual 22.704633 22.704633 24.8048115525 21.56940135 95834 Body muscle testing manual 32.074799 32.074799 35.0417179075 30.47105905 95836 113.162774 113.162774 123.630330595 107.5046353 95851 Range of motion measurements 7.928602 7.928602 8.661997685 7.5321719 95852 Range of motion measurements 6.126647 6.126647 6.6933618475 5.82031465 95857 Cholinesterase challenge 30.633235 30.633235 33.4668092375 29.10157325 95860 Muscle test one limb 70.636636 70.636636 77.17052483 67.1048042 TC 95860 Muscle test one limb 52.977477 52.977477 57.8778936225 50.32860315 26 95860 Muscle test one limb 123.614113 123.614113 135.0484184525 117.43340735 95861 Muscle test 2 limbs 176.59159 176.59159 192.926312075 167.7620105 95861 Muscle test 2 limbs 91.539314 91.539314 100.006700545 86.9623483 TC 95861 Muscle test 2 limbs 85.052276 85.052276 92.91961153 80.7996622 26 95863 Muscle test 3 limbs 221.640465 221.640465 242.1422080125 210.55844175 95863 Muscle test 3 limbs 118.92903 118.92903 129.929965275 112.9825785 TC 95863 Muscle test 3 limbs 102.711435 102.711435 112.2122427375 97.57586325 26 95864 Muscle test 4 limbs 254.796437 254.796437 278.3651074225 242.05661515 95864 Muscle test 4 limbs 144.877182 144.877182 158.278321335 137.6333229 TC 95864 Muscle test 4 limbs 109.919255 109.919255 120.0867860875 104.42329225 26 95865 Muscle test larynx 67.393117 67.393117 73.6269803225 64.02346115 TC 95865 Muscle test larynx 85.773058 85.773058 93.707065865 81.4844051 26 95865 Muscle test larynx 153.166175 153.166175 167.3340461875 145.50786625 95866 Muscle test hemidiaphragm 140.55249 140.55249 153.553595325 133.5248655 95866 Muscle test hemidiaphragm 70.636636 70.636636 77.17052483 67.1048042 TC 95866 Muscle test hemidiaphragm 69.915854 69.915854 76.383070495 66.4200613 26 95867 Muscle test cran nerv unilat 108.1173 108.1173 118.11815025 102.711435 95867 Muscle test cran nerv unilat 64.509989 64.509989 70.4771629825 61.28448955 TC 95867 Muscle test cran nerv unilat 43.607311 43.607311 47.6409872675 41.42694545 26 95868 Muscle test cran nerve bilat 141.633663 141.633663 154.7347768275 134.55197985 95868 Muscle test cran nerve bilat 76.402892 76.402892 83.47015951 72.5827474 TC 95868 Muscle test cran nerve bilat 65.230771 65.230771 71.2646173175 61.96923245 26 95869 Muscle test thor paraspinal 96.224397 96.224397 105.1251537225 91.41317715 95869 Muscle test thor paraspinal 75.68211 75.68211 82.682705175 71.8980045 TC 95869 Muscle test thor paraspinal 20.542287 20.542287 22.4424485475 19.51517265 26 95870 Muscle test nonparaspinal 92.980878 92.980878 101.581609215 88.3318341 95870 Muscle test nonparaspinal 72.438591 72.438591 79.1391606675 68.81666145 TC 95870 Muscle test nonparaspinal 20.542287 20.542287 22.4424485475 19.51517265 26 95872 Muscle test one fiber 203.260524 203.260524 222.06212247 193.0974978 95872 Muscle test one fiber 44.328093 44.328093 48.4284416025 42.11168835 TC 95872 Muscle test one fiber 158.932431 158.932431 173.6336808675 150.98580945 26 95873 Guide nerv destr elec stim 56.220996 56.220996 61.42143813 53.4099462 TC 95873 Guide nerv destr elec stim 20.542287 20.542287 22.4424485475 19.51517265 26 95873 Guide nerv destr elec stim 76.763283 76.763283 83.8638866775 72.92511885 95874 Guide nerv destr needle emg 58.022951 58.022951 63.3900739675 55.12180345 TC 95874 Guide nerv destr needle emg 20.542287 20.542287 22.4424485475 19.51517265 26 95874 Guide nerv destr needle emg 78.565238 78.565238 85.832522515 74.6369761 95875 Limb exercise test 135.146625 135.146625 147.6476878125 128.38929375 95875 Limb exercise test 74.240546 74.240546 81.107796505 70.5285187 TC 95875 Limb exercise test 60.906079 60.906079 66.5398913075 57.86077505 26 95885 Musc tst done w/nerv tst lim 62.347643 62.347643 68.1147999775 59.23026085 95885 Musc tst done w/nerv tst lim 42.886529 42.886529 46.8535329325 40.74220255 TC 95885 Musc tst done w/nerv tst lim 19.461114 19.461114 21.261267045 18.4880583 26 95886 Musc test done w/n test comp 49.013176 49.013176 53.54689478 46.5625172 TC 95886 Musc test done w/n test comp 47.571612 47.571612 51.97198611 45.1930314 26 95886 Musc test done w/n test comp 96.584788 96.584788 105.51888089 91.7555486 95887 Musc tst done w/n tst nonext 45.048875 45.048875 49.2158959375 42.79643125 TC 95887 Musc tst done w/n tst nonext 38.922228 38.922228 42.52253409 36.9761166 26 95887 Musc tst done w/n tst nonext 83.971103 83.971103 91.7384300275 79.77254785 95905 Motor/sens nrve conduct test 61.987252 61.987252 67.72107281 58.8878894 TC 95905 Motor/sens nrve conduct test 2.883128 2.883128 3.14981734 2.7389716 26 95905 Motor/sens nrve conduct test 64.87038 64.87038 70.87089015 61.626861 95907 Nvr cndj tst 1-2 studies 42.886529 42.886529 46.8535329325 40.74220255 TC 95907 Nvr cndj tst 1-2 studies 55.139823 55.139823 60.2402566275 52.38283185 26 95907 Nvr cndj tst 1-2 studies 98.026352 98.026352 107.09378956 93.1250344 95908 Nrv cndj tst 3-4 studies 126.857632 126.857632 138.59196296 120.5147504 95908 Nrv cndj tst 3-4 studies 57.302169 57.302169 62.6026196325 54.43706055 TC 95908 Nrv cndj tst 3-4 studies 69.555463 69.555463 75.9893433275 66.07768985 26 95909 Nrv cndj tst 5-6 studies 68.47429 68.47429 74.808161825 65.0505755 TC 95909 Nrv cndj tst 5-6 studies 82.88993 82.88993 90.557248525 78.7454335 26 95909 Nrv cndj tst 5-6 studies 151.36422 151.36422 165.36541035 143.796009 95910 Nrv cndj test 7-8 studies 87.935404 87.935404 96.06942887 83.5386338 TC 95910 Nrv cndj test 7-8 studies 110.640037 110.640037 120.8742404225 105.10803515 26 95910 Nrv cndj test 7-8 studies 198.575441 198.575441 216.9436692925 188.64666895 95911 Nrv cndj test 9-10 studies 100.549089 100.549089 109.8498797325 95.52163455 TC 95911 Nrv cndj test 9-10 studies 138.029753 138.029753 150.7975051525 131.12826535 26 95911 Nrv cndj test 9-10 studies 238.578842 238.578842 260.647384885 226.6498999 95912 Nrv cndj test 11-12 studies 103.792608 103.792608 113.39342424 98.6029776 TC 95912 Nrv cndj test 11-12 studies 164.338296 164.338296 179.53958838 156.1213812 26 95912 Nrv cndj test 11-12 studies 268.130904 268.130904 292.93301262 254.7243588 95913 Nrv cndj test 13/> studies 114.964729 114.964729 125.5989664325 109.21649255 TC 95913 Nrv cndj test 13/> studies 194.61114 194.61114 212.61267045 184.880583 26 95913 Nrv cndj test 13/> studies 309.575869 309.575869 338.2116368825 294.09707555 95921 Autonomic nerv function test 38.561837 38.561837 42.1288069225 36.63374515 TC 95921 Autonomic nerv function test 46.490439 46.490439 50.7908046075 44.16591705 26 95921 Autonomic nerv function test 85.052276 85.052276 92.91961153 80.7996622 95922 Autonomic nerv function test 97.30557 97.30557 106.306335225 92.4402915 95922 Autonomic nerv function test 47.932003 47.932003 52.3657132775 45.53540285 TC 95922 Autonomic nerv function test 49.373567 49.373567 53.9406219475 46.90488865 26 95923 Autonomic nerv function test 83.971103 83.971103 91.7384300275 79.77254785 TC 95923 Autonomic nerv function test 47.211221 47.211221 51.5782589425 44.85065995 26 95923 Autonomic nerv function test 131.182324 131.182324 143.31668897 124.6232078 95924 Ans parasymp & symp w/tilt 153.166175 153.166175 167.3340461875 145.50786625 95924 Ans parasymp & symp w/tilt 61.626861 61.626861 67.3273456425 58.54551795 TC 95924 Ans parasymp & symp w/tilt 91.539314 91.539314 100.006700545 86.9623483 26 95925 Somatosensory testing 105.954954 105.954954 115.755787245 100.6572063 TC 95925 Somatosensory testing 28.470889 28.470889 31.1044462325 27.04734455 26 95925 Somatosensory testing 134.425843 134.425843 146.8602334775 127.70455085 95926 Somatosensory testing 101.990653 101.990653 111.4247884025 96.89112035 TC 95926 Somatosensory testing 28.110498 28.110498 30.710719065 26.7049731 26 95926 Somatosensory testing 130.101151 130.101151 142.1355074675 123.59609345 95927 Somatosensory testing 106.675736 106.675736 116.54324158 101.3419492 TC 95927 Somatosensory testing 28.110498 28.110498 30.710719065 26.7049731 26 95927 Somatosensory testing 134.786234 134.786234 147.253960645 128.0469223 95928 C motor evoked uppr limbs 141.633663 141.633663 154.7347768275 134.55197985 TC 95928 C motor evoked uppr limbs 81.808757 81.808757 89.3760670225 77.71831915 26 95928 C motor evoked uppr limbs 223.44242 223.44242 244.11084385 212.270299 95929 C motor evoked lwr limbs 228.848285 228.848285 250.0167513625 217.40587075 95929 C motor evoked lwr limbs 146.679137 146.679137 160.2469571725 139.34518015 TC 95929 C motor evoked lwr limbs 82.169148 82.169148 89.76979419 78.0606906 26 95930 Visual evoked potential test 50.45474 50.45474 55.12180345 47.932003 TC 95930 Visual evoked potential test 19.461114 19.461114 21.261267045 18.4880583 26 95930 Visual evoked potential test 69.915854 69.915854 76.383070495 66.4200613 95933 Blink reflex test 82.88993 82.88993 90.557248525 78.7454335 95933 Blink reflex test 50.45474 50.45474 55.12180345 47.932003 TC 95933 Blink reflex test 32.43519 32.43519 35.435445075 30.8134305 26 95937 Neuromuscular junction test 89.376968 89.376968 97.64433754 84.9081196 95937 Neuromuscular junction test 54.05865 54.05865 59.059075125 51.3557175 TC 95937 Neuromuscular junction test 35.318318 35.318318 38.585262415 33.5524021 26 95938 Somatosensory testing 305.251177 305.251177 333.4869108725 289.98861815 TC 95938 Somatosensory testing 47.571612 47.571612 51.97198611 45.1930314 26 95938 Somatosensory testing 352.822789 352.822789 385.4588969825 335.18164955 95939 C motor evoked upr&lwr limbs 524.368905 524.368905 572.8730287125 498.15045975 95939 C motor evoked upr&lwr limbs 401.115183 401.115183 438.2183374275 381.05942385 TC 95939 C motor evoked upr&lwr limbs 123.253722 123.253722 134.654691285 117.0910359 26 95940 Ionm in operatng room 15 min 33.516363 33.516363 36.6166265775 31.84054485 95941 Ionm remote/>1 pt or per hr 0 0 0 0 95943 Parasymp&symp hrt rate test 0 0 0 0 TC 95943 Parasymp&symp hrt rate test 0 0 0 0 26 95943 Parasymp&symp hrt rate test 0 0 0 0 95950 Ambulatory eeg monitoring 298.043357 298.043357 325.6123675225 283.14118915 95950 Ambulatory eeg monitoring 217.315773 217.315773 237.4174820025 206.44998435 TC 95950 Ambulatory eeg monitoring 80.727584 80.727584 88.19488552 76.6912048 26 95951 EEG monitoring/videorecord 0 0 0 0 95951 EEG monitoring/videorecord 0 0 0 0 TC 95951 EEG monitoring/videorecord 329.397374 329.397374 359.866631095 312.9275053 26 95953 EEG monitoring/computer 452.651096 452.651096 494.52132238 430.0185412 95953 EEG monitoring/computer 283.988108 283.988108 310.25700799 269.7887026 TC 95953 EEG monitoring/computer 168.662988 168.662988 184.26431439 160.2298386 26 95954 EEG monitoring/giving drugs 407.962612 407.962612 445.69915361 387.5644814 95954 EEG monitoring/giving drugs 289.033582 289.033582 315.769188335 274.5819029 TC 95954 EEG monitoring/giving drugs 118.92903 118.92903 129.929965275 112.9825785 26 95955 EEG during surgery 158.57204 158.57204 173.2399537 150.643438 TC 95955 EEG during surgery 55.860605 55.860605 61.0277109625 53.06757475 26 95955 EEG during surgery 214.432645 214.432645 234.2676646625 203.71101275 95956 Eeg monitor technol attended 1485.171311 1485.171311 1622.5496572675 1410.91274545 95956 Eeg monitor technol attended 1289.478998 1289.478998 1408.755805315 1225.0050481 TC 95956 Eeg monitor technol attended 195.692313 195.692313 213.7938519525 185.90769735 26 95957 EEG digital analysis 274.617942 274.617942 300.020101635 260.8870449 95957 EEG digital analysis 168.302597 168.302597 183.8705872225 159.88746715 TC 95957 EEG digital analysis 106.315345 106.315345 116.1495144125 100.99957775 26 95958 EEG monitoring/function test 588.878894 588.878894 643.350191695 559.4349493 95958 EEG monitoring/function test 355.345526 355.345526 388.214987155 337.5782497 TC 95958 EEG monitoring/function test 233.533368 233.533368 255.13520454 221.8566996 26 95961 Electrode stimulation brain 145.958355 145.958355 159.4595028375 138.66043725 TC 95961 Electrode stimulation brain 167.221424 167.221424 182.68940572 158.8603528 26 95961 Electrode stimulation brain 313.179779 313.179779 342.1489085575 297.52079005 95962 Electrode stim brain add-on 268.851686 268.851686 293.720466955 255.4091017 95962 Electrode stim brain add-on 90.458141 90.458141 98.8255190425 85.93523395 TC 95962 Electrode stim brain add-on 178.393545 178.393545 194.8949479125 169.47386775 26 95965 Meg spontaneous 0 0 0 0 95965 Meg spontaneous 0 0 0 0 TC 95965 Meg spontaneous 434.991937 434.991937 475.2286911725 413.24234015 26 95966 Meg evoked single 0 0 0 0 TC 95966 Meg evoked single 220.198901 220.198901 240.5672993425 209.18895595 26 95966 Meg evoked single 0 0 0 0 95967 Meg evoked each addl 0 0 0 0 TC 95967 Meg evoked each addl 192.448794 192.448794 210.250307445 182.8263543 26 95967 Meg evoked each addl 0 0 0 0 95970 Analyze neurostim no prog 19.100723 19.100723 20.8675398775 18.14568685 95971 Analyze neurostim simple 42.165747 42.165747 46.0660785975 40.05745965 95972 Analyze neurostim complex 42.886529 42.886529 46.8535329325 40.74220255 95976 41.084574 41.084574 44.884897095 39.0303453 95977 54.779432 54.779432 59.84652946 52.0404604 95980 Io anal gast n-stim init 47.571612 47.571612 51.97198611 45.1930314 95981 Io anal gast n-stim subsq 18.379941 18.379941 20.0800855425 17.46094395 95982 Io ga n-stim subsq w/reprog 37.480664 37.480664 40.94762542 35.6066308 95983 51.896304 51.896304 56.69671212 49.3014888 95984 45.409266 45.409266 49.609623105 43.1388027 95990 Spin/brain pump refil & main 94.422442 94.422442 103.156517885 89.7013199 95991 Spin/brain pump refil & main 41.084574 41.084574 44.884897095 39.0303453 95992 Canalith repositioning proc 38.561837 38.561837 42.1288069225 36.63374515 95999 Neurological procedure 0 0 0 0 96000 Motion analysis video/3d 98.026352 98.026352 107.09378956 93.1250344 96001 Motion test w/ft press meas 131.542715 131.542715 143.7104161375 124.96557925 96002 Dynamic surface emg 22.704633 22.704633 24.8048115525 21.56940135 96003 Dynamic fine wire emg 17.659159 17.659159 19.2926312075 16.77620105 96004 Phys review of motion tests 117.847857 117.847857 128.7487837725 111.95546415 96020 Functional brain mapping 0 0 0 0 96020 Functional brain mapping 0 0 0 0 TC 96020 Functional brain mapping 168.302597 168.302597 183.8705872225 159.88746715 26 96040 Genetic counseling 30 min 46.85083 46.85083 51.184531775 44.5082885 96105 Assessment of aphasia 106.675736 106.675736 116.54324158 101.3419492 96110 Developmental screen 10.090948 10.090948 11.02436069 9.5864006 96112 130.101151 130.101151 142.1355074675 123.59609345 96113 59.464515 59.464515 64.9649826375 56.49128925 96116 Neurobehavioral status exam 86.854231 86.854231 94.8882473675 82.51151945 96121 79.646411 79.646411 87.0137040175 75.66409045 96125 Cognitive test by hc pro 112.441992 112.441992 122.84287626 106.8198924 96127 Brief emotional/behav assmt 5.405865 5.405865 5.9059075125 5.13557175 96130 111.72121 111.72121 122.055421925 106.1351495 96131 85.052276 85.052276 92.91961153 80.7996622 96132 109.558864 109.558864 119.69305892 104.0809208 96133 83.971103 83.971103 91.7384300275 79.77254785 96136 25.22737 25.22737 27.560901725 23.9660015 96137 19.821505 19.821505 21.6549942125 18.83042975 96138 38.922228 38.922228 42.52253409 36.9761166 96139 38.922228 38.922228 42.52253409 36.9761166 96146 2.162346 2.162346 2.362363005 2.0542287 96150 Assess hlth/behave init 21.62346 21.62346 23.62363005 20.542287 96151 Assess hlth/behave subseq 21.62346 21.62346 23.62363005 20.542287 96152 Intervene hlth/behave indiv 19.821505 19.821505 21.6549942125 18.83042975 96153 Intervene hlth/behave group 4.324692 4.324692 4.72472601 4.1084574 96154 Interv hlth/behav fam w/pt 19.100723 19.100723 20.8675398775 18.14568685 96155 Interv hlth/behav fam no pt 23.065024 23.065024 25.19853872 21.9117728 96160 Pt-focused hlth risk assmt 3.243519 3.243519 3.5435445075 3.08134305 96161 Caregiver health risk assmt 3.243519 3.243519 3.5435445075 3.08134305 96360 Hydration iv infusion init 38.561837 38.561837 42.1288069225 36.63374515 96361 Hydrate iv infusion add-on 13.694858 13.694858 14.961632365 13.0101151 96365 Ther/proph/diag iv inf init 72.798982 72.798982 79.532887835 69.1590329 96366 Ther/proph/diag iv inf addon 21.983851 21.983851 24.0173572175 20.88465845 96367 Tx/proph/dg addl seq iv inf 31.714408 31.714408 34.64799074 30.1286876 96368 Ther/diag concurrent inf 21.263069 21.263069 23.2299028825 20.19991555 96369 Sc ther infusion up to 1 hr 169.023379 169.023379 184.6580415575 160.57221005 96370 Sc ther infusion addl hr 15.857204 15.857204 17.32399537 15.0643438 96371 Sc ther infusion reset pump 66.311944 66.311944 72.44579882 62.9963468 96372 Ther/proph/diag inj sc/im 16.938377 16.938377 18.5051768725 16.09145815 96373 Ther/proph/diag inj ia 19.100723 19.100723 20.8675398775 18.14568685 96374 Ther/proph/diag inj iv push 39.64301 39.64301 43.309988425 37.6608595 96375 Tx/pro/dx inj new drug addon 16.938377 16.938377 18.5051768725 16.09145815 96376 Tx/pro/dx inj same drug adon 0 0 0 0 96377 Applicaton on-body injector 20.542287 20.542287 22.4424485475 19.51517265 96379 Ther/prop/diag inj/inf proc 0 0 0 0 96401 Chemo anti-neopl sq/im 80.727584 80.727584 88.19488552 76.6912048 96402 Chemo hormon antineopl sq/im 31.354017 31.354017 34.2542635725 29.78631615 96405 Chemo intralesional up to 7 30.272844 30.272844 33.07308207 28.7592018 96406 Chemo intralesional over 7 47.211221 47.211221 51.5782589425 44.85065995 96409 Chemo iv push sngl drug 109.919255 109.919255 120.0867860875 104.42329225 96411 Chemo iv push addl drug 59.464515 59.464515 64.9649826375 56.49128925 96413 Chemo iv infusion 1 hr 143.075227 143.075227 156.3096854975 135.92146565 96415 Chemo iv infusion addl hr 30.993626 30.993626 33.860536405 29.4439447 96416 Chemo prolong infuse w/pump 143.435618 143.435618 156.703412665 136.2638371 96417 Chemo iv infus each addl seq 69.195072 69.195072 75.59561616 65.7353184 96420 Chemo ia push tecnique 106.315345 106.315345 116.1495144125 100.99957775 96422 Chemo ia infusion up to 1 hr 174.789635 174.789635 190.9576762375 166.05015325 96423 Chemo ia infuse each addl hr 80.727584 80.727584 88.19488552 76.6912048 96425 Chemotherapy infusion method 185.240974 185.240974 202.375764095 175.9789253 96440 Chemotherapy intracavitary 128.659587 128.659587 140.5605987975 122.22660765 96446 Chemotx admn prtl cavity 28.470889 28.470889 31.1044462325 27.04734455 96450 Chemotherapy into cns 81.808757 81.808757 89.3760670225 77.71831915 96521 Refill/maint portable pump 148.841483 148.841483 162.6093201775 141.39940885 96522 Refill/maint pump/resvr syst 122.172549 122.172549 133.4735097825 116.06392155 96523 Irrig drug delivery device 27.750107 27.750107 30.3169918975 26.36260165 96542 Chemotherapy injection 42.886529 42.886529 46.8535329325 40.74220255 96549 Chemotherapy unspecified 0 0 0 0 96567 Photodynamic tx skin 126.13685 126.13685 137.804508625 119.8300075 96570 Photodynmc tx 30 min add-on 53.337868 53.337868 58.27162079 50.6709746 96571 Photodynamic tx addl 15 min 29.912453 29.912453 32.6793549025 28.41683035 96573 Pdt dstr prmlg les phys/qhp 205.42287 205.42287 224.424485475 195.1517265 96574 Dbrdmt prmlg les w/pdt 261.283475 261.283475 285.4521964375 248.21930125 96900 Ultraviolet light therapy 21.983851 21.983851 24.0173572175 20.88465845 96902 Trichogram 21.263069 21.263069 23.2299028825 20.19991555 96904 Whole body photography 65.591162 65.591162 71.658344485 62.3116039 96910 Photochemotherapy with UV-B 116.766684 116.766684 127.56760227 110.9283498 96912 Photochemotherapy with UV-A 99.107525 99.107525 108.2749710625 94.15214875 96913 Photochemotherapy uv-a or b 140.912881 140.912881 153.9473224925 133.86723695 96920 Laser tx skin < 250 sq cm 68.47429 68.47429 74.808161825 65.0505755 96921 Laser tx skin 250-500 sq cm 77.123674 77.123674 84.257613845 73.2674903 96922 Laser tx skin > 500 sq cm 123.614113 123.614113 135.0484184525 117.43340735 96931 Rcm celulr subcelulr img skn 173.348071 173.348071 189.3827675675 164.68066745 96932 Rcm celulr subcelulr img skn 126.497241 126.497241 138.1982357925 120.17237895 96933 Rcm celulr subcelulr img skn 47.571612 47.571612 51.97198611 45.1930314 96934 Rcm celulr subcelulr img skn 98.747134 98.747134 107.881243895 93.8097773 96935 Rcm celulr subcelulr img skn 45.409266 45.409266 49.609623105 43.1388027 96936 Rcm celulr subcelulr img skn 45.409266 45.409266 49.609623105 43.1388027 96999 Dermatological procedure 0 0 0 0 97010 Hot or cold packs therapy 6.487038 6.487038 7.087089015 6.1626861 97012 Mechanical traction therapy 15.136422 15.136422 16.536541035 14.3796009 97014 Electric stimulation therapy 15.136422 15.136422 16.536541035 14.3796009 97016 Vasopneumatic device therapy 12.974076 12.974076 14.17417803 12.3253722 97018 Paraffin bath therapy 7.20782 7.20782 7.87454335 6.847429 97022 Whirlpool therapy 18.379941 18.379941 20.0800855425 17.46094395 97024 Diathermy eg microwave 7.20782 7.20782 7.87454335 6.847429 97026 Infrared therapy 6.487038 6.487038 7.087089015 6.1626861 97028 Ultraviolet therapy 8.288993 8.288993 9.0557248525 7.87454335 97032 Electrical stimulation 15.136422 15.136422 16.536541035 14.3796009 97033 Electric current therapy 21.263069 21.263069 23.2299028825 20.19991555 97034 Contrast bath therapy 15.496813 15.496813 16.9302682025 14.72197235 97035 Ultrasound therapy 14.055249 14.055249 15.3553595325 13.35248655 97036 Hydrotherapy 35.678709 35.678709 38.9789895825 33.89477355 97039 Physical therapy treatment 0 0 0 0 97110 Therapeutic exercises 31.354017 31.354017 34.2542635725 29.78631615 97112 Neuromuscular reeducation 35.678709 35.678709 38.9789895825 33.89477355 97113 Aquatic therapy/exercises 39.64301 39.64301 43.309988425 37.6608595 97116 Gait training therapy 30.993626 30.993626 33.860536405 29.4439447 97124 Massage therapy 29.191671 29.191671 31.8919005675 27.73208745 97127 Ther ivntj w/focus cog funcj 0 0 0 0 97139 Physical medicine procedure 0 0 0 0 97140 Manual therapy 28.470889 28.470889 31.1044462325 27.04734455 97150 Group therapeutic procedures 18.740332 18.740332 20.47381271 17.8033154 97151 0 0 0 0 97152 0 0 0 0 97153 0 0 0 0 97154 0 0 0 0 97155 0 0 0 0 97156 0 0 0 0 97157 0 0 0 0 97158 0 0 0 0 97161 Pt eval low complex 20 min 86.49384 86.49384 94.4945202 82.169148 97162 Pt eval mod complex 30 min 86.49384 86.49384 94.4945202 82.169148 97163 Pt eval high complex 45 min 86.49384 86.49384 94.4945202 82.169148 97164 Pt re-eval est plan care 58.743733 58.743733 64.1775283025 55.80654635 97165 Ot eval low complex 30 min 92.980878 92.980878 101.581609215 88.3318341 97166 Ot eval mod complex 45 min 92.980878 92.980878 101.581609215 88.3318341 97167 Ot eval high complex 60 min 92.980878 92.980878 101.581609215 88.3318341 97168 Ot re-eval est plan care 63.789207 63.789207 69.6897086475 60.59974665 97169 Athletic trn eval low cmplx 0 0 0 0 97170 Athletic trn eval mod cmplx 0 0 0 0 97171 Athletic trn eval high cmplx 0 0 0 0 97172 Athletic trn re-eval plan cr 0 0 0 0 97530 Therapeutic activities 40.724183 40.724183 44.4911699275 38.68797385 97533 Sensory integration 43.607311 43.607311 47.6409872675 41.42694545 97535 Self care mngment training 34.957927 34.957927 38.1915352475 33.21003065 97537 Community/work reintegration 33.516363 33.516363 36.6166265775 31.84054485 97542 Wheelchair mngment training 33.876754 33.876754 37.010353745 32.1829163 97545 Work hardening 0 0 0 0 97546 Work hardening add-on 0 0 0 0 97597 Rmvl devital tis 20 cm/< 24.506588 24.506588 26.77344739 23.2812586 97598 Rmvl devital tis addl 20 cm< 11.532512 11.532512 12.59926936 10.9558864 97602 Wound(s) care non-selective 0 0 0 0 97605 Neg press wound tx < 50 cm 26.668934 26.668934 29.135810395 25.3354873 97606 Neg press wound tx > 50 cm 28.83128 28.83128 31.4981734 27.389716 97607 Neg press wnd tx </=50 sq cm 0 0 0 0 97608 Neg press wound tx >50 cm 0 0 0 0 97610 Low frequency non-thermal us 17.298768 17.298768 18.89890404 16.4338296 97750 Physical performance test 35.678709 35.678709 38.9789895825 33.89477355 97755 Assistive technology assess 38.922228 38.922228 42.52253409 36.9761166 97760 Orthotic mgmt and training 48.652785 48.652785 53.1531676125 46.22014575 97761 Prosthetic training 41.805356 41.805356 45.67235143 39.7150882 97763 Orthc/prostc mgmt sbsq enc 51.535913 51.535913 56.3029849525 48.95911735 97799 Physical medicine procedure 0 0 0 0 97802 Medical nutrition indiv in 34.597536 34.597536 37.79780808 32.8676592 97803 Med nutrition indiv subseq 29.552062 29.552062 32.285627735 28.0744589 97804 Medical nutrition group 16.217595 16.217595 17.7177225375 15.40671525 97810 Acupunct w/o stimul 15 min 31.354017 31.354017 34.2542635725 29.78631615 97811 Acupunct w/o stimul addl 15m 25.948152 25.948152 28.34835606 24.6507444 97813 Acupunct w/stimul 15 min 33.876754 33.876754 37.010353745 32.1829163 97814 Acupunct w/stimul addl 15m 28.470889 28.470889 31.1044462325 27.04734455 98925 Osteopathic manipulation 24.506588 24.506588 26.77344739 23.2812586 98926 Osteopathic manipulation 36.759882 36.759882 40.160171085 34.9218879 98927 Osteopathic manipulation 48.652785 48.652785 53.1531676125 46.22014575 98928 Osteopathic manipulation 60.906079 60.906079 66.5398913075 57.86077505 98929 Osteopathic manipulation 73.880155 73.880155 80.7140693375 70.18614725 98940 Chiropractic manipulation 23.065024 23.065024 25.19853872 21.9117728 98941 Chiropractic manipulation 35.318318 35.318318 38.585262415 33.5524021 98942 Chiropractic manipulation 47.932003 47.932003 52.3657132775 45.53540285 98943 Chiropractic manipulation 24.146197 24.146197 26.3797202225 22.93888715 98960 Self-mgmt educ & train 1 pt 27.750107 27.750107 30.3169918975 26.36260165 98961 Self-mgmt educ/train 2-4 pt 13.694858 13.694858 14.961632365 13.0101151 98962 Self-mgmt educ/train 5-8 pt 10.090948 10.090948 11.02436069 9.5864006 98966 Hc pro phone call 5-10 min 12.974076 12.974076 14.17417803 12.3253722 98967 Hc pro phone call 11-20 min 25.948152 25.948152 28.34835606 24.6507444 98968 Hc pro phone call 21-30 min 38.922228 38.922228 42.52253409 36.9761166 98969 Online service by hc pro 0 0 0 0 99000 Specimen handling 0 0 0 0 99001 Specimen handling 0 0 0 0 99002 Device handling 0 0 0 0 99024 Postop follow-up visit 0 0 0 0 99026 In-hospital on call service 0 0 0 0 99027 Out-of-hosp on call service 0 0 0 0 99050 Medical services after hrs 0 0 0 0 99051 Med serv eve/wkend/holiday 0 0 0 0 99053 Med serv 10pm-8am 24 hr fac 0 0 0 0 99056 Med service out of office 0 0 0 0 99058 Office emergency care 0 0 0 0 99060 Out of office emerg med serv 0 0 0 0 99070 Special supplies 0 0 0 0 99071 Patient education materials 0 0 0 0 99075 Medical testimony 0 0 0 0 99078 Group health education 0 0 0 0 99080 Special reports or forms 0 0 0 0 99082 Unusual physician travel 0 0 0 0 99091 Collect/review data from pt 58.383342 58.383342 63.783801135 55.4641749 99100 Special anesthesia service 0 0 0 0 99116 Anesthesia with hypothermia 0 0 0 0 99135 Special anesthesia procedure 0 0 0 0 99140 Emergency anesthesia 0 0 0 0 99151 Mod sed same phys/qhp <5 yrs 25.948152 25.948152 28.34835606 24.6507444 99152 Mod sed same phys/qhp 5/>yrs 12.613685 12.613685 13.7804508625 11.98300075 99153 Mod sed same phys/qhp ea 10.81173 10.81173 11.811815025 10.2711435 99155 Mod sed oth phys/qhp <5 yrs 91.539314 91.539314 100.006700545 86.9623483 99156 Mod sed oth phys/qhp 5/>yrs 80.727584 80.727584 88.19488552 76.6912048 99157 Mod sed other phys/qhp ea 65.591162 65.591162 71.658344485 62.3116039 99170 Anogenital exam child 89.016577 89.016577 97.2506103725 84.56574815 99172 Ocular function screen 0 0 0 0 99173 Visual acuity screen 2.883128 2.883128 3.14981734 2.7389716 99174 Ocular photoscreening 5.766256 5.766256 6.29963468 5.4779432 99175 Induction of vomiting 26.308543 26.308543 28.7420832275 24.99311585 99177 Ocular instrumnt screen bil 4.685083 4.685083 5.1184531775 4.45082885 99183 Hyperbaric oxygen therapy 112.441992 112.441992 122.84287626 106.8198924 99184 Hypothermia ill neonate 228.127503 228.127503 249.2292970275 216.72112785 99188 App topical fluoride varnish 10.451339 10.451339 11.4180878575 9.92877205 99190 Special pump services 0 0 0 0 99191 Special pump services 0 0 0 0 99192 Special pump services 0 0 0 0 99195 Phlebotomy 103.071826 103.071826 112.605969905 97.9182347 99199 Special service/proc/report 0 0 0 0 99201 Office/outpatient visit new 27.389716 27.389716 29.92326473 26.0202302 99202 Office/outpatient visit new 51.535913 51.535913 56.3029849525 48.95911735 99203 Office/outpatient visit new 77.484065 77.484065 84.6513410125 73.60986175 99204 Office/outpatient visit new 131.182324 131.182324 143.31668897 124.6232078 99205 Office/outpatient visit new 171.185725 171.185725 187.0204045625 162.62643875 99211 Office/outpatient visit est 9.370166 9.370166 10.236906355 8.9016577 99212 Office/outpatient visit est 25.948152 25.948152 28.34835606 24.6507444 99213 Office/outpatient visit est 51.896304 51.896304 56.69671212 49.3014888 99214 Office/outpatient visit est 80.006802 80.006802 87.407431185 76.0064619 99215 Office/outpatient visit est 112.802383 112.802383 123.2366034275 107.16226385 99217 Observation care discharge 74.240546 74.240546 81.107796505 70.5285187 99218 Initial observation care 101.269871 101.269871 110.6373340675 96.20637745 99219 Initial observation care 138.029753 138.029753 150.7975051525 131.12826535 99220 Initial observation care 188.484493 188.484493 205.9193086025 179.06026835 99221 Initial hospital care 103.071826 103.071826 112.605969905 97.9182347 99222 Initial hospital care 139.110926 139.110926 151.978686655 132.1553797 99223 Initial hospital care 205.42287 205.42287 224.424485475 195.1517265 99224 Subsequent observation care 40.363792 40.363792 44.09744276 38.3456024 99225 Subsequent observation care 74.240546 74.240546 81.107796505 70.5285187 99226 Subsequent observation care 106.315345 106.315345 116.1495144125 100.99957775 99231 Subsequent hospital care 40.003401 40.003401 43.7037155925 38.00323095 99232 Subsequent hospital care 73.880155 73.880155 80.7140693375 70.18614725 99233 Subsequent hospital care 105.594563 105.594563 115.3620600775 100.31483485 99234 Observ/hosp same date 135.146625 135.146625 147.6476878125 128.38929375 99235 Observ/hosp same date 171.906507 171.906507 187.8078588975 163.31118165 99236 Observ/hosp same date 220.919683 220.919683 241.3547536775 209.87369885 99238 Hospital discharge day 74.240546 74.240546 81.107796505 70.5285187 99239 Hospital discharge day 108.838082 108.838082 118.905604585 103.3961779 99241 Office consultation 33.155972 33.155972 36.22289941 31.4981734 99242 Office consultation 69.555463 69.555463 75.9893433275 66.07768985 99243 Office consultation 97.30557 97.30557 106.306335225 92.4402915 99244 Office consultation 156.409694 156.409694 170.877590695 148.5892093 99245 Office consultation 193.529967 193.529967 211.4314889475 183.85346865 99251 Inpatient consultation 49.733958 49.733958 54.334349115 47.2472601 99252 Inpatient consultation 76.042501 76.042501 83.0764323425 72.24037595 99253 Inpatient consultation 117.127075 117.127075 127.9613294375 111.27072125 99254 Inpatient consultation 170.104552 170.104552 185.83922306 161.5993244 99255 Inpatient consultation 204.702088 204.702088 223.63703114 194.4669836 99281 Emergency dept visit 21.62346 21.62346 23.62363005 20.542287 99282 Emergency dept visit 42.165747 42.165747 46.0660785975 40.05745965 99283 Emergency dept visit 63.068425 63.068425 68.9022543125 59.91500375 99284 Emergency dept visit 119.649812 119.649812 130.71741961 113.6673214 99285 Emergency dept visit 176.231199 176.231199 192.5325849075 167.41963905 99288 Direct advanced life support 0 0 0 0 99291 Critical care first hour 226.325548 226.325548 247.26066119 215.0092706 99292 Critical care addl 30 min 113.523165 113.523165 124.0240577625 107.84700675 99304 Nursing facility care init 91.539314 91.539314 100.006700545 86.9623483 99305 Nursing facility care init 132.263497 132.263497 144.4978704725 125.65032215 99306 Nursing facility care init 169.38377 169.38377 185.051768725 160.9145815 99307 Nursing fac care subseq 44.688484 44.688484 48.82216877 42.4540598 99308 Nursing fac care subseq 69.915854 69.915854 76.383070495 66.4200613 99309 Nursing fac care subseq 92.980878 92.980878 101.581609215 88.3318341 99310 Nursing fac care subseq 137.669362 137.669362 150.403777985 130.7858939 99315 Nursing fac discharge day 74.600937 74.600937 81.5015236725 70.87089015 99316 Nursing fac discharge day 107.396518 107.396518 117.330695915 102.0266921 99318 Annual nursing fac assessmnt 97.30557 97.30557 106.306335225 92.4402915 99324 Domicil/r-home visit new pat 56.220996 56.220996 61.42143813 53.4099462 99325 Domicil/r-home visit new pat 81.448366 81.448366 88.982339855 77.3759477 99326 Domicil/r-home visit new pat 141.273272 141.273272 154.34104966 134.2096084 99327 Domicil/r-home visit new pat 189.565666 189.565666 207.100490105 180.0873827 99328 Domicil/r-home visit new pat 223.082029 223.082029 243.7171166825 211.92792755 99334 Domicil/r-home visit est pat 61.26647 61.26647 66.933618475 58.2031465 99335 Domicil/r-home visit est pat 96.584788 96.584788 105.51888089 91.7555486 99336 Domicil/r-home visit est pat 137.669362 137.669362 150.403777985 130.7858939 99337 Domicil/r-home visit est pat 197.133877 197.133877 215.3687606225 187.27718315 99339 Domicil/r-home care supervis 78.204847 78.204847 85.4387953475 74.29460465 99340 Domicil/r-home care supervis 109.919255 109.919255 120.0867860875 104.42329225 99341 Home visit new patient 56.220996 56.220996 61.42143813 53.4099462 99342 Home visit new patient 81.087975 81.087975 88.5886126875 77.03357625 99343 Home visit new patient 132.263497 132.263497 144.4978704725 125.65032215 99344 Home visit new patient 185.240974 185.240974 202.375764095 175.9789253 99345 Home visit new patient 225.244375 225.244375 246.0794796875 213.98215625 99347 Home visit est patient 56.220996 56.220996 61.42143813 53.4099462 99348 Home visit est patient 85.412667 85.412667 93.3133386975 81.14203365 99349 Home visit est patient 131.182324 131.182324 143.31668897 124.6232078 99350 Home visit est patient 181.997455 181.997455 198.8322195875 172.89758225 99354 Prolonged service office 123.974504 123.974504 135.44214562 117.7757788 99355 Prolonged service office 93.70166 93.70166 102.36906355 89.016577 99356 Prolonged service inpatient 93.70166 93.70166 102.36906355 89.016577 99357 Prolonged service inpatient 94.062051 94.062051 102.7627907175 89.35894845 99358 Prolong service w/o contact 113.523165 113.523165 124.0240577625 107.84700675 99359 Prolong serv w/o contact add 54.779432 54.779432 59.84652946 52.0404604 99360 Physician standby services 62.347643 62.347643 68.1147999775 59.23026085 99366 Team conf w/pat by hc pro 42.886529 42.886529 46.8535329325 40.74220255 99367 Team conf w/o pat by phys 57.66256 57.66256 62.9963468 54.779432 99368 Team conf w/o pat by hc pro 37.480664 37.480664 40.94762542 35.6066308 99374 Home health care supervision 57.66256 57.66256 62.9963468 54.779432 99375 Home health care supervision 90.09775 90.09775 98.431791875 85.5928625 99377 Hospice care supervision 57.66256 57.66256 62.9963468 54.779432 99378 Hospice care supervision 90.09775 90.09775 98.431791875 85.5928625 99379 Nursing fac care supervision 57.66256 57.66256 62.9963468 54.779432 99380 Nursing fac care supervision 90.09775 90.09775 98.431791875 85.5928625 99381 Init pm e/m new pat inf 78.204847 78.204847 85.4387953475 74.29460465 99382 Init pm e/m new pat 1-4 yrs 83.610712 83.610712 91.34470286 79.4301764 99383 Prev visit new age 5-11 88.656186 88.656186 96.856883205 84.2233767 99384 Prev visit new age 12-17 103.792608 103.792608 113.39342424 98.6029776 99385 Prev visit new age 18-39 99.467916 99.467916 108.66869823 94.4945202 99386 Prev visit new age 40-64 121.091376 121.091376 132.29232828 115.0368072 99387 Init pm e/m new pat 65+ yrs 130.101151 130.101151 142.1355074675 123.59609345 99391 Per pm reeval est pat inf 71.357418 71.357418 77.957979165 67.7895471 99392 Prev visit est age 1-4 78.204847 78.204847 85.4387953475 74.29460465 99393 Prev visit est age 5-11 78.204847 78.204847 85.4387953475 74.29460465 99394 Prev visit est age 12-17 88.656186 88.656186 96.856883205 84.2233767 99395 Prev visit est age 18-39 91.178923 91.178923 99.6129733775 86.61997685 99396 Prev visit est age 40-64 98.747134 98.747134 107.881243895 93.8097773 99397 Per pm reeval est pat 65+ yr 103.792608 103.792608 113.39342424 98.6029776 99401 Preventive counseling indiv 25.22737 25.22737 27.560901725 23.9660015 99402 Preventive counseling indiv 51.175522 51.175522 55.909257785 48.6167459 99403 Preventive counseling indiv 76.402892 76.402892 83.47015951 72.5827474 99404 Preventive counseling indiv 101.269871 101.269871 110.6373340675 96.20637745 99406 Behav chng smoking 3-10 min 12.613685 12.613685 13.7804508625 11.98300075 99407 Behav chng smoking > 10 min 26.308543 26.308543 28.7420832275 24.99311585 99408 Audit/dast 15-30 min 33.876754 33.876754 37.010353745 32.1829163 99409 Audit/dast over 30 min 67.753508 67.753508 74.02070749 64.3658326 99411 Preventive counseling group 7.928602 7.928602 8.661997685 7.5321719 99412 Preventive counseling group 12.974076 12.974076 14.17417803 12.3253722 99415 Prolong clincl staff svc 10.090948 10.090948 11.02436069 9.5864006 99416 Prolong clincl staff svc add 4.324692 4.324692 4.72472601 4.1084574 99429 Unlisted preventive service 0 0 0 0 99441 Phone e/m by phys 5-10 min 12.974076 12.974076 14.17417803 12.3253722 99442 Phone e/m by phys 11-20 min 25.948152 25.948152 28.34835606 24.6507444 99443 Phone e/m by phys 21-30 min 38.922228 38.922228 42.52253409 36.9761166 99444 Online e/m by phys 0 0 0 0 99446 Interprof phone/online 5-10 18.379941 18.379941 20.0800855425 17.46094395 99447 Interprof phone/online 11-20 36.399491 36.399491 39.7664439175 34.57951645 99448 Interprof phone/online 21-30 54.779432 54.779432 59.84652946 52.0404604 99449 Interprof phone/online 31/> 72.798982 72.798982 79.532887835 69.1590329 99450 Basic life disability exam 0 0 0 0 99451 37.480664 37.480664 40.94762542 35.6066308 99452 37.480664 37.480664 40.94762542 35.6066308 99453 19.461114 19.461114 21.261267045 18.4880583 99454 64.149598 64.149598 70.083435815 60.9421181 99455 Work related disability exam 0 0 0 0 99456 Disability examination 0 0 0 0 99457 32.43519 32.43519 35.435445075 30.8134305 99460 Init nb em per day hosp 97.665961 97.665961 106.7000623925 92.78266295 99461 Init nb em per day non-fac 64.149598 64.149598 70.083435815 60.9421181 99462 Sbsq nb em per day hosp 42.886529 42.886529 46.8535329325 40.74220255 99463 Same day nb discharge 112.802383 112.802383 123.2366034275 107.16226385 99464 Attendance at delivery 76.402892 76.402892 83.47015951 72.5827474 99465 Nb resuscitation 148.841483 148.841483 162.6093201775 141.39940885 99466 Ped crit care transport 243.263925 243.263925 265.7658380625 231.10072875 99467 Ped crit care transport addl 121.451767 121.451767 132.6860554475 115.37917865 99468 Neonate crit care initial 937.0166 937.0166 1023.6906355 890.16577 99469 Neonate crit care subsq 405.079484 405.079484 442.54933627 384.8255098 99471 Ped critical care initial 811.240141 811.240141 886.2798540425 770.67813395 99472 Ped critical care subsq 415.530823 415.530823 453.9674241275 394.75428185 99475 Ped crit care age 2-5 init 570.859344 570.859344 623.66383332 542.3163768 99476 Ped crit care age 2-5 subsq 355.345526 355.345526 388.214987155 337.5782497 99477 Init day hosp neonate care 354.985135 354.985135 387.8212599875 337.23587825 99478 Ic lbw inf < 1500 gm subsq 139.471317 139.471317 152.3724138225 132.49775115 99479 Ic lbw inf 1500-2500 g subsq 126.857632 126.857632 138.59196296 120.5147504 99480 Ic inf pbw 2501-5000 g subsq 121.451767 121.451767 132.6860554475 115.37917865 99483 Assmt & care pln pt cog imp 183.439019 183.439019 200.4071282575 174.26706805 99484 Care mgmt svc bhvl hlth cond 32.795581 32.795581 35.8291722425 31.15580195 99485 Suprv interfacilty transport 78.204847 78.204847 85.4387953475 74.29460465 99486 Suprv interfac trnsport addl 67.753508 67.753508 74.02070749 64.3658326 99487 Cmplx chron care w/o pt vsit 52.977477 52.977477 57.8778936225 50.32860315 99489 Complx chron care addl30 min 26.668934 26.668934 29.135810395 25.3354873 99490 Chron care mgmt srvc 20 min 32.43519 32.43519 35.435445075 30.8134305 99491 83.971103 83.971103 91.7384300275 79.77254785 99492 1st psyc collab care mgmt 90.458141 90.458141 98.8255190425 85.93523395 99493 Sbsq psyc collab care mgmt 81.808757 81.808757 89.3760670225 77.71831915 99494 1st/sbsq psyc collab care 43.967702 43.967702 48.034714435 41.7693169 99495 Trans care mgmt 14 day disch 112.081601 112.081601 122.4491490925 106.47752095 99496 Trans care mgmt 7 day disch 162.536341 162.536341 177.5709525425 154.40952395 99497 Advncd care plan 30 min 80.367193 80.367193 87.8011583525 76.34883335 99498 Advncd care plan addl 30 min 75.68211 75.68211 82.682705175 71.8980045 99499 Unlisted e&m service 0 0 0 0 99500 Home visit prenatal 0 0 0 0 99501 Home visit postnatal 0 0 0 0 99502 Home visit nb care 0 0 0 0 99503 Home visit resp therapy 0 0 0 0 99504 Home visit mech ventilator 0 0 0 0 99505 Home visit stoma care 0 0 0 0 99506 Home visit im injection 0 0 0 0 99507 Home visit cath maintain 0 0 0 0 99509 Home visit day life activity 0 0 0 0 99510 Home visit sing/m/fam couns 0 0 0 0 99511 Home visit fecal/enema mgmt 0 0 0 0 99512 Home visit for hemodialysis 0 0 0 0 99600 Home visit nos 0 0 0 0 99601 Home infusion/visit 2 hrs 0 0 0 0 99602 Home infusion each addtl hr 0 0 0 0 99605 Mtms by pharm np 15 min 0 0 0 0 99606 Mtms by pharm est 15 min 0 0 0 0 99607 Mtms by pharm addl 15 min 0 0 0 0 A0021 Outside state ambulance serv 0 0 0 0 A0080 Noninterest escort in non er 0 0 0 0 A0090 Interest escort in non er 0 0 0 0 A0100 Nonemergency transport taxi 0 0 0 0 A0110 Nonemergency transport bus 0 0 0 0 A0120 Noner transport mini-bus 0 0 0 0 A0130 Noner transport wheelch van 0 0 0 0 A0140 Nonemergency transport air 0 0 0 0 A0160 Noner transport case worker 0 0 0 0 A0170 Transport parking fees/tolls 0 0 0 0 A0180 Noner transport lodgng recip 0 0 0 0 A0190 Noner transport meals recip 0 0 0 0 A0200 Noner transport lodgng escrt 0 0 0 0 A0210 Noner transport meals escort 0 0 0 0 A0225 Neonatal emergency transport 0 0 0 0 A0380 Basic life support mileage 0 0 0 0 A0382 Basic support routine suppls 0 0 0 0 A0384 Bls defibrillation supplies 0 0 0 0 A0390 Advanced life support mileag 0 0 0 0 A0392 Als defibrillation supplies 0 0 0 0 A0394 Als IV drug therapy supplies 0 0 0 0 A0396 Als esophageal intub suppls 0 0 0 0 A0398 Als routine disposble suppls 0 0 0 0 A0420 Ambulance waiting 1/2 hr 0 0 0 0 A0422 Ambulance 02 life sustaining 0 0 0 0 A0424 Extra ambulance attendant 0 0 0 0 A0425 Ground mileage 0 0 0 0 A0426 Als 1 0 0 0 0 A0427 ALS1-emergency 0 0 0 0 A0428 bls 0 0 0 0 A0429 BLS-emergency 0 0 0 0 A0430 Fixed wing air transport 0 0 0 0 A0431 Rotary wing air transport 0 0 0 0 A0432 PI volunteer ambulance co 0 0 0 0 A0433 als 2 0 0 0 0 A0434 Specialty care transport 0 0 0 0 A0435 Fixed wing air mileage 0 0 0 0 A0436 Rotary wing air mileage 0 0 0 0 A0888 Noncovered ambulance mileage 0 0 0 0 A0998 Ambulance response/treatment 0 0 0 0 A0999 Unlisted ambulance service 0 0 0 0 A4206 1 CC sterile syringe&needle 0 0 0 0 A4207 2 CC sterile syringe&needle 0 0 0 0 A4208 3 CC sterile syringe&needle 0 0 0 0 A4209 5+ CC sterile syringe&needle 0 0 0 0 A4210 Nonneedle injection device 0 0 0 0 A4211 Supp for self-adm injections 0 0 0 0 A4212 Non coring needle or stylet 0 0 0 0 A4213 20+ CC syringe only 0 0 0 0 A4215 Sterile needle 0 0 0 0 A4216 Sterile water/saline, 10 ml 0 0 0 0 A4217 Sterile water/saline, 500 ml 0 0 0 0 A4218 Sterile saline or water 0 0 0 0 A4220 Infusion pump refill kit 0 0 0 0 A4221 Maint drug infus cath per wk 0 0 0 0 A4222 Infusion supplies with pump 0 0 0 0 A4223 Infusion supplies w/o pump 0 0 0 0 A4224 Supply insulin inf cath/wk 0 0 0 0 A4225 Sup/ext insulin inf pump syr 0 0 0 0 A4230 Infus insulin pump non needl 0 0 0 0 A4231 Infusion insulin pump needle 0 0 0 0 A4232 Syringe w/needle insulin 3cc 0 0 0 0 A4233 Alkalin batt for glucose mon 0 0 0 0 A4234 J-cell batt for glucose mon 0 0 0 0 A4235 Lithium batt for glucose mon 0 0 0 0 A4236 Silvr oxide batt glucose mon 0 0 0 0 A4244 Alcohol or peroxide per pint 0 0 0 0 A4245 Alcohol wipes per box 0 0 0 0 A4246 Betadine/phisohex solution 0 0 0 0 A4247 Betadine/iodine swabs/wipes 0 0 0 0 A4248 Chlorhexidine antisept 0 0 0 0 A4250 Urine reagent strips/tablets 0 0 0 0 A4252 Blood ketone test or strip 0 0 0 0 A4253 Blood glucose/reagent strips 0 0 0 0 A4255 Glucose monitor platforms 0 0 0 0 A4256 Calibrator solution/chips 0 0 0 0 A4257 Replace Lensshield Cartridge 0 0 0 0 A4258 Lancet device each 0 0 0 0 A4259 Lancets per box 0 0 0 0 A4261 Cervical cap contraceptive 0 0 0 0 A4262 Temporary tear duct plug 0 0 0 0 A4263 Permanent tear duct plug 0 0 0 0 A4264 Intratubal occlusion device 0 0 0 0 A4265 Paraffin 0 0 0 0 A4266 Diaphragm 0 0 0 0 A4267 Male condom 0 0 0 0 A4268 Female condom 0 0 0 0 A4269 Spermicide 0 0 0 0 A4270 Disposable endoscope sheath 0 0 0 0 A4280 Brst prsths adhsv attchmnt 0 0 0 0 A4281 Replacement breastpump tube 0 0 0 0 A4282 Replacement breastpump adpt 0 0 0 0 A4283 Replacement breastpump cap 0 0 0 0 A4284 Replcmnt breast pump shield 0 0 0 0 A4285 Replcmnt breast pump bottle 0 0 0 0 A4286 Replcmnt breastpump lok ring 0 0 0 0 A4290 Sacral nerve stim test lead 0 0 0 0 A4300 Cath impl vasc access portal 0 0 0 0 A4301 Implantable access syst perc 0 0 0 0 A4305 Drug delivery system >=50 ML 0 0 0 0 A4306 Drug delivery system <=50 ml 0 0 0 0 A4310 Insert tray w/o bag/cath 0 0 0 0 A4311 Catheter w/o bag 2-way latex 0 0 0 0 A4312 Cath w/o bag 2-way silicone 0 0 0 0 A4313 Catheter w/bag 3-way 0 0 0 0 A4314 Cath w/drainage 2-way latex 0 0 0 0 A4315 Cath w/drainage 2-way silcne 0 0 0 0 A4316 Cath w/drainage 3-way 0 0 0 0 A4320 Irrigation tray 0 0 0 0 A4321 Cath therapeutic irrig agent 0 0 0 0 A4322 Irrigation syringe 0 0 0 0 A4326 Male external catheter 0 0 0 0 A4327 Fem urinary collect dev cup 0 0 0 0 A4328 Fem urinary collect pouch 0 0 0 0 A4330 Stool collection pouch 0 0 0 0 A4331 Extension drainage tubing 0 0 0 0 A4332 Lube sterile packet 0 0 0 0 A4333 Urinary cath anchor device 0 0 0 0 A4334 Urinary cath leg strap 0 0 0 0 A4335 Incontinence supply 0 0 0 0 A4336 Urethral insert 0 0 0 0 A4337 Incontinent rectal insert 0 0 0 0 A4338 Indwelling catheter latex 0 0 0 0 A4340 Indwelling catheter special 0 0 0 0 A4344 Cath indw foley 2 way silicn 0 0 0 0 A4346 Cath indw foley 3 way 0 0 0 0 A4349 Disposable male external cat 0 0 0 0 A4351 Straight tip urine catheter 0 0 0 0 A4352 Coude tip urinary catheter 0 0 0 0 A4353 Intermittent urinary cath 0 0 0 0 A4354 Cath insertion tray w/bag 0 0 0 0 A4355 Bladder irrigation tubing 0 0 0 0 A4356 Ext ureth clmp or compr dvc 0 0 0 0 A4357 Bedside drainage bag 0 0 0 0 A4358 Urinary leg or abdomen bag 0 0 0 0 A4360 Disposable ext urethral dev 0 0 0 0 A4361 Ostomy face plate 0 0 0 0 A4362 Solid skin barrier 0 0 0 0 A4363 Ostomy clamp, replacement 0 0 0 0 A4364 Adhesive, liquid or equal 0 0 0 0 A4366 Ostomy vent 0 0 0 0 A4367 Ostomy belt 0 0 0 0 A4368 Ostomy filter 0 0 0 0 A4369 Skin barrier liquid per oz 0 0 0 0 A4371 Skin barrier powder per oz 0 0 0 0 A4372 Skin barrier solid 4x4 equiv 0 0 0 0 A4373 Skin barrier with flange 0 0 0 0 A4375 Drainable plastic pch w fcpl 0 0 0 0 A4376 Drainable rubber pch w fcplt 0 0 0 0 A4377 Drainable plstic pch w/o fp 0 0 0 0 A4378 Drainable rubber pch w/o fp 0 0 0 0 A4379 Urinary plastic pouch w fcpl 0 0 0 0 A4380 Urinary rubber pouch w fcplt 0 0 0 0 A4381 Urinary plastic pouch w/o fp 0 0 0 0 A4382 Urinary hvy plstc pch w/o fp 0 0 0 0 A4383 Urinary rubber pouch w/o fp 0 0 0 0 A4384 Ostomy faceplt/silicone ring 0 0 0 0 A4385 Ost skn barrier sld ext wear 0 0 0 0 A4387 Ost clsd pouch w att st barr 0 0 0 0 A4388 Drainable pch w ex wear barr 0 0 0 0 A4389 Drainable pch w st wear barr 0 0 0 0 A4390 Drainable pch ex wear convex 0 0 0 0 A4391 Urinary pouch w ex wear barr 0 0 0 0 A4392 Urinary pouch w st wear barr 0 0 0 0 A4393 Urine pch w ex wear bar conv 0 0 0 0 A4394 Ostomy pouch liq deodorant 0 0 0 0 A4395 Ostomy pouch solid deodorant 0 0 0 0 A4396 Peristomal hernia supprt blt 0 0 0 0 A4397 Irrigation supply sleeve 0 0 0 0 A4398 Ostomy irrigation bag 0 0 0 0 A4399 Ostomy irrig cone/cath w brs 0 0 0 0 A4400 Ostomy irrigation set 0 0 0 0 A4402 Lubricant per ounce 0 0 0 0 A4404 Ostomy ring each 0 0 0 0 A4405 Nonpectin based ostomy paste 0 0 0 0 A4406 Pectin based ostomy paste 0 0 0 0 A4407 Ext wear ost skn barr <=4sq" 0 0 0 0 A4408 Ext wear ost skn barr >4sq" 0 0 0 0 A4409 Ost skn barr convex <=4 sq i 0 0 0 0 A4410 Ost skn barr extnd >4 sq 0 0 0 0 A4411 Ost skn barr extnd =4sq 0 0 0 0 A4412 Ost pouch drain high output 0 0 0 0 A4413 2 pc drainable ost pouch 0 0 0 0 A4414 Ost sknbar w/o conv<=4 sq in 0 0 0 0 A4415 Ost skn barr w/o conv >4 sqi 0 0 0 0 A4416 Ost pch clsd w barrier/filtr 0 0 0 0 A4417 Ost pch w bar/bltinconv/fltr 0 0 0 0 A4418 Ost pch clsd w/o bar w filtr 0 0 0 0 A4419 Ost pch for bar w flange/flt 0 0 0 0 A4420 Ost pch clsd for bar w lk fl 0 0 0 0 A4421 Ostomy supply misc 0 0 0 0 A4422 Ost pouch absorbent material 0 0 0 0 A4423 Ost pch for bar w lk fl/fltr 0 0 0 0 A4424 Ost pch drain w bar & filter 0 0 0 0 A4425 Ost pch drain for barrier fl 0 0 0 0 A4426 Ost pch drain 2 piece system 0 0 0 0 A4427 Ost pch drain/barr lk flng/f 0 0 0 0 A4428 Urine ost pouch w faucet/tap 0 0 0 0 A4429 Urine ost pouch w bltinconv 0 0 0 0 A4430 Ost urine pch w b/bltin conv 0 0 0 0 A4431 Ost pch urine w barrier/tapv 0 0 0 0 A4432 Os pch urine w bar/fange/tap 0 0 0 0 A4433 Urine ost pch bar w lock fln 0 0 0 0 A4434 Ost pch urine w lock flng/ft 0 0 0 0 A4435 1pc ost pch drain hgh output 0 0 0 0 A4450 Non-waterproof tape 0 0 0 0 A4452 Waterproof tape 0 0 0 0 A4455 Adhesive remover per ounce 0 0 0 0 A4456 Adhesive remover, wipes 0 0 0 0 A4458 Reusable enema bag 0 0 0 0 A4459 Manual pump enema, reusable 0 0 0 0 A4461 Surgicl dress hold non-reuse 0 0 0 0 A4463 Surgical dress holder reuse 0 0 0 0 A4465 Non-elastic extremity binder 0 0 0 0 A4467 Belt strap sleev grmnt cover 0 0 0 0 A4470 Gravlee jet washer 0 0 0 0 A4480 Vabra aspirator 0 0 0 0 A4481 Tracheostoma filter 0 0 0 0 A4483 Moisture exchanger 0 0 0 0 A4490 Above knee surgical stocking 0 0 0 0 A4495 Thigh length surg stocking 0 0 0 0 A4500 Below knee surgical stocking 0 0 0 0 A4510 Full length surg stocking 0 0 0 0 A4520 Incontinence garment anytype 0 0 0 0 A4550 Surgical trays 0 0 0 0 A4553 Nondisp underpads, all sizes 0 0 0 0 A4554 Disposable underpads 0 0 0 0 A4555 Ca tx e-stim electr/transduc 0 0 0 0 A4556 Electrodes, pair 0 0 0 0 A4557 Lead wires, pair 0 0 0 0 A4558 Conductive gel or paste 0 0 0 0 A4559 Coupling gel or paste 0 0 0 0 A4561 Pessary rubber, any type 0 0 0 0 A4562 Pessary, non rubber,any type 0 0 0 0 A4563 0 0 0 0 A4565 Slings 0 0 0 0 A4566 Should sling/vest/abrestrain 0 0 0 0 A4570 Splint 0 0 0 0 A4575 Hyperbaric o2 chamber disps 0 0 0 0 A4580 Cast supplies (plaster) 0 0 0 0 A4590 Special casting material 0 0 0 0 A4595 TENS suppl 2 lead per month 0 0 0 0 A4600 Sleeve, inter limb comp dev 0 0 0 0 A4601 Lith ion batt, non-pros use 0 0 0 0 A4602 Replace lithium battery 1.5v 0 0 0 0 A4604 Tubing with heating element 0 0 0 0 A4605 Trach suction cath close sys 0 0 0 0 A4606 Oxygen probe used w oximeter 0 0 0 0 A4608 Transtracheal oxygen cath 0 0 0 0 A4611 Heavy duty battery 0 0 0 0 A4612 Battery cables 0 0 0 0 A4613 Battery charger 0 0 0 0 A4614 Hand-held PEFR meter 0 0 0 0 A4615 Cannula nasal 0 0 0 0 A4616 Tubing (oxygen) per foot 0 0 0 0 A4617 Mouth piece 0 0 0 0 A4618 Breathing circuits 0 0 0 0 A4619 Face tent 0 0 0 0 A4620 Variable concentration mask 0 0 0 0 A4623 Tracheostomy inner cannula 0 0 0 0 A4624 Tracheal suction tube 0 0 0 0 A4625 Trach care kit for new trach 0 0 0 0 A4626 Tracheostomy cleaning brush 0 0 0 0 A4627 Spacer bag/reservoir 0 0 0 0 A4628 Oropharyngeal suction cath 0 0 0 0 A4629 Tracheostomy care kit 0 0 0 0 A4630 Repl bat t.e.n.s. own by pt 0 0 0 0 A4633 Uvl replacement bulb 0 0 0 0 A4634 Replacement bulb th lightbox 0 0 0 0 A4635 Underarm crutch pad 0 0 0 0 A4636 Handgrip for cane etc 0 0 0 0 A4637 Repl tip cane/crutch/walker 0 0 0 0 A4638 Repl batt pulse gen sys 0 0 0 0 A4639 Infrared ht sys replcmnt pad 0 0 0 0 A4640 Alternating pressure pad 0 0 0 0 A4641 Radiopharm dx agent noc 0 0 0 0 A4642 In111 satumomab 0 0 0 0 A4648 Implantable tissue marker 0 0 0 0 A4649 Surgical supplies 0 0 0 0 A4650 Implant radiation dosimeter 0 0 0 0 A4651 Calibrated microcap tube 0 0 0 0 A4652 Microcapillary tube sealant 0 0 0 0 A4653 PD catheter anchor belt 0 0 0 0 A4657 Syringe w/wo needle 0 0 0 0 A4660 Sphyg/bp app w cuff and stet 0 0 0 0 A4663 Dialysis blood pressure cuff 0 0 0 0 A4670 Automatic bp monitor, dial 0 0 0 0 A4671 Disposable cycler set 0 0 0 0 A4672 Drainage ext line, dialysis 0 0 0 0 A4673 Ext line w easy lock connect 0 0 0 0 A4674 Chem/antisept solution, 8oz 0 0 0 0 A4680 Activated carbon filter, ea 0 0 0 0 A4690 Dialyzer, each 0 0 0 0 A4706 Bicarbonate conc sol per gal 0 0 0 0 A4707 Bicarbonate conc pow per pac 0 0 0 0 A4708 Acetate conc sol per gallon 0 0 0 0 A4709 Acid conc sol per gallon 0 0 0 0 A4714 Treated water per gallon 0 0 0 0 A4719 "Y set" tubing 0 0 0 0 A4720 Dialysat sol fld vol > 249cc 0 0 0 0 A4721 Dialysat sol fld vol > 999cc 0 0 0 0 A4722 Dialys sol fld vol > 1999cc 0 0 0 0 A4723 Dialys sol fld vol > 2999cc 0 0 0 0 A4724 Dialys sol fld vol > 3999cc 0 0 0 0 A4725 Dialys sol fld vol > 4999cc 0 0 0 0 A4726 Dialys sol fld vol > 5999cc 0 0 0 0 A4728 Dialysate solution, non-dex 0 0 0 0 A4730 Fistula cannulation set, ea 0 0 0 0 A4736 Topical anesthetic, per gram 0 0 0 0 A4737 Inj anesthetic per 10 ml 0 0 0 0 A4740 Shunt accessory 0 0 0 0 A4750 Art or venous blood tubing 0 0 0 0 A4755 Comb art/venous blood tubing 0 0 0 0 A4760 Dialysate sol test kit, each 0 0 0 0 A4765 Dialysate conc pow per pack 0 0 0 0 A4766 Dialysate conc sol add 10 ml 0 0 0 0 A4770 Blood collection tube/vacuum 0 0 0 0 A4771 Serum clotting time tube 0 0 0 0 A4772 Blood glucose test strips 0 0 0 0 A4773 Occult blood test strips 0 0 0 0 A4774 Ammonia test strips 0 0 0 0 A4802 Protamine sulfate per 50 mg 0 0 0 0 A4860 Disposable catheter tips 0 0 0 0 A4870 Plumb/elec wk hm hemo equip 0 0 0 0 A4890 Repair/maint cont hemo equip 0 0 0 0 A4911 Drain bag/bottle 0 0 0 0 A4913 Misc dialysis supplies noc 0 0 0 0 A4918 Venous pressure clamp 0 0 0 0 A4927 Non-sterile gloves 0 0 0 0 A4928 Surgical mask 0 0 0 0 A4929 Tourniquet for dialysis, ea 0 0 0 0 A4930 Sterile, gloves per pair 0 0 0 0 A4931 Reusable oral thermometer 0 0 0 0 A4932 Reusable rectal thermometer 0 0 0 0 A5051 Pouch clsd w barr attached 0 0 0 0 A5052 Clsd ostomy pouch w/o barr 0 0 0 0 A5053 Clsd ostomy pouch faceplate 0 0 0 0 A5054 Clsd ostomy pouch w/flange 0 0 0 0 A5055 Stoma cap 0 0 0 0 A5056 1 pc ost pouch w filter 0 0 0 0 A5057 1 pc ost pou w built-in conv 0 0 0 0 A5061 Pouch drainable w barrier at 0 0 0 0 A5062 Drnble ostomy pouch w/o barr 0 0 0 0 A5063 Drain ostomy pouch w/flange 0 0 0 0 A5071 Urinary pouch w/barrier 0 0 0 0 A5072 Urinary pouch w/o barrier 0 0 0 0 A5073 Urinary pouch on barr w/flng 0 0 0 0 A5081 Continent stoma plug 0 0 0 0 A5082 Continent stoma catheter 0 0 0 0 A5083 Stoma absorptive cover 0 0 0 0 A5093 Ostomy accessory convex inse 0 0 0 0 A5102 Bedside drain btl w/wo tube 0 0 0 0 A5105 Urinary suspensory 0 0 0 0 A5112 Urinary leg bag 0 0 0 0 A5113 Latex leg strap 0 0 0 0 A5114 Foam/fabric leg strap 0 0 0 0 A5120 Skin barrier, wipe or swab 0 0 0 0 A5121 Solid skin barrier 6x6 0 0 0 0 A5122 Solid skin barrier 8x8 0 0 0 0 A5126 Disk/foam pad +or- adhesive 0 0 0 0 A5131 Appliance cleaner 0 0 0 0 A5200 Percutaneous catheter anchor 0 0 0 0 A5500 Diab shoe for density insert 0 0 0 0 A5501 Diabetic custom molded shoe 0 0 0 0 A5503 Diabetic shoe w/roller/rockr 0 0 0 0 A5504 Diabetic shoe with wedge 0 0 0 0 A5505 Diab shoe w/metatarsal bar 0 0 0 0 A5506 Diabetic shoe w/off set heel 0 0 0 0 A5507 Modification diabetic shoe 0 0 0 0 A5508 Diabetic deluxe shoe 0 0 0 0 A5510 Compression form shoe insert 0 0 0 0 A5512 Multi den insert direct form 0 0 0 0 A5513 Multi den insert custom mold 0 0 0 0 A5514 0 0 0 0 A6000 Wound warming wound cover 0 0 0 0 A6010 Collagen based wound filler 0 0 0 0 A6011 Collagen gel/paste wound fil 0 0 0 0 A6021 Collagen dressing <=16 sq in 0 0 0 0 A6022 Collagen drsg>16<=48 sq in 0 0 0 0 A6023 Collagen dressing >48 sq in 0 0 0 0 A6024 Collagen dsg wound filler 0 0 0 0 A6025 Silicone gel sheet, each 0 0 0 0 A6154 Wound pouch each 0 0 0 0 A6196 Alginate dressing <=16 sq in 0 0 0 0 A6197 Alginate drsg >16 <=48 sq in 0 0 0 0 A6198 alginate dressing > 48 sq in 0 0 0 0 A6199 Alginate drsg wound filler 0 0 0 0 A6203 Composite drsg <= 16 sq in 0 0 0 0 A6204 Composite drsg >16<=48 sq in 0 0 0 0 A6205 Composite drsg > 48 sq in 0 0 0 0 A6206 Contact layer <= 16 sq in 0 0 0 0 A6207 Contact layer >16<= 48 sq in 0 0 0 0 A6208 Contact layer > 48 sq in 0 0 0 0 A6209 Foam drsg <=16 sq in w/o bdr 0 0 0 0 A6210 Foam drg >16<=48 sq in w/o b 0 0 0 0 A6211 Foam drg > 48 sq in w/o brdr 0 0 0 0 A6212 Foam drg <=16 sq in w/border 0 0 0 0 A6213 Foam drg >16<=48 sq in w/bdr 0 0 0 0 A6214 Foam drg > 48 sq in w/border 0 0 0 0 A6215 Foam dressing wound filler 0 0 0 0 A6216 Non-sterile gauze<=16 sq in 0 0 0 0 A6217 Non-sterile gauze>16<=48 sq 0 0 0 0 A6218 Non-sterile gauze > 48 sq in 0 0 0 0 A6219 Gauze <= 16 sq in w/border 0 0 0 0 A6220 Gauze >16 <=48 sq in w/bordr 0 0 0 0 A6221 Gauze > 48 sq in w/border 0 0 0 0 A6222 Gauze <=16 in no w/sal w/o b 0 0 0 0 A6223 Gauze >16<=48 no w/sal w/o b 0 0 0 0 A6224 Gauze > 48 in no w/sal w/o b 0 0 0 0 A6228 Gauze <= 16 sq in water/sal 0 0 0 0 A6229 Gauze >16<=48 sq in watr/sal 0 0 0 0 A6230 Gauze > 48 sq in water/salne 0 0 0 0 A6231 Hydrogel dsg<=16 sq in 0 0 0 0 A6232 Hydrogel dsg>16<=48 sq in 0 0 0 0 A6233 Hydrogel dressing >48 sq in 0 0 0 0 A6234 Hydrocolld drg <=16 w/o bdr 0 0 0 0 A6235 Hydrocolld drg >16<=48 w/o b 0 0 0 0 A6236 Hydrocolld drg > 48 in w/o b 0 0 0 0 A6237 Hydrocolld drg <=16 in w/bdr 0 0 0 0 A6238 Hydrocolld drg >16<=48 w/bdr 0 0 0 0 A6239 Hydrocolld drg > 48 in w/bdr 0 0 0 0 A6240 Hydrocolld drg filler paste 0 0 0 0 A6241 Hydrocolloid drg filler dry 0 0 0 0 A6242 Hydrogel drg <=16 in w/o bdr 0 0 0 0 A6243 Hydrogel drg >16<=48 w/o bdr 0 0 0 0 A6244 Hydrogel drg >48 in w/o bdr 0 0 0 0 A6245 Hydrogel drg <= 16 in w/bdr 0 0 0 0 A6246 Hydrogel drg >16<=48 in w/b 0 0 0 0 A6247 Hydrogel drg > 48 sq in w/b 0 0 0 0 A6248 Hydrogel drsg gel filler 0 0 0 0 A6250 Skin seal protect moisturizr 0 0 0 0 A6251 Absorpt drg <=16 sq in w/o b 0 0 0 0 A6252 Absorpt drg >16 <=48 w/o bdr 0 0 0 0 A6253 Absorpt drg > 48 sq in w/o b 0 0 0 0 A6254 Absorpt drg <=16 sq in w/bdr 0 0 0 0 A6255 Absorpt drg >16<=48 in w/bdr 0 0 0 0 A6256 Absorpt drg > 48 sq in w/bdr 0 0 0 0 A6257 Transparent film <= 16 sq in 0 0 0 0 A6258 Transparent film >16<=48 in 0 0 0 0 A6259 Transparent film > 48 sq in 0 0 0 0 A6260 Wound cleanser any type/size 0 0 0 0 A6261 Wound filler gel/paste /oz 0 0 0 0 A6262 Wound filler dry form / gram 0 0 0 0 A6266 Impreg gauze no h20/sal/yard 0 0 0 0 A6402 Sterile gauze <= 16 sq in 0 0 0 0 A6403 Sterile gauze>16 <= 48 sq in 0 0 0 0 A6404 Sterile gauze > 48 sq in 0 0 0 0 A6407 Packing strips, non-impreg 0 0 0 0 A6410 Sterile eye pad 0 0 0 0 A6411 Non-sterile eye pad 0 0 0 0 A6412 Occlusive eye patch 0 0 0 0 A6413 Adhesive bandage, first-aid 0 0 0 0 A6441 Pad band w>=3" <5"/yd 0 0 0 0 A6442 Conform band n/s w<3"/yd 0 0 0 0 A6443 Conform band n/s w>=3"<5"/yd 0 0 0 0 A6444 Conform band n/s w>=5"/yd 0 0 0 0 A6445 Conform band s w <3"/yd 0 0 0 0 A6446 Conform band s w>=3" <5"/yd 0 0 0 0 A6447 Conform band s w >=5"/yd 0 0 0 0 A6448 Lt compres band <3"/yd 0 0 0 0 A6449 Lt compres band >=3" <5"/yd 0 0 0 0 A6450 Lt compres band >=5"/yd 0 0 0 0 A6451 Mod compres band w>=3"<5"/yd 0 0 0 0 A6452 High compres band w>=3"<5"yd 0 0 0 0 A6453 Self-adher band w <3"/yd 0 0 0 0 A6454 Self-adher band w>=3" <5"/yd 0 0 0 0 A6455 Self-adher band >=5"/yd 0 0 0 0 A6456 Zinc paste band w >=3"<5"/yd 0 0 0 0 A6457 Tubular dressing 0 0 0 0 A6460 0 0 0 0 A6461 0 0 0 0 A6501 Compres burngarment bodysuit 0 0 0 0 A6502 Compres burngarment chinstrp 0 0 0 0 A6503 Compres burngarment facehood 0 0 0 0 A6504 Cmprsburngarment glove-wrist 0 0 0 0 A6505 Cmprsburngarment glove-elbow 0 0 0 0 A6506 Cmprsburngrmnt glove-axilla 0 0 0 0 A6507 Cmprs burngarment foot-knee 0 0 0 0 A6508 Cmprs burngarment foot-thigh 0 0 0 0 A6509 Compres burn garment jacket 0 0 0 0 A6510 Compres burn garment leotard 0 0 0 0 A6511 Compres burn garment panty 0 0 0 0 A6512 Compres burn garment, noc 0 0 0 0 A6513 Compress burn mask face/neck 0 0 0 0 A6530 Compression stocking BK18-30 0 0 0 0 A6531 Compression stocking BK30-40 0 0 0 0 A6532 Compression stocking BK40-50 0 0 0 0 A6533 Gc stocking thighlngth 18-30 0 0 0 0 A6534 Gc stocking thighlngth 30-40 0 0 0 0 A6535 Gc stocking thighlngth 40-50 0 0 0 0 A6536 Gc stocking full lngth 18-30 0 0 0 0 A6537 Gc stocking full lngth 30-40 0 0 0 0 A6538 Gc stocking full lngth 40-50 0 0 0 0 A6539 Gc stocking waistlngth 18-30 0 0 0 0 A6540 Gc stocking waistlngth 30-40 0 0 0 0 A6541 Gc stocking waistlngth 40-50 0 0 0 0 A6544 Gc stocking garter belt 0 0 0 0 A6545 Grad comp non-elastic BK 0 0 0 0 A6549 G compression stocking 0 0 0 0 A6550 Neg pres wound ther drsg set 0 0 0 0 A7000 Disposable canister for pump 0 0 0 0 A7001 Nondisposable pump canister 0 0 0 0 A7002 Tubing used w suction pump 0 0 0 0 A7003 Nebulizer administration set 0 0 0 0 A7004 Disposable nebulizer sml vol 0 0 0 0 A7005 Nondisposable nebulizer set 0 0 0 0 A7006 Filtered nebulizer admin set 0 0 0 0 A7007 Lg vol nebulizer disposable 0 0 0 0 A7008 Disposable nebulizer prefill 0 0 0 0 A7009 Nebulizer reservoir bottle 0 0 0 0 A7010 Disposable corrugated tubing 0 0 0 0 A7012 Nebulizer water collec devic 0 0 0 0 A7013 Disposable compressor filter 0 0 0 0 A7014 Compressor nondispos filter 0 0 0 0 A7015 Aerosol mask used w nebulize 0 0 0 0 A7016 Nebulizer dome & mouthpiece 0 0 0 0 A7017 Nebulizer not used w oxygen 0 0 0 0 A7018 Water distilled w/nebulizer 0 0 0 0 A7020 Interface, cough stim device 0 0 0 0 A7025 Replace chest compress vest 0 0 0 0 A7026 Replace chst cmprss sys hose 0 0 0 0 A7027 Combination oral/nasal mask 0 0 0 0 A7028 Repl oral cushion combo mask 0 0 0 0 A7029 Repl nasal pillow comb mask 0 0 0 0 A7030 CPAP full face mask 0 0 0 0 A7031 Replacement facemask interfa 0 0 0 0 A7032 Replacement nasal cushion 0 0 0 0 A7033 Replacement nasal pillows 0 0 0 0 A7034 Nasal application device 0 0 0 0 A7035 Pos airway press headgear 0 0 0 0 A7036 Pos airway press chinstrap 0 0 0 0 A7037 Pos airway pressure tubing 0 0 0 0 A7038 Pos airway pressure filter 0 0 0 0 A7039 Filter, non disposable w pap 0 0 0 0 A7040 One way chest drain valve 0 0 0 0 A7041 Water seal drain container 0 0 0 0 A7044 PAP oral interface 0 0 0 0 A7045 Repl exhalation port for PAP 0 0 0 0 A7046 Repl water chamber, PAP dev 0 0 0 0 A7047 Resp suction oral interface 0 0 0 0 A7048 Vacuum drain bottle/tube kit 0 0 0 0 A7501 Tracheostoma valve w diaphra 0 0 0 0 A7502 Replacement diaphragm/fplate 0 0 0 0 A7503 HMES filter holder or cap 0 0 0 0 A7504 Tracheostoma HMES filter 0 0 0 0 A7505 HMES or trach valve housing 0 0 0 0 A7506 HMES/trachvalve adhesivedisk 0 0 0 0 A7507 Integrated filter & holder 0 0 0 0 A7508 Housing & Integrated Adhesiv 0 0 0 0 A7509 Heat & moisture exchange sys 0 0 0 0 A7520 Trach/laryn tube non-cuffed 0 0 0 0 A7521 Trach/laryn tube cuffed 0 0 0 0 A7522 Trach/laryn tube stainless 0 0 0 0 A7523 Tracheostomy shower protect 0 0 0 0 A7524 Tracheostoma stent/stud/bttn 0 0 0 0 A7525 Tracheostomy mask 0 0 0 0 A7526 Tracheostomy tube collar 0 0 0 0 A7527 Trach/laryn tube plug/stop 0 0 0 0 A8000 Soft protect helmet prefab 0 0 0 0 A8001 Hard protect helmet prefab 0 0 0 0 A8002 Soft protect helmet custom 0 0 0 0 A8003 Hard protect helmet custom 0 0 0 0 A8004 Repl soft interface, helmet 0 0 0 0 A9150 Misc/exper non-prescript dru 0 0 0 0 A9152 Single vitamin nos 0 0 0 0 A9153 Multi-vitamin nos 0 0 0 0 A9155 Artificial saliva 0 0 0 0 A9180 Lice treatment, topical 0 0 0 0 A9270 Non-covered item or service 0 0 0 0 A9272 Disposable mech wound suct 0 0 0 0 A9273 Hot/cold h2obot/cap/col/wrap 0 0 0 0 A9274 Ext amb insulin delivery sys 0 0 0 0 A9275 Disp home glucose monitor 0 0 0 0 A9276 Disposable sensor, CGM sys 0 0 0 0 A9277 External transmitter, CGM 0 0 0 0 A9278 External receiver, CGM sys 0 0 0 0 A9279 Monitoring feature/deviceNOC 0 0 0 0 A9280 Alert device, noc 0 0 0 0 A9281 Reaching/grabbing device 0 0 0 0 A9282 Wig any type 0 0 0 0 A9283 Foot press off load supp dev 0 0 0 0 A9284 Non-electronic spirometer 0 0 0 0 A9285 Inversion eversion cor devic 0 0 0 0 A9286 Any hygienic item, device 0 0 0 0 A9300 Exercise equipment 0 0 0 0 A9500 Tc99m sestamibi 0 0 0 0 A9501 Technetium TC-99m teboroxime 0 0 0 0 A9502 Tc99m tetrofosmin 0 0 0 0 A9503 Tc99m medronate 0 0 0 0 A9504 Tc99m apcitide 0 0 0 0 A9505 TL201 thallium 0 0 0 0 A9507 In111 capromab 0 0 0 0 A9508 I131 iodobenguate, dx 0 0 0 0 A9509 Iodine I-123 sod iodide mil 0 0 0 0 A9510 Tc99m disofenin 0 0 0 0 A9512 Tc99m pertechnetate 0 0 0 0 A9513 Technetium tc-99m mebrofenin 0 0 0 0 A9515 Technetium tc-99m pentetate 0 0 0 0 A9516 Iodine I-123 sod iodide mic 0 0 0 0 A9517 I131 iodide cap, rx 0 0 0 0 A9520 Technetiumtc-99m sulfur clld 0 0 0 0 A9521 Tc99m exametazime 0 0 0 0 A9524 I131 serum albumin, dx 0 0 0 0 A9526 Nitrogen N-13 ammonia 0 0 0 0 A9527 Iodine I-125 sodium iodide 0 0 0 0 A9528 Iodine I-131 iodide cap, dx 0 0 0 0 A9529 I131 iodide sol, dx 0 0 0 0 A9530 I131 iodide sol, rx 0 0 0 0 A9531 I131 max 100uCi 0 0 0 0 A9532 I125 serum albumin, dx 0 0 0 0 A9536 Tc99m depreotide 0 0 0 0 A9537 Tc99m mebrofenin 0 0 0 0 A9538 Tc99m pyrophosphate 0 0 0 0 A9539 Tc99m pentetate 0 0 0 0 A9540 Tc99m MAA 0 0 0 0 A9541 Tc99m sulfur colloid 0 0 0 0 A9542 In111 ibritumomab, dx 0 0 0 0 A9543 Y90 ibritumomab, rx 0 0 0 0 A9546 Co57/58 0 0 0 0 A9547 In111 oxyquinoline 0 0 0 0 A9548 In111 pentetate 0 0 0 0 A9550 Tc99m gluceptate 0 0 0 0 A9551 Tc99m succimer 0 0 0 0 A9552 F18 fdg 0 0 0 0 A9553 Cr51 chromate 0 0 0 0 A9554 I125 iothalamate, dx 0 0 0 0 A9555 Rb82 rubidium 0 0 0 0 A9556 Ga67 gallium 0 0 0 0 A9557 Tc99m bicisate 0 0 0 0 A9558 Xe133 xenon 10mci 0 0 0 0 A9559 Co57 cyano 0 0 0 0 A9560 Tc99m labeled rbc 0 0 0 0 A9561 Tc99m oxidronate 0 0 0 0 A9562 Tc99m mertiatide 0 0 0 0 A9563 P32 Na phosphate 0 0 0 0 A9564 P32 chromic phosphate 0 0 0 0 A9566 Tc99m fanolesomab 0 0 0 0 A9567 Technetium TC-99m aerosol 0 0 0 0 A9568 Technetium tc99m arcitumomab 0 0 0 0 A9569 Technetium TC-99m auto WBC 0 0 0 0 A9570 Indium In-111 auto WBC 0 0 0 0 A9571 Indium IN-111 auto platelet 0 0 0 0 A9572 Indium In-111 pentetreotide 0 0 0 0 A9575 Inj gadoterate meglumi 0.1ml 0 0 0 0 A9576 Inj prohance multipack 0 0 0 0 A9577 Inj multihance 0 0 0 0 A9578 Inj multihance multipack 0 0 0 0 A9579 Gad-base MR contrast NOS,1ml 0 0 0 0 A9580 Sodium fluoride F-18 0 0 0 0 A9581 Gadoxetate disodium inj 0 0 0 0 A9582 Iodine I-123 iobenguane 0 0 0 0 A9583 Gadofosveset trisodium inj 0 0 0 0 A9584 Iodine I-123 ioflupane 0 0 0 0 A9585 Gadobutrol injection 0 0 0 0 A9586 Florbetapir f18 0 0 0 0 A9587 Gallium ga-68 0 0 0 0 A9588 Fluciclovine f-18 0 0 0 0 A9589 0 0 0 0 A9597 Pet, dx, for tumor id, noc 0 0 0 0 A9598 Pet dx for non-tumor id, noc 0 0 0 0 A9600 Sr89 strontium 0 0 0 0 A9604 Sm 153 lexidronam 0 0 0 0 A9606 Radium ra223 dichloride ther 0 0 0 0 A9698 Non-rad contrast materialNOC 0 0 0 0 A9699 Radiopharm rx agent noc 0 0 0 0 A9700 Echocardiography Contrast 0 0 0 0 A9900 Supply/accessory/service 0 0 0 0 A9901 Delivery/set up/dispensing 0 0 0 0 A9999 DME supply or accessory, nos 0 0 0 0 D0120 Periodic oral evaluation 0 0 0 0 D0140 Limit oral eval problm focus 0 0 0 0 D0145 Oral evaluation, pt < 3yrs 0 0 0 0 D0150 Comprehensve oral evaluation 0 0 0 0 D0160 Extensv oral eval prob focus 0 0 0 0 D0170 Re-eval,est pt,problem focus 0 0 0 0 D0171 Re-eval post-op visit 0 0 0 0 D0180 Comp periodontal evaluation 0 0 0 0 D0190 Screening of a patient 0 0 0 0 D0191 Assessment of a patient 0 0 0 0 D0210 Intraor complete film series 0 0 0 0 D0220 Intraoral periapical first f 0 0 0 0 D0230 Intraoral periapical ea add 0 0 0 0 D0240 Intraoral occlusal film 0 0 0 0 D0250 Extraoral first film 0 0 0 0 D0251 Extraoral posterior image 0 0 0 0 D0270 Dental bitewing single film 0 0 0 0 D0272 Dental bitewings two films 0 0 0 0 D0273 Bitewings - three films 0 0 0 0 D0274 Dental bitewings four films 0 0 0 0 D0277 Vert bitewings-sev to eight 0 0 0 0 D0310 Dental saliography 0 0 0 0 D0320 Dental tmj arthrogram incl i 0 0 0 0 D0321 Dental other tmj films 0 0 0 0 D0322 Dental tomographic survey 0 0 0 0 D0330 Dental panoramic film 0 0 0 0 D0340 Dental cephalometric film 0 0 0 0 D0350 Oral/facial photo images 0 0 0 0 D0351 3d photographic image 0 0 0 0 D0364 Cone beam ct capt & interp 0 0 0 0 D0365 Cone beam ct interprete man 0 0 0 0 D0366 Cone beam ct interprete max 0 0 0 0 D0367 Cone beam ct interp both jaw 0 0 0 0 D0368 Cone beam ct interprete tmj 0 0 0 0 D0369 Max mri capture & interprete 0 0 0 0 D0370 Max ultrasound capt & interp 0 0 0 0 D0371 Sialoendoscopy capt & interp 0 0 0 0 D0380 Cone beam ct capture limited 0 0 0 0 D0381 Cone beam ct capt mandible 0 0 0 0 D0382 Cone beam ct capt maxilla 0 0 0 0 D0383 Cone beam ct both jaws 0 0 0 0 D0384 Cone beam ct capture tmj 0 0 0 0 D0385 Max mri image capture 0 0 0 0 D0386 Max ultrasound image capture 0 0 0 0 D0391 Imterprete diagnostic image 0 0 0 0 D0393 Trtmnt simulation 3d image 0 0 0 0 D0394 Digital sub 2 or more images 0 0 0 0 D0395 Fusion 2 or more 3d images 0 0 0 0 D0411 Hba1c in office testing 0 0 0 0 D0412 0 0 0 0 D0414 Lab process microbial spec 0 0 0 0 D0415 Collection of microorganisms 0 0 0 0 D0416 Viral culture 0 0 0 0 D0417 Collect & prep saliva sample 0 0 0 0 D0418 Analysis of saliva sample 0 0 0 0 D0422 Collect & prep genetic samp 0 0 0 0 D0423 Genetic test spec analysis 0 0 0 0 D0425 Caries susceptibility test 0 0 0 0 D0431 Diag tst detect mucos abnorm 0 0 0 0 D0460 Pulp vitality test 0 0 0 0 D0470 Diagnostic casts 0 0 0 0 D0472 Gross exam, prep & report 0 0 0 0 D0473 Micro exam, prep & report 0 0 0 0 D0474 Micro w exam of surg margins 0 0 0 0 D0475 Decalcification procedure 0 0 0 0 D0476 Spec stains for microorganis 0 0 0 0 D0477 Spec stains not for microorg 0 0 0 0 D0478 Immunohistochemical stains 0 0 0 0 D0479 Tissue in-situ hybridization 0 0 0 0 D0480 Cytopath smear prep & report 0 0 0 0 D0481 Electron microscopy diagnost 0 0 0 0 D0482 Direct immunofluorescence 0 0 0 0 D0483 Indirect immunofluorescence 0 0 0 0 D0484 Consult slides prep elsewher 0 0 0 0 D0485 Consult inc prep of slides 0 0 0 0 D0486 Access of transep cytol samp 0 0 0 0 D0502 Other oral pathology procedu 0 0 0 0 D0600 Non-ionizing diag proc 0 0 0 0 D0601 Caries risk assess low risk 0 0 0 0 D0602 Caries risk assess mod risk 0 0 0 0 D0603 Caries risk assess high risk 0 0 0 0 D0999 Unspecified diagnostic proce 0 0 0 0 D1110 Dental prophylaxis adult 0 0 0 0 D1120 Dental prophylaxis child 0 0 0 0 D1206 Topical fluoride varnish 0 0 0 0 D1208 Topical app of fluoride 0 0 0 0 D1310 Nutri counsel-control caries 0 0 0 0 D1320 Tobacco counseling 0 0 0 0 D1330 Oral hygiene instruction 0 0 0 0 D1351 Dental sealant per tooth 0 0 0 0 D1352 Prev resin rest, perm tooth 0 0 0 0 D1353 Sealant repair per tooth 0 0 0 0 D1354 Interim caries med app 0 0 0 0 D1510 Space maintainer fxd unilat 0 0 0 0 D1516 0 0 0 0 D1517 0 0 0 0 D1520 Remove unilat space maintain 0 0 0 0 D1526 0 0 0 0 D1527 0 0 0 0 D1550 Recement space maintainer 0 0 0 0 D1555 Remove fix space maintainer 0 0 0 0 D1575 Dist space maint, fixed unil 0 0 0 0 D1999 Unspecified preventive proc 0 0 0 0 D2140 Amalgam one surface permanen 0 0 0 0 D2150 Amalgam two surfaces permane 0 0 0 0 D2160 Amalgam three surfaces perma 0 0 0 0 D2161 Amalgam 4 or > surfaces perm 0 0 0 0 D2330 Resin one surface-anterior 0 0 0 0 D2331 Resin two surfaces-anterior 0 0 0 0 D2332 Resin three surfaces-anterio 0 0 0 0 D2335 Resin 4/> surf or w incis an 0 0 0 0 D2390 Ant resin-based cmpst crown 0 0 0 0 D2391 Post 1 srfc resinbased cmpst 0 0 0 0 D2392 Post 2 srfc resinbased cmpst 0 0 0 0 D2393 Post 3 srfc resinbased cmpst 0 0 0 0 D2394 Post >=4srfc resinbase cmpst 0 0 0 0 D2410 Dental gold foil one surface 0 0 0 0 D2420 Dental gold foil two surface 0 0 0 0 D2430 Dental gold foil three surfa 0 0 0 0 D2510 Dental inlay metalic 1 surf 0 0 0 0 D2520 Dental inlay metallic 2 surf 0 0 0 0 D2530 Dental inlay metl 3/more sur 0 0 0 0 D2542 Dental onlay metallic 2 surf 0 0 0 0 D2543 Dental onlay metallic 3 surf 0 0 0 0 D2544 Dental onlay metl 4/more sur 0 0 0 0 D2610 Inlay porcelain/ceramic 1 su 0 0 0 0 D2620 Inlay porcelain/ceramic 2 su 0 0 0 0 D2630 Dental onlay porc 3/more sur 0 0 0 0 D2642 Dental onlay porcelin 2 surf 0 0 0 0 D2643 Dental onlay porcelin 3 surf 0 0 0 0 D2644 Dental onlay porc 4/more sur 0 0 0 0 D2650 Inlay composite/resin one su 0 0 0 0 D2651 Inlay composite/resin two su 0 0 0 0 D2652 Dental inlay resin 3/mre sur 0 0 0 0 D2662 Dental onlay resin 2 surface 0 0 0 0 D2663 Dental onlay resin 3 surface 0 0 0 0 D2664 Dental onlay resin 4/mre sur 0 0 0 0 D2710 Crown resin-based indirect 0 0 0 0 D2712 Crown 3/4 resin-based compos 0 0 0 0 D2720 Crown resin w/ high noble me 0 0 0 0 D2721 Crown resin w/ base metal 0 0 0 0 D2722 Crown resin w/ noble metal 0 0 0 0 D2740 Crown porcelain/ceramic subs 0 0 0 0 D2750 Crown porcelain w/ h noble m 0 0 0 0 D2751 Crown porcelain fused base m 0 0 0 0 D2752 Crown porcelain w/ noble met 0 0 0 0 D2780 Crown 3/4 cast hi noble met 0 0 0 0 D2781 Crown 3/4 cast base metal 0 0 0 0 D2782 Crown 3/4 cast noble metal 0 0 0 0 D2783 Crown 3/4 porcelain/ceramic 0 0 0 0 D2790 Crown full cast high noble m 0 0 0 0 D2791 Crown full cast base metal 0 0 0 0 D2792 Crown full cast noble metal 0 0 0 0 D2794 Crown-titanium 0 0 0 0 D2799 Provisional crown 0 0 0 0 D2910 Recement inlay onlay or part 0 0 0 0 D2915 Recement cast or prefab post 0 0 0 0 D2920 Dental recement crown 0 0 0 0 D2921 Reattach tooth fragment 0 0 0 0 D2929 Prefab porc/ceram crown pri 0 0 0 0 D2930 Prefab stnlss steel crwn pri 0 0 0 0 D2931 Prefab stnlss steel crown pe 0 0 0 0 D2932 Prefabricated resin crown 0 0 0 0 D2933 Prefab stainless steel crown 0 0 0 0 D2934 Prefab steel crown primary 0 0 0 0 D2940 Protective restoration 0 0 0 0 D2941 Int therapeutic restoration 0 0 0 0 D2949 Restorative foundation 0 0 0 0 D2950 Core build-up incl any pins 0 0 0 0 D2951 Tooth pin retention 0 0 0 0 D2952 Post and core cast + crown 0 0 0 0 D2953 Each addtnl cast post 0 0 0 0 D2954 Prefab post/core + crown 0 0 0 0 D2955 Post removal 0 0 0 0 D2957 Each addtnl prefab post 0 0 0 0 D2960 Laminate labial veneer 0 0 0 0 D2961 Lab labial veneer resin 0 0 0 0 D2962 Lab labial veneer porcelain 0 0 0 0 D2971 Add proc construct new crown 0 0 0 0 D2975 Coping 0 0 0 0 D2980 Crown repair 0 0 0 0 D2981 Inlay repair 0 0 0 0 D2982 Onlay repair 0 0 0 0 D2983 Veneer repair 0 0 0 0 D2990 Resin infiltration of lesion 0 0 0 0 D2999 Dental unspec restorative pr 0 0 0 0 D3110 Pulp cap direct 0 0 0 0 D3120 Pulp cap indirect 0 0 0 0 D3220 Therapeutic pulpotomy 0 0 0 0 D3221 Gross pulpal debridement 0 0 0 0 D3222 Part pulp for apexogenesis 0 0 0 0 D3230 Pulpal therapy anterior prim 0 0 0 0 D3240 Pulpal therapy posterior pri 0 0 0 0 D3310 End thxpy, anterior tooth 0 0 0 0 D3320 End thxpy, bicuspid tooth 0 0 0 0 D3330 End thxpy, molar 0 0 0 0 D3331 Non-surg tx root canal obs 0 0 0 0 D3332 Incomplete endodontic tx 0 0 0 0 D3333 Internal root repair 0 0 0 0 D3346 Retreat root canal anterior 0 0 0 0 D3347 Retreat root canal bicuspid 0 0 0 0 D3348 Retreat root canal molar 0 0 0 0 D3351 Apexification/recalc initial 0 0 0 0 D3352 Apexification/recalc interim 0 0 0 0 D3353 Apexification/recalc final 0 0 0 0 D3355 Pulpal regeneration initial 0 0 0 0 D3356 Pulpal regeneration interim 0 0 0 0 D3357 Pulpal regeneration complete 0 0 0 0 D3410 Apicoect/perirad surg anter 0 0 0 0 D3421 Root surgery bicuspid 0 0 0 0 D3425 Root surgery molar 0 0 0 0 D3426 Root surgery ea add root 0 0 0 0 D3427 Periradicular surgery 0 0 0 0 D3428 Bone graft peri per tooth 0 0 0 0 D3429 Bone graft peri each addl 0 0 0 0 D3430 Retrograde filling 0 0 0 0 D3431 Biological materials 0 0 0 0 D3432 Guided tissue regeneration 0 0 0 0 D3450 Root amputation 0 0 0 0 D3460 Endodontic endosseous implan 0 0 0 0 D3470 Intentional replantation 0 0 0 0 D3910 Isolation- tooth w rubb dam 0 0 0 0 D3920 Tooth splitting 0 0 0 0 D3950 Canal prep/fitting of dowel 0 0 0 0 D3999 Endodontic procedure 0 0 0 0 D4210 Gingivectomy/plasty per quad 0 0 0 0 D4211 Gingivectomy/plasty per toot 0 0 0 0 D4212 Gingivectomy/plasty rest 0 0 0 0 D4230 Ana crown exp 4 or> per quad 0 0 0 0 D4231 Ana crown exp 1-3 per quad 0 0 0 0 D4240 Gingival flap proc w/ planin 0 0 0 0 D4241 Gngvl flap w rootplan 1-3 th 0 0 0 0 D4245 Apically positioned flap 0 0 0 0 D4249 Crown lengthen hard tissue 0 0 0 0 D4260 Osseous surgery per quadrant 0 0 0 0 D4261 Osseous surgl-3teethperquad 0 0 0 0 D4263 Bone replce graft first site 0 0 0 0 D4264 Bone replce graft each add 0 0 0 0 D4265 Bio mtrls to aid soft/os reg 0 0 0 0 D4266 Guided tiss regen resorble 0 0 0 0 D4267 Guided tiss regen nonresorb 0 0 0 0 D4268 Surgical revision procedure 0 0 0 0 D4270 Pedicle soft tissue graft pr 0 0 0 0 D4273 Subepithelial tissue graft 0 0 0 0 D4274 Distal/proximal wedge proc 0 0 0 0 D4275 Soft tissue allograft 0 0 0 0 D4276 Con tissue w dble ped graft 0 0 0 0 D4277 Soft tissue graft firsttooth 0 0 0 0 D4278 Soft tissue graft addl tooth 0 0 0 0 D4283 Auto tissue graft addl tooth 0 0 0 0 D4285 Non-auto graft addl tooth 0 0 0 0 D4320 Provision splnt intracoronal 0 0 0 0 D4321 Provisional splint extracoro 0 0 0 0 D4341 Periodontal scaling & root 0 0 0 0 D4342 Periodontal scaling 1-3teeth 0 0 0 0 D4346 Scaling gingiv inflammation 0 0 0 0 D4355 Full mouth debridement 0 0 0 0 D4381 Localized delivery antimicro 0 0 0 0 D4910 Periodontal maint procedures 0 0 0 0 D4920 Unscheduled dressing change 0 0 0 0 D4921 Gingival irrigation per quad 0 0 0 0 D4999 Unspecified periodontal proc 0 0 0 0 D5110 Dentures complete maxillary 0 0 0 0 D5120 Dentures complete mandible 0 0 0 0 D5130 Dentures immediat maxillary 0 0 0 0 D5140 Dentures immediat mandible 0 0 0 0 D5211 Dentures maxill part resin 0 0 0 0 D5212 Dentures mand part resin 0 0 0 0 D5213 Dentures maxill part metal 0 0 0 0 D5214 Dentures mandibl part metal 0 0 0 0 D5221 Immed max part denture resin 0 0 0 0 D5222 Immed man part denture resin 0 0 0 0 D5223 Immed max part dent metal 0 0 0 0 D5224 Immed mand part dent metal 0 0 0 0 D5225 Maxillary part denture flex 0 0 0 0 D5226 Mandibular part denture flex 0 0 0 0 D5282 0 0 0 0 D5283 0 0 0 0 D5410 Dentures adjust cmplt maxil 0 0 0 0 D5411 Dentures adjust cmplt mand 0 0 0 0 D5421 Dentures adjust part maxill 0 0 0 0 D5422 Dentures adjust part mandbl 0 0 0 0 D5511 Rep broke comp dent base man 0 0 0 0 D5512 Rep broke comp dent base max 0 0 0 0 D5520 Replace denture teeth complt 0 0 0 0 D5611 Rep resin part dent base man 0 0 0 0 D5612 Rep resin part dent base max 0 0 0 0 D5621 Rep cast part frame man 0 0 0 0 D5622 Rep cast part frame max 0 0 0 0 D5630 Rep partial denture clasp 0 0 0 0 D5640 Replace part denture teeth 0 0 0 0 D5650 Add tooth to partial denture 0 0 0 0 D5660 Add clasp to partial denture 0 0 0 0 D5670 Replc tth&acrlc on mtl frmwk 0 0 0 0 D5671 Replc tth&acrlc mandibular 0 0 0 0 D5710 Dentures rebase cmplt maxil 0 0 0 0 D5711 Dentures rebase cmplt mand 0 0 0 0 D5720 Dentures rebase part maxill 0 0 0 0 D5721 Dentures rebase part mandbl 0 0 0 0 D5730 Denture reln cmplt maxil ch 0 0 0 0 D5731 Denture reln cmplt mand chr 0 0 0 0 D5740 Denture reln part maxil chr 0 0 0 0 D5741 Denture reln part mand chr 0 0 0 0 D5750 Denture reln cmplt max lab 0 0 0 0 D5751 Denture reln cmplt mand lab 0 0 0 0 D5760 Denture reln part maxil lab 0 0 0 0 D5761 Denture reln part mand lab 0 0 0 0 D5810 Denture interm cmplt maxill 0 0 0 0 D5811 Denture interm cmplt mandbl 0 0 0 0 D5820 Denture interm part maxill 0 0 0 0 D5821 Denture interm part mandbl 0 0 0 0 D5850 Denture tiss conditn maxill 0 0 0 0 D5851 Denture tiss condtin mandbl 0 0 0 0 D5862 Precision attachment 0 0 0 0 D5863 Overdenture complete max 0 0 0 0 D5864 Overdenture partial max 0 0 0 0 D5865 Overdenture complete mandib 0 0 0 0 D5866 Overdenture partial mandib 0 0 0 0 D5867 Replacement of precision att 0 0 0 0 D5875 Prosthesis modification 0 0 0 0 D5876 0 0 0 0 D5899 Removable prosthodontic proc 0 0 0 0 D5911 Facial moulage sectional 0 0 0 0 D5912 Facial moulage complete 0 0 0 0 D5913 Nasal prosthesis 0 0 0 0 D5914 Auricular prosthesis 0 0 0 0 D5915 Orbital prosthesis 0 0 0 0 D5916 Ocular prosthesis 0 0 0 0 D5919 Facial prosthesis 0 0 0 0 D5922 Nasal septal prosthesis 0 0 0 0 D5923 Ocular prosthesis interim 0 0 0 0 D5924 Cranial prosthesis 0 0 0 0 D5925 Facial augmentation implant 0 0 0 0 D5926 Replacement nasal prosthesis 0 0 0 0 D5927 Auricular replacement 0 0 0 0 D5928 Orbital replacement 0 0 0 0 D5929 Facial replacement 0 0 0 0 D5931 Surgical obturator 0 0 0 0 D5932 Postsurgical obturator 0 0 0 0 D5933 Refitting of obturator 0 0 0 0 D5934 Mandibular flange prosthesis 0 0 0 0 D5935 Mandibular denture prosth 0 0 0 0 D5936 Temp obturator prosthesis 0 0 0 0 D5937 Trismus appliance 0 0 0 0 D5951 Feeding aid 0 0 0 0 D5952 Pediatric speech aid 0 0 0 0 D5953 Adult speech aid 0 0 0 0 D5954 Superimposed prosthesis 0 0 0 0 D5955 Palatal lift prosthesis 0 0 0 0 D5958 Intraoral con def inter plt 0 0 0 0 D5959 Intraoral con def mod palat 0 0 0 0 D5960 Modify speech aid prosthesis 0 0 0 0 D5982 Surgical stent 0 0 0 0 D5983 Radiation applicator 0 0 0 0 D5984 Radiation shield 0 0 0 0 D5985 Radiation cone locator 0 0 0 0 D5986 Fluoride applicator 0 0 0 0 D5987 Commissure splint 0 0 0 0 D5988 Surgical splint 0 0 0 0 D5991 Topical medicament carrier 0 0 0 0 D5992 Adjust max prost appliance 0 0 0 0 D5993 Main/clean max prosthesis 0 0 0 0 D5994 Peridontal medicament 0 0 0 0 D5999 Maxillofacial prosthesis 0 0 0 0 D6010 Odontics endosteal implant 0 0 0 0 D6011 Second stage implant surgery 0 0 0 0 D6012 Endosteal implant 0 0 0 0 D6013 Surgical place mini implant 0 0 0 0 D6040 Odontics eposteal implant 0 0 0 0 D6050 Odontics transosteal implnt 0 0 0 0 D6051 Interim abutment 0 0 0 0 D6052 Semi precision attach abut 0 0 0 0 D6055 Implant connecting bar 0 0 0 0 D6056 Prefabricated abutment 0 0 0 0 D6057 Custom abutment 0 0 0 0 D6058 Abutment supported crown 0 0 0 0 D6059 Abutment supported mtl crown 0 0 0 0 D6060 Abutment supported mtl crown 0 0 0 0 D6061 Abutment supported mtl crown 0 0 0 0 D6062 Abutment supported mtl crown 0 0 0 0 D6063 Abutment supported mtl crown 0 0 0 0 D6064 Abutment supported mtl crown 0 0 0 0 D6065 Implant supported crown 0 0 0 0 D6066 Implant supported mtl crown 0 0 0 0 D6067 Implant supported mtl crown 0 0 0 0 D6068 Abutment supported retainer 0 0 0 0 D6069 Abutment supported retainer 0 0 0 0 D6070 Abutment supported retainer 0 0 0 0 D6071 Abutment supported retainer 0 0 0 0 D6072 Abutment supported retainer 0 0 0 0 D6073 Abutment supported retainer 0 0 0 0 D6074 Abutment supported retainer 0 0 0 0 D6075 Implant supported retainer 0 0 0 0 D6076 Implant supported retainer 0 0 0 0 D6077 Implant supported retainer 0 0 0 0 D6080 Implant maintenance 0 0 0 0 D6081 Scale & debride, single imp 0 0 0 0 D6085 Provisional implant crown 0 0 0 0 D6090 Repair implant 0 0 0 0 D6091 Repl semi/precision attach 0 0 0 0 D6092 Recement supp crown 0 0 0 0 D6093 Recement supp part denture 0 0 0 0 D6094 Abut support crown titanium 0 0 0 0 D6095 Odontics repr abutment 0 0 0 0 D6096 Remove broken imp ret screw 0 0 0 0 D6100 Removal of implant 0 0 0 0 D6101 Debridement of a periimplant 0 0 0 0 D6102 Debridement & contouring 0 0 0 0 D6103 Bone graft repair perimplant 0 0 0 0 D6104 Bone graft time of implant 0 0 0 0 D6110 Implnt/abut remov dent max 0 0 0 0 D6111 Implnt/abut remov dent mand 0 0 0 0 D6112 Imp/abut rem dent part max 0 0 0 0 D6113 Imp/abut rem dent part mand 0 0 0 0 D6114 Implnt/abut fixed dent max 0 0 0 0 D6115 Implnt/abut fixed dent mand 0 0 0 0 D6116 Imp/abut fixed dent part max 0 0 0 0 D6117 Imp/abut fixed dent part man 0 0 0 0 D6118 Imp/abut int fixed dent man 0 0 0 0 D6119 Int/abut int fixed dent max 0 0 0 0 D6190 Radio/surgical implant index 0 0 0 0 D6194 Abut support retainer titani 0 0 0 0 D6199 Implant procedure 0 0 0 0 D6205 Pontic-indirect resin based 0 0 0 0 D6210 Prosthodont high noble metal 0 0 0 0 D6211 Bridge base metal cast 0 0 0 0 D6212 Bridge noble metal cast 0 0 0 0 D6214 Pontic titanium 0 0 0 0 D6240 Bridge porcelain high noble 0 0 0 0 D6241 Bridge porcelain base metal 0 0 0 0 D6242 Bridge porcelain nobel metal 0 0 0 0 D6245 Bridge porcelain/ceramic 0 0 0 0 D6250 Bridge resin w/high noble 0 0 0 0 D6251 Bridge resin base metal 0 0 0 0 D6252 Bridge resin w/noble metal 0 0 0 0 D6253 Provisional pontic 0 0 0 0 D6545 Dental retainr cast metl 0 0 0 0 D6548 Porcelain/ceramic retainer 0 0 0 0 D6549 Resin retainer 0 0 0 0 D6600 Porcelain/ceramic inlay 2srf 0 0 0 0 D6601 Porc/ceram inlay >= 3 surfac 0 0 0 0 D6602 Cst hgh nble mtl inlay 2 srf 0 0 0 0 D6603 Cst hgh nble mtl inlay >=3sr 0 0 0 0 D6604 Cst bse mtl inlay 2 surfaces 0 0 0 0 D6605 Cst bse mtl inlay >= 3 surfa 0 0 0 0 D6606 Cast noble metal inlay 2 sur 0 0 0 0 D6607 Cst noble mtl inlay >=3 surf 0 0 0 0 D6608 Onlay porc/crmc 2 surfaces 0 0 0 0 D6609 Onlay porc/crmc >=3 surfaces 0 0 0 0 D6610 Onlay cst hgh nbl mtl 2 srfc 0 0 0 0 D6611 Onlay cst hgh nbl mtl >=3srf 0 0 0 0 D6612 Onlay cst base mtl 2 surface 0 0 0 0 D6613 Onlay cst base mtl >=3 surfa 0 0 0 0 D6614 Onlay cst nbl mtl 2 surfaces 0 0 0 0 D6615 Onlay cst nbl mtl >=3 surfac 0 0 0 0 D6624 Inlay titanium 0 0 0 0 D6634 Onlay titanium 0 0 0 0 D6710 Crown-indirect resin based 0 0 0 0 D6720 Retain crown resin w hi nble 0 0 0 0 D6721 Crown resin w/base metal 0 0 0 0 D6722 Crown resin w/noble metal 0 0 0 0 D6740 Crown porcelain/ceramic 0 0 0 0 D6750 Crown porcelain high noble 0 0 0 0 D6751 Crown porcelain base metal 0 0 0 0 D6752 Crown porcelain noble metal 0 0 0 0 D6780 Crown 3/4 high noble metal 0 0 0 0 D6781 Crown 3/4 cast based metal 0 0 0 0 D6782 Crown 3/4 cast noble metal 0 0 0 0 D6783 Crown 3/4 porcelain/ceramic 0 0 0 0 D6790 Crown full high noble metal 0 0 0 0 D6791 Crown full base metal cast 0 0 0 0 D6792 Crown full noble metal cast 0 0 0 0 D6793 Provisional retainer crown 0 0 0 0 D6794 Crown titanium 0 0 0 0 D6920 Dental connector bar 0 0 0 0 D6930 Dental recement bridge 0 0 0 0 D6940 Stress breaker 0 0 0 0 D6950 Precision attachment 0 0 0 0 D6980 Bridge repair 0 0 0 0 D6985 Pediatric partial denture fx 0 0 0 0 D6999 Fixed prosthodontic proc 0 0 0 0 D7111 Extraction coronal remnants 0 0 0 0 D7140 Extraction erupted tooth/exr 0 0 0 0 D7210 Rem imp tooth w mucoper flp 0 0 0 0 D7220 Impact tooth remov soft tiss 0 0 0 0 D7230 Impact tooth remov part bony 0 0 0 0 D7240 Impact tooth remov comp bony 0 0 0 0 D7241 Impact tooth rem bony w/comp 0 0 0 0 D7250 Tooth root removal 0 0 0 0 D7251 Coronectomy 0 0 0 0 D7260 Oral antral fistula closure 0 0 0 0 D7261 Primary closure sinus perf 0 0 0 0 D7270 Tooth reimplantation 0 0 0 0 D7272 Tooth transplantation 0 0 0 0 D7280 Exposure impact tooth orthod 0 0 0 0 D7282 Mobilize erupted/malpos toot 0 0 0 0 D7283 Place device impacted tooth 0 0 0 0 D7285 Biopsy of oral tissue hard 0 0 0 0 D7286 Biopsy of oral tissue soft 0 0 0 0 D7287 Exfoliative cytolog collect 0 0 0 0 D7288 Brush biopsy 0 0 0 0 D7290 Repositioning of teeth 0 0 0 0 D7291 Transseptal fiberotomy 0 0 0 0 D7292 Screw retained plate 0 0 0 0 D7293 Temp anchorage dev w flap 0 0 0 0 D7294 Temp anchorage dev w/o flap 0 0 0 0 D7295 Bone harvest,auto graft proc 0 0 0 0 D7296 Corticotomy, 1-3 teeth 0 0 0 0 D7297 Corticotomy, 4 or more teeth 0 0 0 0 D7310 Alveoplasty w/ extraction 0 0 0 0 D7311 Alveoloplasty w/extract 1-3 0 0 0 0 D7320 Alveoplasty w/o extraction 0 0 0 0 D7321 Alveoloplasty not w/extracts 0 0 0 0 D7340 Vestibuloplasty ridge extens 0 0 0 0 D7350 Vestibuloplasty exten graft 0 0 0 0 D7410 Rad exc lesion up to 1.25 cm 0 0 0 0 D7411 Excision benign lesion>1.25c 0 0 0 0 D7412 Excision benign lesion compl 0 0 0 0 D7413 Excision malig lesion<=1.25c 0 0 0 0 D7414 Excision malig lesion>1.25cm 0 0 0 0 D7415 Excision malig les complicat 0 0 0 0 D7440 Malig tumor exc to 1.25 cm 0 0 0 0 D7441 Malig tumor > 1.25 cm 0 0 0 0 D7450 Rem odontogen cyst to 1.25cm 0 0 0 0 D7451 Rem odontogen cyst > 1.25 cm 0 0 0 0 D7460 Rem nonodonto cyst to 1.25cm 0 0 0 0 D7461 Rem nonodonto cyst > 1.25 cm 0 0 0 0 D7465 Lesion destruction 0 0 0 0 D7471 Rem exostosis any site 0 0 0 0 D7472 Removal of torus palatinus 0 0 0 0 D7473 Remove torus mandibularis 0 0 0 0 D7485 Surg reduct osseoustuberosit 0 0 0 0 D7490 Maxilla or mandible resectio 0 0 0 0 D7510 I&d absc intraoral soft tiss 0 0 0 0 D7511 Incision/drain abscess intra 0 0 0 0 D7520 I&d abscess extraoral 0 0 0 0 D7521 Incision/drain abscess extra 0 0 0 0 D7530 Removal fb skin/areolar tiss 0 0 0 0 D7540 Removal of fb reaction 0 0 0 0 D7550 Removal of sloughed off bone 0 0 0 0 D7560 Maxillary sinusotomy 0 0 0 0 D7610 Maxilla open reduct simple 0 0 0 0 D7620 Clsd reduct simpl maxilla fx 0 0 0 0 D7630 Open red simpl mandible fx 0 0 0 0 D7640 Clsd red simpl mandible fx 0 0 0 0 D7650 Open red simp malar/zygom fx 0 0 0 0 D7660 Clsd red simp malar/zygom fx 0 0 0 0 D7670 Closd rductn splint alveolus 0 0 0 0 D7671 Alveolus open reduction 0 0 0 0 D7680 Reduct simple facial bone fx 0 0 0 0 D7710 Maxilla open reduct compound 0 0 0 0 D7720 Clsd reduct compd maxilla fx 0 0 0 0 D7730 Open reduct compd mandble fx 0 0 0 0 D7740 Clsd reduct compd mandble fx 0 0 0 0 D7750 Open red comp malar/zygma fx 0 0 0 0 D7760 Clsd red comp malar/zygma fx 0 0 0 0 D7770 Open reduc compd alveolus fx 0 0 0 0 D7771 Alveolus clsd reduc stblz te 0 0 0 0 D7780 Reduct compnd facial bone fx 0 0 0 0 D7810 Tmj open reduct-dislocation 0 0 0 0 D7820 Closed tmp manipulation 0 0 0 0 D7830 Tmj manipulation under anest 0 0 0 0 D7840 Removal of tmj condyle 0 0 0 0 D7850 Tmj meniscectomy 0 0 0 0 D7852 Tmj repair of joint disc 0 0 0 0 D7854 Tmj excisn of joint membrane 0 0 0 0 D7856 Tmj cutting of a muscle 0 0 0 0 D7858 Tmj reconstruction 0 0 0 0 D7860 Tmj cutting into joint 0 0 0 0 D7865 Tmj reshaping components 0 0 0 0 D7870 Tmj aspiration joint fluid 0 0 0 0 D7871 Lysis + lavage w catheters 0 0 0 0 D7872 Tmj diagnostic arthroscopy 0 0 0 0 D7873 Tmj arthroscopy lysis adhesn 0 0 0 0 D7874 Tmj arthroscopy disc reposit 0 0 0 0 D7875 Tmj arthroscopy synovectomy 0 0 0 0 D7876 Tmj arthroscopy discectomy 0 0 0 0 D7877 Tmj arthroscopy debridement 0 0 0 0 D7880 Occlusal orthotic appliance 0 0 0 0 D7881 Occ orthotic device adjust 0 0 0 0 D7899 Tmj unspecified therapy 0 0 0 0 D7910 Dent sutur recent wnd to 5cm 0 0 0 0 D7911 Dental suture wound to 5 cm 0 0 0 0 D7912 Suture complicate wnd > 5 cm 0 0 0 0 D7920 Dental skin graft 0 0 0 0 D7921 Collect & appl blood product 0 0 0 0 D7940 Reshaping bone orthognathic 0 0 0 0 D7941 Bone cutting ramus closed 0 0 0 0 D7943 Cutting ramus open w/graft 0 0 0 0 D7944 Bone cutting segmented 0 0 0 0 D7945 Bone cutting body mandible 0 0 0 0 D7946 Reconstruction maxilla total 0 0 0 0 D7947 Reconstruct maxilla segment 0 0 0 0 D7948 Reconstruct midface no graft 0 0 0 0 D7949 Reconstruct midface w/graft 0 0 0 0 D7950 Mandible graft 0 0 0 0 D7951 Sinus aug w bone/bone sup 0 0 0 0 D7952 Sinus augmentation vertical 0 0 0 0 D7953 Bone replacement graft 0 0 0 0 D7955 Repair maxillofacial defects 0 0 0 0 D7960 Frenulectomy/frenectomy 0 0 0 0 D7963 Frenuloplasty 0 0 0 0 D7970 Excision hyperplastic tissue 0 0 0 0 D7971 Excision pericoronal gingiva 0 0 0 0 D7972 Surg redct fibrous tuberosit 0 0 0 0 D7979 Non-surgical sialolithotomy 0 0 0 0 D7980 Sialolithotomy 0 0 0 0 D7981 Excision of salivary gland 0 0 0 0 D7982 Sialodochoplasty 0 0 0 0 D7983 Closure of salivary fistula 0 0 0 0 D7990 Emergency tracheotomy 0 0 0 0 D7991 Dental coronoidectomy 0 0 0 0 D7995 Synthetic graft facial bones 0 0 0 0 D7996 Implant mandible for augment 0 0 0 0 D7997 Appliance removal 0 0 0 0 D7998 Intraoral place of fix dev 0 0 0 0 D7999 Oral surgery procedure 0 0 0 0 D8010 Limited dental tx primary 0 0 0 0 D8020 Limited dental tx transition 0 0 0 0 D8030 Limited dental tx adolescent 0 0 0 0 D8040 Limited dental tx adult 0 0 0 0 D8050 Intercep dental tx primary 0 0 0 0 D8060 Intercep dental tx transitn 0 0 0 0 D8070 Compre dental tx transition 0 0 0 0 D8080 Compre dental tx adolescent 0 0 0 0 D8090 Compre dental tx adult 0 0 0 0 D8210 Orthodontic rem appliance tx 0 0 0 0 D8220 Fixed appliance therapy habt 0 0 0 0 D8660 Preorthodontic tx visit 0 0 0 0 D8670 Periodic orthodontc tx visit 0 0 0 0 D8680 Orthodontic retention 0 0 0 0 D8681 Removable retainer adjust 0 0 0 0 D8690 Orthodontic treatment 0 0 0 0 D8691 Repair ortho appliance 0 0 0 0 D8692 Replacement retainer 0 0 0 0 D8693 Rebond/cement/repair retain 0 0 0 0 D8694 Repair fixed retainers 0 0 0 0 D8695 Remove fixed ortho appliance 0 0 0 0 D8999 Orthodontic procedure 0 0 0 0 D9110 Tx dental pain minor proc 0 0 0 0 D9120 Fix partial denture section 0 0 0 0 D9130 0 0 0 0 D9210 Dent anesthesia w/o surgery 0 0 0 0 D9211 Regional block anesthesia 0 0 0 0 D9212 Trigeminal block anesthesia 0 0 0 0 D9215 Local anesthesia 0 0 0 0 D9219 Eval for deep sed/gen anesth 0 0 0 0 D9222 Deep anest, 1st 15 min 0 0 0 0 D9223 General anesthesia each 15m 0 0 0 0 D9230 Analgesia 0 0 0 0 D9239 Iv mod sedation, 1st 15 min 0 0 0 0 D9243 Iv sedation each 15m 0 0 0 0 D9248 Sedation (non-iv) 0 0 0 0 D9310 Dental consultation 0 0 0 0 D9311 Consult w/med hlth care prof 0 0 0 0 D9410 Dental house call 0 0 0 0 D9420 Hospital/ASC call 0 0 0 0 D9430 Office visit during hours 0 0 0 0 D9440 Office visit after hours 0 0 0 0 D9450 Case presentation tx plan 0 0 0 0 D9610 Dent therapeutic drug inject 0 0 0 0 D9612 Thera par drugs 2 or > admin 0 0 0 0 D9613 0 0 0 0 D9630 Other drugs/medicaments 0 0 0 0 D9910 Dent appl desensitizing med 0 0 0 0 D9911 Appl desensitizing resin 0 0 0 0 D9920 Behavior management 0 0 0 0 D9930 Treatment of complications 0 0 0 0 D9932 Clean & inspect rem dent max 0 0 0 0 D9933 Clean & inspect rem dent man 0 0 0 0 D9934 Clean rem part denture max 0 0 0 0 D9935 Clean rem part denture mand 0 0 0 0 D9941 Fabrication athletic guard 0 0 0 0 D9942 Repair/reline occlusal guard 0 0 0 0 D9943 Occlusal guard adjustment 0 0 0 0 D9944 0 0 0 0 D9945 0 0 0 0 D9946 0 0 0 0 D9950 Occlusion analysis 0 0 0 0 D9951 Limited occlusal adjustment 0 0 0 0 D9952 Complete occlusal adjustment 0 0 0 0 D9961 0 0 0 0 D9970 Enamel microabrasion 0 0 0 0 D9971 Odontoplasty 1-2 teeth 0 0 0 0 D9972 Extrnl bleaching per arch 0 0 0 0 D9973 Extrnl bleaching per tooth 0 0 0 0 D9974 Intrnl bleaching per tooth 0 0 0 0 D9975 External bleaching home app 0 0 0 0 D9985 Sales tax 0 0 0 0 D9986 Missed appointment 0 0 0 0 D9987 Cancelled appointment 0 0 0 0 D9990 0 0 0 0 D9991 Case mgmt, appt barriers 0 0 0 0 D9992 Case mgmt, care coordination 0 0 0 0 D9993 Case mgmt, interviewing 0 0 0 0 D9994 Case mgmt, pt education 0 0 0 0 D9995 Teledentistry real-time 0 0 0 0 D9996 Teledentistry dent review 0 0 0 0 D9999 Adjunctive procedure 0 0 0 0 G0008 Admin influenza virus vac 0 0 0 0 G0009 Admin pneumococcal vaccine 0 0 0 0 G0010 Admin hepatitis b vaccine 0 0 0 0 G0027 Semen analysis 0 0 0 0 G0068 0 0 0 0 G0069 0 0 0 0 G0070 0 0 0 0 G0071 11.532512 11.532512 12.59926936 10.9558864 G0076 55.860605 55.860605 61.0277109625 53.06757475 G0077 80.367193 80.367193 87.8011583525 76.34883335 G0078 131.182324 131.182324 143.31668897 124.6232078 G0079 184.159801 184.159801 201.1945825925 174.95181095 G0080 223.802811 223.802811 244.5045710175 212.61267045 G0081 55.860605 55.860605 61.0277109625 53.06757475 G0082 84.691885 84.691885 92.5258843625 80.45729075 G0083 130.461542 130.461542 142.529234635 123.9384649 G0084 180.916282 180.916282 197.651038085 171.8704679 G0085 223.802811 223.802811 244.5045710175 212.61267045 G0086 78.204847 78.204847 85.4387953475 74.29460465 G0087 109.919255 109.919255 120.0867860875 104.42329225 G0101 CA screen;pelvic/breast exam 28.110498 28.110498 30.710719065 26.7049731 G0102 Prostate ca screening; dre 9.009775 9.009775 9.8431791875 8.55928625 G0103 PSA screening 0 0 0 0 G0104 CA screen;flexi sigmoidscope 58.743733 58.743733 64.1775283025 55.80654635 G0105 Colorectal scrn; hi risk ind 194.61114 194.61114 212.61267045 184.880583 G0105 Colorectal scrn; hi risk ind 96.945179 96.945179 105.9126080575 92.09792005 53 G0106 Colon CA screen;barium enema 180.1955 180.1955 196.86358375 171.185725 TC G0106 Colon CA screen;barium enema 53.698259 53.698259 58.6653479575 51.01334605 26 G0106 Colon CA screen;barium enema 233.893759 233.893759 255.5289317075 222.19907105 G0108 Diab manage trn per indiv 56.220996 56.220996 61.42143813 53.4099462 G0109 Diab manage trn ind/group 15.496813 15.496813 16.9302682025 14.72197235 G0117 Glaucoma scrn hgh risk direc 56.941778 56.941778 62.208892465 54.0946891 G0118 Glaucoma scrn hgh risk direc 42.526138 42.526138 46.459805765 40.3998311 G0120 Colon ca scrn; barium enema 232.812586 232.812586 254.347750205 221.1719567 G0120 Colon ca scrn; barium enema 180.1955 180.1955 196.86358375 171.185725 TC G0120 Colon ca scrn; barium enema 52.617086 52.617086 57.484166455 49.9862317 26 G0121 Colon ca scrn not hi rsk ind 97.30557 97.30557 106.306335225 92.4402915 53 G0121 Colon ca scrn not hi rsk ind 194.971531 194.971531 213.0063976175 185.22295445 G0122 Colon ca scrn; barium enema 244.705489 244.705489 267.3407467325 232.47021455 TC G0122 Colon ca scrn; barium enema 50.45474 50.45474 55.12180345 47.932003 26 G0122 Colon ca scrn; barium enema 295.160229 295.160229 322.4625501825 280.40221755 G0123 Screen cerv/vag thin layer 0 0 0 0 G0124 Screen c/v thin layer by MD 32.43519 32.43519 35.435445075 30.8134305 G0127 Trim nail(s) 7.928602 7.928602 8.661997685 7.5321719 G0128 CORF skilled nursing service 7.928602 7.928602 8.661997685 7.5321719 G0129 Partial hosp prog service 0 0 0 0 G0130 Single energy x-ray study 24.146197 24.146197 26.3797202225 22.93888715 TC G0130 Single energy x-ray study 11.532512 11.532512 12.59926936 10.9558864 26 G0130 Single energy x-ray study 35.678709 35.678709 38.9789895825 33.89477355 G0141 Scr c/v cyto,autosys and md 32.43519 32.43519 35.435445075 30.8134305 G0143 Scr c/v cyto,thinlayer,rescr 0 0 0 0 G0144 Scr c/v cyto,thinlayer,rescr 0 0 0 0 G0145 Scr c/v cyto,thinlayer,rescr 0 0 0 0 G0147 Scr c/v cyto, automated sys 0 0 0 0 G0148 Scr c/v cyto, autosys, rescr 0 0 0 0 G0151 Hhcp-serv of pt,ea 15 min 0 0 0 0 G0152 Hhcp-serv of ot,ea 15 min 0 0 0 0 G0153 Hhcp-svs of s/l path,ea 15mn 0 0 0 0 G0155 Hhcp-svs of csw,ea 15 min 0 0 0 0 G0156 Hhcp-svs of aide,ea 15 min 0 0 0 0 G0157 HHC PT assistant ea 15 0 0 0 0 G0158 HHC OT assistant ea 15 0 0 0 0 G0159 HHC PT maint ea 15 min 0 0 0 0 G0160 HHC Occup Therapy ea 15 0 0 0 0 G0161 HHC SLP ea 15 min 0 0 0 0 G0162 HHC RN E&M plan svs, 15 min 0 0 0 0 G0166 Extrnl counterpulse, per tx 116.045902 116.045902 126.780147935 110.2436069 G0168 Wound closure by adhesive 23.785806 23.785806 25.985993055 22.5965157 G0175 OPPS Service,sched team conf 0 0 0 0 G0176 OPPS/PHP;activity therapy 0 0 0 0 G0177 OPPS/PHP; train & educ serv 0 0 0 0 G0179 MD recertification HHA PT 41.805356 41.805356 45.67235143 39.7150882 G0180 MD certification HHA patient 54.05865 54.05865 59.059075125 51.3557175 G0181 Home health care supervision 109.558864 109.558864 119.69305892 104.0809208 G0182 Hospice care supervision 109.558864 109.558864 119.69305892 104.0809208 G0186 Dstry eye lesn,fdr vssl tech 0 0 0 0 G0219 PET img wholbod melano nonco 0 0 0 0 G0219 PET img wholbod melano nonco 0 0 0 0 TC G0219 PET img wholbod melano nonco 0 0 0 0 26 G0235 PET not otherwise specified 0 0 0 0 G0235 PET not otherwise specified 0 0 0 0 TC G0235 PET not otherwise specified 0 0 0 0 26 G0237 Therapeutic procd strg endur 9.730557 9.730557 10.6306335225 9.24402915 G0238 Oth resp proc, indiv 10.090948 10.090948 11.02436069 9.5864006 G0239 Oth resp proc, group 12.613685 12.613685 13.7804508625 11.98300075 G0245 Initial foot exam pt lops 43.967702 43.967702 48.034714435 41.7693169 G0246 Followup eval of foot pt lop 21.62346 21.62346 23.62363005 20.542287 G0247 Routine footcare pt w lops 23.425415 23.425415 25.5922658875 22.25414425 G0248 Demonstrate use home inr mon 72.798982 72.798982 79.532887835 69.1590329 G0249 Provide INR test mater/equip 73.159373 73.159373 79.9266150025 69.50140435 G0250 MD INR test revie inter mgmt 9.370166 9.370166 10.236906355 8.9016577 G0252 PET imaging initial dx 0 0 0 0 G0252 PET imaging initial dx 0 0 0 0 TC G0252 PET imaging initial dx 76.402892 76.402892 83.47015951 72.5827474 26 G0255 Current percep threshold tst 0 0 0 0 G0255 Current percep threshold tst 0 0 0 0 TC G0255 Current percep threshold tst 0 0 0 0 26 G0257 Unsched dialysis ESRD pt hos 0 0 0 0 G0259 Inject for sacroiliac joint 0 0 0 0 G0260 Inj for sacroiliac jt anesth 0 0 0 0 G0268 Removal of impacted wax md 34.597536 34.597536 37.79780808 32.8676592 G0269 Occlusive device in vein art 0 0 0 0 G0270 MNT subs tx for change dx 29.552062 29.552062 32.285627735 28.0744589 G0271 Group MNT 2 or more 30 mins 16.217595 16.217595 17.7177225375 15.40671525 G0276 Pild/placebo control clin tr 382.735242 382.735242 418.138251885 363.5984799 G0277 Hbot, full body chamber, 30m 111.72121 111.72121 122.055421925 106.1351495 G0278 Iliac art angio,cardiac cath 14.41564 14.41564 15.7490867 13.694858 G0279 Excorp shock tx, elbow epi 55.860605 55.860605 61.0277109625 53.06757475 G0279 Excorp shock tx, elbow epi 25.22737 25.22737 27.560901725 23.9660015 TC G0279 Excorp shock tx, elbow epi 30.633235 30.633235 33.4668092375 29.10157325 26 G0281 Elec stim unattend for press 14.41564 14.41564 15.7490867 13.694858 G0282 Elect stim wound care not pd 0 0 0 0 G0283 Elec stim other than wound 14.41564 14.41564 15.7490867 13.694858 G0288 Recon, CTA for surg plan 36.399491 36.399491 39.7664439175 34.57951645 G0289 Arthro, loose body + chondro 90.458141 90.458141 98.8255190425 85.93523395 G0293 Non-cov surg proc,clin trial 0 0 0 0 G0294 Non-cov proc, clinical trial 0 0 0 0 G0295 Electromagnetic therapy onc 0 0 0 0 G0296 PET imge restag thyrod cance 27.029325 27.029325 29.5295375625 25.67785875 G0297 Insert single chamber/cd 241.101579 241.101579 263.4034750575 229.04650005 G0297 Insert single chamber/cd 188.484493 188.484493 205.9193086025 179.06026835 TC G0297 Insert single chamber/cd 52.617086 52.617086 57.484166455 49.9862317 26 G0299 Inser/repos single icd+leads 0 0 0 0 G0300 Insert reposit lead dual+gen 0 0 0 0 G0302 Pre-op service LVRS complete 0 0 0 0 G0303 Pre-op service LVRS 10-15dos 0 0 0 0 G0304 Pre-op service LVRS 1-9 dos 0 0 0 0 G0305 Post op service LVRS min 6 0 0 0 0 G0306 CBC/diffwbc w/o platelet 0 0 0 0 G0307 CBC without platelet 0 0 0 0 G0328 Fecal blood scrn immunoassay 0 0 0 0 G0329 Electromagntic tx for ulcers 11.172121 11.172121 12.2055421925 10.61351495 G0333 Dispense fee initial 30 day 0 0 0 0 G0337 Hospice evaluation preelecti 73.880155 73.880155 80.7140693375 70.18614725 G0339 Robot lin-radsurg com, first 0 0 0 0 G0340 Robt lin-radsurg fractx 2-5 0 0 0 0 G0341 Percutaneous islet celltrans 388.501498 388.501498 424.437886565 369.0764231 G0342 Laparoscopy islet cell trans 729.070993 729.070993 796.5100598525 692.61744335 G0343 Laparotomy islet cell transp 1204.066331 1204.066331 1315.4424666175 1143.86301445 G0365 Vessel mapping hemo access 196.773486 196.773486 214.975033455 186.9348117 G0365 Vessel mapping hemo access 184.159801 184.159801 201.1945825925 174.95181095 TC G0365 Vessel mapping hemo access 12.613685 12.613685 13.7804508625 11.98300075 26 G0372 MD service required for PMD 9.009775 9.009775 9.8431791875 8.55928625 G0378 Hospital observation per hr 0 0 0 0 G0379 Direct refer hospital observ 0 0 0 0 G0380 Lev 1 hosp type b ed visit 0 0 0 0 G0381 Lev 2 hosp type b ed visit 0 0 0 0 G0382 Lev 3 hosp type b ed visit 0 0 0 0 G0383 Lev 4 hosp type b ed visit 0 0 0 0 G0384 Lev 5 hosp type b ed visit 0 0 0 0 G0390 Trauma respons w/hosp criti 0 0 0 0 G0396 Alcohol/subs interv 15-30mn 33.876754 33.876754 37.010353745 32.1829163 G0397 Alcohol/subs interv >30 min 65.951553 65.951553 72.0520716525 62.65397535 G0398 Home sleep test/type 2 Porta 0 0 0 0 G0398 Home sleep test/type 2 Porta 0 0 0 0 TC G0398 Home sleep test/type 2 Porta 0 0 0 0 26 G0399 Home sleep test/type 3 Porta 0 0 0 0 G0399 Home sleep test/type 3 Porta 0 0 0 0 TC G0399 Home sleep test/type 3 Porta 0 0 0 0 26 G0400 Home sleep test/type 4 Porta 0 0 0 0 G0400 Home sleep test/type 4 Porta 0 0 0 0 TC G0400 Home sleep test/type 4 Porta 0 0 0 0 26 G0402 Initial preventive exam 129.019978 129.019978 140.954325965 122.5689791 G0403 EKG for initial prevent exam 17.298768 17.298768 18.89890404 16.4338296 G0404 EKG tracing for initial prev 8.649384 8.649384 9.44945202 8.2169148 G0405 EKG interpret & report preve 8.649384 8.649384 9.44945202 8.2169148 G0406 Inpt/tele follow up 15 39.282619 39.282619 42.9162612575 37.31848805 G0407 Inpt/tele follow up 25 73.159373 73.159373 79.9266150025 69.50140435 G0408 Inpt/tele follow up 35 105.234172 105.234172 114.96833291 99.9724634 G0409 CORF related serv 15 mins ea 16.577986 16.577986 18.111449705 15.7490867 G0410 Grp psych partial hosp 45-50 0 0 0 0 G0411 Inter active grp psych parti 0 0 0 0 G0412 Open tx iliac spine uni/bil 750.334062 750.334062 819.739962735 712.8173589 G0413 Pelvic ring fracture uni/bil 1107.481543 1107.481543 1209.9235857275 1052.10746585 G0414 Pelvic ring fx treat int fix 1041.890381 1041.890381 1138.2652412425 989.79586195 G0415 Open tx post pelvic fxcture 1430.031488 1430.031488 1562.30940064 1358.5299136 G0416 Sat biopsy prostate 1-20 spc 386.339152 386.339152 422.07552356 367.0221944 G0416 Sat biopsy prostate 1-20 spc 200.737787 200.737787 219.3060322975 190.70089765 TC G0416 Sat biopsy prostate 1-20 spc 185.601365 185.601365 202.7694912625 176.32129675 26 G0420 Ed svc CKD ind per session 112.441992 112.441992 122.84287626 106.8198924 G0421 Ed svc CKD grp per session 26.308543 26.308543 28.7420832275 24.99311585 G0422 Intens cardiac rehab w/exerc 118.208248 118.208248 129.14251094 112.2978356 G0423 Intens cardiac rehab no exer 118.208248 118.208248 129.14251094 112.2978356 G0424 Pulmonary rehab w exer 14.055249 14.055249 15.3553595325 13.35248655 G0425 Inpt/ED teleconsult30 101.269871 101.269871 110.6373340675 96.20637745 G0426 Inpt/ED teleconsult50 137.669362 137.669362 150.403777985 130.7858939 G0427 Inpt/ED teleconsult70 204.341697 204.341697 223.2433039725 194.12461215 G0428 Collagen Meniscus Implant 0 0 0 0 G0429 Dermal filler injection(s) 73.159373 73.159373 79.9266150025 69.50140435 G0432 EIA HIV-1/HIV-2 screen 0 0 0 0 G0433 ELISA HIV-1/HIV-2 screen 0 0 0 0 G0435 Oral HIV-1/HIV-2 screen 0 0 0 0 G0438 PPPS, initial visit 174.429244 174.429244 190.56394907 165.7077818 G0439 PPPS, subseq visit 118.208248 118.208248 129.14251094 112.2978356 G0442 Annual alcohol screen 15 min 9.730557 9.730557 10.6306335225 9.24402915 G0443 Brief alcohol misuse counsel 24.146197 24.146197 26.3797202225 22.93888715 G0444 Depression screen annual 9.730557 9.730557 10.6306335225 9.24402915 G0445 High inten beh couns STD 30m 24.146197 24.146197 26.3797202225 22.93888715 G0446 Intens behave ther cardio dx 24.146197 24.146197 26.3797202225 22.93888715 G0447 Behavior counsel obesity 15m 24.146197 24.146197 26.3797202225 22.93888715 G0448 Place perm pacing cardiovert 0 0 0 0 G0451 Devlopment test interpt&rep 10.090948 10.090948 11.02436069 9.5864006 G0452 Molecular pathology interpr 18.740332 18.740332 20.47381271 17.8033154 26 G0453 Cont intraop neuro monitor 33.516363 33.516363 36.6166265775 31.84054485 G0454 Md document visit by npp 9.370166 9.370166 10.236906355 8.9016577 G0455 Fecal microbiota prep instil 75.68211 75.68211 82.682705175 71.8980045 G0458 Ldr prostate brachy comp rat 0 0 0 0 G0459 Telehealth inpt pharm mgmt 41.805356 41.805356 45.67235143 39.7150882 G0460 Autologous prp for ulcers 132.623888 132.623888 144.89159764 125.9926936 G0463 Hospital outpt clinic visit 0 0 0 0 G0466 Fqhc visit new patient 0 0 0 0 G0467 Fqhc visit, estab pt 0 0 0 0 G0468 Fqhc visit, ippe or awv 0 0 0 0 G0469 Fqhc visit, mh new pt 0 0 0 0 G0470 Fqhc visit, mh estab pt 0 0 0 0 G0471 Ven blood coll snf/hha 0 0 0 0 G0472 Hep c screen high risk/other 0 0 0 0 G0473 Group behave couns 2-10 11.892903 11.892903 12.9929965275 11.29825785 G0475 Hiv combination assay 0 0 0 0 G0476 Hpv combo assay ca screen 0 0 0 0 G0480 Drug test def 1-7 classes 0 0 0 0 G0481 Drug test def 8-14 classes 0 0 0 0 G0482 Drug test def 15-21 classes 0 0 0 0 G0483 Drug test def 22+ classes 0 0 0 0 G0490 Home visit rn, lpn by rhc/fq 0 0 0 0 G0491 Dialysis acu kidney no esrd 0 0 0 0 G0492 Md/oth eval acut kid no esrd 0 0 0 0 G0493 Rn care ea 15 min hh/hospice 0 0 0 0 G0494 Lpn care ea 15min hh/hospice 0 0 0 0 G0495 Rn care train/edu in hh 0 0 0 0 G0496 Lpn care train/edu in hh 0 0 0 0 G0498 Chemo extend iv infus w/pump 0 0 0 0 G0499 Hepb screen high risk indiv 0 0 0 0 G0500 Mod sedat endo service >5yrs 5.766256 5.766256 6.29963468 5.4779432 G0501 Resource-inten svc during ov 0 0 0 0 G0506 Comp asses care plan ccm svc 46.490439 46.490439 50.7908046075 44.16591705 G0508 Crit care telehea consult 60 212.63069 212.63069 232.299028825 201.9991555 G0509 Crit care telehea consult 50 200.737787 200.737787 219.3060322975 190.70089765 G0511 Ccm/bhi by rhc/fqhc 20min mo 35.318318 35.318318 38.585262415 33.5524021 G0512 Cocm by rhc/fqhc 60 min mo 61.987252 61.987252 67.72107281 58.8878894 G0513 Prolong prev svcs, first 30m 62.347643 62.347643 68.1147999775 59.23026085 G0514 Prolong prev svcs, addl 30m 62.347643 62.347643 68.1147999775 59.23026085 G0515 Cognitive skills development 32.795581 32.795581 35.8291722425 31.15580195 G0516 insert drug implant,>=4 111.000428 111.000428 121.26796759 105.4504066 G0517 Remove drug implant 126.857632 126.857632 138.59196296 120.5147504 G0518 Remove w insert drug implant 204.702088 204.702088 223.63703114 194.4669836 G0659 Drug test def simple all cl 0 0 0 0 G0913 Improve visual funct 0 0 0 0 G0914 Survey not complete 0 0 0 0 G0915 No improve visual funct 0 0 0 0 G0916 Satisfy with care 0 0 0 0 G0917 Satisfy survey not complete 0 0 0 0 G0918 No satisfy with care 0 0 0 0 G2000 0 0 0 0 G2010 9.370166 9.370166 10.236906355 8.9016577 G2011 16.938377 16.938377 18.5051768725 16.09145815 G2012 13.334467 13.334467 14.5679051975 12.66774365 G6001 Echo guidance radiotherapy 51.896304 51.896304 56.69671212 49.3014888 TC G6001 Echo guidance radiotherapy 32.074799 32.074799 35.0417179075 30.47105905 26 G6001 Echo guidance radiotherapy 83.971103 83.971103 91.7384300275 79.77254785 G6002 Stereoscopic x-ray guidance 77.484065 77.484065 84.6513410125 73.60986175 G6002 Stereoscopic x-ray guidance 56.220996 56.220996 61.42143813 53.4099462 TC G6002 Stereoscopic x-ray guidance 21.263069 21.263069 23.2299028825 20.19991555 26 G6003 Radiation treatment delivery 199.296223 199.296223 217.7311236275 189.33141185 G6004 Radiation treatment delivery 145.958355 145.958355 159.4595028375 138.66043725 G6005 Radiation treatment delivery 145.958355 145.958355 159.4595028375 138.66043725 G6006 Radiation treatment delivery 145.597964 145.597964 159.06577567 138.3180658 G6007 Radiation treatment delivery 276.059506 276.059506 301.595010305 262.2565307 G6008 Radiation treatment delivery 201.458569 201.458569 220.0934866325 191.38564055 G6009 Radiation treatment delivery 200.377396 200.377396 218.91230513 190.3585262 G6010 Radiation treatment delivery 200.377396 200.377396 218.91230513 190.3585262 G6011 Radiation treatment delivery 272.455596 272.455596 297.65773863 258.8328162 G6012 Radiation treatment delivery 267.049731 267.049731 291.7518311175 253.69724445 G6013 Radiation treatment delivery 267.410122 267.410122 292.145558285 254.0396159 G6014 Radiation treatment delivery 267.410122 267.410122 292.145558285 254.0396159 G6015 Radiation tx delivery imrt 362.553346 362.553346 396.089530505 344.4256787 G6016 Delivery comp imrt 361.472173 361.472173 394.9083490025 343.39856435 G6017 Intrafraction track motion 0 0 0 0 G8395 LVEF>=40% doc normal or mild 0 0 0 0 G8396 LVEF not performed 0 0 0 0 G8397 Dil macula/fundus exam/w doc 0 0 0 0 G8398 Dil macular/fundus not perfo 0 0 0 0 G8399 Pt w/DXA document or order 0 0 0 0 G8400 Pt w/DXA no document or orde 0 0 0 0 G8404 Low extemity neur exam docum 0 0 0 0 G8405 Low extemity neur not perfor 0 0 0 0 G8410 Eval on foot documented 0 0 0 0 G8415 Eval on foot not performed 0 0 0 0 G8416 Pt inelig footwear evaluatio 0 0 0 0 G8417 Calc BMI abv up param f/u 0 0 0 0 G8418 Calc BMI blw low param f/u 0 0 0 0 G8419 Calc BMI out nrm param nof/u 0 0 0 0 G8420 Calc BMI norm parameters 0 0 0 0 G8421 BMI not calculated 0 0 0 0 G8422 Pt inelig BMI calculation 0 0 0 0 G8427 Doc cur meds by prov 0 0 0 0 G8428 Cur meds not document 0 0 0 0 G8430 Pt inelig med check 0 0 0 0 G8431 Pos clin depres scrn f/u doc 0 0 0 0 G8432 Clin depression screen not d 0 0 0 0 G8433 Pt inelig; scrn clin dep 0 0 0 0 G8442 Pt inelig pain assessment 0 0 0 0 G8450 Beta-bloc rx pt w/abn lvef 0 0 0 0 G8451 Pt w/abn lvef inelig b-bloc 0 0 0 0 G8452 Pt w/abn lvef b-bloc no rx 0 0 0 0 G8465 High risk recurrence pro ca 0 0 0 0 G8473 ACE/ARB thxpy rx'd 0 0 0 0 G8474 ACE/ARB not rx'd; doc reas 0 0 0 0 G8475 ACE/ARB thxpy not rx'd 0 0 0 0 G8476 BP sys <130 and dias <80 0 0 0 0 G8477 BP sys>=130 and/or dias >=80 0 0 0 0 G8478 BP not performed/doc 0 0 0 0 G8482 Flu immunize order/admin 0 0 0 0 G8483 Flu imm no ord/admin doc rea 0 0 0 0 G8484 Flu immunize no order/admin 0 0 0 0 G8506 Pt rec ACE/ARB 0 0 0 0 G8509 Pos pain assess no f/u doc 0 0 0 0 G8510 Pt inelig neg scrn depres 0 0 0 0 G8511 Clin depres scrn no f/u doc 0 0 0 0 G8535 Pt inelig no eld mal scrn 0 0 0 0 G8536 No doc elder mal scrn 0 0 0 0 G8539 Doc funct and care plan 0 0 0 0 G8540 Pt inelig funct assess 0 0 0 0 G8541 No doc cur funct assess 0 0 0 0 G8542 Doc funct no deficiencies 0 0 0 0 G8543 Cur funct asses; no care pln 0 0 0 0 G8559 Pt ref doc oto eval 0 0 0 0 G8560 Pt hx act drain prev 90 days 0 0 0 0 G8561 Pt inelig for ref oto eval 0 0 0 0 G8562 Pt no hx act drain 90 d 0 0 0 0 G8563 Pt no ref oto reas no spec 0 0 0 0 G8564 Pt ref oto eval 0 0 0 0 G8565 Ver doc hear loss 0 0 0 0 G8566 Pt inelig ref oto eval 0 0 0 0 G8567 Pt no doc hear loss 0 0 0 0 G8568 Pt no ref otolo no spec 0 0 0 0 G8569 Prol intubation req 0 0 0 0 G8570 No prol intub req 0 0 0 0 G8571 Ster wd ifx 30 d postop 0 0 0 0 G8572 No ster wd ifx 0 0 0 0 G8573 Stk CABG 0 0 0 0 G8574 No strk CABG 0 0 0 0 G8575 Postop ren fail 0 0 0 0 G8576 No postop ren fail 0 0 0 0 G8577 Reop req bld grft oth 0 0 0 0 G8578 No reop req bld grft oth 0 0 0 0 G8598 Asp therp used 0 0 0 0 G8599 No asp therp used 0 0 0 0 G8600 tPA initi w/in 3 hrs 0 0 0 0 G8601 No elig tPA init w/in 3 hrs 0 0 0 0 G8602 No tPA init w/in 3 hrs 0 0 0 0 G8627 Surg proc w/in 30 days 0 0 0 0 G8628 No surg proc w/in 30 days 0 0 0 0 G8633 Pharm ther osteo rx 0 0 0 0 G8635 No pharm ther osteo rx 0 0 0 0 G8647 Fun stat score knee >= 0 0 0 0 0 G8648 Fun stat score knee < 0 0 0 0 0 G8649 Fun stat score knee pt noelg 0 0 0 0 G8650 Fun stat score knee not done 0 0 0 0 G8651 Fun stat score hip >= 0 0 0 0 0 G8652 Fun stat score hip < 0 0 0 0 0 G8653 Fun stat score hip pt no elg 0 0 0 0 G8654 Fun stat score hip not done 0 0 0 0 G8655 Fun stat score LE >= 0 0 0 0 0 G8656 Fun stat score LE < 0 0 0 0 0 G8657 Fun stat score LE pt no elg 0 0 0 0 G8658 Fun stat score LE not done 0 0 0 0 G8659 Fun stat score LS >= 0 0 0 0 0 G8660 Fun stat score LS < 0 0 0 0 0 G8661 Fun stat score LS pt no elg 0 0 0 0 G8662 Fun stat score LS not done 0 0 0 0 G8663 Fun stat score shdl >=0 0 0 0 0 G8664 Fun stat score shdl < 0 0 0 0 0 G8665 Fun stat score shdl pt no el 0 0 0 0 G8666 Fun stat score shdl not done 0 0 0 0 G8667 Fun stat score UE >=0 0 0 0 0 G8668 Fun stat score UE < 0 0 0 0 0 G8669 Fun stat score UE pt no elg 0 0 0 0 G8670 Fun stat score UE not done 0 0 0 0 G8671 Fun stat score neck/TS >=0 0 0 0 0 G8672 Fun stat score neck/TS < 0 0 0 0 0 G8673 Fun stat scor nek/TS pt no e 0 0 0 0 G8674 Fun stat scor nek/TS not don 0 0 0 0 G8694 Lvef <40% 0 0 0 0 G8708 Antibiotic not pres 0 0 0 0 G8709 Med reas antibiotic pres 0 0 0 0 G8710 Pt pres antibiotic 0 0 0 0 G8711 Pres antibiotic 0 0 0 0 G8712 Not pres antibiotic 0 0 0 0 G8721 Pt, pn, hist grade doc 0 0 0 0 G8722 Med reas pt, pn, not doc 0 0 0 0 G8723 Spec sit not prim tumor 0 0 0 0 G8724 Pt, pn, hist grade not doc 0 0 0 0 G8730 Pain doc pos and plan 0 0 0 0 G8731 Pain neg no plan 0 0 0 0 G8732 No doc of pain 0 0 0 0 G8733 Doc pos elder mal scrn plan 0 0 0 0 G8734 Doc neg elder mal no plan 0 0 0 0 G8735 Eld mal scrn pos no plan 0 0 0 0 G8749 Signs of melanoma absent 0 0 0 0 G8752 Sys BP less 140 0 0 0 0 G8753 Sys BP > or = 140 0 0 0 0 G8754 Dias BP less 90 0 0 0 0 G8755 Dias BP > or = 90 0 0 0 0 G8756 No BP measure doc 0 0 0 0 G8783 BP scrn perf rec interval 0 0 0 0 G8785 BP scrn no perf at interval 0 0 0 0 G8797 Specimen site not esophagus 0 0 0 0 G8798 Specimen site not prostate 0 0 0 0 G8806 Transab or transvag US 0 0 0 0 G8807 Doc reas no US 0 0 0 0 G8808 No transab or transvag US 0 0 0 0 G8809 Rh-immunoglobulin order 0 0 0 0 G8810 Doc reas no Rh-immuno 0 0 0 0 G8811 No Rh-immunoglobulin order 0 0 0 0 G8815 Doc reas no statin therapy 0 0 0 0 G8816 Statin med pres at disch 0 0 0 0 G8817 Doc reas no statin med disch 0 0 0 0 G8818 Pt disch to home by day#7 0 0 0 0 G8825 Pt not disch to home day#7 0 0 0 0 G8826 Pt disch home day #2 EVAR 0 0 0 0 G8833 Pt not disch home day#2 EVAR 0 0 0 0 G8834 Pt disch home day #2 CEA 0 0 0 0 G8838 Not disch home by day #2 0 0 0 0 G8839 Sleep apnea assess 0 0 0 0 G8840 Doc reas no sleep apnea 0 0 0 0 G8841 No sleep apnea assess 0 0 0 0 G8842 AHI or RDI initial dx 0 0 0 0 G8843 Doc reas no AHI or RDI 0 0 0 0 G8844 No AHI or RDI initial dx 0 0 0 0 G8845 Pos Airway Press prescribed 0 0 0 0 G8846 Mod or severe OSA 0 0 0 0 G8849 Doc reas no Pos Air Press 0 0 0 0 G8850 No PAP prescribed 0 0 0 0 G8851 Adhere Pos Air Press therapy 0 0 0 0 G8852 Pos Air Press prescribe 0 0 0 0 G8854 Reas no adhere Pos Air Pres 0 0 0 0 G8855 Pos Air Press adhere no perf 0 0 0 0 G8856 Ref for oto eval 0 0 0 0 G8857 No elig ref for oto eval 0 0 0 0 G8858 Not ref for oto eval 0 0 0 0 G8861 DXA ordered for osteo 0 0 0 0 G8863 No assess bone loss 0 0 0 0 G8864 Pneumococcal vaccine admin 0 0 0 0 G8865 Doc med reas no pneumococcal 0 0 0 0 G8866 Doc pt reas no pneumococcal 0 0 0 0 G8867 No pneumococcal admin 0 0 0 0 G8869 Doc immun hep B 1st antiTNF 0 0 0 0 G8872 Intraop image confirm excise 0 0 0 0 G8873 Specimen not intraop image 0 0 0 0 G8874 Tissue not image intraop 0 0 0 0 G8875 Breast cancer dx min invsive 0 0 0 0 G8876 Doc reas no min inv dx 0 0 0 0 G8877 No brst cncr dx min invasive 0 0 0 0 G8878 Sent lymph node biopsy 0 0 0 0 G8880 Doc reas no lymph node biop 0 0 0 0 G8881 Brst cncr stage > T1N0M0 0 0 0 0 G8882 No sent lymph node biopsy 0 0 0 0 G8883 Rev, comm, track, doc biopsy 0 0 0 0 G8884 Doc reas biopsy not review 0 0 0 0 G8885 No rev, comm, track biopsy 0 0 0 0 G8907 Pt doc no events on discharg 0 0 0 0 G8908 Pt doc w burn prior to d/c 0 0 0 0 G8909 Pt doc no burn prior to d/c 0 0 0 0 G8910 Pt doc to have fall in asc 0 0 0 0 G8911 Pt doc no fall in asc 0 0 0 0 G8912 Pt doc with wrong event 0 0 0 0 G8913 Pt doc no wrong event 0 0 0 0 G8914 Pt trans to hosp post d/c 0 0 0 0 G8915 Pt not trans to hosp at d/c 0 0 0 0 G8916 Pt w iv ab given on time 0 0 0 0 G8917 Pt w iv ab not given on time 0 0 0 0 G8918 Pt w/o preop order iv ab pro 0 0 0 0 G8923 Lvef < 40% or lvsd 0 0 0 0 G8924 Spiro ev1/fvc <60% copd sym 0 0 0 0 G8925 Spiro>=60% or pt no copd sym 0 0 0 0 G8926 Spiro no perf or doc 0 0 0 0 G8934 Lvef <40% or dep lv sys fcn 0 0 0 0 G8935 Rx ace or arb therapy 0 0 0 0 G8936 Pt not eligible ace/arb 0 0 0 0 G8937 No rx ace/arb therapy 0 0 0 0 G8938 Bmi calc, pt no f/u plan elg 0 0 0 0 G8939 Pain assess doc, f/u no doc 0 0 0 0 G8941 No doc elder scrn, pt no el 0 0 0 0 G8942 Doc fcn/care plan w/30 days 0 0 0 0 G8944 Ajcc mel cnr stg 0 - iic 0 0 0 0 G8946 Mibm but no dx of breast ca 0 0 0 0 G8950 Pre-htn or htn doc, f/u indc 0 0 0 0 G8952 Pre-htn/htn, no f/u, not gvn 0 0 0 0 G8955 Most recent assess vol mgmt 0 0 0 0 G8956 Pt rcv hedia outpt dyls fac 0 0 0 0 G8958 Assess vol mgmt not doc 0 0 0 0 G8959 Clin tx mdd comm to tx clin 0 0 0 0 G8960 Clin tx mdd not comm 0 0 0 0 G8961 Csit lowrisk surg pts preop 0 0 0 0 G8962 Csit on pt any reas 30 days 0 0 0 0 G8963 Csi per asx pt w/pci 2 yrs 0 0 0 0 G8964 Csi any other than pci 2 yr 0 0 0 0 G8965 Csit perf on low chd rsk 0 0 0 0 G8966 Csit perf sx or high chd rsk 0 0 0 0 G8967 Wrfrn or oral antigoag pres 0 0 0 0 G8968 Md rsn no pres wrfrn or othr 0 0 0 0 G8969 Pt rsn no pres wrfrn or othr 0 0 0 0 G8970 No rsk fac or 1 mod risk te 0 0 0 0 G8973 Mst rcnt hbb < 10g/dl 0 0 0 0 G8974 Hgb not doc rns not gvn 0 0 0 0 G8975 Hgb <10g/dl, med rsn 0 0 0 0 G8976 Hgb >= 10 g/dl 0 0 0 0 G8978 Mobility current status 0 0 0 0 G8979 Mobility goal status 0 0 0 0 G8980 Mobility d/c status 0 0 0 0 G8981 Body pos current status 0 0 0 0 G8982 Body pos goal status 0 0 0 0 G8983 Body pos d/c status 0 0 0 0 G8984 Carry current status 0 0 0 0 G8985 Carry goal status 0 0 0 0 G8986 Carry d/c status 0 0 0 0 G8987 Self care current status 0 0 0 0 G8988 Self care goal status 0 0 0 0 G8989 Self care d/c status 0 0 0 0 G8990 Other pt/ot current status 0 0 0 0 G8991 Other pt/ot goal status 0 0 0 0 G8992 Other pt/ot d/c status 0 0 0 0 G8993 Sub pt/ot current status 0 0 0 0 G8994 Sub pt/ot goal status 0 0 0 0 G8995 Sub pt/ot d/c status 0 0 0 0 G8996 Swallow current status 0 0 0 0 G8997 Swallow goal status 0 0 0 0 G8998 Swallow d/c status 0 0 0 0 G8999 Motor speech current status 0 0 0 0 G9001 MCCD, initial rate 0 0 0 0 G9002 MCCD,maintenance rate 0 0 0 0 G9003 MCCD, risk adj hi, initial 0 0 0 0 G9004 MCCD, risk adj lo, initial 0 0 0 0 G9005 MCCD, risk adj, maintenance 0 0 0 0 G9006 MCCD, Home monitoring 0 0 0 0 G9007 MCCD, sch team conf 0 0 0 0 G9008 Mccd,phys coor-care ovrsght 0 0 0 0 G9009 MCCD, risk adj, level 3 0 0 0 0 G9010 MCCD, risk adj, level 4 0 0 0 0 G9011 MCCD, risk adj, level 5 0 0 0 0 G9012 Other Specified Case Mgmt 0 0 0 0 G9013 ESRD demo bundle level I 0 0 0 0 G9014 ESRD demo bundle-level II 0 0 0 0 G9016 Demo-smoking cessation coun 0 0 0 0 G9017 Amantadine HCL 100mg oral 0 0 0 0 G9018 Zanamivir,inhalation pwd 10m 0 0 0 0 G9019 Oseltamivir phosphate 75mg 0 0 0 0 G9020 Rimantadine HCL 100mg oral 0 0 0 0 G9033 Amantadine HCL oral brand 0 0 0 0 G9034 Zanamivir, inh pwdr, brand 0 0 0 0 G9035 Oseltamivir phosp, brand 0 0 0 0 G9036 Rimantadine HCL, brand 0 0 0 0 G9050 Oncology work-up evaluation 0 0 0 0 G9051 Oncology tx decision-mgmt 0 0 0 0 G9052 Onc surveillance for disease 0 0 0 0 G9053 Onc expectant management pt 0 0 0 0 G9054 Onc supervision palliative 0 0 0 0 G9055 Onc visit unspecified NOS 0 0 0 0 G9056 Onc prac mgmt adheres guide 0 0 0 0 G9057 Onc pract mgmt differs trial 0 0 0 0 G9058 Onc prac mgmt disagree w/gui 0 0 0 0 G9059 Onc prac mgmt pt opt alterna 0 0 0 0 G9060 Onc prac mgmt dif pt comorb 0 0 0 0 G9061 Onc prac cond noadd by guide 0 0 0 0 G9062 Onc prac guide differs nos 0 0 0 0 G9063 Onc dx nsclc stgI no progres 0 0 0 0 G9064 Onc dx nsclc stg2 no progres 0 0 0 0 G9065 Onc dx nsclc stg3A no progre 0 0 0 0 G9066 Onc dx nsclc stg3B-4 metasta 0 0 0 0 G9067 Onc dx nsclc dx unknown nos 0 0 0 0 G9068 Onc dx sclc/nsclc limited 0 0 0 0 G9069 Onc dx sclc/nsclc ext at dx 0 0 0 0 G9070 Onc dx sclc/nsclc ext unknwn 0 0 0 0 G9071 Onc dx brst stg1-2B HR,nopro 0 0 0 0 G9072 Onc dx brst stg1-2 noprogres 0 0 0 0 G9073 Onc dx brst stg3-HR, no pro 0 0 0 0 G9074 Onc dx brst stg3-noprogress 0 0 0 0 G9075 Onc dx brst metastic/ recur 0 0 0 0 G9077 Onc dx prostate T1no progres 0 0 0 0 G9078 Onc dx prostate T2no progres 0 0 0 0 G9079 Onc dx prostate T3b-T4noprog 0 0 0 0 G9080 Onc dx prostate w/rise PSA 0 0 0 0 G9083 Onc dx prostate unknwn nos 0 0 0 0 G9084 Onc dx colon t1-3,n1-2,no pr 0 0 0 0 G9085 Onc dx colon T4, N0 w/o prog 0 0 0 0 G9086 Onc dx colon T1-4 no dx prog 0 0 0 0 G9087 Onc dx colon metas evid dx 0 0 0 0 G9088 Onc dx colon metas noevid dx 0 0 0 0 G9089 Onc dx colon extent unknown 0 0 0 0 G9090 Onc dx rectal T1-2 no progr 0 0 0 0 G9091 Onc dx rectal T3 N0 no prog 0 0 0 0 G9092 Onc dx rectal T1-3,N1-2noprg 0 0 0 0 G9093 Onc dx rectal T4,N,M0 no prg 0 0 0 0 G9094 Onc dx rectal M1 w/mets prog 0 0 0 0 G9095 Onc dx rectal extent unknwn 0 0 0 0 G9096 Onc dx esophag T1-T3 noprog 0 0 0 0 G9097 Onc dx esophageal T4 no prog 0 0 0 0 G9098 Onc dx esophageal mets recur 0 0 0 0 G9099 Onc dx esophageal unknown 0 0 0 0 G9100 Onc dx gastric no recurrence 0 0 0 0 G9101 Onc dx gastric p R1-R2noprog 0 0 0 0 G9102 Onc dx gastric unresectable 0 0 0 0 G9103 Onc dx gastric recurrent 0 0 0 0 G9104 Onc dx gastric unknown NOS 0 0 0 0 G9105 Onc dx pancreatc p R0 res no 0 0 0 0 G9106 Onc dx pancreatc p R1/R2 no 0 0 0 0 G9107 Onc dx pancreatic unresectab 0 0 0 0 G9108 Onc dx pancreatic unknwn NOS 0 0 0 0 G9109 Onc dx head/neck T1-T2no prg 0 0 0 0 G9110 Onc dx head/neck T3-4 noprog 0 0 0 0 G9111 Onc dx head/neck M1 mets rec 0 0 0 0 G9112 Onc dx head/neck ext unknown 0 0 0 0 G9113 Onc dx ovarian stg1A-B no pr 0 0 0 0 G9114 Onc dx ovarian stg1A-B or 2 0 0 0 0 G9115 Onc dx ovarian stg3/4 noprog 0 0 0 0 G9116 Onc dx ovarian recurrence 0 0 0 0 G9117 Onc dx ovarian unknown NOS 0 0 0 0 G9123 Onc dx CML chronic phase 0 0 0 0 G9124 Onc dx CML acceler phase 0 0 0 0 G9125 Onc dx CML blast phase 0 0 0 0 G9126 Onc dx CML remission 0 0 0 0 G9128 Onc dx multi myeloma stage I 0 0 0 0 G9129 Onc dx mult myeloma stg2 hig 0 0 0 0 G9130 Onc dx multi myeloma unknown 0 0 0 0 G9131 Onc dx brst unknown NOS 0 0 0 0 G9132 Onc dx prostate mets no cast 0 0 0 0 G9133 Onc dx prostate clinical met 0 0 0 0 G9134 Onc NHLstg 1-2 no relap no 0 0 0 0 G9135 Onc dx NHL stg 3-4 not relap 0 0 0 0 G9136 Onc dx NHL trans to lg Bcell 0 0 0 0 G9137 Onc dx NHL relapse/refractor 0 0 0 0 G9138 Onc dx NHL stg unknown 0 0 0 0 G9139 Onc dx CML dx status unknown 0 0 0 0 G9140 Frontier extended stay demo 0 0 0 0 G9143 Warfarin respon genetic test 0 0 0 0 G9147 Outpt IV insulin tx any mea 0 0 0 0 G9148 Medical home level 1 0 0 0 0 G9149 Medical home level ii 0 0 0 0 G9150 Medical home level iii 0 0 0 0 G9151 Mapcp demo state 0 0 0 0 G9152 Mapcp demo community 0 0 0 0 G9153 Mapcp demo physician 0 0 0 0 G9156 Evaluation for wheelchair 0 0 0 0 G9157 Transesoph doppl cardiac mon 99.467916 99.467916 108.66869823 94.4945202 G9158 Motor speech d/c status 0 0 0 0 G9159 Lang comp current status 0 0 0 0 G9160 Lang comp goal status 0 0 0 0 G9161 Lang comp d/c status 0 0 0 0 G9162 Lang express current status 0 0 0 0 G9163 Lang express goal status 0 0 0 0 G9164 Lang express d/c status 0 0 0 0 G9165 Atten current status 0 0 0 0 G9166 Atten goal status 0 0 0 0 G9167 Atten d/c status 0 0 0 0 G9168 Memory current status 0 0 0 0 G9169 Memory goal status 0 0 0 0 G9170 Memory d/c status 0 0 0 0 G9171 Voice current status 0 0 0 0 G9172 Voice goal status 0 0 0 0 G9173 Voice d/c status 0 0 0 0 G9174 Speech lang current status 0 0 0 0 G9175 Speech lang goal status 0 0 0 0 G9176 Speech lang d/c status 0 0 0 0 G9186 Motor speech goal status 0 0 0 0 G9187 Bpci home visit 44.688484 44.688484 48.82216877 42.4540598 G9188 Beta not given no reason 0 0 0 0 G9189 Beta pres or already taking 0 0 0 0 G9190 Medical reason for no beta 0 0 0 0 G9191 Pt reason for no beta 0 0 0 0 G9192 System reason for no beta 0 0 0 0 G9196 Med reason for no ceph 0 0 0 0 G9197 Order for ceph 0 0 0 0 G9198 No order for ceph no reason 0 0 0 0 G9212 Doc of dsm-iv init eval 0 0 0 0 G9213 No doc of dsm-iv 0 0 0 0 G9223 Pjp proph ordered cd4 low 0 0 0 0 G9225 Norsn no foot exam 0 0 0 0 G9226 3 comp foot exam completed 0 0 0 0 G9227 Docrsn no care plan 0 0 0 0 G9228 Gc chl syp documented 0 0 0 0 G9229 Ptrsn no gc chl syp test 0 0 0 0 G9230 Norsn for gc chl syp test 0 0 0 0 G9231 Doc esrd dia trans preg 0 0 0 0 G9232 Docrsn no comm comorb 0 0 0 0 G9239 Docrsn for catheter 0 0 0 0 G9240 Doc pt w cath maint dia 0 0 0 0 G9241 Doc pt w out cath maint dia 0 0 0 0 G9242 Doc viral load >=200 0 0 0 0 G9243 Doc viral load <200 0 0 0 0 G9246 No med visit in 24mo 0 0 0 0 G9247 1 med visit in 24mo 0 0 0 0 G9250 Doc of pain comfort 48hr 0 0 0 0 G9251 Doc no pain comfort 48hr 0 0 0 0 G9254 Doc pt dischg >2d 0 0 0 0 G9255 Doc pt dischg <=2d 0 0 0 0 G9256 Doc death after cas 0 0 0 0 G9257 Doc stroke after cas 0 0 0 0 G9258 Doc stroke after cea 0 0 0 0 G9259 Doc surv no stroke after cas 0 0 0 0 G9260 Doc death after cea 0 0 0 0 G9261 Doc surv no stroke after cea 0 0 0 0 G9262 Doc death in hosp aaa repair 0 0 0 0 G9263 Doc surv in hosp aaa repair 0 0 0 0 G9264 Docrsn for cath maint dia 0 0 0 0 G9265 Doc cath >90d for maint dia 0 0 0 0 G9266 Norsn pt cath >=90d 0 0 0 0 G9267 Doc comp or mort w in 30d 0 0 0 0 G9268 Doc comp or mort w in 90d 0 0 0 0 G9269 Doc no comp or mort w in 30d 0 0 0 0 G9270 Doc no comp or mort w in 90d 0 0 0 0 G9273 Sys<140 and dia<90 0 0 0 0 G9274 Bp out of nrml limits 0 0 0 0 G9275 Doc of non tobacco user 0 0 0 0 G9276 Doc of tobacco user 0 0 0 0 G9277 Doc daily aspirin or contra 0 0 0 0 G9278 Doc no daily aspirin 0 0 0 0 G9279 Pne scrn done doc vac done 0 0 0 0 G9280 Pne not given norsn 0 0 0 0 G9281 Pne scrn done doc not ind 0 0 0 0 G9282 Doc medrsn no histo type 0 0 0 0 G9283 Hist type doc on report 0 0 0 0 G9284 No hist type doc on report 0 0 0 0 G9285 Site not small cell lung ca 0 0 0 0 G9286 Doc antibio order w in 7d 0 0 0 0 G9287 No doc antibio order w in 7d 0 0 0 0 G9288 Doc medrsn no hist type rpt 0 0 0 0 G9289 Doc type nsm lung ca 0 0 0 0 G9290 No doc type nsm lung ca 0 0 0 0 G9291 Not nsm lung ca 0 0 0 0 G9292 Medrsn no pt category 0 0 0 0 G9293 No pt category on report 0 0 0 0 G9294 Pt cat and thck on report 0 0 0 0 G9295 Non cutaneous loc 0 0 0 0 G9296 Doc share dec prior proc 0 0 0 0 G9297 No doc share dec prior proc 0 0 0 0 G9298 Eval risk vte card 30d prior 0 0 0 0 G9299 No eval riskk vte card prior 0 0 0 0 G9300 Doc medrsn no compl antibio 0 0 0 0 G9301 Doc compl inf antibio 0 0 0 0 G9302 Norsn incomp inf antibio 0 0 0 0 G9303 Norsn no pros info op rpt 0 0 0 0 G9304 Pros info op rpt 0 0 0 0 G9305 No interv req for leak 0 0 0 0 G9306 Interv req for leak 0 0 0 0 G9307 No ret for surg w in 30d 0 0 0 0 G9308 Unplnd ret to surg w in 30d 0 0 0 0 G9309 No unplnd hosp readm in 30d 0 0 0 0 G9310 Unplnd hosp readm in 30d 0 0 0 0 G9311 No surg site infection 0 0 0 0 G9312 Surgical site infection 0 0 0 0 G9313 Docrsn not first line amox 0 0 0 0 G9314 Norsn not first line amox 0 0 0 0 G9315 Doc first line amox 0 0 0 0 G9316 Doc comm risk calc 0 0 0 0 G9317 No doc comm risk calc 0 0 0 0 G9318 Image std nomenclature 0 0 0 0 G9319 Image not std nomenclature 0 0 0 0 G9321 Doc count of ct in 12mo 0 0 0 0 G9322 No doc count of ct in 12mo 0 0 0 0 G9326 Norsn no ct rpt to reg 0 0 0 0 G9327 Ct rpt to reg 0 0 0 0 G9329 Norsn no dicom format doc 0 0 0 0 G9340 Dicom format doc on rpt 0 0 0 0 G9341 Srch for ct w in 12 mos 0 0 0 0 G9342 No srch for ct in 12mo norsn 0 0 0 0 G9344 Sysrsn no dicom srch 0 0 0 0 G9345 Follow up pulm nod 0 0 0 0 G9347 No follow up pulm nod norsn 0 0 0 0 G9348 Docrsn no sinus ct dx 0 0 0 0 G9349 Doc sinus ct 28d 0 0 0 0 G9350 No doc sinus ct 28d or dx 0 0 0 0 G9351 Doc >1 sinus ct w 90d dx 0 0 0 0 G9352 Not >1 sinus ct w 90d dx 0 0 0 0 G9353 Medrsn >1 sinus ct w 90d dx 0 0 0 0 G9354 Norsn >1 sinus ct w 90d dx 0 0 0 0 G9355 No early ind/delivery 0 0 0 0 G9356 Early ind/delivery 0 0 0 0 G9357 Pp eval/edu perf 0 0 0 0 G9358 Pp eval/edu not perf 0 0 0 0 G9359 Doc of neg or man pos tb scn 0 0 0 0 G9360 No doc of neg or man pos tb 0 0 0 0 G9361 Med ind for induction 0 0 0 0 G9364 Sinus caus bac inx 0 0 0 0 G9365 1high risk med ord 0 0 0 0 G9366 1high risk no ord 0 0 0 0 G9367 2high risk med ord 0 0 0 0 G9368 2high risk no ord 0 0 0 0 G9380 Off assis eol iss 0 0 0 0 G9382 No off assis eol 0 0 0 0 G9383 Recd scrn hcv infec 0 0 0 0 G9384 Doc med reas no ann srn hcv 0 0 0 0 G9385 Doc pt reas not rec hcv srn 0 0 0 0 G9386 Scrn hcv infec not recd 0 0 0 0 G9389 Unpln rup post cap 0 0 0 0 G9390 No unpln rup post cap 0 0 0 0 G9393 Ini phq9 >9 remiss <5 0 0 0 0 G9394 Dx bipol, death, nhres, hosp 0 0 0 0 G9395 Ini phq9 >9 no remiss >=5 0 0 0 0 G9396 Ini phq9 >9 not assess 0 0 0 0 G9399 Doc disc tx choices 0 0 0 0 G9400 Doc reas no disc tx opt 0 0 0 0 G9401 No disc tx choices 0 0 0 0 G9402 Recd f/u w/in 30d disch 0 0 0 0 G9403 Doc reas no 30 day f/u 0 0 0 0 G9404 No 30 day f/u 0 0 0 0 G9405 Recd f/u w/in 7d disch 0 0 0 0 G9406 Doc reas no 7d f/u 0 0 0 0 G9407 No 7d f/u 0 0 0 0 G9408 Card tamp w/in 30d 0 0 0 0 G9409 No card tamp e/in 30d 0 0 0 0 G9410 Admit w/in 180d req remov 0 0 0 0 G9411 No admit w/in 180d req remov 0 0 0 0 G9412 Admit w/in 180d req surg rev 0 0 0 0 G9413 No admit req surg rev 0 0 0 0 G9414 1dose menig vac btwn 11 & 13 0 0 0 0 G9415 No 1dose meni vac btwn 11&13 0 0 0 0 G9416 Tdap or td or 1tet/dipth 0 0 0 0 G9417 No tdap or td or 1tet/dipth 0 0 0 0 G9418 Lungcx bx rpt docs class 0 0 0 0 G9419 Med reas no rpt histo type 0 0 0 0 G9420 Spec site no lung 0 0 0 0 G9421 Lung cx bx rpt no doc class 0 0 0 0 G9422 Rpt doc class histo type 0 0 0 0 G9423 Med reas rpt no histo type 0 0 0 0 G9424 Site no lung or lung cx 0 0 0 0 G9425 Spec rpt no doc class histo 0 0 0 0 G9426 Impr med time edarr pain med 0 0 0 0 G9427 No impro med time pain med 0 0 0 0 G9428 Rpt pt cat and pt1 0 0 0 0 G9429 Doc med reas no pt cat 0 0 0 0 G9430 Spec site no cutaneous 0 0 0 0 G9431 No pt cat and pt1 0 0 0 0 G9432 Asth controlled 0 0 0 0 G9434 Asth not controlled 0 0 0 0 G9448 Born 1945-1965 0 0 0 0 G9449 Hx bld transf b/f 1992 0 0 0 0 G9450 Hx injec drug use 0 0 0 0 G9451 1x scrn hcv infect 0 0 0 0 G9452 Doc med reas no scrn hcv 0 0 0 0 G9453 Pt reas no hcv infect 0 0 0 0 G9454 No hcv infect srn 0 0 0 0 G9455 Abd imag w/us, ct or mri 0 0 0 0 G9456 Doc med pt reas no hcc scrn 0 0 0 0 G9457 No abd imag w/o reason 0 0 0 0 G9458 Tob user recd cess interv 0 0 0 0 G9459 Tob non-user 0 0 0 0 G9460 No tob assess or cess inter 0 0 0 0 G9468 No recd cortico>=10mg/d >60d 0 0 0 0 G9469 Rec cortico>60d or 1rx 600mg 0 0 0 0 G9470 No rec cortico>60d 1rx 600mg 0 0 0 0 G9471 W/in 2yr dxa not order 0 0 0 0 G9472 No dxa no med hx no rv sx 0 0 0 0 G9473 Chap services at hospice 0 0 0 0 G9474 Diet counsel at hospice 0 0 0 0 G9475 Other counselor at hospice 0 0 0 0 G9476 Volun service at hospice 0 0 0 0 G9477 Care coord at hospice 0 0 0 0 G9478 Othe therapist at hospice 0 0 0 0 G9479 Pharmacist at hospice 0 0 0 0 G9480 Admission to mccm 0 0 0 0 G9481 Remote e/m new pt 10mins 19.100723 19.100723 20.8675398775 18.14568685 G9482 Remote e/m new pt 20mins 36.399491 36.399491 39.7664439175 34.57951645 G9483 Remote e/m new pt 30mins 56.220996 56.220996 61.42143813 53.4099462 G9484 Remote e/m new pt 45mins 95.143224 95.143224 103.94397222 90.3860628 G9485 Remote e/m new pt 60mins 123.974504 123.974504 135.44214562 117.7757788 G9486 Remote e/m est. pt 10mins 18.740332 18.740332 20.47381271 17.8033154 G9487 Remote e/m est. pt 15mins 37.480664 37.480664 40.94762542 35.6066308 G9488 Remote e/m est. pt 25mins 57.66256 57.66256 62.9963468 54.779432 G9489 Remote e/m est. pt 40mins 81.448366 81.448366 88.982339855 77.3759477 G9490 Joint replac mod home visit 44.688484 44.688484 48.82216877 42.4540598 G9497 Preop anes or proxy b/4 surg 0 0 0 0 G9498 Abx reg prescribed 0 0 0 0 G9500 Rad exp time w/fluor doc 0 0 0 0 G9501 Rad exp time w/o fluor doc 0 0 0 0 G9502 Med reas no perf foot exam 0 0 0 0 G9503 Pt tk tams hcl 0 0 0 0 G9504 Doc reas no hbv status 0 0 0 0 G9505 Abx pres w/in 10 dys of symp 0 0 0 0 G9506 Bio imm resp mod presc 0 0 0 0 G9507 Doc reas on statin or contra 0 0 0 0 G9508 Doc pt not on statin 0 0 0 0 G9509 Remis 12m phq-9 score <5 0 0 0 0 G9510 Remis 12m not phq-9 score <5 0 0 0 0 G9511 Phq-9 >9 during 12m time 0 0 0 0 G9512 Indiv pdc > 0.8 0 0 0 0 G9513 Indiv pdc not > 0.8 0 0 0 0 G9514 Req ret or w/in 90d of surg 0 0 0 0 G9515 No reas, no ret or w/in 90d 0 0 0 0 G9516 Impr vis acuit w/in 90d 0 0 0 0 G9517 No impr vis acuit w/in 90d 0 0 0 0 G9518 Doc active inj drug use 0 0 0 0 G9519 Final refract +/- 1.0 in 90d 0 0 0 0 G9520 Refract not +/- 1.0 w/in 90d 0 0 0 0 G9521 Er and ip hosp <2 in 12 mos 0 0 0 0 G9522 Er/ip hosp =/>2 in 12 mos 0 0 0 0 G9523 D/c hemo or perit dialysis 0 0 0 0 G9524 Refer to hospice 0 0 0 0 G9525 Doc pt reas no hospice refer 0 0 0 0 G9526 No reason, no refer hospice 0 0 0 0 G9529 Minor blunt trauma w/head ct 0 0 0 0 G9530 Min hd traum gcs=15 w/ct ed 0 0 0 0 G9531 Indic for head ct valid 0 0 0 0 G9532 Inj >24 hr in ed gcs <15 0 0 0 0 G9533 Indic for head ct not valid 0 0 0 0 G9537 Doc system reas adv imaging 0 0 0 0 G9539 Intent pot remv time placemt 0 0 0 0 G9540 Pt alive 3 mos post proc 0 0 0 0 G9541 Filter gone aft 3mos placmt 0 0 0 0 G9542 Doc reass appr remo filt 3ms 0 0 0 0 G9543 Doc 2x re-assess filt remov 0 0 0 0 G9544 No filt remov w/in 3mos plcm 0 0 0 0 G9547 Incid ct liver/kid/adre fdg 0 0 0 0 G9548 Abd imag and followup rec 0 0 0 0 G9549 Doc med reas no follow imag 0 0 0 0 G9550 Abd imag and followup no rec 0 0 0 0 G9551 Abd imag w/o liv/kid/adr les 0 0 0 0 G9552 Inc thyr node <1.0 in rpt 0 0 0 0 G9553 Prior thyroid dise dx 0 0 0 0 G9554 Ct/mri chest/neck follup rec 0 0 0 0 G9555 Doc med reas no follow imag 0 0 0 0 G9556 Ct/mri chest follup not rec 0 0 0 0 G9557 Ct/mri chest/neck no thy nod 0 0 0 0 G9558 Tx beta-lactam abx therapy 0 0 0 0 G9559 Doc med reas no abx therapy 0 0 0 0 G9560 No beta-lactam abx ther, rng 0 0 0 0 G9561 Presc opiates >6 wks 0 0 0 0 G9562 Foll-up eval q3mo opiod tx 0 0 0 0 G9563 No f/u eval q3mo opiod tx 0 0 0 0 G9573 Remis 6m w/6mos phq-9 <5 0 0 0 0 G9574 Remis 6m w/o 6mos phq-9 <5 0 0 0 0 G9577 Presc opiates >6 wks 0 0 0 0 G9578 Doc opioid tx 1x during ther 0 0 0 0 G9579 No doc opioid tx 1x at ther 0 0 0 0 G9580 Door to punc time <2hrs 0 0 0 0 G9582 Door to punc time >2hr, nrg 0 0 0 0 G9583 Presc opiates >6 wks 0 0 0 0 G9584 Eval opioid use instr/pt int 0 0 0 0 G9585 No eval opi use instr/intv 0 0 0 0 G9593 Low pecarn ped head trauma 0 0 0 0 G9594 Gsc >15 & hd ct by ed md 0 0 0 0 G9595 Val rsn hd ct ord reg indic 0 0 0 0 G9596 Hd inj >24h/gcs >15/no res 0 0 0 0 G9597 No low pecarn ped head traum 0 0 0 0 G9598 Aor ane 5.5-5.9 cm max diam 0 0 0 0 G9599 Aor ane >=6.0 cm max diam 0 0 0 0 G9600 Symp aaa urgent repair 0 0 0 0 G9601 Pt dchg home post op day 7 0 0 0 0 G9602 Pt no dchg home postop day 7 0 0 0 0 G9603 Pt surv improv bsline tx 0 0 0 0 G9604 Pt surv results not avail 0 0 0 0 G9605 Surv score no improv w/tx 0 0 0 0 G9606 Intraop cyst eval trac inj 0 0 0 0 G9607 Pt not elig 0 0 0 0 G9608 Intraop cyst eval not done 0 0 0 0 G9609 Doc order anti-plat or p2y12 0 0 0 0 G9610 Doc md rsn no antipla/p2y12 0 0 0 0 G9611 No antipla/p2y12 ord, rs nos 0 0 0 0 G9612 Pho doc >1 cecal ldmk com ex 0 0 0 0 G9613 Doc post surg anatomy 0 0 0 0 G9614 No photodoc cecal ldmk exam 0 0 0 0 G9615 Pre-op asst doc 0 0 0 0 G9616 Doc rsn no preop assmt 0 0 0 0 G9617 Pre-op asst not doc, rng 0 0 0 0 G9618 Doc scr uter mal or us/samp 0 0 0 0 G9620 No scr utr malig/us/samp rng 0 0 0 0 G9621 Scr unheal etoh w/counsel 0 0 0 0 G9622 No unheal etoh user 0 0 0 0 G9623 Doc med rsn no scr etoh use 0 0 0 0 G9624 No etoh scr/no counc/nrg 0 0 0 0 G9625 Bld inj at surg/1mos post 0 0 0 0 G9626 Pt not elig 0 0 0 0 G9627 No bld inj at surg/1mos post 0 0 0 0 G9628 Vis inj at surg/1mos post 0 0 0 0 G9629 Pt not elig 0 0 0 0 G9630 No vis inj at surg/1mos post 0 0 0 0 G9631 Urtr inj at surg/1mos post 0 0 0 0 G9632 Pt not elig 0 0 0 0 G9633 No urtr inj at surg/1ms post 0 0 0 0 G9634 Qual life tool 2x same/impr 0 0 0 0 G9635 No doc rsn do qual life assm 0 0 0 0 G9636 No life asst 2x same/decr 0 0 0 0 G9637 Doc >1 dose reduc tech 0 0 0 0 G9638 No doc >1 dose reduc tech 0 0 0 0 G9639 Amp no reqd in48h ieler proc 0 0 0 0 G9640 Doc plan hybrid/stage proc 0 0 0 0 G9641 Amp reqd w/in 48h ieler proc 0 0 0 0 G9642 Current cig smoker 0 0 0 0 G9643 Elective surgery 0 0 0 0 G9644 No smok b/4 anes day of surg 0 0 0 0 G9645 Had smoke b/4 anes day surg 0 0 0 0 G9646 Pt w/90d mrs 0-2 0 0 0 0 G9647 No mrs score in 90d followup 0 0 0 0 G9648 Pt w/90d mrs >2 0 0 0 0 G9649 Psori tool doc w/benchmk 0 0 0 0 G9651 Psori tool doc/no bnchmk met 0 0 0 0 G9654 Mon anesth care 0 0 0 0 G9655 Toc tool incl key elem 0 0 0 0 G9656 Pt direct anesth loc to pacu 0 0 0 0 G9658 Toc tool incl elem not used 0 0 0 0 G9659 >85y no hx colo ca/rsn scope 0 0 0 0 G9660 Doc med rsn scope pt >85y 0 0 0 0 G9661 >85y scope othr rsn 0 0 0 0 G9662 Prior dx/active clin ascvd 0 0 0 0 G9663 Fast/dir ldl = 190 mg/dl 0 0 0 0 G9664 Taking statin or rec'd order 0 0 0 0 G9665 No statin/no order statin 0 0 0 0 G9666 Fas/dir ldl 70-189mg/dl mst 0 0 0 0 G9674 Pt w/clin ascvd dx 0 0 0 0 G9675 Pt w/fast/dir lab ldl-c >190 0 0 0 0 G9676 40-75y w/type 1/2 w/ldl-c rs 0 0 0 0 G9678 Oncology care model service 0 0 0 0 G9679 Acute care pneumonia 0 0 0 0 G9680 Acute care congestive heart 0 0 0 0 G9681 Acute care chronic obstruct 0 0 0 0 G9682 Acute care skin infection 0 0 0 0 G9683 Acute care fluid or electrol 0 0 0 0 G9684 Acute care urinary tract inf 0 0 0 0 G9685 Acute nursing facility care 205.783261 205.783261 224.8182126425 195.49409795 G9687 Hospice anytime msmt per 0 0 0 0 G9688 Pt w/hosp anytime msmt per 0 0 0 0 G9689 Inpt elect carotid intervent 0 0 0 0 G9690 Pt rec hospice dur msmt per 0 0 0 0 G9691 Pt hosp dur msmt period 0 0 0 0 G9692 Hosp recd by pt dur msmt per 0 0 0 0 G9693 Pt use hosp during msmt per 0 0 0 0 G9694 Hosp srv used pt in msmt per 0 0 0 0 G9695 Long act inhal bronchdil pre 0 0 0 0 G9696 Med rsn no presc bronchdil 0 0 0 0 G9697 Pt rsn no presc bronchdil 0 0 0 0 G9698 Sys rsn no presc bronchdil 0 0 0 0 G9699 Long inhal bronchdil no pres 0 0 0 0 G9700 Pt is w/hosp during msmt per 0 0 0 0 G9701 Child anbx 30 prior dx estab 0 0 0 0 G9702 Pt use hosp during msmt per 0 0 0 0 G9703 Child anbx 30 prior dx phary 0 0 0 0 G9704 Ajcc br ca stg i: t1 mic/t1a 0 0 0 0 G9705 Ajcc br ca stg ib 0 0 0 0 G9706 Low recur prost ca 0 0 0 0 G9707 Pt had hosp dur msmt per 0 0 0 0 G9708 Bilat mast/hx bi /unilat mas 0 0 0 0 G9709 Hosp srv used pt in msmt per 0 0 0 0 G9710 Pt prov hosp srv msmt per 0 0 0 0 G9711 Pt hx tot col or colon ca 0 0 0 0 G9712 Doc med rsn presc anbx 0 0 0 0 G9713 Pt use hosp during msmt per 0 0 0 0 G9714 Pt is w/hosp during msmt per 0 0 0 0 G9715 Pt w/hosp anytime msmt per 0 0 0 0 G9716 Bmi not norm, no follow, doc 0 0 0 0 G9717 Doc dx depr/dx bipol, no scr 0 0 0 0 G9718 Hospice anytime msmt per 0 0 0 0 G9719 Pt not ambul/immob/wc 0 0 0 0 G9720 Hospice anytime msmt per 0 0 0 0 G9721 Pt not ambul/immob/wc 0 0 0 0 G9722 Doc hx renal fail or cr+ >4 0 0 0 0 G9723 Hosp recd by pt dur msmt per 0 0 0 0 G9724 Pt w/doc use anticoag mst yr 0 0 0 0 G9725 Pt w/hosp anytime msmt per 0 0 0 0 G9726 Refused to participate 0 0 0 0 G9727 No knee intake prom, no prox 0 0 0 0 G9728 Refused to participate 0 0 0 0 G9729 No hip intake prom, no proxy 0 0 0 0 G9730 Refused to participate 0 0 0 0 G9731 No foot prom, no proxy 0 0 0 0 G9732 Refused to participate 0 0 0 0 G9733 No back intake prom, no prox 0 0 0 0 G9734 Refused to participate 0 0 0 0 G9735 Pt no foto knee and no proxy 0 0 0 0 G9736 Refused to participate 0 0 0 0 G9737 Pt no foto elbow, no proxy 0 0 0 0 G9738 Refused to participate 0 0 0 0 G9739 Pt no foto orth, no proxy 0 0 0 0 G9740 Hosp srv to pt dur msmt per 0 0 0 0 G9741 Pt w/hosp anytime msmt per 0 0 0 0 G9742 Psych sympt assessed 0 0 0 0 G9743 Psych symp not assessed, rns 0 0 0 0 G9744 Pt not elig, dx htn 0 0 0 0 G9745 Doc rsn no scr high bp 0 0 0 0 G9746 Mit sten, valve or trans af 0 0 0 0 G9747 Pall dialysis with catheter 0 0 0 0 G9748 App transpl lvg kidney donor 0 0 0 0 G9749 Pall dialysis with catheter 0 0 0 0 G9750 App transpl lvg kidney donor 0 0 0 0 G9751 Pt died w/in 24 mos rpt time 0 0 0 0 G9752 Urgent surgery 0 0 0 0 G9753 Doc no dicom, ct other fac 0 0 0 0 G9754 Incid pulm nodule 0 0 0 0 G9755 Doc med rsn for imaging 0 0 0 0 G9756 Surg proc w/silicone oil 0 0 0 0 G9757 Surg proc w/silicone oil 0 0 0 0 G9758 Hospice or term phase 0 0 0 0 G9759 Hx preop post cap rup 0 0 0 0 G9760 Pt w/hosp anytime msmt per 0 0 0 0 G9761 Pt w/hosp anytime msmt per 0 0 0 0 G9762 Pt had hpv b/t 9-13 yr 0 0 0 0 G9763 Pt no hpv b/t 9-13 yr 0 0 0 0 G9764 Pt tx oral syst/bio med psor 0 0 0 0 G9765 Pt decl chan/conind or <6m 0 0 0 0 G9766 Cva stroke dx tx transf fac 0 0 0 0 G9767 Hosp new dx cva consid evst 0 0 0 0 G9768 Pt w/hosp anytime msmt per 0 0 0 0 G9769 Bn den 2yr/got ost med/ther 0 0 0 0 G9770 Perip nerve block 0 0 0 0 G9771 Anes end, 1 temp >35.5(95.9) 0 0 0 0 G9772 Doc temp >35.5(95.9), anest 0 0 0 0 G9773 No temp >35.5(95.9), anes 0 0 0 0 G9774 Pt had hyst 0 0 0 0 G9775 Recd 2 anti-emet pre/intraop 0 0 0 0 G9776 Doc med rsn no proph antiem 0 0 0 0 G9777 Pt no antiemet pre/intraop 0 0 0 0 G9778 Pts dx w/pregn 0 0 0 0 G9779 Pts breastfeeding 0 0 0 0 G9780 Pts dx w/rhabdomyolysis 0 0 0 0 G9781 Doc rsn no statin 0 0 0 0 G9782 Hx dx fam/pure hypercholes 0 0 0 0 G9783 Doc dx dm, fast <70, no stat 0 0 0 0 G9784 Path/derm 2nd opin bx 0 0 0 0 G9785 Path rpt snt path/derm in 7d 0 0 0 0 G9786 No path rpt sent in 7d 0 0 0 0 G9787 Pt alive lst day msmt yr 0 0 0 0 G9788 Most rct bp </= 140/90 0 0 0 0 G9789 Record bp ip, er, urg/self 0 0 0 0 G9790 Most rct bp >/= 140/90 0 0 0 0 G9791 Most rct tob stat free 0 0 0 0 G9792 Most rct tob stat not free 0 0 0 0 G9793 Pt on daily asa/antiplat 0 0 0 0 G9794 Doc med rsn no asa/antiplat 0 0 0 0 G9795 Pt no daily asa/antiplat 0 0 0 0 G9796 Pt not currently on statin 0 0 0 0 G9797 Pt currently on statin 0 0 0 0 G9798 D/c ami btw 7/1-6/30 mst per 0 0 0 0 G9799 Med disp evt indic hx asth 0 0 0 0 G9800 Pt id intol/alleg beta-block 0 0 0 0 G9801 Nonacut transf from inpt 0 0 0 0 G9802 Pt w/hosp anytime msmt per 0 0 0 0 G9803 Post d/c 180d tx beta-bl ami 0 0 0 0 G9804 No post d/c 180d tx bb ami 0 0 0 0 G9805 Pt w/hosp anytime msmt per 0 0 0 0 G9806 Pt recd cerv cyto/hpv 0 0 0 0 G9807 Pt no recd cerv cyto/hpv 0 0 0 0 G9808 Pt no asthm cont med mst per 0 0 0 0 G9809 Pt w/hosp anytime msmt per 0 0 0 0 G9810 Pdc 75% w/asth cont med 0 0 0 0 G9811 No pdc 75% w/asth cont med 0 0 0 0 G9812 Pt died during inpt/30d aft 0 0 0 0 G9813 Pt not died w/in 30d of proc 0 0 0 0 G9814 Death occ dur hospitaliz 0 0 0 0 G9815 No death occ dur hospitaliz 0 0 0 0 G9816 Death occ 30d post proc 0 0 0 0 G9817 No death occ 30d post proc 0 0 0 0 G9818 Doc sex activity 0 0 0 0 G9819 Pt w/hosp anytime msmt per 0 0 0 0 G9820 Doc chlam scr test w/follow 0 0 0 0 G9821 No doc chlam scr ts w/follow 0 0 0 0 G9822 Endo abl proc yr prev ind dt 0 0 0 0 G9823 Endo smpl/hyst bx res doc 0 0 0 0 G9824 Endo smpl/hyst bx res no doc 0 0 0 0 G9825 Her-2 neg,undoc/unkn 0 0 0 0 G9826 Transf pract aft init chemo 0 0 0 0 G9827 Her-2 targ ther no init tx 0 0 0 0 G9828 Her-2 targ ther dur init tx 0 0 0 0 G9829 Breast adj chemo admin 0 0 0 0 G9830 Her-2 pos 0 0 0 0 G9831 Ajcc stg brt ca dx ii or iii 0 0 0 0 G9832 Brt ca dx i, no t1/t1a/t1b 0 0 0 0 G9833 Transf pract aft init chemo 0 0 0 0 G9834 Pt met dis at dx 0 0 0 0 G9835 Trastuz given w/in 12 mos dx 0 0 0 0 G9836 Rsn no trast given doc 0 0 0 0 G9837 Trastuz not in 12 mos dx 0 0 0 0 G9838 Pt met dis at dx 0 0 0 0 G9839 Anti-egfr mon anti ther 0 0 0 0 G9840 Kras tst bfr beg anti moab 0 0 0 0 G9841 No kras tst bfr beg ant moab 0 0 0 0 G9842 Pt met dis at dx 0 0 0 0 G9843 Kras gene mut 0 0 0 0 G9844 Pt no recd anti-egfr ther 0 0 0 0 G9845 Pt recd anti-egfr ther 0 0 0 0 G9846 Pt died from cancer 0 0 0 0 G9847 Pt recd chemo last 14d life 0 0 0 0 G9848 Pt no chemo last 14d life 0 0 0 0 G9849 Pt died from cancer 0 0 0 0 G9850 1/more ed last 30d life 0 0 0 0 G9851 1/no ed visit last 30d life 0 0 0 0 G9852 Pt died from cancer 0 0 0 0 G9853 Icu stay last 30d life 0 0 0 0 G9854 No icu stay last 30d life 0 0 0 0 G9855 Pt died from cancer 0 0 0 0 G9856 Pt no hospice 0 0 0 0 G9857 Pt admit hospice 0 0 0 0 G9858 Pt enroll hospice 0 0 0 0 G9859 Pt died from cancer 0 0 0 0 G9860 Pt less 3d hospice 0 0 0 0 G9861 Pt more than 3d hospice 0 0 0 0 G9862 Doc rsn no 10 yr follow 0 0 0 0 G9868 Next Gen ACO model <10min 28.83128 28.83128 31.4981734 27.389716 G9869 Next Gen ACO model 10-20min 38.561837 38.561837 42.1288069225 36.63374515 G9870 Next Gen ACO model >20min 48.292394 48.292394 52.759440445 45.8777743 G9873 1 EM core session 0 0 0 0 G9874 4 EM core sessions 0 0 0 0 G9875 9 EM core sessions 0 0 0 0 G9876 2 EM core MS mo 7-9 no WL 0 0 0 0 G9877 2 EM core MS mo 10-12 no WL 0 0 0 0 G9878 2 EM core MS mo 7-9 WL 0 0 0 0 G9879 2 EM core MS mo 10-12 WL 0 0 0 0 G9880 EM 5 percent WL 0 0 0 0 G9881 EM 9 percent WL 0 0 0 0 G9882 2 EM ongoing MS mo 13-15 WL 0 0 0 0 G9883 2 EM ongoing MS mo 16-18 WL 0 0 0 0 G9884 2 EM ongoing MS mo 19-21 WL 0 0 0 0 G9885 2 EM ongoing MS mo 22-24 WL 0 0 0 0 G9890 EM Bridge Payment 0 0 0 0 G9891 EM session reporting 0 0 0 0 G9892 Doc pt rsn no dil mac exam 0 0 0 0 G9893 No mac exam 0 0 0 0 G9894 Adr dep thrpy prescribed 0 0 0 0 G9895 Doc med rsn no adr dep thrpy 0 0 0 0 G9896 Doc pt rsn no adr dep thrpy 0 0 0 0 G9897 Pt nt prsc adr dep thrpy rng 0 0 0 0 G9898 Snp/lg trm cre pt w/pos cde 0 0 0 0 G9899 Scrn mam perf rslts doc 0 0 0 0 G9900 Scrn mam perf rslts not doc 0 0 0 0 G9901 Snp/lg trm cre pt w/pos cde 0 0 0 0 G9902 Pt scrn tbco and id as user 0 0 0 0 G9903 Pt scrn tbco id as non user 0 0 0 0 G9904 Doc med rsn no tbco scrn 0 0 0 0 G9905 No pt tbco scrn rng 0 0 0 0 G9906 Pt recv tbco cess interv 0 0 0 0 G9907 Doc med rsn no tbco interv 0 0 0 0 G9908 No pt tbco cess interv rng 0 0 0 0 G9909 Doc med rsn no tbco interv 0 0 0 0 G9910 Snp/lg trm cre pt w/pos cde 0 0 0 0 G9911 Node neg pre/post syst ther 0 0 0 0 G9912 Hbv status assesed and int 0 0 0 0 G9913 No hbv status assesd and int 0 0 0 0 G9914 Pt receiving anti-tnf agent 0 0 0 0 G9915 No documntd hbv results rcd 0 0 0 0 G9916 Funct status past 12 months 0 0 0 0 G9917 Doc med rsn no funct status 0 0 0 0 G9918 No funct stat perf, rsn nos 0 0 0 0 G9919 Scrn nd pos nd prov of rec 0 0 0 0 G9920 Scrning perf and negative 0 0 0 0 G9921 No or part scrn nd rng or os 0 0 0 0 G9922 Sfty cncrns scrn nd mit recs 0 0 0 0 G9923 Safty cncrns scrn and neg 0 0 0 0 G9924 Doc med rsn no scrn or recs 0 0 0 0 G9925 No scrn prov rsn nos 0 0 0 0 G9926 Sfty cncrns scrn but no recs 0 0 0 0 G9927 Doc no warf /fda pt trial 0 0 0 0 G9928 No warf or fda drug presc 0 0 0 0 G9929 Trs/rev af 0 0 0 0 G9930 Com care 0 0 0 0 G9931 No chad or chad scr 0 or 1 0 0 0 0 G9932 Doc pt rsn no tb scrn recrds 0 0 0 0 G9933 Canc detectd during col scrn 0 0 0 0 G9934 Doc rsn not detecting cancer 0 0 0 0 G9935 Canc not detectd during srcn 0 0 0 0 G9936 Pmh plyp/neo co/rect/jun/ans 0 0 0 0 G9937 Dig or surv colsco 0 0 0 0 G9938 Snp/lg trm cre pt w/pos cde 0 0 0 0 G9939 Same path/derm perf biopsy 0 0 0 0 G9940 Doc reas no statin therapy 0 0 0 0 G9941 Pre and post vas wthn 3 mos 0 0 0 0 G9942 Adtl spine proc on same date 0 0 0 0 G9943 Bk pn nt msr vas scl pre/pst 0 0 0 0 G9944 Vas 3 mon pre and 1 yr post 0 0 0 0 G9945 Pt w/cancer scoliosis 0 0 0 0 G9946 Bk pn nt msr vas pre-pst 1y 0 0 0 0 G9947 Pre and post vas wthn 3 mos 0 0 0 0 G9948 Adtl spine proc on same date 0 0 0 0 G9949 Lg pn nt msr vas scl pre/pst 0 0 0 0 G9954 Pt >2 rsk fac post-op vomit 0 0 0 0 G9955 Inhlnt anesth only for induc 0 0 0 0 G9956 Combo thrpy of >= 2 prophly 0 0 0 0 G9957 Doc med rsn no combo thrpy 0 0 0 0 G9958 No combo prohpyl thrp for pt 0 0 0 0 G9959 Systemic antimicro not presc 0 0 0 0 G9960 Med rsn sys antimi nt rx 0 0 0 0 G9961 Systemic antimicro presc 0 0 0 0 G9962 Embolization doc separatly 0 0 0 0 G9963 Embolization not doc separat 0 0 0 0 G9964 Pt recv >=1 well-chld visit 0 0 0 0 G9965 No well-chld vist recv by pt 0 0 0 0 G9966 Scrn, inter, report child 0 0 0 0 G9967 No scrn, inter, reprt child 0 0 0 0 G9968 Pt refrd 2 pvdr/spclst in pp 0 0 0 0 G9969 Pvdr rfrd pt rprt rcvd 0 0 0 0 G9970 Pvdr rfrd pt no rprt rcvd 0 0 0 0 G9974 Dil mac exam performed 0 0 0 0 G9975 Doc med rsn no mac exm perf 0 0 0 0 G9978 27.389716 27.389716 29.92326473 26.0202302 G9979 51.535913 51.535913 56.3029849525 48.95911735 G9980 77.484065 77.484065 84.6513410125 73.60986175 G9981 131.182324 131.182324 143.31668897 124.6232078 G9982 171.185725 171.185725 187.0204045625 162.62643875 G9983 25.948152 25.948152 28.34835606 24.6507444 G9984 51.896304 51.896304 56.69671212 49.3014888 G9985 80.006802 80.006802 87.407431185 76.0064619 G9986 112.802383 112.802383 123.2366034275 107.16226385 G9987 44.688484 44.688484 48.82216877 42.4540598 H0001 Alcohol and/or drug assess 0 0 0 0 H0002 Alcohol and/or drug screenin 0 0 0 0 H0003 Alcohol and/or drug screenin 0 0 0 0 H0004 Alcohol and/or drug services 0 0 0 0 H0005 Alcohol and/or drug services 0 0 0 0 H0006 Alcohol and/or drug services 0 0 0 0 H0007 Alcohol and/or drug services 0 0 0 0 H0008 Alcohol and/or drug services 0 0 0 0 H0009 Alcohol and/or drug services 0 0 0 0 H0010 Alcohol and/or drug services 0 0 0 0 H0011 Alcohol and/or drug services 0 0 0 0 H0012 Alcohol and/or drug services 0 0 0 0 H0013 Alcohol and/or drug services 0 0 0 0 H0014 Alcohol and/or drug services 0 0 0 0 H0015 Alcohol and/or drug services 0 0 0 0 H0016 Alcohol and/or drug services 0 0 0 0 H0017 Alcohol and/or drug services 0 0 0 0 H0018 Alcohol and/or drug services 0 0 0 0 H0019 Alcohol and/or drug services 0 0 0 0 H0020 Alcohol and/or drug services 0 0 0 0 H0021 Alcohol and/or drug training 0 0 0 0 H0022 Alcohol and/or drug interven 0 0 0 0 H0023 Alcohol and/or drug outreach 0 0 0 0 H0024 Alcohol and/or drug preventi 0 0 0 0 H0025 Alcohol and/or drug preventi 0 0 0 0 H0026 Alcohol and/or drug preventi 0 0 0 0 H0027 Alcohol and/or drug preventi 0 0 0 0 H0028 Alcohol and/or drug preventi 0 0 0 0 H0029 Alcohol and/or drug preventi 0 0 0 0 H0030 Alcohol and/or drug hotline 0 0 0 0 H0031 MH health assess by non-md 0 0 0 0 H0032 MH svc plan dev by non-md 0 0 0 0 H0033 Oral med adm direct observe 0 0 0 0 H0034 Med trng & support per 15min 0 0 0 0 H0035 MH partial hosp tx under 24h 0 0 0 0 H0036 Comm psy face-face per 15min 0 0 0 0 H0037 Comm psy sup tx pgm per diem 0 0 0 0 H0038 Self-help/peer svc per 15min 0 0 0 0 H0039 Asser com tx face-face/15min 0 0 0 0 H0040 Assert comm tx pgm per diem 0 0 0 0 H0041 Fos c chld non-ther per diem 0 0 0 0 H0042 Fos c chld non-ther per mon 0 0 0 0 H0043 Supported housing, per diem 0 0 0 0 H0044 Supported housing, per month 0 0 0 0 H0045 Respite not-in-home per diem 0 0 0 0 H0046 Mental health service, nos 0 0 0 0 H0047 Alcohol/drug abuse svc nos 0 0 0 0 H0048 Spec coll non-blood:a/d test 0 0 0 0 H0049 Alcohol/drug screening 0 0 0 0 H0050 Alcohol/drug service 15 min 0 0 0 0 H1000 Prenatal care atrisk assessm 0 0 0 0 H1001 Antepartum management 0 0 0 0 H1002 Carecoordination prenatal 0 0 0 0 H1003 Prenatal at risk education 0 0 0 0 H1004 Follow up home visit/prental 0 0 0 0 H1005 Prenatalcare enhanced srv pk 0 0 0 0 H1010 Nonmed family planning ed 0 0 0 0 H1011 Family assessment 0 0 0 0 H2000 Comp multidisipln evaluation 0 0 0 0 H2001 Rehabilitation program 1/2 d 0 0 0 0 H2010 Comprehensive med svc 15 min 0 0 0 0 H2011 Crisis interven svc, 15 min 0 0 0 0 H2012 Behav hlth day treat, per hr 0 0 0 0 H2013 Psych hlth fac svc, per diem 0 0 0 0 H2014 Skills train and dev, 15 min 0 0 0 0 H2015 Comp comm supp svc, 15 min 0 0 0 0 H2016 Comp comm supp svc, per diem 0 0 0 0 H2017 Psysoc rehab svc, per 15 min 0 0 0 0 H2018 Psysoc rehab svc, per diem 0 0 0 0 H2019 Ther behav svc, per 15 min 0 0 0 0 H2020 Ther behav svc, per diem 0 0 0 0 H2021 Com wrap-around sv, 15 min 0 0 0 0 H2022 Com wrap-around sv, per diem 0 0 0 0 H2023 Supported employ, per 15 min 0 0 0 0 H2024 Supported employ, per diem 0 0 0 0 H2025 Supp maint employ, 15 min 0 0 0 0 H2026 Supp maint employ, per diem 0 0 0 0 H2027 Psychoed svc, per 15 min 0 0 0 0 H2028 Sex offend tx svc, 15 min 0 0 0 0 H2029 Sex offend tx svc, per diem 0 0 0 0 H2030 MH clubhouse svc, per 15 min 0 0 0 0 H2031 MH clubhouse svc, per diem 0 0 0 0 H2032 Activity therapy, per 15 min 0 0 0 0 H2033 Multisys ther/juvenile 15min 0 0 0 0 H2034 A/D halfway house, per diem 0 0 0 0 H2035 A/D tx program, per hour 0 0 0 0 H2036 A/D tx program, per diem 0 0 0 0 H2037 Dev delay prev dp ch, 15 min 0 0 0 0 J0120 Tetracyclin injection 0 0 0 0 J0129 Abatacept injection 0 0 0 0 J0130 Abciximab injection 0 0 0 0 J0131 Acetaminophen injection 0 0 0 0 J0132 Acetylcysteine injection 0 0 0 0 J0133 Acyclovir injection 0 0 0 0 J0135 Adalimumab injection 0 0 0 0 J0153 Adenosine inj 1mg 0 0 0 0 J0171 Adrenalin epinephrine inject 0 0 0 0 J0178 Aflibercept injection 0 0 0 0 J0180 Agalsidase beta injection 0 0 0 0 J0185 0 0 0 0 J0190 Inj biperiden lactate/5 mg 0 0 0 0 J0200 Alatrofloxacin mesylate 0 0 0 0 J0202 Injection, alemtuzumab 0 0 0 0 J0205 Alglucerase injection 0 0 0 0 J0207 Amifostine 0 0 0 0 J0210 Methyldopate hcl injection 0 0 0 0 J0215 Alefacept 0 0 0 0 J0220 Alglucosidase alfa injection 0 0 0 0 J0221 Lumizyme injection 0 0 0 0 J0256 Alpha 1 proteinase inhibitor 0 0 0 0 J0257 Glassia injection 0 0 0 0 J0270 Alprostadil for injection 0 0 0 0 J0275 Alprostadil urethral suppos 0 0 0 0 J0278 Amikacin sulfate injection 0 0 0 0 J0280 Aminophyllin 250 MG inj 0 0 0 0 J0282 Amiodarone HCl 0 0 0 0 J0285 Amphotericin B 0 0 0 0 J0287 Amphotericin b lipid complex 0 0 0 0 J0288 Ampho b cholesteryl sulfate 0 0 0 0 J0289 Amphotericin b liposome inj 0 0 0 0 J0290 Ampicillin 500 MG inj 0 0 0 0 J0295 Ampicillin sodium per 1.5 gm 0 0 0 0 J0300 Amobarbital 125 MG inj 0 0 0 0 J0330 Succinycholine chloride inj 0 0 0 0 J0348 Anidulafungin injection 0 0 0 0 J0350 Injection anistreplase 30 u 0 0 0 0 J0360 Hydralazine hcl injection 0 0 0 0 J0364 Apomorphine hydrochloride 0 0 0 0 J0365 Aprotonin, 10,000 kiu 0 0 0 0 J0380 Inj metaraminol bitartrate 0 0 0 0 J0390 Chloroquine injection 0 0 0 0 J0395 Arbutamine hcl injection 0 0 0 0 J0400 Aripiprazole injection 0 0 0 0 J0401 Inj aripiprazole ext rel 1mg 0 0 0 0 J0456 Azithromycin 0 0 0 0 J0461 Atropine sulfate injection 0 0 0 0 J0470 Dimecaprol injection 0 0 0 0 J0475 Baclofen 10 MG injection 0 0 0 0 J0476 Baclofen intrathecal trial 0 0 0 0 J0480 Basiliximab 0 0 0 0 J0485 Belatacept injection 0 0 0 0 J0490 Belimumab injection 0 0 0 0 J0500 Dicyclomine injection 0 0 0 0 J0515 Inj benztropine mesylate 0 0 0 0 J0517 0 0 0 0 J0520 Bethanechol chloride inject 0 0 0 0 J0558 PenG benzathine/procaine inj 0 0 0 0 J0561 Penicillin g benzathine inj 0 0 0 0 J0565 Inj, bezlotoxumab, 10 mg 0 0 0 0 J0567 0 0 0 0 J0570 Penicillin g benzathine inj 0 0 0 0 J0571 Buprenorphine oral 1mg 0 0 0 0 J0572 Bupren/nal up to 3mg bupreno 0 0 0 0 J0573 Bupren/nal 3.1 to 6mg bupren 0 0 0 0 J0574 Bupren/nal 6.1 to 10mg bupre 0 0 0 0 J0575 Bupren/nal over 10mg bupreno 0 0 0 0 J0583 Bivalirudin 0 0 0 0 J0584 0 0 0 0 J0585 Injection,onabotulinumtoxinA 0 0 0 0 J0586 AbobotulinumtoxinA 0 0 0 0 J0587 Inj, rimabotulinumtoxinB 0 0 0 0 J0588 Incobotulinumtoxin a 0 0 0 0 J0592 Buprenorphine hydrochloride 0 0 0 0 J0594 Busulfan injection 0 0 0 0 J0595 Butorphanol tartrate 1 mg 0 0 0 0 J0596 Injection, ruconest 0 0 0 0 J0597 C-1 esterase, berinert 0 0 0 0 J0598 C-1 esterase, cinryze 0 0 0 0 J0599 0 0 0 0 J0600 Edetate calcium disodium inj 0 0 0 0 J0604 Cinacalcet, esrd on dialysis 0 0 0 0 J0606 Inj, etelcalcetide, 0.1 mg 0 0 0 0 J0610 Calcium gluconate injection 0 0 0 0 J0620 Calcium glycer & lact/10 ML 0 0 0 0 J0630 Calcitonin salmon injection 0 0 0 0 J0636 Inj calcitriol per 0.1 mcg 0 0 0 0 J0637 Caspofungin acetate 0 0 0 0 J0638 Canakinumab injection 0 0 0 0 J0640 Leucovorin calcium injection 0 0 0 0 J0641 Levoleucovorin injection 0 0 0 0 J0670 Inj mepivacaine HCL/10 ml 0 0 0 0 J0690 Cefazolin sodium injection 0 0 0 0 J0692 Cefepime HCl for injection 0 0 0 0 J0694 Cefoxitin sodium injection 0 0 0 0 J0695 Inj ceftolozane tazobactam 0 0 0 0 J0696 Ceftriaxone sodium injection 0 0 0 0 J0697 Sterile cefuroxime injection 0 0 0 0 J0698 Cefotaxime sodium injection 0 0 0 0 J0702 Betamethasone acet&sod phosp 0 0 0 0 J0706 Caffeine citrate injection 0 0 0 0 J0710 Cephapirin sodium injection 0 0 0 0 J0712 Ceftaroline fosamil inj 0 0 0 0 J0713 Inj ceftazidime per 500 mg 0 0 0 0 J0714 Ceftazidime and avibactam 0 0 0 0 J0715 Ceftizoxime sodium / 500 MG 0 0 0 0 J0716 Centruroides immune f(ab) 0 0 0 0 J0717 Certolizumab pegol inj 1mg 0 0 0 0 J0720 Chloramphenicol sodium injec 0 0 0 0 J0725 Chorionic gonadotropin/1000u 0 0 0 0 J0735 Clonidine hydrochloride 0 0 0 0 J0740 Cidofovir injection 0 0 0 0 J0743 Cilastatin sodium injection 0 0 0 0 J0744 Ciprofloxacin iv 0 0 0 0 J0745 Inj codeine phosphate /30 MG 0 0 0 0 J0770 Colistimethate sodium inj 0 0 0 0 J0775 Collagenase, clost hist inj 0 0 0 0 J0780 Prochlorperazine injection 0 0 0 0 J0795 Corticorelin ovine triflutal 0 0 0 0 J0800 Corticotropin injection 0 0 0 0 J0834 Cosyntropin cortrosyn inj 0 0 0 0 J0840 Crotalidae poly immune fab 0 0 0 0 J0841 0 0 0 0 J0850 Cytomegalovirus imm IV /vial 0 0 0 0 J0875 Injection, dalbavancin 0 0 0 0 J0878 Daptomycin injection 0 0 0 0 J0881 Darbepoetin alfa, non-esrd 0 0 0 0 J0882 Darbepoetin alfa, esrd use 0 0 0 0 J0883 Argatroban nonesrd use 1mg 0 0 0 0 J0884 Argatroban esrd dialysis 1mg 0 0 0 0 J0885 Epoetin alfa, non-esrd 0 0 0 0 J0887 Epoetin beta esrd use 0 0 0 0 J0888 Epoetin beta non esrd 0 0 0 0 J0890 Peginesatide injection 0 0 0 0 J0894 Decitabine injection 0 0 0 0 J0895 Deferoxamine mesylate inj 0 0 0 0 J0897 Denosumab injection 0 0 0 0 J0945 Brompheniramine maleate inj 0 0 0 0 J1000 Depo-estradiol cypionate inj 0 0 0 0 J1020 Methylprednisolone 20 MG inj 0 0 0 0 J1030 Methylprednisolone 40 MG inj 0 0 0 0 J1040 Methylprednisolone 80 MG inj 0 0 0 0 J1050 Medroxyprogesterone inj 0 0 0 0 J1071 Inj testosterone cypionate 0 0 0 0 J1094 Inj dexamethasone acetate 0 0 0 0 J1095 Inj dexamethasone acetate 0 0 0 0 J1100 Dexamethasone sodium phos 0 0 0 0 J1110 Inj dihydroergotamine mesylt 0 0 0 0 J1120 Acetazolamid sodium injectio 0 0 0 0 J1130 Inj diclofenac sodium 0.5mg 0 0 0 0 J1160 Digoxin injection 0 0 0 0 J1162 Digoxin immune fab (ovine) 0 0 0 0 J1165 Phenytoin sodium injection 0 0 0 0 J1170 Hydromorphone injection 0 0 0 0 J1180 Dyphylline injection 0 0 0 0 J1190 Dexrazoxane HCl injection 0 0 0 0 J1200 Diphenhydramine hcl injectio 0 0 0 0 J1205 Chlorothiazide sodium inj 0 0 0 0 J1212 Dimethyl sulfoxide 50% 50 ML 0 0 0 0 J1230 Methadone injection 0 0 0 0 J1240 Dimenhydrinate injection 0 0 0 0 J1245 Dipyridamole injection 0 0 0 0 J1250 Inj dobutamine HCL/250 mg 0 0 0 0 J1260 Dolasetron mesylate 0 0 0 0 J1265 Dopamine injection 0 0 0 0 J1267 Doripenem injection 0 0 0 0 J1270 Injection, doxercalciferol 0 0 0 0 J1290 Ecallantide injection 0 0 0 0 J1300 Eculizumab injection 0 0 0 0 J1301 0 0 0 0 J1320 Amitriptyline injection 0 0 0 0 J1322 Elosulfase alfa, injection 0 0 0 0 J1324 Enfuvirtide injection 0 0 0 0 J1325 Epoprostenol injection 0 0 0 0 J1327 Eptifibatide injection 0 0 0 0 J1330 Ergonovine maleate injection 0 0 0 0 J1335 Ertapenem injection 0 0 0 0 J1364 Erythro lactobionate /500 MG 0 0 0 0 J1380 Estradiol valerate 10 MG inj 0 0 0 0 J1410 Inj estrogen conjugate 25 MG 0 0 0 0 J1428 Inj, eteplirsen, 10 mg 0 0 0 0 J1430 Ethanolamine oleate 100 mg 0 0 0 0 J1435 Injection estrone per 1 MG 0 0 0 0 J1436 Etidronate disodium inj 0 0 0 0 J1438 Etanercept injection 0 0 0 0 J1439 Inj ferric carboxymaltos 1mg 0 0 0 0 J1442 Inj, filgrastim g-csf 1mcg 0 0 0 0 J1443 Inj ferric pyrophosphate cit 0 0 0 0 J1447 Inj tbo filgrastim 1 microg 0 0 0 0 J1450 Fluconazole 0 0 0 0 J1451 Fomepizole, 15 mg 0 0 0 0 J1452 Intraocular Fomivirsen na 0 0 0 0 J1453 Fosaprepitant injection 0 0 0 0 J1454 0 0 0 0 J1455 Foscarnet sodium injection 0 0 0 0 J1457 Gallium nitrate injection 0 0 0 0 J1458 Galsulfase injection 0 0 0 0 J1459 Inj IVIG privigen 500 mg 0 0 0 0 J1460 Gamma globulin 1 CC inj 0 0 0 0 J1555 Inj cuvitru, 100 mg 0 0 0 0 J1556 Inj, imm glob bivigam, 500mg 0 0 0 0 J1557 Gammaplex injection 0 0 0 0 J1559 Hizentra injection 0 0 0 0 J1560 Gamma globulin > 10 CC inj 0 0 0 0 J1561 Gamunex/gamunex c 0 0 0 0 J1562 Vivaglobin, inj 0 0 0 0 J1566 Immune globulin, powder 0 0 0 0 J1568 Octagam injection 0 0 0 0 J1569 Gammagard liquid injection 0 0 0 0 J1570 Ganciclovir sodium injection 0 0 0 0 J1571 Hepagam b im injection 0 0 0 0 J1572 Flebogamma injection 0 0 0 0 J1573 Hepagam b intravenous, inj 0 0 0 0 J1575 Hyqvia 100mg immuneglobulin 0 0 0 0 J1580 Garamycin gentamicin inj 0 0 0 0 J1595 Injection glatiramer acetate 0 0 0 0 J1599 Ivig non-lyophilized, NOS 0 0 0 0 J1600 Gold sodium thiomaleate inj 0 0 0 0 J1602 Golimumab for iv use 1mg 0 0 0 0 J1610 Glucagon hydrochloride/1 MG 0 0 0 0 J1620 Gonadorelin hydroch/ 100 mcg 0 0 0 0 J1626 Granisetron hcl injection 0 0 0 0 J1627 Inj, granisetron, xr, 0.1 mg 0 0 0 0 J1628 0 0 0 0 J1630 Haloperidol injection 0 0 0 0 J1631 Haloperidol decanoate inj 0 0 0 0 J1640 Hemin, 1 mg 0 0 0 0 J1642 Inj heparin sodium per 10 u 0 0 0 0 J1644 Inj heparin sodium per 1000u 0 0 0 0 J1645 Dalteparin sodium 0 0 0 0 J1650 Inj enoxaparin sodium 0 0 0 0 J1652 Fondaparinux sodium 0 0 0 0 J1655 Tinzaparin sodium injection 0 0 0 0 J1670 Tetanus immune globulin inj 0 0 0 0 J1675 Histrelin acetate 0 0 0 0 J1700 Hydrocortisone acetate inj 0 0 0 0 J1710 Hydrocortisone sodium ph inj 0 0 0 0 J1720 Hydrocortisone sodium succ i 0 0 0 0 J1726 Makena, 10 mg 0 0 0 0 J1729 Inj hydroxyprogst capoat nos 0 0 0 0 J1730 Diazoxide injection 0 0 0 0 J1740 Ibandronate sodium injection 0 0 0 0 J1741 Ibuprofen injection 0 0 0 0 J1742 Ibutilide fumarate injection 0 0 0 0 J1743 Idursulfase injection 0 0 0 0 J1744 Icatibant injection 0 0 0 0 J1745 Infliximab injection 0 0 0 0 J1746 0 0 0 0 J1750 Inj iron dextran 0 0 0 0 J1756 Iron sucrose injection 0 0 0 0 J1786 Imuglucerase injection 0 0 0 0 J1790 Droperidol injection 0 0 0 0 J1800 Propranolol injection 0 0 0 0 J1810 Droperidol/fentanyl inj 0 0 0 0 J1815 Insulin injection 0 0 0 0 J1817 Insulin for insulin pump use 0 0 0 0 J1826 Interferon Beta-1A inj 0 0 0 0 J1830 Interferon beta-1b / .25 MG 0 0 0 0 J1833 Injection, isavuconazonium 0 0 0 0 J1835 Itraconazole injection 0 0 0 0 J1840 Kanamycin sulfate 500 MG inj 0 0 0 0 J1850 Kanamycin sulfate 75 MG inj 0 0 0 0 J1885 Ketorolac tromethamine inj 0 0 0 0 J1890 Cephalothin sodium injection 0 0 0 0 J1930 Lanreotide injection 0 0 0 0 J1931 Laronidase injection 0 0 0 0 J1940 Furosemide injection 0 0 0 0 J1942 Aripiprazole lauroxil 1mg 0 0 0 0 J1945 Lepirudin 0 0 0 0 J1950 Leuprolide acetate /3.75 MG 0 0 0 0 J1953 Levetiracetam injection 0 0 0 0 J1955 Inj levocarnitine per 1 gm 0 0 0 0 J1956 Levofloxacin injection 0 0 0 0 J1960 Levorphanol tartrate inj 0 0 0 0 J1980 Hyoscyamine sulfate inj 0 0 0 0 J1990 Chlordiazepoxide injection 0 0 0 0 J2001 Lidocaine injection 0 0 0 0 J2010 Lincomycin injection 0 0 0 0 J2020 Linezolid injection 0 0 0 0 J2060 Lorazepam injection 0 0 0 0 J2062 0 0 0 0 J2150 Mannitol injection 0 0 0 0 J2170 Mecasermin injection 0 0 0 0 J2175 Meperidine hydrochl /100 MG 0 0 0 0 J2180 Meperidine/promethazine inj 0 0 0 0 J2182 Injection, mepolizumab, 1mg 0 0 0 0 J2185 Meropenem 0 0 0 0 J2186 0 0 0 0 J2210 Methylergonovin maleate inj 0 0 0 0 J2212 Methylnaltrexone injection 0 0 0 0 J2248 Micafungin sodium injection 0 0 0 0 J2250 Inj midazolam hydrochloride 0 0 0 0 J2260 Inj milrinone lactate / 5 MG 0 0 0 0 J2265 Minocycline hydrochloride 0 0 0 0 J2270 Morphine sulfate injection 0 0 0 0 J2274 In morphine preservativ free 0 0 0 0 J2278 Ziconotide injection 0 0 0 0 J2280 Inj, moxifloxacin 100 mg 0 0 0 0 J2300 Inj nalbuphine hydrochloride 0 0 0 0 J2310 Inj naloxone hydrochloride 0 0 0 0 J2315 Naltrexone, depot form 0 0 0 0 J2320 Nandrolone decanoate 50 MG 0 0 0 0 J2323 Natalizumab injection 0 0 0 0 J2325 Nesiritide injection 0 0 0 0 J2326 Inj, nusinersen, 0.1mg 0 0 0 0 J2350 Injection, ocrelizumab, 1 mg 0 0 0 0 J2353 Octreotide injection, depot 0 0 0 0 J2354 Octreotide inj, non-depot 0 0 0 0 J2355 Oprelvekin injection 0 0 0 0 J2357 Omalizumab injection 0 0 0 0 J2358 Olanzapine long-acting inj 0 0 0 0 J2360 Orphenadrine injection 0 0 0 0 J2370 Phenylephrine hcl injection 0 0 0 0 J2400 Chloroprocaine hcl injection 0 0 0 0 J2405 Ondansetron hcl injection 0 0 0 0 J2407 Injection, oritavancin 0 0 0 0 J2410 Oxymorphone hcl injection 0 0 0 0 J2425 Palifermin injection 0 0 0 0 J2426 Paliperidone palmitate inj 0 0 0 0 J2430 Pamidronate disodium /30 MG 0 0 0 0 J2440 Papaverin hcl injection 0 0 0 0 J2460 Oxytetracycline injection 0 0 0 0 J2469 Palonosetron hcl 0 0 0 0 J2501 Paricalcitol 0 0 0 0 J2502 Inj, pasireotide long acting 0 0 0 0 J2503 Pegaptanib sodium injection 0 0 0 0 J2504 Pegademase bovine, 25 iu 0 0 0 0 J2505 Injection, pegfilgrastim 6mg 0 0 0 0 J2507 Pegloticase injection 0 0 0 0 J2510 Penicillin g procaine inj 0 0 0 0 J2513 Pentastarch 10% solution 0 0 0 0 J2515 Pentobarbital sodium inj 0 0 0 0 J2540 Penicillin g potassium inj 0 0 0 0 J2543 Piperacillin/tazobactam 0 0 0 0 J2545 Pentamidine non-comp unit 0 0 0 0 J2547 Injection, peramivir 0 0 0 0 J2550 Promethazine hcl injection 0 0 0 0 J2560 Phenobarbital sodium inj 0 0 0 0 J2562 Plerixafor injection 0 0 0 0 J2590 Oxytocin injection 0 0 0 0 J2597 Inj desmopressin acetate 0 0 0 0 J2650 Prednisolone acetate inj 0 0 0 0 J2670 Totazoline hcl injection 0 0 0 0 J2675 Inj progesterone per 50 MG 0 0 0 0 J2680 Fluphenazine decanoate 25 MG 0 0 0 0 J2690 Procainamide hcl injection 0 0 0 0 J2700 Oxacillin sodium injeciton 0 0 0 0 J2704 Inj, propofol, 10 mg 0 0 0 0 J2710 Neostigmine methylslfte inj 0 0 0 0 J2720 Inj protamine sulfate/10 MG 0 0 0 0 J2724 Protein c concentrate 0 0 0 0 J2725 Inj protirelin per 250 mcg 0 0 0 0 J2730 Pralidoxime chloride inj 0 0 0 0 J2760 Phentolaine mesylate inj 0 0 0 0 J2765 Metoclopramide hcl injection 0 0 0 0 J2770 Quinupristin/dalfopristin 0 0 0 0 J2778 Ranibizumab injection 0 0 0 0 J2780 Ranitidine hydrochloride inj 0 0 0 0 J2783 Rasburicase 0 0 0 0 J2785 Regadenoson injection 0 0 0 0 J2786 Injection, reslizumab, 1mg 0 0 0 0 J2787 0 0 0 0 J2788 Rho d immune globulin 50 mcg 0 0 0 0 J2790 Rho d immune globulin inj 0 0 0 0 J2791 Rhophylac injection 0 0 0 0 J2792 Rho(D) immune globulin h, sd 0 0 0 0 J2793 Rilonacept injection 0 0 0 0 J2794 Risperidone, long acting 0 0 0 0 J2795 Ropivacaine HCl injection 0 0 0 0 J2796 Romiplostim injection 0 0 0 0 J2797 0 0 0 0 J2800 Methocarbamol injection 0 0 0 0 J2805 Sincalide injection 0 0 0 0 J2810 Inj theophylline per 40 MG 0 0 0 0 J2820 Sargramostim injection 0 0 0 0 J2840 Inj sebelipase alfa 1 mg 0 0 0 0 J2850 Inj secretin synthetic human 0 0 0 0 J2860 Injection, siltuximab 0 0 0 0 J2910 Aurothioglucose injeciton 0 0 0 0 J2916 Na ferric gluconate complex 0 0 0 0 J2920 Methylprednisolone injection 0 0 0 0 J2930 Methylprednisolone injection 0 0 0 0 J2940 Somatrem injection 0 0 0 0 J2941 Somatropin injection 0 0 0 0 J2950 Promazine hcl injection 0 0 0 0 J2993 Reteplase injection 0 0 0 0 J2995 Inj streptokinase /250000 IU 0 0 0 0 J2997 Alteplase recombinant 0 0 0 0 J3000 Streptomycin injection 0 0 0 0 J3010 Fentanyl citrate injeciton 0 0 0 0 J3030 Sumatriptan succinate / 6 MG 0 0 0 0 J3060 Inj, taliglucerace alfa 10 u 0 0 0 0 J3070 Pentazocine injection 0 0 0 0 J3090 Inj tedizolid phosphate 0 0 0 0 J3095 Telavancin injection 0 0 0 0 J3101 Tenecteplase injection 0 0 0 0 J3105 Terbutaline sulfate inj 0 0 0 0 J3110 Teriparatide injection 0 0 0 0 J3121 Inj testostero enanthate 1mg 0 0 0 0 J3145 Testosterone undecanoate 1mg 0 0 0 0 J3230 Chlorpromazine hcl injection 0 0 0 0 J3240 Thyrotropin injection 0 0 0 0 J3243 Tigecycline injection 0 0 0 0 J3245 Tirofiban hydrochloride 0 0 0 0 J3246 Tirofiban HCl 0 0 0 0 J3250 Trimethobenzamide hcl inj 0 0 0 0 J3260 Tobramycin sulfate injection 0 0 0 0 J3262 Tocilizumab injection 0 0 0 0 J3265 Injection torsemide 10 mg/ml 0 0 0 0 J3280 Thiethylperazine maleate inj 0 0 0 0 J3285 Treprostinil injection 0 0 0 0 J3300 Triamcinolone A inj PRS-free 0 0 0 0 J3301 Triamcinolone acet inj NOS 0 0 0 0 J3302 Triamcinolone diacetate inj 0 0 0 0 J3303 Triamcinolone hexacetonl inj 0 0 0 0 J3304 0 0 0 0 J3305 Inj trimetrexate glucoronate 0 0 0 0 J3310 Perphenazine injeciton 0 0 0 0 J3315 Triptorelin pamoate 0 0 0 0 J3316 0 0 0 0 J3320 Spectinomycn di-hcl inj 0 0 0 0 J3350 Urea injection 0 0 0 0 J3355 Urofollitropin, 75 iu 0 0 0 0 J3357 Ustekinumab injection 0 0 0 0 J3358 Ustekinumab, iv inject, 1 mg 0 0 0 0 J3360 Diazepam injection 0 0 0 0 J3364 Urokinase 5000 IU injection 0 0 0 0 J3365 Urokinase 250,000 IU inj 0 0 0 0 J3370 Vancomycin hcl injection 0 0 0 0 J3380 Injection, vedolizumab 0 0 0 0 J3385 Velaglucerase alfa 0 0 0 0 J3396 Verteporfin injection 0 0 0 0 J3397 0 0 0 0 J3398 0 0 0 0 J3400 Triflupromazine hcl inj 0 0 0 0 J3410 Hydroxyzine hcl injection 0 0 0 0 J3411 Thiamine hcl 100 mg 0 0 0 0 J3415 Pyridoxine hcl 100 mg 0 0 0 0 J3420 Vitamin b12 injection 0 0 0 0 J3430 Vitamin k phytonadione inj 0 0 0 0 J3465 Injection, voriconazole 0 0 0 0 J3470 Hyaluronidase injection 0 0 0 0 J3471 Ovine, up to 999 USP units 0 0 0 0 J3472 Ovine, 1000 USP units 0 0 0 0 J3473 Hyaluronidase recombinant 0 0 0 0 J3475 Inj magnesium sulfate 0 0 0 0 J3480 Inj potassium chloride 0 0 0 0 J3485 Zidovudine 0 0 0 0 J3486 Ziprasidone mesylate 0 0 0 0 J3489 Zoledronic acid 1mg 0 0 0 0 J3490 Drugs unclassified injection 0 0 0 0 J3520 Edetate disodium per 150 mg 0 0 0 0 J3530 Nasal vaccine inhalation 0 0 0 0 J3535 Metered dose inhaler drug 0 0 0 0 J3570 Laetrile amygdalin vit B17 0 0 0 0 J3590 Unclassified biologics 0 0 0 0 J3591 0 0 0 0 J7030 Normal saline solution infus 0 0 0 0 J7040 Normal saline solution infus 0 0 0 0 J7042 5% dextrose/normal saline 0 0 0 0 J7050 Normal saline solution infus 0 0 0 0 J7060 5% dextrose/water 0 0 0 0 J7070 D5w infusion 0 0 0 0 J7100 Dextran 40 infusion 0 0 0 0 J7110 Dextran 75 infusion 0 0 0 0 J7120 Ringers lactate infusion 0 0 0 0 J7121 5% dextrose in lac ringers 0 0 0 0 J7131 Hypertonic saline sol 0 0 0 0 J7170 0 0 0 0 J7175 Inj, factor x, (human), 1iu 0 0 0 0 J7177 0 0 0 0 J7178 Human fibrinogen conc inj 0 0 0 0 J7179 Vonvendi inj 1 iu vwf:rco 0 0 0 0 J7180 Factor XIII anti-hem factor 0 0 0 0 J7181 Factor xiii recomb a-subunit 0 0 0 0 J7182 Factor viii recomb novoeight 0 0 0 0 J7183 Wilate injection 0 0 0 0 J7185 Xyntha inj 0 0 0 0 J7186 Antihemophilic viii/vwf comp 0 0 0 0 J7187 Humate-P, inj 0 0 0 0 J7188 Inj Vonwillebrand factor iu 0 0 0 0 J7189 Factor viia 0 0 0 0 J7190 Factor viii 0 0 0 0 J7191 Factor VIII (porcine) 0 0 0 0 J7192 Factor viii recombinant NOS 0 0 0 0 J7193 Factor IX non-recombinant 0 0 0 0 J7194 Factor ix complex 0 0 0 0 J7195 Factor IX recombinant 0 0 0 0 J7196 Antithrombin recombinant 0 0 0 0 J7197 Antithrombin iii injection 0 0 0 0 J7198 Anti-inhibitor 0 0 0 0 J7199 Hemophilia clot factor noc 0 0 0 0 J7200 Factor ix recombinan rixubis 0 0 0 0 J7201 Factor ix fc fusion recomb 0 0 0 0 J7202 Factor ix idelvion inj 0 0 0 0 J7203 0 0 0 0 J7205 Factor viii fc fusion recomb 0 0 0 0 J7207 Factor viii pegylated recomb 0 0 0 0 J7209 Factor viii nuwiq recomb 1iu 0 0 0 0 J7210 Inj, afstyla, 1 i.u. 0 0 0 0 J7211 Inj, kovaltry, 1 i.u. 0 0 0 0 J7296 Kyleena, 19.5 mg 0 0 0 0 J7297 Levonorgestrel iu 52mg 3 yr 0 0 0 0 J7298 Levonorgestrel iu 52mg 5 yr 0 0 0 0 J7300 Intraut copper contraceptive 0 0 0 0 J7301 Skyla 13.5mg 0 0 0 0 J7303 Contraceptive vaginal ring 0 0 0 0 J7304 Contraceptive hormone patch 0 0 0 0 J7306 Levonorgestrel implant sys 0 0 0 0 J7307 Etonogestrel implant system 0 0 0 0 J7308 Aminolevulinic acid hcl top 0 0 0 0 J7309 Methyl aminolevulinate, top 0 0 0 0 J7310 Ganciclovir long act implant 0 0 0 0 J7311 Fluocinolone acetonide implt 0 0 0 0 J7312 Dexamethasone intra implant 0 0 0 0 J7313 Fluocinol acet intravit imp 0 0 0 0 J7315 Ophthalmic mitomycin 0 0 0 0 J7316 Sodium hyaluronate injection 0 0 0 0 J7318 0 0 0 0 J7320 Hylan G-F 20 injection 0 0 0 0 J7321 Hyalgan/supartz inj per dose 0 0 0 0 J7322 Synvisc inj per dose 0 0 0 0 J7323 Euflexxa inj per dose 0 0 0 0 J7324 Orthovisc inj per dose 0 0 0 0 J7325 Synvisc or Synvisc-One 0 0 0 0 J7326 Gel-one 0 0 0 0 J7327 Monovisc inj per dose 0 0 0 0 J7328 Gel-syn injection 0.1 mg 0 0 0 0 J7329 0 0 0 0 J7330 Cultured chondrocytes implnt 0 0 0 0 J7336 Capsaicin 8% patch 0 0 0 0 J7340 Metabolic active D/E tissue 0 0 0 0 J7342 Metabolically active tissue 0 0 0 0 J7345 Non-human, non-metab tissue 0 0 0 0 J7500 Azathioprine oral 50mg 0 0 0 0 J7501 Azathioprine parenteral 0 0 0 0 J7502 Cyclosporine oral 100 mg 0 0 0 0 J7503 Tacrol envarsus ex rel oral 0 0 0 0 J7504 Lymphocyte immune globulin 0 0 0 0 J7505 Monoclonal antibodies 0 0 0 0 J7507 Tacrolimus oral per 1 MG 0 0 0 0 J7508 Tacrolimus oral per 5 MG 0 0 0 0 J7509 Methylprednisolone oral 0 0 0 0 J7510 Prednisolone oral per 5 mg 0 0 0 0 J7511 Antithymocyte globuln rabbit 0 0 0 0 J7512 Prednisone ir or dr oral 1mg 0 0 0 0 J7513 Daclizumab, parenteral 0 0 0 0 J7515 Cyclosporine oral 25 mg 0 0 0 0 J7516 Cyclosporin parenteral 250mg 0 0 0 0 J7517 Mycophenolate mofetil oral 0 0 0 0 J7518 Mycophenolic acid 0 0 0 0 J7520 Sirolimus, oral 0 0 0 0 J7525 Tacrolimus injection 0 0 0 0 J7527 Oral everolimus 0 0 0 0 J7599 Immunosuppressive drug noc 0 0 0 0 J7604 Acetylcysteine comp unit 0 0 0 0 J7605 Arformoterol non-comp unit 0 0 0 0 J7606 Formoterol fumarate, inh 0 0 0 0 J7607 Levalbuterol comp con 0 0 0 0 J7608 Acetylcysteine non-comp unit 0 0 0 0 J7609 Albuterol comp unit 0 0 0 0 J7610 Albuterol comp con 0 0 0 0 J7611 Albuterol non-comp con 0 0 0 0 J7612 Levalbuterol non-comp con 0 0 0 0 J7613 Albuterol non-comp unit 0 0 0 0 J7614 Levalbuterol non-comp unit 0 0 0 0 J7615 Levalbuterol comp unit 0 0 0 0 J7620 Albuterol ipratrop non-comp 0 0 0 0 J7622 Beclomethasone comp unit 0 0 0 0 J7624 Betamethasone comp unit 0 0 0 0 J7626 Budesonide non-comp unit 0 0 0 0 J7627 Budesonide comp unit 0 0 0 0 J7628 Bitolterol mesylate comp con 0 0 0 0 J7629 Bitolterol mesylate comp unt 0 0 0 0 J7631 Cromolyn sodium noncomp unit 0 0 0 0 J7632 Cromolyn sodium comp unit 0 0 0 0 J7633 Budesonide non-comp con 0 0 0 0 J7634 Budesonide comp con 0 0 0 0 J7635 Atropine comp con 0 0 0 0 J7636 Atropine comp unit 0 0 0 0 J7637 Dexamethasone comp con 0 0 0 0 J7638 Dexamethasone comp unit 0 0 0 0 J7639 Dornase alfa non-comp unit 0 0 0 0 J7640 Formoterol comp unit 0 0 0 0 J7641 Flunisolide comp unit 0 0 0 0 J7642 Glycopyrrolate comp con 0 0 0 0 J7643 Glycopyrrolate comp unit 0 0 0 0 J7644 Ipratropium bromide non-comp 0 0 0 0 J7645 Ipratropium bromide comp 0 0 0 0 J7647 Isoetharine comp con 0 0 0 0 J7648 Isoetharine non-comp con 0 0 0 0 J7649 Isoetharine non-comp unit 0 0 0 0 J7650 Isoetharine comp unit 0 0 0 0 J7657 Isoproterenol comp con 0 0 0 0 J7658 Isoproterenol non-comp con 0 0 0 0 J7659 Isoproterenol non-comp unit 0 0 0 0 J7660 Isoproterenol comp unit 0 0 0 0 J7665 Mannitol for inhaler 0 0 0 0 J7667 Metaproterenol comp con 0 0 0 0 J7668 Metaproterenol non-comp con 0 0 0 0 J7669 Metaproterenol non-comp unit 0 0 0 0 J7670 Metaproterenol comp unit 0 0 0 0 J7674 Methacholine chloride, neb 0 0 0 0 J7676 Pentamidine comp unit dose 0 0 0 0 J7680 Terbutaline sulf comp con 0 0 0 0 J7681 Terbutaline sulf comp unit 0 0 0 0 J7682 Tobramycin non-comp unit 0 0 0 0 J7683 Triamcinolone comp con 0 0 0 0 J7684 Triamcinolone comp unit 0 0 0 0 J7685 Tobramycin comp unit 0 0 0 0 J7686 Treprostinil, non-comp unit 0 0 0 0 J7699 Inhalation solution for DME 0 0 0 0 J7799 Non-inhalation drug for DME 0 0 0 0 J7999 Compounded drug, noc 0 0 0 0 J8498 Antiemetic rectal/supp NOS 0 0 0 0 J8499 Oral prescrip drug non chemo 0 0 0 0 J8501 Oral aprepitant 0 0 0 0 J8510 Oral busulfan 0 0 0 0 J8515 Cabergoline, oral 0.25mg 0 0 0 0 J8520 Capecitabine, oral, 150 mg 0 0 0 0 J8521 Capecitabine, oral, 500 mg 0 0 0 0 J8530 Cyclophosphamide oral 25 MG 0 0 0 0 J8540 Oral dexamethasone 0 0 0 0 J8560 Etoposide oral 50 MG 0 0 0 0 J8562 Oral fludarabine phosphate 0 0 0 0 J8565 Gefitinib oral 0 0 0 0 J8597 Antiemetic drug oral NOS 0 0 0 0 J8600 Melphalan oral 2 MG 0 0 0 0 J8610 Methotrexate oral 2.5 MG 0 0 0 0 J8650 Nabilone oral 0 0 0 0 J8655 Netupitant palonosetron oral 0 0 0 0 J8670 Rolapitant, oral, 1mg 0 0 0 0 J8700 Temozolomide 0 0 0 0 J8705 Topotecan oral 0 0 0 0 J8999 Oral prescription drug chemo 0 0 0 0 J9000 Doxorubicin hcl injection 0 0 0 0 J9015 Aldesleukin injection 0 0 0 0 J9017 Arsenic trioxide injection 0 0 0 0 J9019 Erwinaze injection 0 0 0 0 J9020 Asparaginase injection 0 0 0 0 J9022 Inj, atezolizumab,10 mg 0 0 0 0 J9023 Injection, avelumab, 10 mg 0 0 0 0 J9025 Azacitidine injection 0 0 0 0 J9027 Clofarabine injection 0 0 0 0 J9031 Bcg live intravesical vac 0 0 0 0 J9032 Injection, belinostat, 10mg 0 0 0 0 J9033 Bendamustine injection 0 0 0 0 J9034 Inj., bendeka 1 mg 0 0 0 0 J9035 Bevacizumab injection 0 0 0 0 J9039 Injection, blinatumomab 0 0 0 0 J9040 Bleomycin sulfate injection 0 0 0 0 J9041 Bortezomib injection 0 0 0 0 J9042 Brentuximab vedotin inj 0 0 0 0 J9043 Cabazitaxel injection 0 0 0 0 J9044 0 0 0 0 J9045 Carboplatin injection 0 0 0 0 J9047 Injection, carfilzomib, 1 mg 0 0 0 0 J9050 Carmustine injection 0 0 0 0 J9055 Cetuximab injection 0 0 0 0 J9057 0 0 0 0 J9060 Cisplatin 10 MG injection 0 0 0 0 J9065 Inj cladribine per 1 MG 0 0 0 0 J9070 Cyclophosphamide 100 MG inj 0 0 0 0 J9098 Cytarabine liposome inj 0 0 0 0 J9100 Cytarabine hcl 100 MG inj 0 0 0 0 J9120 Dactinomycin injection 0 0 0 0 J9130 Dacarbazine 100 mg inj 0 0 0 0 J9145 Injection, daratumumab 10 mg 0 0 0 0 J9150 Daunorubicin injection 0 0 0 0 J9151 Daunorubicin citrate inj 0 0 0 0 J9153 0 0 0 0 J9155 Degarelix injection 0 0 0 0 J9160 Denileukin diftitox inj 0 0 0 0 J9165 Diethylstilbestrol injection 0 0 0 0 J9171 Docetaxel injection 0 0 0 0 J9173 0 0 0 0 J9175 Elliotts b solution per ml 0 0 0 0 J9176 Injection, elotuzumab, 1mg 0 0 0 0 J9178 Inj, epirubicin hcl, 2 mg 0 0 0 0 J9179 Eribulin mesylate injection 0 0 0 0 J9181 Etoposide injection 0 0 0 0 J9185 Fludarabine phosphate inj 0 0 0 0 J9190 Fluorouracil injection 0 0 0 0 J9200 Floxuridine injection 0 0 0 0 J9201 Gemcitabine hcl injection 0 0 0 0 J9202 Goserelin acetate implant 0 0 0 0 J9203 Gemtuzumab ozogamicin 0.1 mg 0 0 0 0 J9205 Inj irinotecan liposome 1 mg 0 0 0 0 J9206 Irinotecan injection 0 0 0 0 J9207 Ixabepilone injection 0 0 0 0 J9208 Ifosfamide injection 0 0 0 0 J9209 Mesna injection 0 0 0 0 J9211 Idarubicin hcl injection 0 0 0 0 J9212 Interferon alfacon-1 inj 0 0 0 0 J9213 Interferon alfa-2a inj 0 0 0 0 J9214 Interferon alfa-2b inj 0 0 0 0 J9215 Interferon alfa-n3 inj 0 0 0 0 J9216 Interferon gamma 1-b inj 0 0 0 0 J9217 Leuprolide acetate suspnsion 0 0 0 0 J9218 Leuprolide acetate injeciton 0 0 0 0 J9219 Leuprolide acetate implant 0 0 0 0 J9225 Vantas implant 0 0 0 0 J9226 Supprelin LA implant 0 0 0 0 J9228 Ipilimumab injection 0 0 0 0 J9229 0 0 0 0 J9230 Mechlorethamine hcl inj 0 0 0 0 J9245 Inj melphalan hydrochl 50 MG 0 0 0 0 J9250 Methotrexate sodium inj 0 0 0 0 J9260 Methotrexate sodium inj 0 0 0 0 J9261 Nelarabine injection 0 0 0 0 J9262 Inj, omacetaxine mep, 0.01mg 0 0 0 0 J9263 Oxaliplatin 0 0 0 0 J9264 Paclitaxel protein bound 0 0 0 0 J9266 Pegaspargase injection 0 0 0 0 J9267 Paclitaxel injection 0 0 0 0 J9268 Pentostatin injection 0 0 0 0 J9270 Plicamycin (mithramycin) inj 0 0 0 0 J9271 Inj pembrolizumab 0 0 0 0 J9280 Mitomycin 5 MG inj 0 0 0 0 J9285 Inj, olaratumab, 10 mg 0 0 0 0 J9293 Mitoxantrone hydrochl / 5 MG 0 0 0 0 J9295 Injection, necitumumab, 1 mg 0 0 0 0 J9299 Injection, nivolumab 0 0 0 0 J9301 Obinutuzumab inj 0 0 0 0 J9302 Ofatumumab injection 0 0 0 0 J9303 Panitumumab injection 0 0 0 0 J9305 Pemetrexed injection 0 0 0 0 J9306 Injection, pertuzumab, 1 mg 0 0 0 0 J9307 Pralatrexate injection 0 0 0 0 J9308 Injection, ramucirumab 0 0 0 0 J9311 0 0 0 0 J9312 0 0 0 0 J9315 Romidepsin injection 0 0 0 0 J9320 Streptozocin injection 0 0 0 0 J9325 Inj talimogene laherparepvec 0 0 0 0 J9328 Temozolomide injection 0 0 0 0 J9330 Temsirolimus injection 0 0 0 0 J9340 Thiotepa injection 0 0 0 0 J9351 Topotecan injection 0 0 0 0 J9352 Injection trabectedin 0.1mg 0 0 0 0 J9354 Inj, ado-trastuzumab emt 1mg 0 0 0 0 J9355 Trastuzumab injection 0 0 0 0 J9357 Valrubicin injection 0 0 0 0 J9360 Vinblastine sulfate inj 0 0 0 0 J9370 Vincristine sulfate 1 MG inj 0 0 0 0 J9371 Inj, vincristine sul lip 1mg 0 0 0 0 J9390 Vinorelbine tartrate inj 0 0 0 0 J9395 Injection, Fulvestrant 0 0 0 0 J9400 Inj, ziv-aflibercept, 1mg 0 0 0 0 J9600 Porfimer sodium injection 0 0 0 0 J9999 Chemotherapy drug 0 0 0 0 M0075 Cellular therapy 0 0 0 0 M0076 Prolotherapy 0 0 0 0 M0100 Intragastric hypothermia 0 0 0 0 M0300 IV chelationtherapy 0 0 0 0 M0301 Fabric wrapping of aneurysm 0 0 0 0 M1000 0 0 0 0 M1001 0 0 0 0 M1002 0 0 0 0 M1003 0 0 0 0 M1004 0 0 0 0 M1005 0 0 0 0 M1006 0 0 0 0 M1007 0 0 0 0 M1008 0 0 0 0 M1009 0 0 0 0 M1010 0 0 0 0 M1011 0 0 0 0 M1012 0 0 0 0 M1013 0 0 0 0 M1014 0 0 0 0 M1015 0 0 0 0 M1016 0 0 0 0 M1017 0 0 0 0 M1018 0 0 0 0 M1019 0 0 0 0 M1020 0 0 0 0 M1021 0 0 0 0 M1022 0 0 0 0 M1023 0 0 0 0 M1024 0 0 0 0 M1025 0 0 0 0 M1026 0 0 0 0 M1027 0 0 0 0 M1028 0 0 0 0 M1029 0 0 0 0 M1030 0 0 0 0 M1031 0 0 0 0 M1032 0 0 0 0 M1033 0 0 0 0 M1034 0 0 0 0 M1035 0 0 0 0 M1036 0 0 0 0 M1037 0 0 0 0 M1038 0 0 0 0 M1039 0 0 0 0 M1040 0 0 0 0 M1041 0 0 0 0 M1042 0 0 0 0 M1043 0 0 0 0 M1044 0 0 0 0 M1045 0 0 0 0 M1046 0 0 0 0 M1047 0 0 0 0 M1048 0 0 0 0 M1049 0 0 0 0 M1050 0 0 0 0 M1051 0 0 0 0 M1052 0 0 0 0 M1053 0 0 0 0 M1054 0 0 0 0 M1055 0 0 0 0 M1056 0 0 0 0 M1057 0 0 0 0 M1058 0 0 0 0 M1059 0 0 0 0 M1060 0 0 0 0 M1061 0 0 0 0 M1062 0 0 0 0 M1063 0 0 0 0 M1064 0 0 0 0 M1065 0 0 0 0 M1066 0 0 0 0 M1067 0 0 0 0 M1068 0 0 0 0 M1069 0 0 0 0 M1070 0 0 0 0 M1071 0 0 0 0 P2028 Cephalin floculation test 0 0 0 0 P2029 Congo red blood test 0 0 0 0 P2031 Hair analysis 0 0 0 0 P2033 Blood thymol turbidity 0 0 0 0 P2038 Blood mucoprotein 0 0 0 0 P3000 Screen pap by tech w md supv 0 0 0 0 P3001 Screening pap smear by phys 32.43519 32.43519 35.435445075 30.8134305 P7001 Culture bacterial urine 0 0 0 0 P9010 Whole blood for transfusion 0 0 0 0 P9011 Blood split unit 0 0 0 0 P9012 Cryoprecipitate each unit 0 0 0 0 P9016 RBC leukocytes reduced 0 0 0 0 P9017 Plasma 1 donor frz w/in 8 hr 0 0 0 0 P9019 Platelets, each unit 0 0 0 0 P9020 Plaelet rich plasma unit 0 0 0 0 P9021 Red blood cells unit 0 0 0 0 P9022 Washed red blood cells unit 0 0 0 0 P9023 Frozen plasma, pooled, sd 0 0 0 0 P9031 Platelets leukocytes reduced 0 0 0 0 P9032 Platelets, irradiated 0 0 0 0 P9033 Platelets leukoreduced irrad 0 0 0 0 P9034 Platelets, pheresis 0 0 0 0 P9035 Platelet pheres leukoreduced 0 0 0 0 P9036 Platelet pheresis irradiated 0 0 0 0 P9037 Plate pheres leukoredu irrad 0 0 0 0 P9038 RBC irradiated 0 0 0 0 P9039 RBC deglycerolized 0 0 0 0 P9040 RBC leukoreduced irradiated 0 0 0 0 P9041 Albumin (human),5%, 50ml 0 0 0 0 P9043 Plasma protein fract,5%,50ml 0 0 0 0 P9044 Cryoprecipitatereducedplasma 0 0 0 0 P9045 Albumin (human), 5%, 250 ml 0 0 0 0 P9046 Albumin (human), 25%, 20 ml 0 0 0 0 P9047 Albumin (human), 25%, 50ml 0 0 0 0 P9048 Plasmaprotein fract,5%,250ml 0 0 0 0 P9050 Granulocytes, pheresis unit 0 0 0 0 P9051 Blood, l/r, cmv-neg 0 0 0 0 P9052 Platelets, hla-m, l/r, unit 0 0 0 0 P9053 Plt, pher, l/r cmv-neg, irr 0 0 0 0 P9054 Blood, l/r, froz/degly/wash 0 0 0 0 P9055 Plt, aph/pher, l/r, cmv-neg 0 0 0 0 P9056 Blood, l/r, irradiated 0 0 0 0 P9057 RBC, frz/deg/wsh, l/r, irrad 0 0 0 0 P9058 RBC, l/r, cmv-neg, irrad 0 0 0 0 P9059 Plasma, frz between 8-24hour 0 0 0 0 P9060 Fr frz plasma donor retested 0 0 0 0 P9070 Pathogen reduced plasma pool 0 0 0 0 P9071 Pathogen reduced plasma sing 0 0 0 0 P9073 Platelets, pathogen reduced 0 0 0 0 P9100 Pathogen test for platelets 0 0 0 0 P9603 One-way allow prorated miles 0 0 0 0 P9604 One-way allow prorated trip 0 0 0 0 P9612 Catheterize for urine spec 0 0 0 0 P9615 Urine specimen collect mult 0 0 0 0 Q0035 Cardiokymography 11.532512 11.532512 12.59926936 10.9558864 TC Q0035 Cardiokymography 9.009775 9.009775 9.8431791875 8.55928625 26 Q0035 Cardiokymography 20.542287 20.542287 22.4424485475 19.51517265 Q0081 Infusion ther other than che 0 0 0 0 Q0083 Chemo by other than infusion 0 0 0 0 Q0084 Chemotherapy by infusion 0 0 0 0 Q0085 Chemo by both infusion and o 0 0 0 0 Q0091 Obtaining screen pap smear 19.821505 19.821505 21.6549942125 18.83042975 Q0092 Set up port xray equipment 24.506588 24.506588 26.77344739 23.2812586 Q0111 Wet mounts/ w preparations 0 0 0 0 Q0112 Potassium hydroxide preps 0 0 0 0 Q0113 Pinworm examinations 0 0 0 0 Q0114 Fern test 0 0 0 0 Q0115 Post-coital mucous exam 0 0 0 0 Q0138 Ferumoxytol, non-esrd 0 0 0 0 Q0139 Ferumoxytol, esrd use 0 0 0 0 Q0144 Azithromycin dihydrate, oral 0 0 0 0 Q0161 Chlorpromazine hcl 5mg oral 0 0 0 0 Q0162 Ondansetron oral 0 0 0 0 Q0163 Diphenhydramine HCl 50mg 0 0 0 0 Q0164 Prochlorperazine maleate 5mg 0 0 0 0 Q0166 Granisetron hcl 1 mg oral 0 0 0 0 Q0167 Dronabinol 2.5mg oral 0 0 0 0 Q0169 Promethazine HCl 12.5mg oral 0 0 0 0 Q0173 Trimethobenzamide HCl 250mg 0 0 0 0 Q0174 Thiethylperazine maleate10mg 0 0 0 0 Q0175 Perphenazine 4mg oral 0 0 0 0 Q0177 Hydroxyzine pamoate 25mg 0 0 0 0 Q0180 Dolasetron mesylate oral 0 0 0 0 Q0181 Unspecified oral anti-emetic 0 0 0 0 Q0477 Pwr module pt cable lvad rpl 0 0 0 0 Q0478 Power adapter, combo vad 0 0 0 0 Q0479 Power module combo vad, rep 0 0 0 0 Q0480 Driver pneumatic vad, rep 0 0 0 0 Q0481 Microprcsr cu elec vad, rep 0 0 0 0 Q0482 Microprcsr cu combo vad, rep 0 0 0 0 Q0483 Monitor elec vad, rep 0 0 0 0 Q0484 Monitor elec or comb vad rep 0 0 0 0 Q0485 Monitor cable elec vad, rep 0 0 0 0 Q0486 Mon cable elec/pneum vad rep 0 0 0 0 Q0487 Leads any type vad, rep only 0 0 0 0 Q0488 Pwr pack base elec vad, rep 0 0 0 0 Q0489 Pwr pck base combo vad, rep 0 0 0 0 Q0490 Emr pwr source elec vad, rep 0 0 0 0 Q0491 Emr pwr source combo vad rep 0 0 0 0 Q0492 Emr pwr cbl elec vad, rep 0 0 0 0 Q0493 Emr pwr cbl combo vad, rep 0 0 0 0 Q0494 Emr hd pmp elec/combo, rep 0 0 0 0 Q0495 Charger elec/combo vad, rep 0 0 0 0 Q0496 Battery elec/combo vad, rep 0 0 0 0 Q0497 Bat clps elec/comb vad, rep 0 0 0 0 Q0498 Holster elec/combo vad, rep 0 0 0 0 Q0499 Belt/vest elec/combo vad rep 0 0 0 0 Q0500 Filters elec/combo vad, rep 0 0 0 0 Q0501 Shwr cov elec/combo vad, rep 0 0 0 0 Q0502 Mobility cart pneum vad, rep 0 0 0 0 Q0503 Battery pneum vad replacemnt 0 0 0 0 Q0504 Pwr adpt pneum vad, rep veh 0 0 0 0 Q0506 Lith-ion batt elec/pneum VAD 0 0 0 0 Q0507 Misc sup/acc ext vad 0 0 0 0 Q0508 Mis sup/acc imp vad 0 0 0 0 Q0509 Mis sup/ac imp vad nopay med 0 0 0 0 Q0510 Dispens fee immunosupressive 0 0 0 0 Q0511 Sup fee antiem,antica,immuno 0 0 0 0 Q0512 Px sup fee anti-can sub pres 0 0 0 0 Q0513 Disp fee inhal drugs/30 days 0 0 0 0 Q0514 Disp fee inhal drugs/90 days 0 0 0 0 Q0515 Sermorelin acetate injection 0 0 0 0 Q1004 Ntiol category 4 0 0 0 0 Q1005 Ntiol category 5 0 0 0 0 Q2004 Bladder calculi irrig sol 0 0 0 0 Q2009 Fosphenytoin inj PE 0 0 0 0 Q2017 Teniposide, 50 mg 0 0 0 0 Q2026 Radiesse injection 0 0 0 0 Q2028 Inj, sculptra, 0.5mg 0 0 0 0 Q2034 Agriflu vaccine 0 0 0 0 Q2035 Afluria vacc, 3 yrs & >, im 0 0 0 0 Q2036 Flulaval vacc, 3 yrs & >, im 0 0 0 0 Q2037 Fluvirin vacc, 3 yrs & >, im 0 0 0 0 Q2038 Fluzone vacc, 3 yrs & >, im 0 0 0 0 Q2039 NOS flu vacc, 3 yrs & >, im 0 0 0 0 Q2041 Axicabtagene ciloleucel car+ 0 0 0 0 Q2042 0 0 0 0 Q2043 Sipuleucel-T auto CD54+ 0 0 0 0 Q2049 Imported lipodox inj 0 0 0 0 Q2050 Doxorubicin inj 10mg 0 0 0 0 Q2052 Ivig demo, services/supplies 0 0 0 0 Q3001 Brachytherapy Radioelements 0 0 0 0 Q3014 Telehealth facility fee 0 0 0 0 Q3027 Inj beta interferon im 1 mcg 0 0 0 0 Q3028 Inj beta interferon sq 1 mcg 0 0 0 0 Q3031 Collagen skin test 0 0 0 0 Q4001 Cast sup body cast plaster 0 0 0 0 Q4002 Cast sup body cast fiberglas 0 0 0 0 Q4003 Cast sup shoulder cast plstr 0 0 0 0 Q4004 Cast sup shoulder cast fbrgl 0 0 0 0 Q4005 Cast sup long arm adult plst 0 0 0 0 Q4006 Cast sup long arm adult fbrg 0 0 0 0 Q4007 Cast sup long arm ped plster 0 0 0 0 Q4008 Cast sup long arm ped fbrgls 0 0 0 0 Q4009 Cast sup sht arm adult plstr 0 0 0 0 Q4010 Cast sup sht arm adult fbrgl 0 0 0 0 Q4011 Cast sup sht arm ped plaster 0 0 0 0 Q4012 Cast sup sht arm ped fbrglas 0 0 0 0 Q4013 Cast sup gauntlet plaster 0 0 0 0 Q4014 Cast sup gauntlet fiberglass 0 0 0 0 Q4015 Cast sup gauntlet ped plster 0 0 0 0 Q4016 Cast sup gauntlet ped fbrgls 0 0 0 0 Q4017 Cast sup lng arm splint plst 0 0 0 0 Q4018 Cast sup lng arm splint fbrg 0 0 0 0 Q4019 Cast sup lng arm splnt ped p 0 0 0 0 Q4020 Cast sup lng arm splnt ped f 0 0 0 0 Q4021 Cast sup sht arm splint plst 0 0 0 0 Q4022 Cast sup sht arm splint fbrg 0 0 0 0 Q4023 Cast sup sht arm splnt ped p 0 0 0 0 Q4024 Cast sup sht arm splnt ped f 0 0 0 0 Q4025 Cast sup hip spica plaster 0 0 0 0 Q4026 Cast sup hip spica fiberglas 0 0 0 0 Q4027 Cast sup hip spica ped plstr 0 0 0 0 Q4028 Cast sup hip spica ped fbrgl 0 0 0 0 Q4029 Cast sup long leg plaster 0 0 0 0 Q4030 Cast sup long leg fiberglass 0 0 0 0 Q4031 Cast sup lng leg ped plaster 0 0 0 0 Q4032 Cast sup lng leg ped fbrgls 0 0 0 0 Q4033 Cast sup lng leg cylinder pl 0 0 0 0 Q4034 Cast sup lng leg cylinder fb 0 0 0 0 Q4035 Cast sup lngleg cylndr ped p 0 0 0 0 Q4036 Cast sup lngleg cylndr ped f 0 0 0 0 Q4037 Cast sup shrt leg plaster 0 0 0 0 Q4038 Cast sup shrt leg fiberglass 0 0 0 0 Q4039 Cast sup shrt leg ped plster 0 0 0 0 Q4040 Cast sup shrt leg ped fbrgls 0 0 0 0 Q4041 Cast sup lng leg splnt plstr 0 0 0 0 Q4042 Cast sup lng leg splnt fbrgl 0 0 0 0 Q4043 Cast sup lng leg splnt ped p 0 0 0 0 Q4044 Cast sup lng leg splnt ped f 0 0 0 0 Q4045 Cast sup sht leg splnt plstr 0 0 0 0 Q4046 Cast sup sht leg splnt fbrgl 0 0 0 0 Q4047 Cast sup sht leg splnt ped p 0 0 0 0 Q4048 Cast sup sht leg splnt ped f 0 0 0 0 Q4049 Finger splint, static 0 0 0 0 Q4050 Cast supplies unlisted 0 0 0 0 Q4051 Splint supplies misc 0 0 0 0 Q4074 Iloprost non-comp unit dose 0 0 0 0 Q4081 Epoetin alfa, 100 units ESRD 0 0 0 0 Q4082 Drug/bio NOC part B drug CAP 0 0 0 0 Q4100 Skin substitute, NOS 0 0 0 0 Q4101 Apligraf 0 0 0 0 Q4102 Oasis wound matrix 0 0 0 0 Q4103 Oasis burn matrix 0 0 0 0 Q4104 Integra BMWD 0 0 0 0 Q4105 Integra DRT 0 0 0 0 Q4106 Dermagraft 0 0 0 0 Q4107 Graftjacket 0 0 0 0 Q4108 Integra matrix 0 0 0 0 Q4110 Primatrix 0 0 0 0 Q4111 Gammagraft 0 0 0 0 Q4112 Cymetra injectable 0 0 0 0 Q4113 Graftjacket xpress 0 0 0 0 Q4114 Integra flowable wound matri 0 0 0 0 Q4115 Alloskin 0 0 0 0 Q4116 Alloderm 0 0 0 0 Q4117 Hyalomatrix 0 0 0 0 Q4118 Matristem micromatrix 0 0 0 0 Q4121 Theraskin 0 0 0 0 Q4122 Dermacell 0 0 0 0 Q4123 Alloskin 0 0 0 0 Q4124 Oasis tri-layer wound matrix 0 0 0 0 Q4125 Arthroflex 0 0 0 0 Q4126 Memoderm 0 0 0 0 Q4127 Talymed 0 0 0 0 Q4128 Flexhd or allopatch hd 0 0 0 0 Q4130 Strattice TM 0 0 0 0 Q4132 Grafix core 0 0 0 0 Q4133 Grafix prime 0 0 0 0 Q4134 Hmatrix 0 0 0 0 Q4135 Mediskin 0 0 0 0 Q4136 Ezderm 0 0 0 0 Q4137 Amnioexcel or biodexcel, 1cm 0 0 0 0 Q4138 Biodfence dryflex, 1cm 0 0 0 0 Q4139 Amnio or biodmatrix, inj 1cc 0 0 0 0 Q4140 Biodfence 1cm 0 0 0 0 Q4141 Alloskin ac, 1 cm 0 0 0 0 Q4142 Xcm biologic tiss matrix 1cm 0 0 0 0 Q4143 Repriza, 1cm 0 0 0 0 Q4145 Epifix, inj, 1mg 0 0 0 0 Q4146 Tensix, 1cm 0 0 0 0 Q4147 Architect ecm, 1cm 0 0 0 0 Q4148 Neox 1k, 1cm 0 0 0 0 Q4149 Excellagen, 0.1 cc 0 0 0 0 Q4150 Allowrap ds or dry 1 sq cm 0 0 0 0 Q4151 Amnioband, guardian 1 sq cm 0 0 0 0 Q4152 Dermapure 1 square cm 0 0 0 0 Q4153 Dermavest, plurivest sq cm 0 0 0 0 Q4154 Biovance 1 square cm 0 0 0 0 Q4155 Neoxflo or clarixflo 1 mg 0 0 0 0 Q4156 Neox 100 1 square cm 0 0 0 0 Q4157 Revitalon 1 square cm 0 0 0 0 Q4158 Marigen 1 square cm 0 0 0 0 Q4159 Affinity1 square cm 0 0 0 0 Q4160 Nushield 1 square cm 0 0 0 0 Q4161 Bio-connekt per square cm 0 0 0 0 Q4162 Amnio bio and woundex flow 0 0 0 0 Q4163 Amnio bio and woundex sq cm 0 0 0 0 Q4164 Helicoll, per square cm 0 0 0 0 Q4165 Keramatrix, per square cm 0 0 0 0 Q4166 Cytal, per square centimeter 0 0 0 0 Q4167 Truskin, per sq centimeter 0 0 0 0 Q4168 Amnioband, 1 mg 0 0 0 0 Q4169 Artacent wound, per sq cm 0 0 0 0 Q4170 Cygnus, per sq cm 0 0 0 0 Q4171 Interfyl, 1 mg 0 0 0 0 Q4173 Palingen or palingen xplus 0 0 0 0 Q4174 Palingen or promatrx 0 0 0 0 Q4175 Miroderm 0 0 0 0 Q4176 Neopatch, per sq centimeter 0 0 0 0 Q4177 Floweramnioflo, 0.1 cc 0 0 0 0 Q4178 Floweramniopatch, per sq cm 0 0 0 0 Q4179 Flowerderm, per sq cm 0 0 0 0 Q4180 Revita, per sq cm 0 0 0 0 Q4181 Amnio wound, per square cm 0 0 0 0 Q4182 Transcyte, per sq centimeter 0 0 0 0 Q4183 0 0 0 0 Q4184 0 0 0 0 Q4185 0 0 0 0 Q4186 0 0 0 0 Q4187 0 0 0 0 Q4188 0 0 0 0 Q4189 0 0 0 0 Q4190 0 0 0 0 Q4191 0 0 0 0 Q4192 0 0 0 0 Q4193 0 0 0 0 Q4194 0 0 0 0 Q4195 0 0 0 0 Q4196 0 0 0 0 Q4197 0 0 0 0 Q4198 0 0 0 0 Q4200 0 0 0 0 Q4201 0 0 0 0 Q4202 0 0 0 0 Q4203 0 0 0 0 Q4204 0 0 0 0 Q5001 Hospice in patient home 0 0 0 0 Q5002 Hospice in assisted living 0 0 0 0 Q5003 Hospice in LT/non-skilled NF 0 0 0 0 Q5004 Hospice in SNF 0 0 0 0 Q5005 Hospice, inpatient hospital 0 0 0 0 Q5006 Hospice in hospice facility 0 0 0 0 Q5007 Hospice in LTCH 0 0 0 0 Q5008 Hospice in inpatient psych 0 0 0 0 Q5009 Hospice care, NOS 0 0 0 0 Q5010 Hospice home care in hospice 0 0 0 0 Q5101 Inj filgrastim gcsf biosimil 0 0 0 0 Q5103 Injection, inflectra 0 0 0 0 Q5104 Injection, renflexis 0 0 0 0 Q5105 0 0 0 0 Q5106 0 0 0 0 Q5107 0 0 0 0 Q5108 0 0 0 0 Q5109 0 0 0 0 Q5110 0 0 0 0 Q5111 0 0 0 0 Q9950 LOCM 350-399mg/ml iodine,1ml 0 0 0 0 Q9951 LOCM >= 400 mg/ml iodine,1ml 0 0 0 0 Q9953 Inj Fe-based MR contrast,1ml 0 0 0 0 Q9954 Oral MR contrast, 100 ml 0 0 0 0 Q9955 Inj perflexane lip micros,ml 0 0 0 0 Q9956 Inj octafluoropropane mic,ml 0 0 0 0 Q9957 Inj perflutren lip micros,ml 0 0 0 0 Q9958 HOCM <=149 mg/ml iodine, 1ml 0 0 0 0 Q9959 HOCM 150-199mg/ml iodine,1ml 0 0 0 0 Q9960 HOCM 200-249mg/ml iodine,1ml 0 0 0 0 Q9961 HOCM 250-299mg/ml iodine,1ml 0 0 0 0 Q9962 HOCM 300-349mg/ml iodine,1ml 0 0 0 0 Q9963 HOCM 350-399mg/ml iodine,1ml 0 0 0 0 Q9964 HOCM>= 400mg/ml iodine, 1ml 0 0 0 0 Q9965 LOCM 100-199mg/ml iodine,1ml 0 0 0 0 Q9966 LOCM 200-299mg/ml iodine,1ml 0 0 0 0 Q9967 LOCM 300-399mg/ml iodine,1ml 0 0 0 0 Q9968 Visualization adjunct 0 0 0 0 Q9969 Non-heu tc-99m add-on/dose 0 0 0 0 Q9982 Flutemetamol f18 diagnostic 0 0 0 0 Q9983 Florbetaben f18 diagnostic 0 0 0 0 Q9991 Buprenorph xr 100 mg or less 0 0 0 0 Q9992 Buprenorphine xr over 100 mg 0 0 0 0 R0070 Transport portable x-ray 0 0 0 0 R0075 Transport port x-ray multipl 0 0 0 0 R0076 Transport portable EKG 0 0 0 0 S0012 Butorphanol tartrate, nasal 0 0 0 0 S0014 Tacrine hydrochloride, 10 mg 0 0 0 0 S0017 Injection, aminocaproic acid 0 0 0 0 S0020 Injection, bupivicaine hydro 0 0 0 0 S0021 Injection, cefoperazone sod 0 0 0 0 S0023 Injection, cimetidine hydroc 0 0 0 0 S0028 Injection, famotidine, 20 mg 0 0 0 0 S0030 Injection, metronidazole 0 0 0 0 S0032 Injection, nafcillin sodium 0 0 0 0 S0034 Injection, ofloxacin, 400 mg 0 0 0 0 S0039 Injection, sulfamethoxazole 0 0 0 0 S0040 Injection, ticarcillin disod 0 0 0 0 S0073 Injection, aztreonam, 500 mg 0 0 0 0 S0074 Injection, cefotetan disodiu 0 0 0 0 S0077 Injection, clindamycin phosp 0 0 0 0 S0078 Injection, fosphenytoin sodi 0 0 0 0 S0080 Injection, pentamidine iseth 0 0 0 0 S0081 Injection, piperacillin sodi 0 0 0 0 S0088 Imatinib 100 mg 0 0 0 0 S0090 Sildenafil citrate, 25 mg 0 0 0 0 S0091 Granisetron 1mg 0 0 0 0 S0092 Hydromorphone 250 mg 0 0 0 0 S0093 Morphine 500 mg 0 0 0 0 S0104 Zidovudine, oral, 100 mg 0 0 0 0 S0106 Bupropion HCL SR 60 tablets 0 0 0 0 S0108 Mercaptopurine 50 mg 0 0 0 0 S0109 Methadone oral 5mg 0 0 0 0 S0117 Tretinoin topical 5 g 0 0 0 0 S0119 Ondansetron 4 mg 0 0 0 0 S0122 Inj menotropins 75 iu 0 0 0 0 S0126 Inj follitropin alfa 75 iu 0 0 0 0 S0128 Inj follitropin beta 75 iu 0 0 0 0 S0132 Inj ganirelix acetat 250 mcg 0 0 0 0 S0136 Clozapine, 25 mg 0 0 0 0 S0137 Didanosine, 25 mg 0 0 0 0 S0138 Finasteride, 5 mg 0 0 0 0 S0139 Minoxidil, 10 mg 0 0 0 0 S0140 Saquinavir, 200 mg 0 0 0 0 S0142 Colistimethate inh sol mg 0 0 0 0 S0145 Peg interferon alfa-2A/180 0 0 0 0 S0148 Peg interferon alfa-2b/10 0 0 0 0 S0155 Epoprostenol dilutant 0 0 0 0 S0156 Exemestane, 25 mg 0 0 0 0 S0157 Becaplermin gel 1%, 0.5 gm 0 0 0 0 S0160 Dextroamphetamine 0 0 0 0 S0164 Injection pantroprazole 0 0 0 0 S0166 Inj olanzapine 2.5mg 0 0 0 0 S0169 Calcitrol 0 0 0 0 S0170 Anastrozole 1 mg 0 0 0 0 S0171 Bumetanide 0.5 mg 0 0 0 0 S0172 Chlorambucil 2 mg 0 0 0 0 S0174 Dolasetron 50 mg 0 0 0 0 S0175 Flutamide 125 mg 0 0 0 0 S0176 Hydroxyurea 500 mg 0 0 0 0 S0177 Levamisole 50 mg 0 0 0 0 S0178 Lomustine 10 mg 0 0 0 0 S0179 Megestrol 20 mg 0 0 0 0 S0182 Procarbazine 5 mg 0 0 0 0 S0183 Prochlorperazine 5 mg 0 0 0 0 S0187 Tamoxifen 10 mg 0 0 0 0 S0189 Testosterone pellet 75 mg 0 0 0 0 S0190 Mifepristone, oral, 200 mg 0 0 0 0 S0191 Misoprostol, oral, 200 mcg 0 0 0 0 S0194 Vitamin suppl 100 caps 0 0 0 0 S0197 Prenatal vitamins 30 day 0 0 0 0 S0199 Med abortion inc all ex drug 0 0 0 0 S0201 Partial hospitalization serv 0 0 0 0 S0207 Paramedicintercep nonhospals 0 0 0 0 S0208 Paramed intrcept nonvol 0 0 0 0 S0209 WC van mileage per mi 0 0 0 0 S0215 Nonemerg transp mileage 0 0 0 0 S0220 Medical conference by physic 0 0 0 0 S0221 Medical conference, 60 min 0 0 0 0 S0250 Comp geriatr assmt team 0 0 0 0 S0255 Hospice refer visit nonmd 0 0 0 0 S0257 End of life counseling 0 0 0 0 S0260 H&P for surgery 0 0 0 0 S0265 Genetic counsel 15 mins 0 0 0 0 S0270 Home std case rate 30 days 0 0 0 0 S0271 Home hospice case 30 days 0 0 0 0 S0272 Home episodic case 30 days 0 0 0 0 S0273 MD home visit outside cap 0 0 0 0 S0274 Nurse practr visit outs cap 0 0 0 0 S0280 Medical home, initial plan 0 0 0 0 S0281 Medical home, maintenance 0 0 0 0 S0285 Cnslt before screen colonosc 0 0 0 0 S0302 Completed EPSDT 0 0 0 0 S0310 Hospitalist visit 0 0 0 0 S0311 Comp mgmt care coord adv ill 0 0 0 0 S0315 Disease management program 0 0 0 0 S0316 Follow-up/reassessment 0 0 0 0 S0317 Disease mgmt per diem 0 0 0 0 S0320 RN telephone calls to DMP 0 0 0 0 S0340 Lifestyle mod 1st stage 0 0 0 0 S0341 Lifestyle mod 2 or 3 stage 0 0 0 0 S0342 Lifestyle mod 4th stage 0 0 0 0 S0353 Cancer treatmentplan initial 0 0 0 0 S0354 Cancer treatment plan change 0 0 0 0 S0390 Rout foot care per visit 0 0 0 0 S0395 Impression casting ft 0 0 0 0 S0400 Global eswl kidney 0 0 0 0 S0500 Dispos cont lens 0 0 0 0 S0504 Singl prscrp lens 0 0 0 0 S0506 Bifoc prscp lens 0 0 0 0 S0508 Trifoc prscrp lens 0 0 0 0 S0510 Non-prscrp lens 0 0 0 0 S0512 Daily cont lens 0 0 0 0 S0514 Color cont lens 0 0 0 0 S0515 Scleral lens liquid bandage 0 0 0 0 S0516 Safety frames 0 0 0 0 S0518 Sunglass frames 0 0 0 0 S0580 Polycarb lens 0 0 0 0 S0581 Nonstnd lens 0 0 0 0 S0590 Misc integral lens serv 0 0 0 0 S0592 Comp cont lens eval 0 0 0 0 S0595 New lenses in pts old frame 0 0 0 0 S0596 Phakic iol refractive error 0 0 0 0 S0601 Screening proctoscopy 0 0 0 0 S0610 Annual gynecological examina 0 0 0 0 S0612 Annual gynecological examina 0 0 0 0 S0613 Ann breast exam 0 0 0 0 S0618 Audiometry for hearing aid 0 0 0 0 S0620 Routine ophthalmological exa 0 0 0 0 S0621 Routine ophthalmological exa 0 0 0 0 S0622 Phys exam for college 0 0 0 0 S0630 Removal of sutures 0 0 0 0 S0800 Laser in situ keratomileusis 0 0 0 0 S0810 Photorefractive keratectomy 0 0 0 0 S0812 Phototherap keratect 0 0 0 0 S1001 Deluxe item 0 0 0 0 S1002 Custom item 0 0 0 0 S1015 IV tubing extension set 0 0 0 0 S1016 Non-pvc intravenous administ 0 0 0 0 S1030 Gluc monitor purchase 0 0 0 0 S1031 Gluc monitor rental 0 0 0 0 S1034 Art pancreas system 0 0 0 0 S1035 Art pancreas inv disp sensor 0 0 0 0 S1036 Art pancreas ext transmitter 0 0 0 0 S1037 Art pancreas ext receiver 0 0 0 0 S1040 Cranial remolding orthosis 0 0 0 0 S1090 Mometasone sinus implant 0 0 0 0 S2053 Transplantation of small int 0 0 0 0 S2054 Transplantation of multivisc 0 0 0 0 S2055 Harvesting of donor multivis 0 0 0 0 S2060 Lobar lung transplantation 0 0 0 0 S2061 Donor lobectomy (lung) 0 0 0 0 S2065 Simult panc kidn trans 0 0 0 0 S2066 Breast GAP flap reconst 0 0 0 0 S2067 Breast "stacked" DIEP/GAP 0 0 0 0 S2068 Breast DIEP or SIEA flap 0 0 0 0 S2070 Cysto laser tx ureteral calc 0 0 0 0 S2079 Lap esophagomyotomy 0 0 0 0 S2080 Laup 0 0 0 0 S2083 Adjustment gastric band 0 0 0 0 S2095 Transcath emboliz microspher 0 0 0 0 S2102 Islet cell tissue transplant 0 0 0 0 S2103 Adrenal tissue transplant 0 0 0 0 S2107 Adoptive immunotherapy 0 0 0 0 S2112 Knee arthroscp harv 0 0 0 0 S2115 Periacetabular osteotomy 0 0 0 0 S2117 Arthroereisis, subtalar 0 0 0 0 S2118 Total hip resurfacing 0 0 0 0 S2120 Low density lipoprotein(LDL) 0 0 0 0 S2140 Cord blood harvesting 0 0 0 0 S2142 Cord blood-derived stem-cell 0 0 0 0 S2150 BMT harv/transpl 28d pkg 0 0 0 0 S2152 Solid organ transpl pkg 0 0 0 0 S2202 Echosclerotherapy 0 0 0 0 S2205 Minimally invasive direct co 0 0 0 0 S2206 Minimally invasive direct co 0 0 0 0 S2207 Minimally invasive direct co 0 0 0 0 S2208 Minimally invasive direct co 0 0 0 0 S2209 Minimally invasive direct co 0 0 0 0 S2225 Myringotomy laser-assist 0 0 0 0 S2230 Implant semi-imp hear 0 0 0 0 S2235 Implant auditory brain imp 0 0 0 0 S2260 Induced abortion 17-24 weeks 0 0 0 0 S2265 Induced abortion 25-28 wks 0 0 0 0 S2266 Induced abortion 29-31 wks 0 0 0 0 S2267 Induced abortion 32 or more 0 0 0 0 S2300 Arthroscopy, shoulder, surgi 0 0 0 0 S2325 Hip core decompression 0 0 0 0 S2340 Chemodenervation of abductor 0 0 0 0 S2341 Chemodenerv adduct vocal 0 0 0 0 S2342 Nasal endoscop po debrid 0 0 0 0 S2348 Decompress disc RF lumbar 0 0 0 0 S2350 Diskectomy, anterior, with d 0 0 0 0 S2351 Diskectomy, anterior, with d 0 0 0 0 S2400 Fetal surg congen hernia 0 0 0 0 S2401 Fetal surg urin trac obstr 0 0 0 0 S2402 Fetal surg cong cyst malf 0 0 0 0 S2403 Fetal surg pulmon sequest 0 0 0 0 S2404 Fetal surg myelomeningo 0 0 0 0 S2405 Fetal surg sacrococ teratoma 0 0 0 0 S2409 Fetal surg noc 0 0 0 0 S2411 Fetoscop laser ther TTTS 0 0 0 0 S2900 Robotic surgical system 0 0 0 0 S3000 Bilat dil retinal exam 0 0 0 0 S3005 Eval self-assess depression 0 0 0 0 S3600 Stat lab 0 0 0 0 S3601 Stat lab home/nf 0 0 0 0 S3620 Newborn metabolic screening 0 0 0 0 S3630 Eosinophil blood count 0 0 0 0 S3645 HIV-1 antibody testing of or 0 0 0 0 S3650 Saliva test, hormone level; 0 0 0 0 S3652 Saliva test, hormone level; 0 0 0 0 S3655 Antisperm antibodies test 0 0 0 0 S3708 Gastrointestinal fat absorpt 0 0 0 0 S3722 Dose optimization AUC - 5FU 0 0 0 0 S3800 Genetic testing ALS 0 0 0 0 S3840 DNA analysis RET-oncogene 0 0 0 0 S3841 Gene test retinoblastoma 0 0 0 0 S3842 Gene test Hippel-Lindau 0 0 0 0 S3844 DNA analysis deafness 0 0 0 0 S3845 Gene test alpha-thalassemia 0 0 0 0 S3846 Gene test beta-thalassemia 0 0 0 0 S3849 Gene test Niemann-Pick 0 0 0 0 S3850 Gene test sickle cell 0 0 0 0 S3852 DNA analysis APOE alzheimer 0 0 0 0 S3853 Gene test myo musclr dyst 0 0 0 0 S3854 Gene profile panel breast 0 0 0 0 S3861 Genetic test brugada 0 0 0 0 S3865 Comp genet test hyp cardiomy 0 0 0 0 S3866 Spec gene test hyp cardiomy 0 0 0 0 S3870 CGH test developmental delay 0 0 0 0 S3900 Surface EMG 0 0 0 0 S3902 Ballistocardiogram 0 0 0 0 S3904 Masters two step 0 0 0 0 S4005 Interim labor facility globa 0 0 0 0 S4011 IVF package 0 0 0 0 S4013 Compl GIFT case rate 0 0 0 0 S4014 Compl ZIFT case rate 0 0 0 0 S4015 Complete IVF nos case rate 0 0 0 0 S4016 Frozen IVF case rate 0 0 0 0 S4017 IVF canc a stim case rate 0 0 0 0 S4018 F EMB trns canc case rate 0 0 0 0 S4020 IVF canc a aspir case rate 0 0 0 0 S4021 IVF canc p aspir case rate 0 0 0 0 S4022 Asst oocyte fert case rate 0 0 0 0 S4023 Incompl donor egg case rate 0 0 0 0 S4025 Donor serv IVF case rate 0 0 0 0 S4026 Procure donor sperm 0 0 0 0 S4027 Store prev froz embryos 0 0 0 0 S4028 Microsurg epi sperm asp 0 0 0 0 S4030 Sperm procure init visit 0 0 0 0 S4031 Sperm procure subs visit 0 0 0 0 S4035 Stimulated IUI case rate 0 0 0 0 S4037 Cryo embryo transf case rate 0 0 0 0 S4040 Monit store cryo embryo 30 d 0 0 0 0 S4042 Ovulation mgmt per cycle 0 0 0 0 S4981 Insert levonorgestrel ius 0 0 0 0 S4989 Contracept IUD 0 0 0 0 S4990 Nicotine patch legend 0 0 0 0 S4991 Nicotine patch nonlegend 0 0 0 0 S4993 Contraceptive pills for bc 0 0 0 0 S4995 Smoking cessation gum 0 0 0 0 S5000 Prescription drug, generic 0 0 0 0 S5001 Prescription drug,brand name 0 0 0 0 S5010 5% dextrose and 0.45% saline 0 0 0 0 S5012 5% dextrose with potassium 0 0 0 0 S5013 5%dextrose/0.45%saline1000ml 0 0 0 0 S5014 D5W/0.45NS w KCl and MGS04 0 0 0 0 S5035 HIT routine device maint 0 0 0 0 S5036 HIT device repair 0 0 0 0 S5100 Adult daycare services 15min 0 0 0 0 S5101 Adult day care per half day 0 0 0 0 S5102 Adult day care per diem 0 0 0 0 S5105 Centerbased day care perdiem 0 0 0 0 S5108 Homecare train pt 15 min 0 0 0 0 S5109 Homecare train pt session 0 0 0 0 S5110 Family homecare training 15m 0 0 0 0 S5111 Family homecare train/sessio 0 0 0 0 S5115 Nonfamily homecare train/15m 0 0 0 0 S5116 Nonfamily HC train/session 0 0 0 0 S5120 Chore services per 15 min 0 0 0 0 S5121 Chore services per diem 0 0 0 0 S5125 Attendant care service /15m 0 0 0 0 S5126 Attendant care service /diem 0 0 0 0 S5130 Homaker service nos per 15m 0 0 0 0 S5131 Homemaker service nos /diem 0 0 0 0 S5135 Adult companioncare per 15m 0 0 0 0 S5136 Adult companioncare per diem 0 0 0 0 S5140 Adult foster care per diem 0 0 0 0 S5141 Adult foster care per month 0 0 0 0 S5145 Child fostercare th per diem 0 0 0 0 S5146 Ther fostercare child /month 0 0 0 0 S5150 Unskilled respite care /15m 0 0 0 0 S5151 Unskilled respitecare /diem 0 0 0 0 S5160 Emer response sys instal&tst 0 0 0 0 S5161 Emer rspns sys serv permonth 0 0 0 0 S5162 Emer rspns system purchase 0 0 0 0 S5165 Home modifications per serv 0 0 0 0 S5170 Homedelivered prepared meal 0 0 0 0 S5175 Laundry serv,ext,prof,/order 0 0 0 0 S5180 HH respiratory thrpy in eval 0 0 0 0 S5181 HH respiratory thrpy nos/day 0 0 0 0 S5185 Med reminder serv per month 0 0 0 0 S5190 Wellness assessment by nonph 0 0 0 0 S5199 Personal care item nos each 0 0 0 0 S5497 HIT cath care noc 0 0 0 0 S5498 HIT simple cath care 0 0 0 0 S5501 HIT complex cath care 0 0 0 0 S5502 HIT interim cath care 0 0 0 0 S5517 HIT declotting kit 0 0 0 0 S5518 HIT cath repair kit 0 0 0 0 S5520 HIT picc insert kit 0 0 0 0 S5521 HIT midline cath insert kit 0 0 0 0 S5522 HIT picc insert no supp 0 0 0 0 S5523 HIP midline cath insert kit 0 0 0 0 S5550 Insulin rapid 5 u 0 0 0 0 S5551 Insulin most rapid 5 u 0 0 0 0 S5552 Insulin intermed 5 u 0 0 0 0 S5553 Insulin long acting 5 u 0 0 0 0 S5560 Insulin reuse pen 1.5 ml 0 0 0 0 S5561 Insulin reuse pen 3 ml 0 0 0 0 S5565 Insulin cartridge 150 u 0 0 0 0 S5566 Insulin cartridge 300 u 0 0 0 0 S5570 Insulin dispos pen 1.5 ml 0 0 0 0 S5571 Insulin dispos pen 3 ml 0 0 0 0 S8030 Tantalum ring application 0 0 0 0 S8035 Magnetic source imaging 0 0 0 0 S8037 mrcp 0 0 0 0 S8040 Topographic brain mapping 0 0 0 0 S8042 MRI low field 0 0 0 0 S8055 Us guidance fetal reduct 0 0 0 0 S8080 Scintimammography 0 0 0 0 S8085 Fluorine-18 fluorodeoxygluco 0 0 0 0 S8092 Electron beam computed tomog 0 0 0 0 S8096 Portable peak flow meter 0 0 0 0 S8097 Asthma kit 0 0 0 0 S8100 Spacer without mask 0 0 0 0 S8101 Spacer with mask 0 0 0 0 S8110 Peak expiratory flow rate (p 0 0 0 0 S8120 O2 contents gas cubic ft 0 0 0 0 S8121 O2 contents liquid lb 0 0 0 0 S8130 Interferential stim 2 chan 0 0 0 0 S8131 Interferential stim 4 chan 0 0 0 0 S8185 Flutter device 0 0 0 0 S8186 Swivel adaptor 0 0 0 0 S8189 Trach supply noc 0 0 0 0 S8210 Mucus trap 0 0 0 0 S8265 Haberman feeder 0 0 0 0 S8270 Enuresis alarm 0 0 0 0 S8301 Infect control supplies NOS 0 0 0 0 S8415 Supplies for home delivery 0 0 0 0 S8420 Custom gradient sleev/glov 0 0 0 0 S8421 Ready gradient sleev/glov 0 0 0 0 S8422 Custom grad sleeve med 0 0 0 0 S8423 Custom grad sleeve heavy 0 0 0 0 S8424 Ready gradient sleeve 0 0 0 0 S8425 Custom grad glove med 0 0 0 0 S8426 Custom grad glove heavy 0 0 0 0 S8427 Ready gradient glove 0 0 0 0 S8428 Ready gradient gauntlet 0 0 0 0 S8429 Gradient pressure wrap 0 0 0 0 S8430 Padding for comprssn bdg 0 0 0 0 S8431 Compression bandage 0 0 0 0 S8450 Splint digit 0 0 0 0 S8451 Splint wrist or ankle 0 0 0 0 S8452 Splint elbow 0 0 0 0 S8460 Camisole post-mast 0 0 0 0 S8490 100 insulin syringes 0 0 0 0 S8930 Auricular electrostimulation 0 0 0 0 S8940 Hippotherapy per session 0 0 0 0 S8948 Low-level laser trmt 15 min 0 0 0 0 S8950 Complex lymphedema therapy, 0 0 0 0 S8990 Pt or manip for maint 0 0 0 0 S8999 Resuscitation bag 0 0 0 0 S9001 Home uterine monitor with or 0 0 0 0 S9007 Ultrafiltration monitor 0 0 0 0 S9024 Paranasal sinus ultrasound 0 0 0 0 S9025 Omnicardiogram/cardiointegra 0 0 0 0 S9034 ESWL for gallstones 0 0 0 0 S9055 Procuren or other growth fac 0 0 0 0 S9056 Coma stimulation per diem 0 0 0 0 S9061 Medical supplies and equipme 0 0 0 0 S9083 Urgent care center global 0 0 0 0 S9088 Services provided in urgent 0 0 0 0 S9090 Vertebral axial decompressio 0 0 0 0 S9097 Home visit wound care 0 0 0 0 S9098 Home phototherapy visit 0 0 0 0 S9110 Telemonitoring/home per mnth 0 0 0 0 S9117 Back school visit 0 0 0 0 S9122 Home health aide or certifie 0 0 0 0 S9123 Nursing care in home RN 0 0 0 0 S9124 Nursing care, in the home; b 0 0 0 0 S9125 Respite care, in the home, p 0 0 0 0 S9126 Hospice care, in the home, p 0 0 0 0 S9127 Social work visit, in the ho 0 0 0 0 S9128 Speech therapy, in the home, 0 0 0 0 S9129 Occupational therapy, in the 0 0 0 0 S9131 PT in the home per diem 0 0 0 0 S9140 Diabetic Management Program, 0 0 0 0 S9141 Diabetic Management Program, 0 0 0 0 S9145 Insulin pump initiation 0 0 0 0 S9150 Evaluation by ocularist 0 0 0 0 S9152 Speech therapy, re-eval 0 0 0 0 S9208 Home mgmt preterm labor 0 0 0 0 S9209 Home mgmt PPROM 0 0 0 0 S9211 Home mgmt gest hypertension 0 0 0 0 S9212 Hm postpar hyper per diem 0 0 0 0 S9213 Hm preeclamp per diem 0 0 0 0 S9214 Hm gest dm per diem 0 0 0 0 S9325 HIT pain mgmt per diem 0 0 0 0 S9326 HIT cont pain per diem 0 0 0 0 S9327 HIT int pain per diem 0 0 0 0 S9328 HIT pain imp pump diem 0 0 0 0 S9329 HIT chemo per diem 0 0 0 0 S9330 HIT cont chem diem 0 0 0 0 S9331 HIT intermit chemo diem 0 0 0 0 S9335 HT hemodialysis diem 0 0 0 0 S9336 HIT cont anticoag diem 0 0 0 0 S9338 HIT immunotherapy diem 0 0 0 0 S9339 HIT periton dialysis diem 0 0 0 0 S9340 HIT enteral per diem 0 0 0 0 S9341 HIT enteral grav diem 0 0 0 0 S9342 HIT enteral pump diem 0 0 0 0 S9343 HIT enteral bolus nurs 0 0 0 0 S9345 HIT anti-hemophil diem 0 0 0 0 S9346 HIT alpha-1-proteinas diem 0 0 0 0 S9347 HIT longterm infusion diem 0 0 0 0 S9348 HIT sympathomim diem 0 0 0 0 S9349 HIT tocolysis diem 0 0 0 0 S9351 HIT cont antiemetic diem 0 0 0 0 S9353 HIT cont insulin diem 0 0 0 0 S9355 HIT chelation diem 0 0 0 0 S9357 HIT enzyme replace diem 0 0 0 0 S9359 HIT anti-tnf per diem 0 0 0 0 S9361 HIT diuretic infus diem 0 0 0 0 S9363 HIT anti-spasmotic diem 0 0 0 0 S9364 HIT tpn total diem 0 0 0 0 S9365 HIT tpn 1 liter diem 0 0 0 0 S9366 HIT tpn 2 liter diem 0 0 0 0 S9367 HIT tpn 3 liter diem 0 0 0 0 S9368 HIT tpn over 3l diem 0 0 0 0 S9370 HT inj antiemetic diem 0 0 0 0 S9372 HT inj anticoag diem 0 0 0 0 S9373 HIT hydra total diem 0 0 0 0 S9374 HIT hydra 1 liter diem 0 0 0 0 S9375 HIT hydra 2 liter diem 0 0 0 0 S9376 HIT hydra 3 liter diem 0 0 0 0 S9377 HIT hydra over 3l diem 0 0 0 0 S9379 HIT noc per diem 0 0 0 0 S9381 HIT high risk/escort 0 0 0 0 S9401 Anticoag clinic per session 0 0 0 0 S9430 Pharmacy comp/disp serv 0 0 0 0 S9433 Medical food oral 100% nutr 0 0 0 0 S9434 Mod solid food suppl 0 0 0 0 S9435 Medical foods for inborn err 0 0 0 0 S9436 Lamaze class 0 0 0 0 S9437 Childbirth refresher class 0 0 0 0 S9438 Cesarean birth class 0 0 0 0 S9439 VBAC class 0 0 0 0 S9441 Asthma education 0 0 0 0 S9442 Birthing class 0 0 0 0 S9443 Lactation class 0 0 0 0 S9444 Parenting class 0 0 0 0 S9445 PT education noc individ 0 0 0 0 S9446 PT education noc group 0 0 0 0 S9447 Infant safety class 0 0 0 0 S9449 Weight mgmt class 0 0 0 0 S9451 Exercise class 0 0 0 0 S9452 Nutrition class 0 0 0 0 S9453 Smoking cessation class 0 0 0 0 S9454 Stress mgmt class 0 0 0 0 S9455 Diabetic Management Program, 0 0 0 0 S9460 Diabetic Management Program, 0 0 0 0 S9465 Diabetic Management Program, 0 0 0 0 S9470 Nutritional counseling, diet 0 0 0 0 S9472 Cardiac rehabilitation progr 0 0 0 0 S9473 Pulmonary rehabilitation pro 0 0 0 0 S9474 Enterostomal therapy by a re 0 0 0 0 S9475 Ambulatory setting substance 0 0 0 0 S9476 Vestibular rehab per diem 0 0 0 0 S9480 Intensive outpatient psychia 0 0 0 0 S9482 Family stabilization 15 min 0 0 0 0 S9484 Crisis intervention per hour 0 0 0 0 S9485 Crisis intervention mental h 0 0 0 0 S9490 HIT corticosteroid/diem 0 0 0 0 S9494 HIT antibiotic total diem 0 0 0 0 S9497 HIT antibiotic q3h diem 0 0 0 0 S9500 HIT antibiotic q24h diem 0 0 0 0 S9501 HIT antibiotic q12h diem 0 0 0 0 S9502 HIT antibiotic q8h diem 0 0 0 0 S9503 HIT antibiotic q6h diem 0 0 0 0 S9504 HIT antibiotic q4h diem 0 0 0 0 S9529 Venipuncture home/snf 0 0 0 0 S9537 HT hem horm inj diem 0 0 0 0 S9538 HIT blood products diem 0 0 0 0 S9542 HT inj noc per diem 0 0 0 0 S9558 HT inj growth horm diem 0 0 0 0 S9559 HIT inj interferon diem 0 0 0 0 S9560 HT inj hormone diem 0 0 0 0 S9562 HT inj palivizumab diem 0 0 0 0 S9590 HT irrigation diem 0 0 0 0 S9810 HT pharm per hour 0 0 0 0 S9900 Christian Sci Pract visit 0 0 0 0 S9901 Christian sci nurse visit 0 0 0 0 S9960 Air ambulanc nonemerg fixed 0 0 0 0 S9961 Air ambulan nonemerg rotary 0 0 0 0 S9970 Health club membership yr 0 0 0 0 S9975 Transplant related per diem 0 0 0 0 S9976 Lodging per diem 0 0 0 0 S9977 Meals per diem 0 0 0 0 S9981 Med record copy admin 0 0 0 0 S9982 Med record copy per page 0 0 0 0 S9986 Not medically necessary svc 0 0 0 0 S9988 Serv part of phase I trial 0 0 0 0 S9989 Services outside US 0 0 0 0 S9990 Services provided as part of 0 0 0 0 S9991 Services provided as part of 0 0 0 0 S9992 Transportation costs to and 0 0 0 0 S9994 Lodging costs (e.g. hotel ch 0 0 0 0 S9996 Meals for clinical trial par 0 0 0 0 S9999 Sales tax 0 0 0 0 T1000 Private duty/independent nsg 0 0 0 0 T1001 Nursing assessment/evaluatn 0 0 0 0 T1002 RN services up to 15 minutes 0 0 0 0 T1003 LPN/LVN services up to 15min 0 0 0 0 T1004 Nsg aide service up to 15min 0 0 0 0 T1005 Respite care service 15 min 0 0 0 0 T1006 Family/Couple Counseling 0 0 0 0 T1007 Treatment Plan Development 0 0 0 0 T1009 Child Sitting Services 0 0 0 0 T1010 Meals when Receive Services 0 0 0 0 T1012 Alcohol/Substance Abuse Skil 0 0 0 0 T1013 Sign Lang/Oral Interpreter 0 0 0 0 T1014 Telehealth transmit, per min 0 0 0 0 T1015 Clinic service 0 0 0 0 T1016 Case management 0 0 0 0 T1017 Targeted case management 0 0 0 0 T1018 School-based IEP ser bundled 0 0 0 0 T1019 Personal care ser per 15 min 0 0 0 0 T1020 Personal care ser per diem 0 0 0 0 T1021 HH Aide or cn aide per visit 0 0 0 0 T1022 Contracted services per day 0 0 0 0 T1023 Program intake assessment 0 0 0 0 T1024 Team evaluation & management 0 0 0 0 T1025 Ped compr care pkg, per diem 0 0 0 0 T1026 Ped compr care pkg, per hour 0 0 0 0 T1027 Family training & counseling 0 0 0 0 T1028 Home environment assessment 0 0 0 0 T1029 Dwelling lead investigation 0 0 0 0 T1030 RN home care per diem 0 0 0 0 T1031 LPN home care per diem 0 0 0 0 T1040 Comm bh clinic svc per diem 0 0 0 0 T1041 Comm bh clinic svc per month 0 0 0 0 T1502 Medication admin visit 0 0 0 0 T1503 Med admin, not oral/inject 0 0 0 0 T1505 Elec med comp dev, noc 0 0 0 0 T1999 NOC retail items andsupplies 0 0 0 0 T2001 N-et; patient attend/escort 0 0 0 0 T2002 N-et; per diem 0 0 0 0 T2003 N-et; encounter/trip 0 0 0 0 T2004 N-et; commerc carrier pass 0 0 0 0 T2005 N-et; stretcher van 0 0 0 0 T2007 Non-emer transport wait time 0 0 0 0 T2010 PASRR Level I 0 0 0 0 T2011 PASRR Level II 0 0 0 0 T2012 Habil ed waiver, per diem 0 0 0 0 T2013 Habil ed waiver per hour 0 0 0 0 T2014 Habil prevoc waiver, per d 0 0 0 0 T2015 Habil prevoc waiver per hr 0 0 0 0 T2016 Habil res waiver per diem 0 0 0 0 T2017 Habil res waiver 15 min 0 0 0 0 T2018 Habil sup empl waiver/diem 0 0 0 0 T2019 Habil sup empl waiver 15min 0 0 0 0 T2020 Day habil waiver per diem 0 0 0 0 T2021 Day habil waiver per 15 min 0 0 0 0 T2022 Case management, per month 0 0 0 0 T2023 Targeted case mgmt per month 0 0 0 0 T2024 Serv asmnt/care plan waiver 0 0 0 0 T2025 Waiver service, nos 0 0 0 0 T2026 Special childcare waiver/d 0 0 0 0 T2027 Spec childcare waiver 15 min 0 0 0 0 T2028 Special supply, nos waiver 0 0 0 0 T2029 Special med equip, noswaiver 0 0 0 0 T2030 Assist living waiver/month 0 0 0 0 T2031 Assist living waiver/diem 0 0 0 0 T2032 Res care, nos waiver/month 0 0 0 0 T2033 Res, nos waiver per diem 0 0 0 0 T2034 Crisis interven waiver/diem 0 0 0 0 T2035 Utility services waiver 0 0 0 0 T2036 Camp overnite waiver/session 0 0 0 0 T2037 Camp day waiver/session 0 0 0 0 T2038 Comm trans waiver/service 0 0 0 0 T2039 Vehicle mod waiver/service 0 0 0 0 T2040 Financial mgt waiver/15min 0 0 0 0 T2041 Support broker waiver/15 min 0 0 0 0 T2042 Hospice routine home care 0 0 0 0 T2043 Hospice continuous home care 0 0 0 0 T2044 Hospice respite care 0 0 0 0 T2045 Hospice general care 0 0 0 0 T2046 Hospice long term care, r&b 0 0 0 0 T2048 Bh ltc res r&b, per diem 0 0 0 0 T2049 N-ET; stretcher van, mileage 0 0 0 0 T2101 Breast milk proc/store/dist 0 0 0 0 T4521 Adult size brief/diaper sm 0 0 0 0 T4522 Adult size brief/diaper med 0 0 0 0 T4523 Adult size brief/diaper lg 0 0 0 0 T4524 Adult size brief/diaper xl 0 0 0 0 T4525 Adult size pull-on sm 0 0 0 0 T4526 Adult size pull-on med 0 0 0 0 T4527 Adult size pull-on lg 0 0 0 0 T4528 Adult size pull-on xl 0 0 0 0 T4529 Ped size brief/diaper sm/med 0 0 0 0 T4530 Ped size brief/diaper lg 0 0 0 0 T4531 Ped size pull-on sm/med 0 0 0 0 T4532 Ped size pull-on lg 0 0 0 0 T4533 Youth size brief/diaper 0 0 0 0 T4534 Youth size pull-on 0 0 0 0 T4535 Disposable liner/shield/pad 0 0 0 0 T4536 Reusable pull-on any size 0 0 0 0 T4537 Reusable underpad bed size 0 0 0 0 T4538 Diaper serv reusable diaper 0 0 0 0 T4539 Reuse diaper/brief any size 0 0 0 0 T4540 Reusable underpad chair size 0 0 0 0 T4541 Large disposable underpad 0 0 0 0 T4542 Small disposable underpad 0 0 0 0 T4543 Disp bariatric brief/diaper 0 0 0 0 T4544 Adlt disp und/pull on abv xl 0 0 0 0 T4545 0 0 0 0 T5001 Position seat spec orth need 0 0 0 0 T5999 Supply, nos 0 0 0 0 V2020 Vision svcs frames purchases 0 0 0 0 V2025 Eyeglasses delux frames 0 0 0 0 V2100 Lens spher single plano 4.00 0 0 0 0 V2101 Single visn sphere 4.12-7.00 0 0 0 0 V2102 Singl visn sphere 7.12-20.00 0 0 0 0 V2103 Spherocylindr 4.00d/12-2.00d 0 0 0 0 V2104 Spherocylindr 4.00d/2.12-4d 0 0 0 0 V2105 Spherocylinder 4.00d/4.25-6d 0 0 0 0 V2106 Spherocylinder 4.00d/>6.00d 0 0 0 0 V2107 Spherocylinder 4.25d/12-2d 0 0 0 0 V2108 Spherocylinder 4.25d/2.12-4d 0 0 0 0 V2109 Spherocylinder 4.25d/4.25-6d 0 0 0 0 V2110 Spherocylinder 4.25d/over 6d 0 0 0 0 V2111 Spherocylindr 7.25d/.25-2.25 0 0 0 0 V2112 Spherocylindr 7.25d/2.25-4d 0 0 0 0 V2113 Spherocylindr 7.25d/4.25-6d 0 0 0 0 V2114 Spherocylinder over 12.00d 0 0 0 0 V2115 Lens lenticular bifocal 0 0 0 0 V2118 Lens aniseikonic single 0 0 0 0 V2121 Lenticular lens, single 0 0 0 0 V2199 Lens single vision not oth c 0 0 0 0 V2200 Lens spher bifoc plano 4.00d 0 0 0 0 V2201 Lens sphere bifocal 4.12-7.0 0 0 0 0 V2202 Lens sphere bifocal 7.12-20. 0 0 0 0 V2203 Lens sphcyl bifocal 4.00d/.1 0 0 0 0 V2204 Lens sphcy bifocal 4.00d/2.1 0 0 0 0 V2205 Lens sphcy bifocal 4.00d/4.2 0 0 0 0 V2206 Lens sphcy bifocal 4.00d/ove 0 0 0 0 V2207 Lens sphcy bifocal 4.25-7d/. 0 0 0 0 V2208 Lens sphcy bifocal 4.25-7/2. 0 0 0 0 V2209 Lens sphcy bifocal 4.25-7/4. 0 0 0 0 V2210 Lens sphcy bifocal 4.25-7/ov 0 0 0 0 V2211 Lens sphcy bifo 7.25-12/.25- 0 0 0 0 V2212 Lens sphcyl bifo 7.25-12/2.2 0 0 0 0 V2213 Lens sphcyl bifo 7.25-12/4.2 0 0 0 0 V2214 Lens sphcyl bifocal over 12. 0 0 0 0 V2215 Lens lenticular bifocal 0 0 0 0 V2218 Lens aniseikonic bifocal 0 0 0 0 V2219 Lens bifocal seg width over 0 0 0 0 V2220 Lens bifocal add over 3.25d 0 0 0 0 V2221 Lenticular lens, bifocal 0 0 0 0 V2299 Lens bifocal speciality 0 0 0 0 V2300 Lens sphere trifocal 4.00d 0 0 0 0 V2301 Lens sphere trifocal 4.12-7. 0 0 0 0 V2302 Lens sphere trifocal 7.12-20 0 0 0 0 V2303 Lens sphcy trifocal 4.0/.12- 0 0 0 0 V2304 Lens sphcy trifocal 4.0/2.25 0 0 0 0 V2305 Lens sphcy trifocal 4.0/4.25 0 0 0 0 V2306 Lens sphcyl trifocal 4.00/>6 0 0 0 0 V2307 Lens sphcy trifocal 4.25-7/. 0 0 0 0 V2308 Lens sphc trifocal 4.25-7/2. 0 0 0 0 V2309 Lens sphc trifocal 4.25-7/4. 0 0 0 0 V2310 Lens sphc trifocal 4.25-7/>6 0 0 0 0 V2311 Lens sphc trifo 7.25-12/.25- 0 0 0 0 V2312 Lens sphc trifo 7.25-12/2.25 0 0 0 0 V2313 Lens sphc trifo 7.25-12/4.25 0 0 0 0 V2314 Lens sphcyl trifocal over 12 0 0 0 0 V2315 Lens lenticular trifocal 0 0 0 0 V2318 Lens aniseikonic trifocal 0 0 0 0 V2319 Lens trifocal seg width > 28 0 0 0 0 V2320 Lens trifocal add over 3.25d 0 0 0 0 V2321 Lenticular lens, trifocal 0 0 0 0 V2399 Lens trifocal speciality 0 0 0 0 V2410 Lens variab asphericity sing 0 0 0 0 V2430 Lens variable asphericity bi 0 0 0 0 V2499 Variable asphericity lens 0 0 0 0 V2500 Contact lens pmma spherical 0 0 0 0 V2501 Cntct lens pmma-toric/prism 0 0 0 0 V2502 Contact lens pmma bifocal 0 0 0 0 V2503 Cntct lens pmma color vision 0 0 0 0 V2510 Cntct gas permeable sphericl 0 0 0 0 V2511 Cntct toric prism ballast 0 0 0 0 V2512 Cntct lens gas permbl bifocl 0 0 0 0 V2513 Contact lens extended wear 0 0 0 0 V2520 Contact lens hydrophilic 0 0 0 0 V2521 Cntct lens hydrophilic toric 0 0 0 0 V2522 Cntct lens hydrophil bifocl 0 0 0 0 V2523 Cntct lens hydrophil extend 0 0 0 0 V2530 Contact lens gas impermeable 0 0 0 0 V2531 Contact lens gas permeable 0 0 0 0 V2599 Contact lens/es other type 0 0 0 0 V2600 Hand held low vision aids 0 0 0 0 V2610 Single lens spectacle mount 0 0 0 0 V2615 Telescop/othr compound lens 0 0 0 0 V2623 Plastic eye prosth custom 0 0 0 0 V2624 Polishing artifical eye 0 0 0 0 V2625 Enlargemnt of eye prosthesis 0 0 0 0 V2626 Reduction of eye prosthesis 0 0 0 0 V2627 Scleral cover shell 0 0 0 0 V2628 Fabrication & fitting 0 0 0 0 V2629 Prosthetic eye other type 0 0 0 0 V2630 Anter chamber intraocul lens 0 0 0 0 V2631 Iris support intraoclr lens 0 0 0 0 V2632 Post chmbr intraocular lens 0 0 0 0 V2700 Balance lens 0 0 0 0 V2702 Deluxe lens feature 0 0 0 0 V2710 Glass/plastic slab off prism 0 0 0 0 V2715 Prism lens/es 0 0 0 0 V2718 Fresnell prism press-on lens 0 0 0 0 V2730 Special base curve 0 0 0 0 V2744 Tint photochromatic lens/es 0 0 0 0 V2745 Tint, any color/solid/grad 0 0 0 0 V2750 Anti-reflective coating 0 0 0 0 V2755 UV lens/es 0 0 0 0 V2756 Eye glass case 0 0 0 0 V2760 Scratch resistant coating 0 0 0 0 V2761 Mirror coating 0 0 0 0 V2762 Polarization, any lens 0 0 0 0 V2770 Occluder lens/es 0 0 0 0 V2780 Oversize lens/es 0 0 0 0 V2781 Progressive lens per lens 0 0 0 0 V2782 Lens, 1.54-1.65 p/1.60-1.79g 0 0 0 0 V2783 Lens, >= 1.66 p/>=1.80 g 0 0 0 0 V2784 Lens polycarb or equal 0 0 0 0 V2785 Corneal tissue processing 0 0 0 0 V2786 Occupational multifocal lens 0 0 0 0 V2787 Astigmatism-correct function 0 0 0 0 V2788 Presbyopia-correct function 0 0 0 0 V2790 Amniotic membrane 0 0 0 0 V2797 Vis item/svc in other code 0 0 0 0 V2799 Miscellaneous vision service 0 0 0 0 V5008 Hearing screening 0 0 0 0 V5010 Assessment for hearing aid 0 0 0 0 V5011 Hearing aid fitting/checking 0 0 0 0 V5014 Hearing aid repair/modifying 0 0 0 0 V5020 Conformity evaluation 0 0 0 0 V5030 Body-worn hearing aid air 0 0 0 0 V5040 Body-worn hearing aid bone 0 0 0 0 V5050 Hearing aid monaural in ear 0 0 0 0 V5060 Behind ear hearing aid 0 0 0 0 V5070 Glasses air conduction 0 0 0 0 V5080 Glasses bone conduction 0 0 0 0 V5090 Hearing aid dispensing fee 0 0 0 0 V5095 Implant mid ear hearing pros 0 0 0 0 V5100 Body-worn bilat hearing aid 0 0 0 0 V5110 Hearing aid dispensing fee 0 0 0 0 V5120 Body-worn binaur hearing aid 0 0 0 0 V5130 In ear binaural hearing aid 0 0 0 0 V5140 Behind ear binaur hearing ai 0 0 0 0 V5150 Glasses binaural hearing aid 0 0 0 0 V5160 Dispensing fee binaural 0 0 0 0 V5171 0 0 0 0 V5172 0 0 0 0 V5181 0 0 0 0 V5190 Glasses cros hearing aid 0 0 0 0 V5200 Cros hearing aid dispens fee 0 0 0 0 V5211 0 0 0 0 V5212 0 0 0 0 V5213 0 0 0 0 V5214 0 0 0 0 V5215 0 0 0 0 V5221 0 0 0 0 V5230 Glasses bicros hearing aid 0 0 0 0 V5240 Dispensing fee bicros 0 0 0 0 V5241 Dispensing fee, monaural 0 0 0 0 V5242 Hearing aid, monaural, cic 0 0 0 0 V5243 Hearing aid, monaural, itc 0 0 0 0 V5244 Hearing aid, prog, mon, cic 0 0 0 0 V5245 Hearing aid, prog, mon, itc 0 0 0 0 V5246 Hearing aid, prog, mon, ite 0 0 0 0 V5247 Hearing aid, prog, mon, bte 0 0 0 0 V5248 Hearing aid, binaural, cic 0 0 0 0 V5249 Hearing aid, binaural, itc 0 0 0 0 V5250 Hearing aid, prog, bin, cic 0 0 0 0 V5251 Hearing aid, prog, bin, itc 0 0 0 0 V5252 Hearing aid, prog, bin, ite 0 0 0 0 V5253 Hearing aid, prog, bin, bte 0 0 0 0 V5254 Hearing id, digit, mon, cic 0 0 0 0 V5255 Hearing aid, digit, mon, itc 0 0 0 0 V5256 Hearing aid, digit, mon, ite 0 0 0 0 V5257 Hearing aid, digit, mon, bte 0 0 0 0 V5258 Hearing aid, digit, bin, cic 0 0 0 0 V5259 Hearing aid, digit, bin, itc 0 0 0 0 V5260 Hearing aid, digit, bin, ite 0 0 0 0 V5261 Hearing aid, digit, bin, bte 0 0 0 0 V5262 Hearing aid, disp, monaural 0 0 0 0 V5263 Hearing aid, disp, binaural 0 0 0 0 V5264 Ear mold/insert 0 0 0 0 V5265 Ear mold/insert, disp 0 0 0 0 V5266 Battery for hearing device 0 0 0 0 V5267 Hearing aid supply/accessory 0 0 0 0 V5268 ALD Telephone Amplifier 0 0 0 0 V5269 Alerting device, any type 0 0 0 0 V5270 ALD, TV amplifier, any type 0 0 0 0 V5271 ALD, TV caption decoder 0 0 0 0 V5272 Tdd 0 0 0 0 V5273 ALD for cochlear implant 0 0 0 0 V5274 ALD unspecified 0 0 0 0 V5275 Ear impression 0 0 0 0 V5281 Ald fm/dm system, monaural 0 0 0 0 V5282 Ald fm/dm system binaural 0 0 0 0 V5283 Ald neck, loop ind receiver 0 0 0 0 V5284 Ald fm/dm ear level receiver 0 0 0 0 V5285 Ald fm/dm aud input receiver 0 0 0 0 V5286 Ald blu tooth fm/dm receiver 0 0 0 0 V5287 Ald fm/dm receiver, nos 0 0 0 0 V5288 Ald fm/dm transmitter ald 0 0 0 0 V5289 Ald fm/dm adapt/boot couplin 0 0 0 0 V5290 Ald transmitter microphone 0 0 0 0 V5298 Hearing aid noc 0 0 0 0 V5299 Hearing service 0 0 0 0 V5336 Repair communication device 0 0 0 0 V5362 Speech screening 0 0 0 0 V5363 Language screening 0 0 0 0 V5364 Dysphagia screening 0 0 0 0

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©2024 MGMA. All Rights Reserved. Data extracted from MGMA DataDive.